- Trinity Health (Livonia, MI)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **CERTIFIED RISK ADJUSTMENT CODING SPECIALIST ** **Location:** Trinity Health PACE ... 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
- CVS Health (Tallahassee, FL)
- …Required Qualifications CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist -Physician).) ( CRC (Certified Risk Adjustment Coder must ... the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical… more
- Point32Health (SC)
- …validation of Medicare Advantage, Commercial and Medicaid HCCs through medical record reviews. The Risk Adjustment Coding Specialist II reviews provider ... and recommendations to improve overall provider documentation and coding . The Risk Adjustment Coding Specialist II will review medical records to… more
- AdventHealth (Altamonte Springs, FL)
- …team and their leadership in a matrix relationship. . Provide direction and guidance to Risk Adjustment Coding Specialist , as well as cross functional ... Category (HCC) education including but not limited to clinical documentation integrity, coding , HCC Risk Adjustment Methodology, and provider performance… more
- CDPHP (Albany, NY)
- …you to be a part of that experience. Annual salary range: $75,000 - 95,000 The Risk Adjustment Coding Supervisor will be responsible for oversight of CDPHP's ... Risk Adjustment Coding Specialists. This... Risk Adjustment Coding Specialists. This includes monitoring, tracking...(2) years of equivalen experience required. + CCS (Certified Coding Specialist ) or CPC (Certified Coding… more
- Baystate Health (Springfield, MA)
- …(CDEO); CMA or LPN + EHR (Cerner preferred) + Prospective coding or risk adjustment coding ; clinical experience in outpatient medical practice. **THE ... conditions are listed in medical record before provider visits and uses ICD-10 CM coding guidelines and risk adjustment model regulations to identify missed… more
- The Cigna Group (Philadelphia, PA)
- …least one of the below):** Certified Professional Coder (CPC) Certified Risk Adjustment Coder (CRC) Certified Coding Specialist for Providers (CCS-P) ... Must reside in Philadelphia** Job Description: Coding Education Specialist (AHIMA or AAPC...medical office coding experience, preferably two years risk adjustment coding experience. +… 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. Reports to: AVP, ... SUMMARY: Risk Adjustment Coder is responsible for... Risk Adjustment Coder is responsible for reviewing, abstracting,...Coder (CRC) * Certified Professional Coder (CPC) * Certified Coding Specialist (CCS) EXPERIENCE: * Minimum of… more
- Highmark Health (Albany, NY)
- …partners at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding . Supports all Remote Patient Monitoring (RPM) ... Supports other key objectives to drive capture of correct Risk Adjustment coding including documentation...+ Certified Risk Coder (CRC) + Certified Coding Specialist (CCS) + Registered Health Information… more
- US Tech Solutions (Newark, NJ)
- …inpatient, outpatient treatment and/or professional medical services, according to ICD-9/ICD-10 CM coding guidelines and risk adjustment model regulations. ... This position supports Annual Commercial (ACA) and Medicare Advantage Risk Adjustment Data Validation Audits (RADV) along...the American Academy of Professional Coders or a Certified Coding Specialist , P from the American… 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
- The Cigna Group (Bloomfield, CT)
- …and polices related to documentation and coding . + Knowledgeable of Medicare Risk Adjustment . + Proficiency with ICD-10-CM coding and guidelines. + ... coding certification, which may include Certified Professional Coder (CPC), Certified Coding Specialist for Providers (CCS-P), Certified Coding … more
- Emanate Health (Covina, CA)
- …oversight of HCC Program and STAR measures coding related functions. The HCC coding specialist will work with the IPA Director, Health Plan, and MSO ... STAR measures related tasks. Responsible to ensure the IPA risk adjustment factor maintains or exceeds 1.0...achieves or improves upon 4.0 STAR rating. The HCC coding specialist is responsible for education to… more
- The Cigna Group (Bloomfield, CT)
- …(CPC) + Certified Risk Adjustment Coder (CRC) + Certified Coding Specialist for Providers (CCS-P) + Registered Health Information Management Technician ... or medical office coding experience, preferably two (2) years risk adjustment coding experience. + Excellent written and verbal communication skills.… more
- The Cigna Group (Baltimore, MD)
- …(CPC) + Certified Risk Adjustment Coder (CRC) + Certified Coding Specialist for Providers (CCS-P) + Registered Health Information Management Technician ... (RHIT) + 5+ years of risk adjustment coding experience, 3+ national Medicare Advantage health plan experience preferred. + Must be a strong public speaker… more
- The Cigna Group (Houston, TX)
- …Coding Quality Review Audit Manager is responsible for day-to-day oversight of the Risk Adjustment coding quality assurance operations for the Cigna ... partners. **Core Responsibilities:** + End-to-end management of multiple cross-functional and focused risk adjustment coding initiatives that vary widely in… more
- UPMC (Pittsburgh, PA)
- …claims and/or coding related audit support. Communicate effectively with Risk Adjustment Staff, nurse reviewers and physicians and ancillary departments ... Specifically, is responsible for quality review/monitoring of Health Plan Coding Specialist Staff/or external coding ...that performs audit activities. + Assist with the National Risk Adjustment reviews and audits + Analyzes,… more
- HCA Healthcare (Campbell, CA)
- … and/or billing experience. . Minimum 1 year experience with HCC coding and risk adjustment Physician Services Group ... care like family! Jump-start your career as a(an) HCC Risk Management Specialist today with HCA Healthcare....is to assist and educate physician providers on proper coding of all current medical conditions to the highest… more
- Geisinger (Danville, PA)
- …Identifies process improvement opportunities associated with the management of risk adjustment initiatives. Investigates current processes, assessing efficiency ... + Assumes a supporting co-educating role with regard to Risk Adjustment Education and other opportunities for...Coder - American Academy of Professional Coders (AAPC); Certified Coding Specialist - American Health Information Management… more
- CVS Health (Atlanta, GA)
- …the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes. Diagnosis codes must be appropriate, accurate, and supported ... coding , and/or auditing.Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories (HCC)… more