- Apex Health Solutions (Houston, TX)
- SUMMARY: Risk Adjustment Coder is...monitoring of medical records requests for all risk adjustment projects. * Performs telephonic outreach ... in one of the following is required: * Certified Risk Adjustment Coder (CRC) *...physician setting or a Managed Care Organization as a medical coder . * Minimum of five (5)… more
- Baystate Health (Springfield, MA)
- The Prospective Outpatient Risk Adjustment Coder supports risk adjustment optimization activities that improve value-based care and population health ... LPN in an outpatient setting. **Position** + Prospective Outpatient Risk Adjustment Coder **SCHEDULE:** +...(Cerner preferred) + Prospective coding or risk adjustment coding; clinical experience in outpatient medical … more
- Point32Health (SC)
- …and timely review and validation of Medicare Advantage, Commercial and Medicaid HCCs through medical record reviews. The Risk Adjustment Coding Specialist II ... overall provider documentation and coding. The Risk Adjustment Coding Specialist II will review medical ...of a formal coding certification program required. Certified Professional Coder (CPC-A, CPC, CPC-H, COC, CIC, or CRC) certification… more
- MedKoder (Mandeville, LA)
- Position Location: 100% Remote Qualifications The Medical Coder provides coding and coding auditing services directly to providers. This includes the analysis ... and translation of medical and clinical diagnoses, procedures, injuries, or illnesses into...at least 1 year of specialized experience in Medicare Risk Adjustment disciplines- such as HCC, CCC… more
- The Cigna Group (Bloomfield, CT)
- …regulations and polices related to documentation and coding. + Knowledgeable of Medicare Risk Adjustment . + Proficiency with ICD-10-CM coding and guidelines. + ... conduct remote chart reviews (extracting ICD-10-CM codes and ICD-10-CM from medical records) and assign ICD-10-CM codes to documentation received for comprehensive… more
- Colorado State University (Fort Collins, CO)
- …with insurance companies to review medical records under the governmental risk adjustment assessments + Performs other duties as requested by Manager ... products is prohibited on CSU grounds or in buildings. Position Summary The Medical Coder serves as advisor and consultant to all medical and ancillary… more
- Geisinger (Danville, PA)
- …with experience. Position Details Minimum one of the following certifications required: Certified Risk Adjustment Coder - American Academy of Professional ... Experience Minimum of 7 years-Relevant experience* (Required) Certification(s) and License(s) Certified Risk Adjustment Coder - American Academy of… more
- Vatica Health (Atlanta, GA)
- …Nurse (RN) or Licensed Practical Nurse (LPN) + Prefer incumbent to have Certified Risk Adjustment Coder (CRC), Certified Professional Coder (CPC), ... people to join our diverse team. The RN Clinical Coder -Nurse Auditor will independently review cases, ensuring accurate ICD-10-CM...They will stay abreast of current changes to the Risk Adjustment field and continue education to… more
- Geisinger (Danville, PA)
- …with experience. Position Details Minimum one of the following certifications required: Certified Risk Adjustment Coder - American Academy of Professional ... procedures. Job Duties + Reviews the content of the medical record for hospital and professional inpatient or outpatient...Technician (RHIT) - American Health Information Management Association; Certified Risk Adjustment Coder - American… more
- Robert Half Accountemps (Daly City, CA)
- …of two years' experience in healthcare, particularly in HCC or risk adjustment , health information, chart audit, medical coding, or billing. + Prior coding ... direct hire or temp-to-hire, interviewing asap. Apply today! The Medical Coder will primarily be responsible for...duties include conducting pre-appointment chart audits for HCC or risk adjustment , managing appeals for denied claims,… more
- Banner Health (AZ)
- …and make a life and career here! In this **Inpatient Facility/HIMS Certified Medical CODER QUALITY ASSOCIATE -Remote** position, you bring your **3-5+ years ... alignment of clinical documentation and billing codes. Works with medical staff and quality management staff to correctly align...normally obtained with 2-3 year experience in CMS HCC Risk Adjustment payment methodology and coding and… more
- Garnet Health (Middletown, NY)
- …to obtain optimal coding on each account. Must be able to code based on Risk Adjustment principles in accordance with all ICD-10 guidelines. At Garnet Health, we ... make your career home with us as a Inpatient Coder on our Coding team at/in Garnet Health ...Coder on our Coding team at/in Garnet Health Medical Center-Middletown. Responsibilities Accurately codes charts of discharged patients;… more
- AdventHealth (Altamonte Springs, FL)
- …manage multiple priorities at once with little supervision. *Possesses knowledge about risk adjustment and hospital publicly reported data. *Possesses knowledge ... **Job Location** : Remote **The role you'll contribute:** The Coder Analyst IV is a Health Information Professional with...you'll need to succeed:** . High school diploma and medical coding certificate program or 2 year HIM program.… more
- Intermountain Health (Columbus, OH)
- …if applicable. 8. Stays abreast of coding guidelines, reimbursement methodologies, risk adjustment , and regulatory compliance. Maintains thorough and current ... continuing education programs to maintain an understanding of anatomy, physiology, medical terminology, disease processes, and surgical techniques to support the… more
- Tufts Medicine (Burlington, MA)
- …provider education when necessary. **Job Description** **Minimum Qualifications:** 1. Certified Risk Adjustment Coder (CRC) **OR** Certified Professional ... overall provider documentation as it pertains to coding and risk adjustment guidelines. Reviews medical ...medicine experience. **Preferred Qualifications:** 1. Associate's degree. 2. Certified Risk Adjustment Coder (CRC) highly… more
- CDPHP (Albany, NY)
- …completion of CPC or CCS certification within one year of employment. + CRC (Certified Risk Adjustment Coder ) credential preferred. + Minimum three (3) years ... position will work with the Manager, Risk Adjustment Coding Operations to prioritize coder workflows,...and HCPCS codes is required. + Strong knowledge of medical terminology, anatomy and physiology, and medical … more
- Centene Corporation (Columbia, SC)
- … record audits, analysis of practice coding patterns, education and training regarding risk adjustment to ensure accurate CMS payment and improve quality of ... and market level. + Subject matter experts for proper risk adjustment coding and CMS data validation...physician setting or a Managed Care Organization as a medical coder 2+ years of experience in… more
- Centene Corporation (Yuma, AZ)
- … record audits, analysis of practice coding patterns, education and training regarding risk adjustment to ensure accurate CMS payment and improve quality of ... and market level. + Subject matter experts for proper risk adjustment coding and CMS data validation...physician setting, or a Managed Care Organization as a medical coder is required. 1+ years of… more
- Centene Corporation (NV)
- … record audits, analysis of practice coding patterns, education and training regarding risk adjustment to ensure accurate CMS payment and improve quality of ... and market level. + Subject matter experts for proper risk adjustment coding and CMS data validation...physician setting or a Managed Care Organization as a medical coder . 2+ years experience in coding… more
- Atrius Health (Newton, MA)
- …captured in electronic medical record. Is an active member of the Risk Adjustment Team, participating in creating and implementing new initiatives for Atrius ... added. Acts as a mentor and role model to Risk Adjustment Specialist RNs assuring that they...State-approved program/school for Physician Assistants (PA). Certification as professional coder (CPC, CCS-P, CCS, CPC-H, CRC- risk , AAPC)… more