• Risk Adjustment Coder

    Apex Health Solutions (Houston, TX)
    SUMMARY: Risk Adjustment Coder is responsible for reviewing, abstracting, and coding inpatient and/or outpatient medical records to ensure proper ICD-10 ... A certification in one of the following is required: * Certified Risk Adjustment Coder (CRC) * Certified Professional Coder (CPC)… more
    Apex Health Solutions (03/13/24)
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  • Prospective Outpatient Risk

    Baystate Health (Springfield, MA)
    The Prospective Outpatient Risk Adjustment Coder supports risk adjustment optimization activities that improve value-based care and population health ... as an MA or LPN in an outpatient setting. **Position** + Prospective Outpatient Risk Adjustment Coder **SCHEDULE:** + Monday - Friday + No weekends no… more
    Baystate Health (05/08/24)
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  • Risk Adjustment Coder

    ChenMed (Miami, FL)
    …providers. We're rapidly expanding and we need great people to join our team. The Risk Adjustment Coder works in a collaborative effort directly with ... medical records and other clinical documentation to identify appropriate risk adjustment codes and quality gap closure...APPC or AHIMA coding certified preferred. + CRC (certified risk coder ) is required, or minimum of… more
    ChenMed (05/29/24)
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  • Risk Adjustment Coder

    Insight Global (Fort Myers, FL)
    Job Description Insight Global Health is seeking a dedicated risk adjustment coder for a health care client located in the Fort Myers, FL area to join their ... team. The risk adjustment coder will be responsible for: -Performing medical record audits to ensure compliance with all applicable federal, state and local… more
    Insight Global (05/31/24)
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  • Risk Adjustment Coder

    US Tech Solutions (Newark, NJ)
    …with all state regulations, federal regulations, internal policies, and internal procedures. HCC Risk Adjustment Coders will be involved with activities of code ... Summary: The Senior Professional Coder provides services to perform code abstraction using...the following programs; including but not limited to, Commercial Risk Adjustment , Medicare Advantage Risk more
    US Tech Solutions (05/10/24)
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  • Risk Adjustment Coder II

    Point32Health (SC)
    …here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** Under the direction of the Risk Adjustment Supervisor/Manager, performs accurate and timely review and ... Medicare Advantage, Commercial and Medicaid HCCs through medical record reviews. The Risk Adjustment Coding Specialist II reviews provider documentation of… more
    Point32Health (05/31/24)
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  • Risk Adjustment Coder I

    Point32Health (SC)
    …here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** Under the direction of the Risk Adjustment Supervisor/Manager, performs accurate and timely review and ... Medicare Advantage, Commercial and Medicaid HCCs through medical record reviews. The Risk Adjustment Coding Specialist I reviews provider documentation of… more
    Point32Health (05/31/24)
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  • HCC Risk Adjustment Coder

    MedKoder (Mandeville, LA)
    …hands-on production). Must have at least 1 year of specialized experience in Medicare Risk Adjustment disciplines- such as HCC, CCC HEDIS + Auditing experience a ... Position Location: 100% Remote Qualifications The Medical Coder provides coding and coding auditing services directly...medical record charts for the appropriate coding compliance + Coder is responsible for meeting daily production goal and… more
    MedKoder (04/18/24)
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  • Risk Adjustment Coder

    Centene Corporation (FL)
    …the most current International Classification of Diseases, Revision (ICD-10) for CMS risk adjustment purposes. + Codes, abstracts and analyzes inpatient and/or ... a complete understanding of these guidelines. + Follows CMS risk adjustment guidelines and has a complete...one of the following is required: Required Certified Professional Coder (CPC): Preferred Certified Coding Specialist (CCS): Pay Range:… more
    Centene Corporation (05/30/24)
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  • Certified Risk Coder

    Insight Global (Campbell, CA)
    …https://insightglobal.com/workforce-privacy-policy/ . Skills and Requirements -5+ years of experience as a risk adjustment coder , CRC, or CMC -Must have ... Job Description As an HCC Medical Coder , your primary responsibilities will revolve around ensuring accurate and compliant coding practices. You'll need to maintain… more
    Insight Global (05/08/24)
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  • Coder

    St. Luke's Health System (Boise, ID)
    …), COC (Certified Outpatient Coder ), CIC (Certified Inpatient Coder ), CRC (Certified Risk Adjustment Coder ). **What's in it for you:** At St. Luke's, ... place to work. **What You Can Expect:** Under general supervision, the Coder 1 is responsible for reviewing applicable documentation and assigning appropriate… more
    St. Luke's Health System (05/30/24)
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  • Coder II

    Geisinger (Bloomsburg, PA)
    …Health Information Technician (RHIT) - American Health Information Management Association; Certified Risk Adjustment Coder - American Academy of Professional ... A joint effort between the healthcare provider and the coder is essential to achieve complete and accurate documentation,...lower level. Salary would commensurate with experience. Position Details Coder level II - a minimum of one certification… more
    Geisinger (05/18/24)
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  • Risk Adjustment Provider Educator…

    The Cigna Group (Bloomfield, CT)
    …least one of the below): + Certified Professional Coder (CPC) + Certified Risk Adjustment Coder (CRC) + Certified Coding Specialist for Providers (CCS-P) ... ** Risk Adjustment Provider Educator** **_Incumbent_** **_candidate must reside in assigned territory and have the ability to travel to the local office and… more
    The Cigna Group (05/13/24)
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  • Risk Adjustment Provider Service…

    BlueCross BlueShield of North Carolina (NC)
    …field + Must have a Certified Professional Coder (CPC) or Certified Risk Adjustment Coder (CRC) certification **Salary Range** $55,800.00 - $89,300.00 ... facing role. Evaluates and monitors provider performance to achieve excellence in risk adjustment coding. Participates in regular provider meetings and/or calls… more
    BlueCross BlueShield of North Carolina (04/27/24)
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  • HCC Coding Provider Education Senior Analyst-…

    The Cigna Group (Bloomfield, CT)
    …least one of the below): + Certified Professional Coder (CPC) + Certified Risk Adjustment Coder (CRC) + Certified Coding Specialist for Providers (CCS-P) ... Summary:** This role is responsible for supporting Cigna Medicare Advantage's Risk Adjustment & Stars program for assigned populations in an operational market.… more
    The Cigna Group (05/29/24)
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  • Provider Education Lead Analyst - Hybrid- Memphis…

    The Cigna Group (Chattanooga, TN)
    …least one of the below): + Certified Professional Coder (CPC) + Certified Risk Adjustment Coder (CRC) + Certified Coding Specialist for Providers (CCS-P) ... **Job Summary:** This role is responsible for supporting Cigna Medicare Advantage's Risk Adjustment program for assigned populations in an operational market.… more
    The Cigna Group (05/09/24)
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  • Coding Education Specialist - Careallies…

    The Cigna Group (Philadelphia, PA)
    …(at least one of the below):** Certified Professional Coder (CPC) Certified Risk Adjustment Coder (CRC) Certified Coding Specialist for Providers (CCS-P) ... inpatient / outpatient or medical office coding experience, preferably two years risk adjustment coding experience. + Extensive knowledge and adherence to… more
    The Cigna Group (05/31/24)
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  • Analyst, Coding Data Quality Auditor

    CVS Health (Jefferson City, MO)
    …Professional Coder ) or CCS-P (Certified Coding Specialist-Physician) and CRC (Certified Risk Adjustment Coder ) required Preferred Qualifications + CPMA ... for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in… more
    CVS Health (05/25/24)
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  • Coding Data Quality Auditor

    CVS Health (Tallahassee, FL)
    …(Certified Professional Coder ) or CCS-P (Certified Coding Specialist-Physician).) ( CRC (Certified Risk Adjustment Coder must be able to obtain within 1 ... for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in… more
    CVS Health (04/27/24)
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  • Coding Quality Specialist

    St. Luke's Health System (Boise, ID)
    …Outpatient Coder ), CIC (Certified Inpatient Coder ), CRC (Certified Risk Adjustment Coder ), CAISS (Certified Abbreviated Injury Scale Specialist), ... CSTR (Certified Specialist in Trauma Registries). **What's in it for You:** At St. Luke's, caring for people in the communities we serve is our mission - and this includes our own SLHS team. We offer a robust benefits package to support our teams both… more
    St. Luke's Health System (05/21/24)
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