• HCC Risk Adjustment Coder

    MedKoder (Mandeville, LA)
    …offers a flexible schedule. Description: MedKoder, LLC is seeking a remote Professional HCC Risk Adjustment Coder who will apply both technical and ... with government regulations while identifying opportunities for increased financial success. The HCC Risk Adjustment Coder provides coding services to health… more
    MedKoder (04/15/25)
    - Save Job - Related Jobs - Block Source
  • Risk Adjustment Auditor/…

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    Ready to help us transform healthcare? Bring your true colors to blue. The Risk Adjustment Auditor/ Coder will code, abstract and analyze inpatient, ... outpatient and professional medical records using ICD-10 coding guidelines. The ...diagnoses are reported in accordance with CMS payment and Risk Adjustment guidelines. + Consistently meet daily… more
    Blue Cross Blue Shield of Massachusetts (04/30/25)
    - Save Job - Related Jobs - Block Source
  • HCC Risk Adjustment Coder PRN…

    Datavant (Columbus, OH)
    …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to...Review, analyze, and code diagnostic information in a patient's medical record based on client specific guidelines for the… more
    Datavant (03/27/25)
    - Save Job - Related Jobs - Block Source
  • Senior Coder - RCO, Utrgv

    UTMB Health (Galveston, TX)
    … - Apprentice American Academy of Professional Coders (AAPC) Or + CRC - Cert Risk Adjustment Coder American Academy of Professional Coders (AAPC) One of ... Senior Coder - RCO, UTRGV **Galveston, Texas, United States**...of coding guidelines, anatomy and physiology, biology and microbiology, medical terminology and medical abbreviations is a… more
    UTMB Health (04/15/25)
    - Save Job - Related Jobs - Block Source
  • Coder - Outpatient

    Rochester Regional Health (Rochester, NY)
    …(CCA), Certified Outpatient Coding (COC), Certified Inpatient Coder (CIC), Certified Risk Adjustment Coder (CRC), Certified Professional Coder -Payer ... Coder (CPC), Certified Professional Coder Hospital Based (CPC-H), Certified Medical Coder (CMC), RHIT/RHIA certification, Radiology Certified Coder more
    Rochester Regional Health (04/30/25)
    - Save Job - Related Jobs - Block Source
  • Coder

    St. Luke's Health System (Boise, ID)
    …), COC (Certified Outpatient Coder ), CIC (Certified Inpatient Coder ), CRC (Certified Risk Adjustment Coder ). **What's in it for you** At St. Luke's, ... or Arizona!** **What You Can Expect:** Under limited supervision, the Coder is responsible for reviewing applicable documentation and assigning appropriate procedure… more
    St. Luke's Health System (04/11/25)
    - Save Job - Related Jobs - Block Source
  • Special Investigation Unit Manager Clinical…

    CVS Health (Columbus, OH)
    …Professional Biller (CPB), Certified Professional Medical Auditor (CPMA), Certified Outpatient Coder (COC), Certified Risk Adjustment Coder (CRC) ... identifying information resources AAPC Coding certification - Certified Professional Coder (CPC) Strong leadership and team management ability Excellent… more
    CVS Health (04/23/25)
    - Save Job - Related Jobs - Block Source
  • Physician Office Medical Coder

    Florida Health Care Plans, Inc. (Daytona Beach, FL)
    POSITION SUMMARY: The Physician Office Medical Coder /Biller (POMB) conducts a documentation review of electronic records that are prepared by clinicians to ... communication. + Experience with Electronic Health Record preferred. + Understanding Risk Adjustment coding and supportive documentation preferred. + Ability… more
    Florida Health Care Plans, Inc. (04/16/25)
    - Save Job - Related Jobs - Block Source
  • Risk Adjustment Coding Manager

    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 #...and Abilities + Advanced ability to read and comprehend medical terminology and medical chart notes +… more
    CareOregon (04/10/25)
    - Save Job - Related Jobs - Block Source
  • Risk Adjustment Coding…

    Trinity Health (Syracuse, NY)
    … capture initiatives, as needed. SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE: . Certified Risk Adjustment Coder (CRC) required . Excellent verbal and ... Ability to conduct Education if needed. Auditing Experience Posting POSITION PURPOSE: The Risk Adjustment Coding Specialist works in a team environment and is… more
    Trinity Health (04/24/25)
    - Save Job - Related Jobs - Block Source
  • Clinical Documentation Integrity Specialist…

    UCLA Health (Los Angeles, CA)
    …certification or Certified Coding Specialist (CCS) certification, required + A Certified Risk Adjustment Coder (CRC), required + Reliable transportation ... As the Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment , you will be an expert...associated with the health plan. You will: + Conduct medical record audits for physicians (MD, DO, or NP)… more
    UCLA Health (02/19/25)
    - Save Job - Related Jobs - Block Source
  • Risk Adjustment Analyst- HIM OP CDI

    UNC Health Care (Chapel Hill, NC)
    …improve the health and well-being of the unique communities we serve. Summary: The Risk Adjustment Coordinator will be responsible for analyzing and auditing ... 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
    UNC Health Care (04/29/25)
    - Save Job - Related Jobs - Block Source
  • Risk Adjustment Coding Specialist…

    CDPHP (Albany, NY)
    …or AAPC CPC certification within one year of employment is required. + CRC (Certified Risk Adjustment Coder ) credential preferred. + Minimum one (1) year of ... you to be a part of that experience. The Risk Adjustment Coding Specialist will be responsible...members. This position will have responsibility for review of medical records to identify accurate ICD-10 diagnosis codes, chart… more
    CDPHP (04/07/25)
    - Save Job - Related Jobs - Block Source
  • Risk and Quality Provider Educator

    VNS Health (Manhattan, NY)
    …Licenses and Certifications: + Certified Professional Coder (CPC) or (CRC) Certified Risk Adjustment Coder or Certified Coding Specialist (CCS) required ... + Additional coding certifications such as Certified Inpatient Coder (CIC) or Registered Health Information Technician (RHIT) in...and medical record systems for Medicare Advantage Risk Adjustment required + 2 years of… more
    VNS Health (03/04/25)
    - Save Job - Related Jobs - Block Source
  • Clinical Data Abstraction Specialist

    Apex Health Solutions (Houston, TX)
    …Specialist Supervisor: Director, VBC Operations Required License(s)/ Certification(s): Certified Risk Adjustment Coder (CRC), Certified Professional ... monitoring of medical records requests for all risk adjustment projects. Performs telephonic outreach to...certification in one of the following is required: Certified Risk Adjustment Coder (CRC) Certified… more
    Apex Health Solutions (04/25/25)
    - Save Job - Related Jobs - Block Source
  • IPA Coding Associate Director

    CenterWell (Columbus, OH)
    …entities within the Primary Care Organization. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible for driving ongoing ... Responsible for performance management and strategy development for PCO risk adjustment at the division and market...identify and influence enhancements to technology to improve the medical coder experience. + Oversees coding operations… more
    CenterWell (04/24/25)
    - Save Job - Related Jobs - Block Source
  • Practice Transformation Specialist

    Apex Health Solutions (Houston, TX)
    …(5) years related experience A license in one of the following is preferred: Certified Risk Adjustment Coder (CRC) Certified Professional Coder (CPC) ... care teams and their associated practices to drive improvement in clinical quality, risk adjustment and operational efficiency. The PTS is responsible for… more
    Apex Health Solutions (04/12/25)
    - Save Job - Related Jobs - Block Source
  • Coding Auditor

    CareOregon (Portland, OR)
    coder certification through AHIMA or AAPC + For Finance Department only: Current Certified Risk Adjustment Coder (CRC) or completion within one year of ... Management Level n/a Direct Reports n/a Manager Title Director Risk Adjustment Department Finance Pay and Benefits...medical professionals + Experience with or knowledge of risk adjustment principles (applies to roles in… more
    CareOregon (03/11/25)
    - Save Job - Related Jobs - Block Source
  • Medical Coding And Billing Analyst

    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
    CenterLight Health System (03/08/25)
    - Save Job - Related Jobs - Block Source
  • Medical Coding Analyst Sr. 100% Virtual,…

    Elevance Health (Indianapolis, IN)
    …most current CMS Risk Adjustment Model strongly preferred. + AAPC Certified Risk Adjustment Coder (CRC) is preferred. Please be advised that Elevance ... and experience, which would provide an equivalent background. + **Certified Medical Coder (CPC or CCS-P) required** . **Preferred Skills, Capabilities and… more
    Elevance Health (04/10/25)
    - Save Job - Related Jobs - Block Source