- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Specialist supports the retrospective risk adjustment supplemental filing, ... to coding and documentation guidelines. The development and ongoing maintenance of the Risk Adjustment Coding guidelines, as well as, guiding junior … more
- CDPHP (Latham, NY)
- …employees who share these values and invites you to be a part of that experience. The Risk Adjustment Coding Specialist will be responsible for the chart ... review and ICD-10 diagnosis coding of risk adjustment eligible...or GED required. Associates degree preferred. + CCS/CCS-P (Certified Coding Specialist ) or CPC/CPC-A (Certified Coding… more
- Redeemer Health Home Care & Hospice (Huntingdon Valley, PA)
- …pathophysiology, and medical terminology necessary to correctly code diagnoses. The Certified Risk Adjustment Coding /Audit Specialist analyzes and ... journey. We invite you to apply today. SUMMARY OF JOB The Certified Risk Adjustment Coding /Audit Reviewer is a physician facing position and must have… more
- Evolent (Phoenix, AZ)
- …Doing:** **Manager, Coding Support Specialist ** Evolent Care Partners is seeking a Risk Adjustment Coding Support Manager to be a core member of the ... Risk Adjustment Coding Support team. Evolent Care Partners' mission is to partner directly with primary care organizations across the country to improve… more
- Highmark Health (Pittsburgh, PA)
- …+ Production Coding : Manage a team of internal coder / clinicians that perform Risk Adjustment coding of medical records. Track production coding ... for the Highmark Health Enterprise. Ensures that Highmark's Risk Adjustment programs comply with all applicable...coding . Promotes the strategy and capabilities to develop risk management and physician / member initiatives that support… more
- Bluestone Physician Services (Stillwater, MN)
- …reviews of patient charts to identify gaps in documentation and opportunities for risk adjustment coding improvement. + Collaborate with Bluestone providers ... join our team as a Clinical Documentation Improvement (CDI) Specialist . The primary responsibility of this role is...support to Bluestone providers to enhance their understanding of risk adjustment coding guidelines and… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …opportunities for performance improvement related to system-wide RSA and HCC and other risk adjustment coding initiatives. Works with HCC Coding ... to Detail Critical Thinking Accuracy Healthcare Software Coding conventions CMS OIG Risk adjustment coding Many of our opportunities reward* your hard… more
- University of Colorado (Aurora, CO)
- …and/or facility fee setting. + Experience with outpatient (HOPD, freestanding) and inpatient coding , risk adjustment auditing. + Experience building and ... **Billing and Coding Specialist ** **Description** **University of Colorado Anschutz Medical Campus** **Department: Neurosurgery** **Job Title** **Billing and … more
- CareFirst (Baltimore, MD)
- …**Education Level:** High School Diploma or GED. **Experience:** 5 years experience in risk adjustment coding , ambulatory coding and/or CRC ... and incentive models. Strategizes alternatives and solutions to maximize quality payments and risk adjustment . Translates from claim language to services in an… more
- Penn Medicine (Bala Cynwyd, PA)
- …of relevant coding medical professional services experience including ambulatory outpatient and risk adjustment coding . (Required) + Certified Risk ... Medicine Hospice- 150 Monument Road** **Hours: Full-Time** **Job Summary:** The Ambulatory Coding and Documentation Specialist reports to the Primary Care… more
- Health Care Service Corporation (Harlingen, TX)
- …Experience in health insurance or health care setting + Previous experience working on Risk Adjustment coding for either Medicare Advantage or Retail ... on health plan coding initiative guidelines and requirements of the Risk Adjustment program to ensure correct coding and documentation. This position… more
- AdventHealth (Daytona Beach, FL)
- …Category (HCC) education including but not limited to clinical documentation integrity, coding , HCC Risk Adjustment Methodology, and provider performance ... an advanced understanding of the HCC risk adjustment methodology gained from HCC documentation, coding ,...Health Information Technician (RHIT) - Cert, OR + Certified Coding Specialist (CCS), OR + Certified Documentation… more
- CVS Health (IN)
- …required. + CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist -Physician) and CRC (Certified Risk Adjustment Coder) required ... Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and...proficiency in the following: + Proven ability to support coding judgment and decisions using industry standard evidence and… more
- Catholic Health Initiatives (Chattanooga, TN)
- …team to support the needs of the organization. The position will support risk adjustment improvement efforts across the medical group. The Hierarchical Condition ... Certification through American Health Information Management Association (AHIMA) as Certified Coding Specialist (CCS) or Certified Coding Specialist… more
- HCA Healthcare (Dallas, TX)
- …minimal overnight travel. EDUCATION: + Bachelor's Degree preferred. + Must be a Certified Coding Specialist (CCS), Certified Coding Specialist - ... Coder (CPC(R)) credential or Certified Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) EXPERIENCE: + Experience with Cerner and… more
- HCA Healthcare (Richmond, VA)
- …minimal overnight travel. **EDUCATION:** + Bachelor's Degree preferred. + Must be a Certified Coding Specialist (CCS), Certified Coding Specialist - ... (CPC(R)) credential or Certified Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) **EXPERIENCE:** + Experience with Cerner and… more
- CVS Health (Oklahoma City, OK)
- …(Certified Coding Specialist -Physician) required. + CRC (Certified Risk Adjustment Coder) + Computer proficiency including experience with Microsoft ... Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and...internal policies and procedures. + Proven ability to support coding judgment and decisions using industry standard evidence and… more
- UTMB Health (Galveston, TX)
- …Coding Associate American Health Information Management (AHIMA) Or CCS - Cert-Cert Coding Specialist American Health Information Management (AHIMA) Or CCS-P - ... Senior Coder - RCO Coding **Galveston, Texas, United States** **New** **Hot** Business,...Academy of Professional Coders (AAPC) Or CRC - Cert Risk Adjustment Coder American Academy of Professional… more
- MyFlorida (Tallahassee, FL)
- RISK MANAGEMENT PROGRAM SPECIALIST - 43001345 Date: Sep 24, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... . Requisition No: 861533 Agency: Financial Services Working Title: RISK MANAGEMENT PROGRAM SPECIALIST - 43001345 Pay Plan:… more
- Virginia Mason Franciscan Health (Seattle, WA)
- …and 3 years experience as an instructor/trainer preferred. Clinical knowledge and exposure to risk adjustment coding preferred. We deliver inspired people to ... or equivalent plus credentialed as a Certified Professional Coder (CPC) orCertified Coding Specialist - Physician based (CCS-P). + This position also requires 1… more