- Ankura (New York, NY)
- …college/university + Current Registered Nurse license + Experience working for payors conducting risk adjustment reviews + Clinical experience in a variety of ... and mature their compliance programs, conduct program effectiveness reviews, and risk assessments, and perform compliance audits. We assist in-house and outside… more
- Hartford HealthCare (Hartford, CT)
- … Coding Specialist - Physician (CCS-P) or Certified Coding Specialist (CCS) Certified Risk Adjustment Coder (CRC) preferred (required within ... programs and other common practices across the system. *JOB SUMMARY:* The Risk Adjustment Coder Educator develops and implements an enterprise-wide risk… more
- Molina Healthcare (Scottsdale, AZ)
- …with Risk Adjustment Data Validation **Preferred License, Certification, Association** + Certified Risk Adjustment Coder - (CRC) + Certified ... to network of providers on how to improve their risk adjustment knowledge as well as provide...of education and experience **Required License, Certification, Association** + Certified Professional Coder (CPC) + Certified… more
- Geisinger (Danville, PA)
- …coding certifications is required:CPC - Certified Professional Coder CRC - Certified Risk Adjustment Coder RHIT - Registered Health Information ... Health Information Technician (RHIT) - American Health Information Management Association; Certified Risk Adjustment Coder - American Academy of… more
- Geisinger (Danville, PA)
- …+ CPC / Certified Professional Coder - AAPC + CRC / Certified Risk Adjustment Coder - AAPC + RHIT / Registered Health Information Technician ... A joint effort between the healthcare provider and the coder is essential to achieve complete and accurate documentation,...perform the job. This posting reflects an opening for Coder I and we are seeking candidates for that… more
- Sutter Health (Sacramento, CA)
- …**EDUCATION:** + HS Diploma or General Education Diploma (GED) **CERTIFICATION & LICENSURE:** + CRC- Certified Risk Adjustment Coder OR CPC- Certified ... Professional Coder OR AHMA or AAPC Coding Certification (CCS-P, CPC, COC or CPC-P) **TYPICAL EXPERIENCE:** + 1 year recent relevant experience. **SKILLS AND KNOWLEDGE:** + Advanced knowledge of ICD-10 diagnosis coding conventions and requirements,… more
- Tufts Medicine (Burlington, MA)
- …and will provide provider education when necessary. **Job Description** **Minimum Qualifications:** 1. Certified Risk Adjustment Coder (CRC) **OR** ... adjustment experience, . **Preferred Qualifications:** 1. Associate's degree. 2. Certified Risk Adjustment Coder (CRC) highly preferred. 3. Two (2)… more
- Blue KC (Kansas City, MO)
- … and HEDIS / Stars coding + 3+ years' team lead or project lead experience + Certified Risk Adjustment Coder AND/OR Certified Professional Coder ... **Employee discount program** **Job Description Summary:** The Director, Government Programs Risk Adjustment & Audit assumes overall leadership of the… more
- Corewell Health (Grand Rapids, MI)
- …least one License and/or Certification in area of specialty - UNKNOWN Unknown CRC, AAPC Certified Risk Adjustment Coder preferred Physical Demands + ... Job Summary The Director Risk Adjustment Prospective Operations & ...State Other than Michigan Upon Hire required + CRT-Professional Coder - AAPC American Academy of Professional Coders 180… more
- Marshfield Clinic (Marshfield, WI)
- … Coder certification and/or American Academy of Professional Coders - Certified Risk Adjustment Coder certification. **Preferred/Optional:** ... to support the most exciting missions in the world!** **Job Title:** Risk Adjustment Revenue Director (Remote/Hybrid) **Cost Center:** 682891390 SHP-Strategic… more
- Trinity Health (Albany, NY)
- …EDUCATION, LICENSURE AND EXPERIENCE INCLUDES:** + Risk Adjustment Coding - Certified Risk Adjustment Coder (CRC) required and + Auditing ... **Employment Type:** Full time **Shift:** Day Shift **Description:** ** Risk Adjustment Auditor Educator** -St. Peter's...- Certified Auditor Certified Professional Medical Auditor (CPMA) required and + Education… more
- Trinity Health (Syracuse, NY)
- …EDUCATION, LICENSURE AND EXPERIENCE INCLUDES:** + Risk Adjustment Coding - Certified Risk Adjustment Coder (CRC) required and + Auditing ... Education if needed. Auditing Experience Posting **POSITION PURPOSE:** A Risk Adjustment Auditor Educator is responsible for...- Certified Auditor Certified Professional Medical Auditor (CPMA) required and + Education… more
- UCLA Health (Los Angeles, CA)
- … (CPC) certification or Certified Coding Specialist (CCS) certification, required + A Certified Risk Adjustment Coder (CRC), required + Reliable ... Description As the Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment , you will be an expert in risk adjustment coding and… more
- Trinity Health (Albany, NY)
- …Centers for Medicare and Medicaid Services (CMS). **SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:** **. Certified Risk Adjustment Coder (CRC) required** . ... Partners' confidentiality requirements as they relate to patient information. What a Certified Risk Adjustment Coding Specialist will do: . Review and… more
- The Cigna Group (Bloomfield, CT)
- …Health Information Technician (RHIT) + Registered Health Information Administrator (RHIA) + Certified Risk Adjustment Coder (CRC) certification ... coordination and implementation of daily processes related to IFP Risk Adjustment (RA) programs, including the ...Coders (AAPC) in one of the following certifications: + Certified Professional Coder (CPC) + Certified… more
- The Cigna Group (Bloomfield, CT)
- …Health Information Technician (RHIT)** **o Registered Health Information Administrator (RHIA)** **o Certified Risk Adjustment Coder (CRC) certification** ... Job Summary: The Risk Adjustment Quality & Review Analyst...or the American Academy of Professional Coders (AAPC):** **o Certified Professional Coder (CPC)** **o Certified… more
- Penn Medicine (Bala Cynwyd, PA)
- …experience including ambulatory outpatient and risk adjustment coding. (Required) + Certified Risk Adjustment Coder (CRC) (Required) + Additional ... to improve the accuracy of coding, compliance and clinical documentation. The Certified coder (CPC or CCS-P) is responsible for detailed analysis of out-patient… more
- Humana (Jeffersonville, GA)
- …+ Live in South Carolina or Georgia **Preferred Qualifications** + Bachelor's Degree + CRC - Certified Risk Adjustment Coder + Experience interacting with ... an impact** **Required Qualifications** + AHIMA or AAPC CPC ( Certified Professional Coder ) Certification + 3 or...public speaking and/or presentation skills with healthcare providers + Risk Adjustment knowledge + Familiar with coding… more
- Marshfield Clinic (Marshfield, WI)
- …within one year. State of Wisconsin Registered Nurse license (if applicable). **Preferred/Optional:** Certified Risk Adjustment Coder awarded by American ... external stakeholders as it relates to Medicare Advantage, ACA/Exchange and Medicaid risk adjustment reimbursement methodologies and policies to ensure the… more
- HCA Healthcare (Nashville, TN)
- …(CPC(R)) credential or Certified Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) **EXPERIENCE:** + Experience ... overnight travel. **EDUCATION:** + Bachelor's Degree preferred. + Must be a Certified Coding Specialist (CCS), Certified Coding Specialist - Physician (CCS-P),… more