- Ascension Health (Elk Grove Village, IL)
- …Candidates must have the following certification thru AAPC (credentialing board): ** Certified Risk Adjustment Coder (CRC) - STRONGLY ... **Responsibilities** Facilitate improvement in overall quality, completeness and accuracy of medical record documentation. + Complete admission reviews and assign a… more
- Trinity Health (Livonia, MI)
- **Employment Type:** Full time **Shift:** **Description:** ** CERTIFIED RISK ADJUSTMENT CODING SPECIALIST** **Location:** Trinity Health PACE Corp Michigan ... processing. Duties also include abstracting and validating data from medical records and providing education on documentation to support...**Must be certified or obtaining certification for Certified Risk Adjustment Coder thru… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …** Risk Adjustment & Quality Division at BCBST** is seeking a skilled ** Risk Adjustment Medical Record Coder** to support our mission of delivering ... hours per week in accordance with BCBST policy\. **Preferred Qualifications:** + CRC \( Certified Risk Adjustment Coder\) certification is a plus\. If… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …with a focus on Medicare Advantage and ACA risk adjustment . * Certified Risk Adjustment Coder (CRC) certification * In-depth knowledge of ACA & ... Blue Cross and Blue Shield of Minnesota Position Title: Risk Adjustment QA Consultant Location: Hybrid |...CMS RADV audits, including retrieval and coding of targeted medical records. * Design and implement QA programs to… more
- Centene Corporation (Jefferson City, MO)
- …or Certified Coding Specialist (CCS) required + NP or PAN preferred + Certified Risk Adjustment (CRC) preferred Pay Range: $68,700.00 - $123,700.00 per ... the Continental United States. **Position Purpose:** Executes Line 2 oversight of Risk Adjustment activities, including monitoring, auditing, and supports Line 1… more
- Trinity Health (Albany, NY)
- …for Medicare and Medicaid Services (CMS). **SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:** **. Certified Risk Adjustment Coder (CRC) required** . Excellent ... Health Partners' confidentiality requirements as they relate to patient information. What a Certified Risk Adjustment Coding Specialist will do: . Review… 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 coding… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …certification from AHIMA or AAPC \(CPC, CCS, CRC, RHIT, RHIA\)\. + Must acquire the Certified Risk Adjustment Coder \(CRC\) certificate from AAPC within the ... with a strong background in medical records coding and quality assurance? Risk Adjustment is looking for a **Supervisor** to lead a dynamic team dedicated to… 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 ... and Blue Shield of Minnesota Position Title: Quality & Risk Adjustment Provider Consultant Location: Hybrid |...and Experience * Certification in healthcare quality such as Certified Profession in Healthcare Quality (CPHQ) or Certification in… 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 ... while certified . + Full understanding and knowledge of ICD-10, medical terminology, medical abbreviations, pharmacology and disease processes. + Ability… more
- Datavant (Atlanta, GA)
- …Coding Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring production and quality ... **What you will bring to the table:** + AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified...with HCC coding. + A strong knowledge base of medical terminology, medical abbreviations, pharmacology and disease… more
- BJC HealthCare (St. Louis, MO)
- …to be successful in the role: + **Hierarchical Condition Category (HCC)** **coding and risk adjustment ** + **Bachelors degree** + **2 years in a supervisory ... experience** + **Ambulatory care experience** \#LI-DS2 \#LI-TP1 **Overview** **BJC Medical Group** is the multi-specialty physician-led organization of BJC… more
- Datavant (Atlanta, GA)
- …for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to ... **What you will bring to the table:** + AHIMA certified credentials (CCS, CCS-P) or AAPC certified ...experience a plus + A strong knowledge base of medical terminology, medical abbreviations, pharmacology and disease… more
- Ventura County (Ventura, CA)
- Workers' Compensation Risk Analyst Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5142408) Apply Workers' Compensation Risk Analyst Salary ... afforded a flexible credit allowance of up to $25,558 annually for purchasing medical , dental, and/or vision insurance from a group of authorized plans. + Flexible… more
- Henry Ford Health System (Troy, MI)
- … billing and third-party payer regulations. + Knowledge of CMS programs, processes, risk adjustment payment methodology, and payment principles. + Knowledge of ... GENERAL SUMMARY: As an integral member of the HAP Medical Policy Team, the Project Coordinator will be responsible for research and guidance on coding such as CPT,… more
- Actalent (Irvine, CA)
- …years of experience in Design Quality Assurance and risk management within the medical device industry. + Certified Quality Engineer (CQE) or Risk ... Job Title: Risk Control Design Quality EngineerJob Description Join a...preferred. + Experience with Class II or Class III medical devices. + Familiarity with electronic quality management systems… more
- Amazon (Boston, MA)
- …diverse stakeholders; evaluate control effectiveness within AI; understand levels of potential risk and how to address them; provide in-depth consultation; and have ... data to identify patterns, draw conclusions, and prioritize remediation efforts using risk management concepts. Excellent writing skills are required as the output… more
- Devereux Advanced Behavioral Health (Newfoundland, PA)
- …then consider joining our Devereux Advanced Behavioral Health team!_ **As a Certified Investigator,** you will use your certified investigator training through ... witness interviews, evidence gathering, documentation, and reporting findings. **Being a Certified Investigator has its Advantages** As a Certified Investigator… more
- Humana (Salt Lake City, UT)
- …Demonstrated ability to adapt quickly to change **Preferred Qualifications** + Bachelor's Degree + Certified Risk Adjustment Coder (CRC) + Certified ... Qualifications** + 5+ years of experience in risk adjustment coding/auditing/education and provider relations/engagement + Certified Professional Coder… more
- Molina Healthcare (MI)
- …Health Quality (CPHQ) * Nursing License (RN may be preferred for specific roles) * Certified Risk Adjustment Coder (CRC) To all current Molina employees: If ... Molina Plan Senior Leadership Team, including the Plan President, Chief Medical Officer, national Risk Adjustment teams and strategic teams about key… more