- Redeemer Health Home Care & Hospice (Huntingdon Valley, PA)
- …part of your professional journey. We invite you to apply today. SUMMARY OF JOB The Certified Risk Adjustment Coding /Audit Reviewer is a physician facing ... pathophysiology, and medical terminology necessary to correctly code diagnoses. The Certified Risk Adjustment Coding /Audit Specialist analyzes and… more
- Trinity Health (Livonia, MI)
- **Employment Type:** Full time **Shift:** **Description:** ** CERTIFIED RISK ADJUSTMENT CODING SPECIALIST** **Location:** Trinity Health PACE Corp ... **Must be certified or obtaining certification for Certified Risk Adjustment Coder thru...year if hired.** + **Two-years of experience in a risk adjustment coding environment required.**… more
- Trinity Health (Albany, NY)
- …Peter's Health Partners' confidentiality requirements as they relate to patient information. What a Certified Risk Adjustment Coding Specialist will do: ... **Employment Type:** Full time **Shift:** Day Shift **Description:** Risk Adjustment Coding Specialist...Medicaid Services (CMS). **SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:** **. Certified Risk Adjustment Coder (CRC)… more
- Apex Health Solutions (Houston, TX)
- …required: . Certified Professional Coder (CPC) . Certified Risk Adjustment Coder (CRC) . Certified Coding Specialist (CCS) . Registered Health ... h3> SUMMARY: Certified Medical Coder role is responsible for reviewing,...medical records to ensure proper ICD-10-CM, HCPCS, and CPT coding and compliance with Risk Adjustment… more
- Molina Healthcare (Cleveland, OH)
- …Association** * Certified Professional in Health Quality (CPHQ) * Nursing License * Certified Risk Adjustment Coding (CRC) To all current Molina ... Summary** **Job Summary** The AVP, Clinical Data Acquisition is a key Risk Adjustment (QI) leader within the organization enterprise wide. This position advises… more
- Centene Corporation (Jefferson City, MO)
- … coding guidelines. + Validate clinical documentation to support appropriate risk adjustment coding , including Hierarchical Condition Categories (HCCs), ... reviews and advise on clinical best practices related to risk adjustment coding , HCC capture,...Specialist (CCS) required + NP or PAN preferred + Certified Risk Adjustment (CRC) preferred… more
- Trinity Health (Columbus, OH)
- …chronic conditions. + Collaborate with providers to clarify documentation and educate on risk adjustment coding best practices. + Conduct retrospective and ... + Train and mentor peers and new coders on risk adjustment coding standards, MEAT/TAMPER...and maintains accurate database of submission and payment. + Certified Risk Adjustment Coder certification… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Specialist supports the retrospective risk adjustment supplemental filing, Risk ... to coding and documentation guidelines. The development and ongoing maintenance of the Risk Adjustment Coding guidelines, as well as, guiding junior … more
- Centene Corporation (Jefferson City, MO)
- …Professional Coder (CPC) or Certified Coding Specialist (CCS) required + Certified Risk Adjustment Coder (CRC) preferred Pay Range: $55,100.00 - ... effectively communicates findings to business stakeholders to ensure the quality of risk adjustment data. + Ensure coding accuracy by reviewing inpatient and… more
- Penn Medicine (Bala Cynwyd, PA)
- …coding medical professional services experience including ambulatory outpatient and risk adjustment coding . (Required) + Certified Risk ... of this position is to improve the accuracy of coding , compliance and clinical documentation. The Certified ...of coding , compliance and clinical documentation. The Certified coder (CPC or CCS-P) is responsible for detailed… more
- Datavant (Indianapolis, IN)
- …and life experiences to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder, you will review medical records to identify and code ... standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will...to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of HCC Auditing… more
- Datavant (Boise, ID)
- … Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring production and quality of ... daily basis, including education on time management and best coding practices. + Provide coaching and feedback on achieving...**What you will bring to the table:** + AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified… more
- Datavant (Madison, WI)
- …realize our bold vision for healthcare. We're looking for experienced and credentialed HCC Coding Team Leads to become an integral part of our team. The ideal ... from your own workspace! **What you will do:** + Coding Team Lead is responsible for supporting the ...**What you will bring to the table:** + AHIMA certified credentials (CCS, CCS-P) or AAPC certified … more
- BJC HealthCare (St. Louis, MO)
- …setting. Background to be successful in the role: + **Hierarchical Condition Category (HCC)** ** coding and risk adjustment ** + **Bachelors degree** + **2 ... Requirements** **Licenses & Certifications** + Cert Clinical Documentation + Certified Coding Spec + Cert Doc Improve Practitioner **Benefits and Legal… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …you'll play a critical role in ensuring the accuracy, completeness, and compliance of risk adjustment coding across both internal teams and external ... data. Your Responsibilities * Ensure accuracy and compliance of risk adjustment coding , including the...and ACA risk adjustment . * Certified Risk Adjustment Coder (CRC)… more
- HCA Healthcare (Campbell, CA)
- …colleagues invested over 156,000 hours impacting our communities. As a Director of Quality and Risk Adjustment with HCA Healthcare, you can be a manager in an ... join our team as a Director of Quality and Risk Adjustment . We care for our communities...submission deadlines Required + Experience using Cozeva Required + Certified HCC Coding Specialist Required + … 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...- CPC ( Certified Professional Coder) or CRC ( Certified Risk Coder) - ACDIS (Association of… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …of provider-facing or leadership-facing experience * Knowledge of Health Care Quality measures * Certified Risk Adjustment Coder (CRC via AAPC) or ... characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Quality & Risk Adjustment Provider Consultant Location: Hybrid | Eagan, Minnesota Career… more
- Datavant (Topeka, KS)
- …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... COC, CIC, or CRC). + A minimum of 2 years HCC coding experience, while certified . + Full understanding and knowledge of ICD-10, medical terminology, medical… more
- CVS Health (Hartford, CT)
- … Professional Coder) or CCS-P ( Certified Coding Specialist-Physician).) (CRC ( Certified Risk Adjustment Coder must be able to obtain within ... the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical… more