- 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)
- …recognition programs and other common practices across the system. *JOB SUMMARY:* The Risk Adjustment Coder Educator develops and implements an ... with CMS risk adjustment program requirements and ICD 10 coding guidelines. The Risk Adjustment Coder Educator will serve as a training resource for … more
- Geisinger (Danville, PA)
- …certifications is required:CPC - Certified Professional Coder CRC - Certified Risk Adjustment Coder RHIT - Registered Health Information Technician ... procedures. Job Duties + Reviews the content of the medical records from multiple EHR's and on-site for both...Technician (RHIT) - American Health Information Management Association; Certified Risk Adjustment Coder - American… more
- Geisinger (Danville, PA)
- …certification + CPC / Certified Professional Coder - AAPC + CRC / Certified Risk Adjustment Coder - AAPC + RHIT / Registered Health Information ... all qualified individuals to apply. Position Details Education/Certification requirements Coder Level I - Medical Billing and Coding diploma Coder Level II,… more
- Molina Healthcare (Scottsdale, AZ)
- … Adjustment Data Validation **Preferred License, Certification, Association** + Certified Risk Adjustment Coder - (CRC) + Certified Professional Payer ... to network of providers on how to improve their risk adjustment knowledge as well as provide...such as planning, scheduling of chart reviews, obtaining of medical records, and provider training and education + Assists… more
- MedKoder (Mandeville, LA)
- …veteran, the company offers services including inpatient and outpatient facility coding, medical risk adjustment management, DRG coding management, coding ... About Us MedKoder, LLC is a full-service medical coding management services provider based in Mandeville,...week that offers a flexible schedule Description: The Physician Coder : Hospitalist is responsible for reviewing and accurately coding… more
- Albany Medical Center (Albany, NY)
- …and training to providers and coding staff. Act as an expert for the HCC/ Risk adjustment coding. This position is remote but does require onsite education ... for Coding and Reporting. Code chronic disease that meets HCC and Risk Adjustment criteria. Validate missed coding opportunities. + Conducts professional… more
- Sutter Health (Sacramento, CA)
- …+ HS Diploma or General Education Diploma (GED) **CERTIFICATION & LICENSURE:** + CRC-Certified Risk Adjustment Coder OR CPC-Certified Professional Coder ... Office-Bay **Position Overview:** This position conducts review of outpatient medical records using International Classification of Disease Coding ICD-10-CM and… more
- Florida Health Care Plans, Inc. (Daytona Beach, FL)
- POSITION SUMMARY: The Physician Office Medical Coder /Biller (POMB) conducts a documentation review of electronic records that are prepared by clinicians to ... communication. + Experience with Electronic Health Record preferred. + Understanding Risk Adjustment coding and supportive documentation preferred. + Ability… more
- AdventHealth (Altamonte Springs, FL)
- …manage multiple priorities at once with little supervision. Possesses knowledge about risk adjustment and hospital publicly reported data. Possesses knowledge ... **Shift:** Full-Time, Monday-Friday **The role you will contribute:** The Coder Analyst IV is a Health Information Professional with...or RHIA or RHIT with required years of experience Medical coding certificate program or 2 year HIM program.… more
- Insight Global (Tampa, FL)
- Job Description Insight Global is hiring HCC/ Risk Adjustment Medical coders to support a backlog for inpatient and outpatient Medicare advantage projects . ... certification (CPC) through AAPC or AHIMA, or a CCS. Will be coding more risk adjustment vs profee. Most of the markets are strictly risk adjustment… more
- Tufts Medicine (Burlington, MA)
- …provider education when necessary. **Job Description** **Minimum Qualifications:** 1. Certified Risk Adjustment Coder (CRC) **OR** Certified Professional ... overall provider documentation as it pertains to coding and risk adjustment guidelines. Reviews medical ...experience, . **Preferred Qualifications:** 1. Associate's degree. 2. Certified Risk Adjustment Coder (CRC) highly… more
- Blue KC (Kansas City, MO)
- …HEDIS / Stars coding + 3+ years' team lead or project lead experience + Certified Risk Adjustment Coder AND/OR Certified Professional Coder with the ... **Employee discount program** **Job Description Summary:** The Director, Government Programs Risk Adjustment & Audit assumes overall leadership of the… more
- Corewell Health (Grand Rapids, MI)
- …License and/or Certification in area of specialty - UNKNOWN Unknown CRC, AAPC Certified Risk Adjustment Coder preferred Physical Demands + Pallet to Waist ... 7 years of relevant experience in Risk Adjustment in a health plan or medical ...State Other than Michigan Upon Hire required + CRT-Professional Coder - AAPC American Academy of Professional Coders 180… more
- Trinity Health (Albany, NY)
- …LICENSURE AND EXPERIENCE INCLUDES:** + Risk Adjustment Coding - Certified Risk Adjustment Coder (CRC) required and + Auditing - Certified Auditor ... **Employment Type:** Full time **Shift:** Day Shift **Description:** ** Risk Adjustment Auditor Educator** -St. Peter's...Certified Professional Medical Auditor (CPMA) required and + Education - 5+… more
- Trinity Health (Syracuse, NY)
- …LICENSURE AND EXPERIENCE INCLUDES:** + Risk Adjustment Coding - Certified Risk Adjustment Coder (CRC) required and + Auditing - Certified Auditor ... Education if needed. Auditing Experience Posting **POSITION PURPOSE:** A Risk Adjustment Auditor Educator is responsible for...Certified Professional Medical Auditor (CPMA) required and + Education - 5+… more
- UCLA Health (Los Angeles, CA)
- …certification or Certified Coding Specialist (CCS) certification, required + A Certified Risk Adjustment Coder (CRC), required + Reliable transportation ... As the Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment , you will be an expert...associated with the health plan. You will: + Conduct medical record audits for physicians (MD, DO, or NP)… more
- Trinity Health (Albany, NY)
- …and Medicaid Services (CMS). **SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:** **. Certified Risk Adjustment Coder (CRC) required** . Excellent verbal ... **Employment Type:** Full time **Shift:** Day Shift **Description:** Risk Adjustment Coding Specialist -St. Peter's Health Partners - Full-time - Remote… more
- CenterWell (Baton Rouge, LA)
- …entities within the Primary Care Organization. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible for driving ongoing ... Responsible for performance management and strategy development for PCO risk adjustment at the division and market...identify and influence enhancements to technology to improve the medical coder experience. + Oversees coding operations… more
- The Cigna Group (Bloomfield, CT)
- … Data Validation audits (RADV), Risk Adjustment operations, Risk Adjustment medical record and diagnosis coding excellence, implementation ... (RHIT) + Registered Health Information Administrator (RHIA) + Certified Risk Adjustment Coder (CRC) certification...and have excellent organization skills + Risk Adjustment /CMS knowledge helpful + Understanding of medical … more