- Atrium Health (Charlotte, NC)
- …This leaders will be a key subject matter expert for clinical documentation and risk adjustment coding within the enterprise. This position focuses on ... This clinical position uses clinical/nursing knowledge and understanding of national coding guidelines and standards of compliance to improve overall quality and… more
- AdventHealth (Altamonte Springs, FL)
- ** Coding Specialist Risk Adjustment ** **All the benefits and perks you need for you and your family:** . Benefits from Day One . Career Development . ... **Job Location** : Virtual **The role you'll contribute:** The Medicare Risk Adjustment Coding Specialist coordinates and supports retrospective… more
- AdventHealth (Altamonte Springs, FL)
- ** Coding Specialist Risk Adjustment ** **All the benefits and perks you need for you and your family:** + Benefits from Day One + Career Development + ... **Job Location** : Virtual **The role you'll contribute:** The Medicare Risk Adjustment Coding Specialist coordinates and supports retrospective… more
- Point32Health (SC)
- …validation of Medicare Advantage, Commercial and Medicaid HCCs through medical record reviews. The Risk Adjustment Coding Specialist II reviews provider ... and recommendations to improve overall provider documentation and coding . The Risk Adjustment Coding Specialist II will review medical records to… more
- AdventHealth (Altamonte Springs, FL)
- …team and their leadership in a matrix relationship. . Provide direction and guidance to Risk Adjustment Coding Specialist , as well as cross functional ... Category (HCC) education including but not limited to clinical documentation integrity, coding , HCC Risk Adjustment Methodology, and provider performance… more
- The Cigna Group (Philadelphia, PA)
- …least one of the below):** Certified Professional Coder (CPC) Certified Risk Adjustment Coder (CRC) Certified Coding Specialist for Providers (CCS-P) ... Must reside in Philadelphia** Job Description: Coding Education Specialist (AHIMA or AAPC...medical office coding experience, preferably two years risk adjustment coding experience. +… more
- The Cigna Group (Bloomfield, CT)
- …(CPC) + Certified Risk Adjustment Coder (CRC) + Certified Coding Specialist for Providers (CCS-P) + Registered Health Information Management Technician ... or medical office coding experience, preferably two (2) years risk adjustment coding experience. + Excellent written and verbal communication skills.… more
- The Cigna Group (Baltimore, MD)
- …(CPC) + Certified Risk Adjustment Coder (CRC) + Certified Coding Specialist for Providers (CCS-P) + Registered Health Information Management Technician ... (RHIT) + 5+ years of risk adjustment coding experience, 3+ national Medicare Advantage health plan experience preferred. + Must be a strong public speaker… more
- CDPHP (Albany, NY)
- …you to be a part of that experience. Annual salary range: $75,000 - 95,000 The Risk Adjustment Coding Supervisor will be responsible for oversight of CDPHP's ... Risk Adjustment Coding Specialists. This... Risk Adjustment Coding Specialists. This includes monitoring, tracking...(2) years of equivalen experience required. + CCS (Certified Coding Specialist ) or CPC (Certified Coding… more
- BlueCross BlueShield of Tennessee (Knoxville, TN)
- Responsible for acquiring medical records from provider offices for purposes of risk adjustment coding and data submission to the Centers for Medicare & ... records\. **Job Description:** **Job Responsibilities** + Load medical records into BCBST coding system and link records to appropriate chart IDs\. + Download… more
- US Tech Solutions (Newark, NJ)
- …to regulatory agencies and key stakeholders * Evaluate and improve the effectiveness of risk adjustment coding programs, policies & procedures and work flow ... As a Subject Matter Expert, this person will support risk adjustment coding initiatives to...the American Academy of Professional Coders or a Certified Coding Specialist , P from the American… more
- Baystate Health (Springfield, MA)
- …(CDEO); CMA or LPN + EHR (Cerner preferred) + Prospective coding or risk adjustment coding ; clinical experience in outpatient medical practice. **THE ... conditions are listed in medical record before provider visits and uses ICD-10 CM coding guidelines and risk adjustment model regulations to identify missed… more
- Apex Health Solutions (Houston, TX)
- …and coding inpatient and/or outpatient medical records to ensure proper ICD-10 coding and compliance with risk adjustment requirements. Reports to: AVP, ... SUMMARY: Risk Adjustment Coder is responsible for... Risk Adjustment Coder is responsible for reviewing, abstracting,...Coder (CRC) * Certified Professional Coder (CPC) * Certified Coding Specialist (CCS) EXPERIENCE: * Minimum of… more
- Highmark Health (Albany, NY)
- …partners at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding . Supports all Remote Patient Monitoring (RPM) ... Supports other key objectives to drive capture of correct Risk Adjustment coding including documentation...+ Certified Risk Coder (CRC) + Certified Coding Specialist (CCS) + Registered Health Information… more
- The Cigna Group (Bloomfield, CT)
- …and polices related to documentation and coding . + Knowledgeable of Medicare Risk Adjustment . + Proficiency with ICD-10-CM coding and guidelines. + ... coding certification, which may include Certified Professional Coder (CPC), Certified Coding Specialist for Providers (CCS-P), Certified Coding … more
- 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 ... Information Administrator), RHIT (Registered Health Information Technician), CCS (Certified Coding Specialist ), CPC (Certified Professional Coder), COC… more
- Emanate Health (Covina, CA)
- …oversight of HCC Program and STAR measures coding related functions. The HCC coding specialist will work with the IPA Director, Health Plan, and MSO ... STAR measures related tasks. Responsible to ensure the IPA risk adjustment factor maintains or exceeds 1.0...achieves or improves upon 4.0 STAR rating. The HCC coding specialist is responsible for education to… more
- The Cigna Group (Houston, TX)
- …Coding Quality Review Audit Manager is responsible for day-to-day oversight of the Risk Adjustment coding quality assurance operations for the Cigna ... partners. **Core Responsibilities:** + End-to-end management of multiple cross-functional and focused risk adjustment coding initiatives that vary widely in… more
- CVS Health (Jefferson City, MO)
- …required. + CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist -Physician) and CRC (Certified Risk Adjustment Coder) required ... Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and...proficiency in the following: + Proven ability to support coding judgment and decisions using industry standard evidence and… more
- CVS Health (Tallahassee, FL)
- …Required Qualifications CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist -Physician).) ( CRC (Certified Risk Adjustment Coder must ... the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical… more
