- MedKoder (Mandeville, LA)
- …position that offers a flexible schedule. Description: MedKoder, LLC is seeking a remote Professional HCC Risk Adjustment Coder who will apply both ... with government regulations while identifying opportunities for increased financial success. The HCC Risk Adjustment Coder provides coding services to… more
- Datavant (Columbus, OH)
- …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... experiences to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …or CPC (Certified Professional Coder ) or CPC-A or CRC (Certified Risk Adjustment Coder ) Preferred: N/A **Special Skills** Required: Analytical. ... **Responsibilities** To ensure the accurate coding of diagnoses which fall into the HCC model as required by CMS for Medicare Advantage plans. To ensure… more
- Florida Health Care Plans, Inc. (Daytona Beach, FL)
- …communication. + Experience with Electronic Health Record preferred. + Understanding Risk Adjustment coding and supportive documentation preferred. + Ability ... POSITION SUMMARY: The Physician Office Medical Coder /Biller (POMB) conducts a documentation review of electronic...will support the physician and mid-level providers to capture HCC codes within the clinical visit. The POMB will… more
- UNC Health Care (Chapel Hill, NC)
- …the health and well-being of the unique communities we serve. Summary: The Risk Adjustment Coordinator will be responsible for analyzing and auditing medical ... payer under the value care contracts. In addition, the Risk Adjustment Coordinator will be responsible for...Academy of Professional Coders) certification - CPC (Certified Professional Coder ) or CRC (Certified Risk Coder… more
- Trinity Health (Syracuse, NY)
- … capture initiatives, as needed. SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE: . Certified Risk Adjustment Coder (CRC) required . Excellent verbal and ... of the pre-visit and post-encounter workflows, including queries to support addressing HCC codes for Risk Adjustment before a claim is submitted to payers. .… more
- CareOregon (Portland, OR)
- …+ Minimum 7 years' experience as certified coder + Certified Risk Adjustment Coder (CRC), Certified Documentation Improvement Practitioner (CDIP) ... Job Title Risk Adjustment Coding Manager Requisition #...Maintain an expert level of knowledge of Medicare and HCC risk -based reimbursement methodologies, policies and best… more
- UCLA Health (Los Angeles, CA)
- …certification or Certified Coding Specialist (CCS) certification, required + A Certified Risk Adjustment Coder (CRC), required + Reliable transportation ... billing and/or coding, required + Three or more years of recent experience in CMS- HCC Risk Adjustment models V24 and V28, required + Three or more years… more
- VNS Health (Manhattan, NY)
- …Licenses and Certifications: + Certified Professional Coder (CPC) or (CRC) Certified Risk Adjustment Coder or Certified Coding Specialist (CCS) required ... identifying opportunities to support precise clinical documentation. Collaborating with the Risk Adjustment and Quality teams, you'll help shape educational… more
- Apex Health Solutions (Houston, TX)
- …Specialist Supervisor: Director, VBC Operations Required License(s)/ Certification(s): Certified Risk Adjustment Coder (CRC), Certified Professional ... certification in one of the following is required: Certified Risk Adjustment Coder (CRC) Certified...Health Records (EHR) Experience Minimum of three (3) years HCC experience performing retrospective risk adjustment… more
- CenterLight Health System (NY)
- …Certified Professional Practice Manager (CPPM) 4. Certified Professional Biller (CPB) 5. Certified Risk Adjustment Coder (CRC). Experience: + Three (3) ... physician practices on current performance. + Serves as a subject matter expert on Risk Adjustment Data Validation (RADV) audits from Medicare. + Perform random… more
- WMCHealth (Valhalla, NY)
- …Details: Job Summary: Serves as an internal expert on Risk Adjustment and Hierarchical Conditions Categories ( HCC ) coding. Specific duties include performing ... reports key performance indicators relative to clinical documentation and HCC coding. . Documents and maintains records of all...with one or more of the following credentials: Certified Risk Coder (CRC), Certified Professional Coder… more
- Catholic Health Initiatives (Chattanooga, TN)
- …team to support the needs of the organization. The position will support risk adjustment improvement efforts across the medical group. The Hierarchical Condition ... Category ( HCC ) Quality program was developed by CMS to promote...clinicians, and committees as appropriate. + Reports areas of risk directly to the Coding Integrity Manager/Supervisor. + Maintains… more
- Marshfield Clinic (Marshfield, WI)
- …one year. State of Wisconsin Registered Nurse license (if applicable). **Preferred/Optional:** Certified Risk Adjustment Coder awarded by American Academy of ... external stakeholders as it relates to Medicare Advantage, ACA/Exchange and Medicaid risk adjustment reimbursement methodologies and policies to ensure the… more
- Cleveland Clinic (Cleveland, OH)
- …guidelines and regulatory requirements as well as advanced knowledge of risk adjustment models (ie CMS, Vizient, USNWR, CMS- HCC ) and consultative support to ... (HACs), diagnoses present on admission (POA), complications and comorbid conditions, and risk adjustment models - CMS, Vizient, USNWR, etc, clarification… more
- Ascension Health (Pensacola, FL)
- …required. **Additional Preferences** + Medical coding certification is preferred. + Risk Adjustment / HierarchicalCondition Category ( HCC ) experience ... and sufficiency of supporting documentation. + Audit specified number of records per coder as defined in the system coding audit plan. + Prepare audit reports… more
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