- Datavant (Denver, CO)
- …life experiences to realize our bold vision for healthcare. As an Auditor , HCC Risk Adjustment Coder , you will review medical records to identify and ... using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical… more
- Trinity Health (Albany, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** ** Risk Adjustment Auditor Educator** -St. Peter's Health Partners - Full-time - Remote ... **POSITION PURPOSE:** A Risk Adjustment Auditor Educator is... Risk Adjustment Coding - Certified Risk Adjustment Coder (CRC) required… more
- Sharp HealthCare (San Diego, CA)
- …Information Technician (RHIT) - The American Health Information Management Association (AHIMA); Certified Risk Adjustment Coder (CRC) - American Academy of ... . + 2 years' experience working as an HCC risk adjustment coding auditor . +...Information Management Association (AHIMA) -REQUIRED **Preferred Qualifications** + Certified Risk Adjustment Coder (CRC) -… more
- MedKoder (Mandeville, LA)
- …company offers services including inpatient and outpatient facility coding, medical risk adjustment management, DRG coding management, coding education, clinical ... work week that offers a flexible schedule Description: Physician Coding Auditor is responsible for reviewing and accurately coding all professional multi-specialty… more
- Trinity Health (Boise, ID)
- …and policies. Partners with leadership to improve HCC and other Risk Adjustment capture with provider and coder education. Conducts ongoing reviews of ... **Employment Type:** Full time **Shift:** Day Shift **Description:** The Coding Auditor & Educator performs medical record audits including analysis of medical… more
- CVS Health (Hartford, CT)
- …Integrity team is hiring Senior Coding Data Quality Auditors to support our growing risk adjustment efforts. This role plays a critical part in ensuring coding ... the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical… more
- CVS Health (Columbia, SC)
- …the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical ... Disease (ICD) codes. + Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories (HCC) preferred.… more
- CVS Health (Hartford, CT)
- …(Certified Coding Specialist-Physician) and CRC (Certified Risk Adjustment Coder ) required. + CPMA (Certified Professional Medical Auditor ) **or** CDEO ... ) or CCS-P (Certified Coding Specialist-Physician) and CRC (Certified Risk Adjustment Coder ) required. + CPMA (Certified Professional Medical Auditor )… more
- WMCHealth (Valhalla, NY)
- …credentials: Certified Risk Coder (CRC), Certified Professional Coder certification (CPC), Certified Professional Medical Auditor (CPMA) or Certified ... Job Details: Job Summary: Serves as an internal expert on Risk Adjustment and Hierarchical Conditions Categories (HCC) coding. Specific duties include performing… more
- CVS Health (Tallahassee, FL)
- …+ Knowledge of HEDIS and Pay for Performance metrics, ICD-10 coding, Medicaid risk adjustment methodology, and common billing and common billing practices + ... peers across the organization **Preferred Qualifications** + RHI, RHIT, CRC, or CPC certified Coder or auditor (CMAS) or + RN or LPN or LISW or + Three years'… more