- Redeemer Health Home Care & Hospice (Huntingdon Valley, PA)
- …part of your professional journey. We invite you to apply today. SUMMARY OF JOB The Certified Risk Adjustment Coding /Audit Reviewer is a physician facing ... pathophysiology, and medical terminology necessary to correctly code diagnoses. The Certified Risk Adjustment Coding /Audit Specialist analyzes and… more
- Evolent (Phoenix, AZ)
- …or equivelent years of work experience. + **Certification in medical coding (CRC- Certified Risk Adjustment Coder) or demonstrated ability.** + 5+ years ... Be Doing:** **Manager, Coding Support Specialist** Evolent Care Partners is seeking a Risk Adjustment Coding Support Manager to be a core member of the … more
- Bluestone Physician Services (Stillwater, MN)
- …reviews of patient charts to identify gaps in documentation and opportunities for risk adjustment coding improvement. + Collaborate with Bluestone providers ... support to Bluestone providers to enhance their understanding of risk adjustment coding guidelines and...in Health Information Management, Nursing, or related field. + Certified Risk Adjustment Coder (CRC)… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Specialist supports the retrospective risk adjustment supplemental filing, Risk ... to coding and documentation guidelines. The development and ongoing maintenance of the Risk Adjustment Coding guidelines, as well as, guiding junior … more
- Highmark Health (Pittsburgh, PA)
- …+ Production Coding : Manage a team of internal coder / clinicians that perform Risk Adjustment coding of medical records. Track production coding ... coding . Promotes the strategy and capabilities to develop risk management and physician / member initiatives that support... Certified Professional Coder (CPC) **Preferred** + AAPC, Certified Risk Adjustment Coder (CRC)… more
- Penn Medicine (Bala Cynwyd, PA)
- …coding medical professional services experience including ambulatory outpatient and risk adjustment coding . (Required) + Certified Risk ... of this position is to improve the accuracy of coding , compliance and clinical documentation. The Certified ...of coding , compliance and clinical documentation. The Certified coder (CPC or CCS-P) is responsible for detailed… more
- CDPHP (Latham, NY)
- …who share these values and invites you to be a part of that experience. The Risk Adjustment Coding Specialist will be responsible for the chart review and ... ICD-10 diagnosis coding of risk adjustment eligible...within one year of employment is required. + CRC ( Certified Risk Adjustment Coder) credential… more
- Datavant (Denver, CO)
- …and life experiences to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder, you will review medical records to identify and code ... standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will...to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of HCC Auditing… more
- Datavant (Boise, ID)
- … Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring production and quality of ... daily basis, including education on time management and best coding practices. + Provide coaching and feedback on achieving...**What you will bring to the table:** + AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …you'll play a critical role in ensuring the accuracy, completeness, and compliance of risk adjustment coding across both internal teams and external ... data. Your Responsibilities * Ensure accuracy and compliance of risk adjustment coding , including the...and ACA risk adjustment . * Certified Risk Adjustment Coder (CRC)… more
- ChenMed (Miami, FL)
- …laws and regulations related to coding and documentation guidelines for Risk Adjustment Reviews of medical records, patient medical history and physical ... we need great people to join our team. The Risk Adjustment Coder works in a collaborative... Certificate required. APPC or AHIMA coding certified preferred. + CRC ( certified risk… more
- Providence (Portland, OR)
- …environment specifically, plus 5 years of progressive management experience. + **Certification:** Certified Risk Adjustment Coder (CRC) is preferred. + ... remotely in the states of WA, OR and CA. **The Role:** As the Director of Risk Adjustment and Strategic Accounts at Providence Health Plan, you will be the… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …of provider-facing or leadership-facing experience * Knowledge of Health Care Quality measures * Certified Risk Adjustment Coder (CRC via AAPC) or ... characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Quality & Risk Adjustment Provider Consultant Location: Hybrid | Eagan, Minnesota Career… more
- Datavant (Providence, RI)
- …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... COC, CIC, or CRC). + A minimum of 2 years HCC coding experience, while certified . + Full understanding and knowledge of ICD-10, medical terminology, medical… more
- CVS Health (FL)
- …services within the existing program and vendors._ **Required Qualifications:** + _Expertise in Risk Adjustment payment models for MA, ACA and Medicaid._ + ... _Expertise in Risk Adjustment timelines and requirements_ + _Must...Project Management tools including Microsoft Project or Asana._ + Certified Coding Certification such as CPC-P, CRC… more
- CVS Health (IN)
- …Coder) or CCS-P ( Certified Coding Specialist-Physician) and CRC ( Certified Risk Adjustment Coder) required **Preferred Qualifications** + CPMA ... the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical… more
- Geisinger (Danville, PA)
- …Coder (AAPC) Level III and IV Certified Professional Coder (AAPC) and Certified Risk Adjustment Coder (AAPC) Education Graduate from Specialty Training ... and coding processes. + Assists in proactive risk adjustment communication, support and education at...of 1 year-Related work experience (Required) Certification(s) and License(s) Certified Risk Adjustment Coder -… more
- AdventHealth (Daytona Beach, FL)
- … Documentation Improvement Practitioner (CDIP) **Preferred qualifications:** + Bachelor's degree + Certified Risk Adjustment Coder (CRC) This facility is ... education including but not limited to clinical documentation integrity, coding , HCC Risk Adjustment Methodology,...Registered Health Information Technician (RHIT) - Cert, OR + Certified Coding Specialist (CCS), OR + … more
- Bon Secours Mercy Health (Cincinnati, OH)
- …opportunities for performance improvement related to system-wide RSA and HCC and other risk adjustment coding initiatives. Works with HCC Coding ... Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) (required) Certified Risk...Accuracy Healthcare Software Coding conventions CMS OIG Risk adjustment coding Many of… more
- East Boston Neighborhood Health Center (Revere, MA)
- …improvement Certifications: + Required: Certified Professional Coder (CPC) and/or Certified Risk Adjustment Coder (CRC) + Preferred: Additional ... + 10+ years of experience in professional and outpatient coding , provider education, or risk adjustment auditing + Experience delivering coding… more