- Humana (Boise, ID)
- **Become a part of our caring community and help us put health first** The Risk Adjustment Coder conducts quality assurance coding of medical records and ... for Medicare and Medicaid Services (CMS) and other government agencies. The Risk Adjustment Coder assumes ownership and leads advanced and highly specialized… more
- ManpowerGroup (Meridian, ID)
- …experience. + Certified Professional Coder (CPC) certification required. + Certified Risk Adjustment Coder (CRC) certification required. + Strong ... leader in the healthcare industry, is seeking a Medical Coder to join their team. As a Medical ...Condition Categories (HCC). + Assist in the development of risk adjustment documentation, coding tools, and resources.… more
- Datavant (Boise, ID)
- …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 identify and...a patient's health status. **You will:** + The certified coder reviews, analyzes, and codes diagnostic information in a… more
- Trinity Health (Boise, ID)
- …and policies. Partners with leadership to improve HCC and other Risk Adjustment capture with provider and coder education. Conducts ongoing reviews of ... the Centers for Medicare and Medicaid Services (CMS). Monitor's accuracy of centralized coder 's charge capture and coding with proper ICD-10, CPTs, HCPCs, as well as… more
- CenterWell (Boise, ID)
- …entities within the Primary Care Organization. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible for driving ongoing ... (APD) tool) + Responsible for performance management and strategy development for PCO risk adjustment at the division and market level; Partners with Clinical… more
- Humana (Boise, ID)
- …data sets + Knowledge of healthcare compliance, mainly primary care and risk adjustment , pharmacy knowledge a plus + Certified Coder (CPC, CRC, and/or CMC) + ... to assess, investigate, audit and validate the mitigation of compliance risk across the organization. This team ensures that healthcare providers align… more
- Datavant (Boise, ID)
- …strategic recommendations to help clients understand the shifts and trends happening in the risk adjustment coding space. **What you will bring to the table:** + ... and budget. + Coordinate the development of user manuals, coder training materials, and other documents as needed. +...CCS, CRC, or CPC required. + Previous Medicare Advantage Risk Adjustment , CDI, Medicaid, Commercial RA, and… more
- Datavant (Boise, ID)
- …The individual will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be responsible for ... compliance and accuracy + Monitor the performance of the Risk Adjustment Operations both internally and with...of study preferred or 3-5 years related work experience coder with a minimum of 5 year's coding experience… more