- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Specialist supports prospective risk adjustment via concurrent review and ... and documentation guidelines. The development and ongoing maintenance of the Commercial Risk Adjustment Coding guidelines, as well as, guiding junior… more
- Trinity Health (Livonia, MI)
- **Employment Type:** Full time **Shift:** **Description:** **CERTIFIED RISK ADJUSTMENT CODING SPECIALIST ** **Location:** Trinity Health PACE Corp ... one of the following certifications: Certified Outpatient Coder, Certified Coding Specialist , Certified Professional Coder thru AAPC...year if hired. + Two-years of experience in a risk adjustment coding environment required.… more
- VNS Health (Manhattan, NY)
- …Professional Coder (CPC), Certified Coding Specialist (CCS), or (CRC) Certified Risk Adjustment Coder in ICD-10-CM coding required + License and ... and feedback to providers. + Keeps abreast of changes and trends in risk adjustment coding requirements. Integrates updates into processes. + Monitors and… more
- Evolent Health (Columbus, OH)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The ** Risk Adjustment HCC Coding Support Specialist ** at Evolent will be an intricate ... part of the Risk Adjustment coding team. ...You Will Be Doing:** As a Risk Adjustment HCC Coding Support Specialist ,...As a Risk Adjustment HCC Coding Support Specialist , you will perform a… more
- Health First (Rockledge, FL)
- …Coder (CPC) or Certified Coding Specialist (CCS) certification. o Certified Risk Adjustment Coder (CRC) from AAPC. * Work Experience: o 3 years of ... model and IFP within the HHS Risk Adjustment model as well as the coding ...the coding practices set forth by the Risk Adjustment production and quality standards. 11.... Risk Adjustment MA and IFP … more
- Centene Corporation (Tallahassee, FL)
- …Certified Coding Specialist (CCS)** **Preferred Skills:** Experience with Risk Adjustment coding Comfortable utilizing Microsoft 365 (Word, Excel, ... CPC or CSS Certification and min (2) years direct coding experience required **Position Purpose:** You will will work...a complete understanding of these guidelines. + Follows CMS risk adjustment guidelines and has a complete… more
- Carle (Urbana, IL)
- Risk Adjustment Education Specialist ...Director, and Medical Director to strategically plan and execute Risk Adjustment coding efforts for ... a Friend Save Save Apply Now Position Summary: The Risk Adjustment Education Specialist consults...ensure open communication and knowledge of risk adjustment initiatives, particularly related to coding accuracy… more
- Fallon Health (Worcester, MA)
- …on FCHP patient charts for the purpose of validating regulatory Risk Adjustment scores. The Chart Review Specialist will collect diagnostic details and ... documentation feedback and submit to Manager for provider education efforts + Update risk adjustment software with all relevant chart review observations + Meet… more
- The Cigna Group (Bluffton, SC)
- …Part C audit activities for the Cigna Compliance Department, with particular emphasis on Coding , Risk Adjustment and Coding Decisions. Collaborates with ... received;*Provides subject matter expertise in response to day-to-day business issues related to coding and risk adjustment ;*Manage a specific caseload of … 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. Follows CMS ... Risk Adjustment Coder (CRC) Certified Professional Coder (CPC) Certified Coding Specialist (CCS) High School Diploma or GED Required ABOUT APEX HEALTH… more
- Baylor Scott & White Health (Columbus, OH)
- …Scott and White Health strategies and processes for lines of business subject to risk adjustment . **SALARY RANGE** The pay range for this position is $26.27/hr ... audits and creates provider scorecards to offer feedback on Risk Adjustment Methodology + Interprets health record...have one of the following: + CCS - Certified Coding Specialist + CCS-P - Certified … more
- Centene Corporation (Tallahassee, FL)
- …using the most current International Classification of Diseases, (ICD-10) for CMS risk adjustment purposes. + Codes, abstracts and analyzes inpatient and/or ... Reporting and has a complete understanding of these guidelines. + Follows CMS risk adjustment guidelines and has a complete understanding of these guidelines.… more
- The Cigna Group (Nashville, TN)
- …least one of the below):** Certified Professional Coder (CPC) Certified Risk Adjustment Coder (CRC) Certified Coding Specialist for Providers (CCS-P) ... ** Coding Education Specialist (AHIMA or AAPC...medical office coding experience, preferably two years risk adjustment coding experience. +… more
- CareFirst (Baltimore, MD)
- … or + Certified Coder (CCS or CPC)-AHIMA or AAPC **Experience:** 3 years experience in risk adjustment coding , ambulatory coding and/or CRC coding ... financial and incentive models. Strategizes alternatives and solutions to maximize payments and risk adjustment . Translates from claim language to services in an… 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
- System One (Baltimore, MD)
- ALTA IT Services is staffing a contract opportunity for a Medical Coding Specialist to support a leading health insurance customer. The individual acts as an ... models. Supports to use of alternatives and solutions to maximize quality payments and risk adjustment . Translates from claim language to services in an episode… more
- Conviva (Tallahassee, FL)
- … leaders/coders) + Partner with MRA Strategy and Analytics teams to establish risk adjustment analytics to identify coding improvement opportunities, ... function or segment. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible...provider coding improvement opportunities, risk score trending and tracking. + Partners with MRA… more
- Virginia Mason Franciscan Health (Seattle, WA)
- …of experience as an instructor/trainer preferred. + Clinical knowledge and exposure to risk adjustment coding preferred. + Experience with Radiation Oncology ... Plans, writes, develops and conducts on-going training regarding professional services and risk adjustment revenue and reimbursement. + Interprets changes in the… more
- Hawaii Pacific Health (Honolulu, HI)
- …responsibility of a coding staff and Hierarchical Category Condition (HCC) coding and risk adjustment models. EOE/AA/Disabled/Vets Hawai'i Pacific Health ... direct oversight and management of the Billing, Charge Description Management, Coding , Admissions and Financial Service functions. As the Ambulatory Clinical… more
- Virginia Mason Franciscan Health (Seattle, WA)
- …of experience as an instructor/trainer preferred. - Clinical knowledge and exposure to risk adjustment coding preferred. - Experience with Radiation Oncology ... or equivalent plus credentialed as a Certified Professional Coder (CPC) or Certified Coding Specialist - Physician based (CCS-P). - One year of CPT and diagnosis… more