- 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 ... risk adjustment program requirements and ICD 10 coding guidelines. The Risk Adjustment Coder Educator will serve as a training resource for Risk … more
- Geisinger (Danville, PA)
- …certifications is required:CPC - Certified Professional Coder CRC - Certified Risk Adjustment Coder RHIT - Registered Health Information Technician ... Health Information Technician (RHIT) - American Health Information Management Association; Certified Risk Adjustment Coder - American Academy of Professional… more
- Geisinger (Danville, PA)
- …+ CPC / Certified Professional Coder - AAPC + CRC / Certified Risk Adjustment Coder - AAPC + RHIT / Registered Health Information Technician - AHIMA ... 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
- Molina Healthcare (Scottsdale, AZ)
- … Adjustment Data Validation **Preferred License, Certification, Association** + Certified Risk Adjustment Coder - (CRC) + Certified Professional Payer ... + Provides training and education to network of providers on how to improve their risk adjustment knowledge as well as provide coding updates related to Risk… more
- Sutter Health (Sacramento, CA)
- …+ 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, knowledge of Quality Coding… more
- Tufts Medicine (Burlington, MA)
- …provider education when necessary. **Job Description** **Minimum Qualifications:** 1. Certified Risk Adjustment Coder (CRC) **OR** Certified Professional ... adjustment experience, . **Preferred Qualifications:** 1. Associate's degree. 2. Certified Risk Adjustment Coder (CRC) highly preferred. 3. Two (2) years… 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 ... 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
- 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
- Marshfield Clinic (Marshfield, WI)
- … certification and/or American Academy of Professional Coders - Certified Risk Adjustment Coder certification. **Preferred/Optional:** None **Marshfield ... 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)
- …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 Health Partners - Full-time - Remote… more
- Trinity Health (Syracuse, NY)
- …LICENSURE AND EXPERIENCE INCLUDES:** + Risk Adjustment Coding - Certified Risk Adjustment Coder (CRC) required and + Auditing - Certified Auditor ... to conduct Education if needed. Auditing Experience Posting **POSITION PURPOSE:** A Risk Adjustment Auditor Educator is responsible for ensuring accurate coding… more
- UCLA Health (Los Angeles, CA)
- …certification or Certified Coding Specialist (CCS) certification, required + A Certified Risk Adjustment Coder (CRC), required + Reliable transportation ... 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)
- …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
- The Cigna Group (Bloomfield, CT)
- …Information Technician (RHIT) + Registered Health Information Administrator (RHIA) + Certified Risk Adjustment Coder (CRC) certification (within 12 months ... coordination and implementation of daily processes related to IFP Risk Adjustment (RA) programs, including the ...in one of the following certifications: + Certified Professional Coder (CPC) + Certified Coding Specialist for Providers (CCS-P)… more
- Penn Medicine (Bala Cynwyd, PA)
- …ambulatory outpatient and risk adjustment coding. (Required) + Certified Risk Adjustment Coder (CRC) (Required) + Additional experience could be ... accuracy of coding, compliance and clinical documentation. The Certified coder (CPC or CCS-P) is responsible for detailed analysis...in lieu of degree. + CCS or Certified Procedural Coder - CPC (AAPC) (Required) + RHIA, RHIT (Preferred)… more
- Humana (Jeffersonville, GA)
- …South Carolina or Georgia **Preferred Qualifications** + Bachelor's Degree + CRC -Certified Risk Adjustment Coder + Experience interacting with healthcare ... **Required Qualifications** + AHIMA or AAPC CPC (Certified Professional Coder ) Certification + 3 or more years of medical...public speaking and/or presentation skills with healthcare providers + Risk Adjustment knowledge + Familiar with coding… more
- Marshfield Clinic (Marshfield, WI)
- …one year. State of Wisconsin Registered Nurse license (if applicable). **Preferred/Optional:** Certified Risk Adjustment Coder awarded by American Academy of ... 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)
- …credential or Certified Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) **EXPERIENCE:** + Experience with Cerner ... and eClinicalWorks (eCW) is strongly preferred. + Minimum 7 years professional fee coding and revenue cycle operations experience strongly preferred. + Minimum 5 years health care management/leadership experience required. **Benefits** HCA Healthcare offers a… more
- HCA Healthcare (Nashville, TN)
- …(CPC(R)) credential or Certified Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) EXPERIENCE: + Experience with Cerner ... and eClinicalWorks (eCW) is strongly preferred. + Minimum 7 years professional fee coding and revenue cycle operations experience strongly preferred. + Minimum 5 years health care management/leadership experience required. Physician Services Group… more