- Mercy (Chesterfield, MO)
- …RHC, Home Health/Hospice, Infusion/Injection coding , IPPS, OPPS, MPFS, interventional radiology coding and/or Risk Adjustment . * Advanced knowledge and ... Find your calling at Mercy! The Senior Compliance Auditor supports the Compliance Program across...or more of the following CURRENT certifications: * Certified Coding Specialist (CCS), * Certified Coding Specialist… more
- Centene Corporation (Jefferson City, MO)
- … coding guidelines. + Validate clinical documentation to support appropriate risk adjustment coding , including Hierarchical Condition Categories (HCCs), ... clinical chart reviews and advise on clinical best practices related to risk adjustment coding , HCC capture, and documentation improvement. + Performs other… more
- Ankura (New York, NY)
- …Risk Adjustment data collection and submission activities as well as knowledge of Risk Adjustment coding requirements preferably with a Risk ... and/or litigation/dispute matters generally focused on Medicare and Commercial Risk Adjustment . The Senior Director will also support practice… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior ACA Encounters Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and integrity ... key deliverables. Develop tracking and monitoring mechanisms for all Risk Adjustment and Coding programs....the Division. + Ability to work with and support Senior Management and to disseminate and summarize information into… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Risk Adjustment Business Operations Analyst assumes a pro-active approach in ensuring the accuracy and ... key deliverables. Develop tracking and monitoring mechanisms for all Risk Adjustment and Coding programs....the Division. + Ability to work with and support Senior Management and to disseminate and summarize information into… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Manager plays a critical role in the development and execution of the corporate risk adjustment ... the end to end strategy by applying improvements and driving cost-effective risk adjustment actions across all organizational populations and products.… more
- Point32Health (Canton, MA)
- …identification of member health conditions. The Manager will build relationships and drive risk adjustment engagement with senior leaders at contracted ... The Manager will frequently present upon the effectiveness of risk adjustment initiatives and programs to both internal senior leaders and external… more
- Humana (Salt Lake City, UT)
- …make an impact** **Required Qualifications** + 5+ years of experience in risk adjustment coding /auditing/education and provider relations/engagement + ... caring community and help us put health first** The Senior Coding Educator will work closely with...gained from actual experience of chronic condition documentation and coding audits, risk adjustment program… more
- Ascension Health (Elk Grove Village, IL)
- …Candidates must have the following certification thru AAPC (credentialing board): **Certified Risk Adjustment Coder (CRC) - STRONGLY PREFERRED** + **Hybrid ... in the CRC program please apply!** + 1 year ** RISK CODING ** experience, preferred (NEW GRADUATES WELCOME)...of care, including more than 140 hospitals and 40 senior living communities in 19 states. Our Mission, Vision… more
- CareFirst (Baltimore, MD)
- …**Education Level:** High School Diploma or GED. **Experience:** 5 years experience in risk adjustment coding , ambulatory coding and/or CRC ... integration of medical codes across policies and platforms. The Senior Coding Analyst partners with medical policy...Strategizes alternatives and solutions to maximize quality payments and risk adjustment . Translates from claim language to… more
- UTMB Health (Galveston, TX)
- Senior Coder - RCO Coding **Galveston,...Academy of Professional Coders (AAPC) Or CRC - Cert Risk Adjustment Coder American Academy of Professional ... A high school diploma or GED and three years of multi-specialty coding experience. The senior coder must be proficient in coding Professional services,… more
- Mount Sinai Health System (New York, NY)
- … coding operations in a multi-entity or academic health system. - Familiarity with risk adjustment , HCC coding , and value-based care models. - Proven ... **Job Description** The Senior Director of Coding is a strategic and operational leader responsible for overseeing all aspects of professional and hospital … more
- Humana (Atlanta, GA)
- …a part of our caring community and help us put health first** The Senior Coding Educator identifies opportunities to improve provider documentation and creates ... an education plan tailored to each assigned provider. The Senior Coding Educator is responsible for creating... Educator is responsible for creating and executing the risk adjustment strategy for each provider groups.… more
- CenterWell (Tallahassee, FL)
- … leaders/coders) + Partner with MRA Strategy and Analytics teams to establish risk adjustment analytics to identify coding improvement opportunities, ... function or segment. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible...provider coding improvement opportunities, risk score trending and tracking. + Partners with MRA… more
- Geisinger (Danville, PA)
- …one Coding Certification required:--Certified Professional Coder - AAPC --Certified Risk Adjustment Coder - American Academy of Professional Coders (AAPC) ... Information Technician (RHIT) - American Health Information Management Association; Certified Risk Adjustment Coder - American Academy of Professional Coders… more
- Geisinger (Danville, PA)
- …Minimum 1 certification required:CPC - Certified Professional Coder AAPC CRC - Certified Risk Adjustment Coder - AAPC RHIT - Registered Health Information ... Job Summary Health information coding is the transformation of verbal descriptions of...Technician (RHIT) - American Health Information Management Association; Certified Risk Adjustment Coder - American Academy of… more
- St. Mary's Healthcare (Amsterdam, NY)
- …Demonstrated knowledge of ICD-10-CM/PCS, CPT/HCPCS coding , MS-DRGs, APR-DRGs, APCs, and risk adjustment . Certifications / Licensure: + RHIA, RHIT, or CCS ... factors permitted by law. Responsibilities: + Provide day-to-day leadership to coding teams across inpatient, outpatient and professional services. + Partner with… more
- Amazon (IL)
- …ICD-10-CM coding guidelines, AHA Coding Clinic Guidance and CMS Risk Adjustment guidance. Assign appropriate ICD-10-CM, CPT, and other relevant codes to ... 2025 As a member of the Amazon One Medical Senior Health Revenue Cycle team, the Medical Coder I...Possesses advanced knowledge and understanding of Profee and HCC Risk Adjustment , coding and documentation… more
- Blue KC (Kansas City, MO)
- …on program implementation and barrier resolution. + Provide training on Stars measures, risk adjustment coding practices, and Blue KC program administration, ... educational tools for network providers regarding risk adjustment and HEDIS documentation and coding best practices to facilitate risk adjustment… more
- Scripps Health (San Diego, CA)
- …of ICD, CPT, and HCPCS coding systems, MS-DRG/APR-DRG methodologies, and risk adjustment /HCC principles. * Strong technical proficiency and experience in ... *This Senior Director position is eligible to participate in...Documentation Integrity*provides strategic leadership and operational oversight for systemwide Coding , Clinical Documentation Integrity (CDI), and Health Information Management… more
