- Trinity Health (Syracuse, NY)
- … experience. Ability to conduct Education if needed. Auditing Experience Posting POSITION PURPOSE: The Risk Adjustment Coding Specialist works in a team ... Health's confidentiality requirements as they relate to patient information. What a Certified Risk Adjustment Coding Specialist will do: . Review and… more
- Dignity Health (Bakersfield, CA)
- **Responsibilities** This position is remote.** **Position Summary:** The Risk Adjustment Coding Training Specialist develops and executes comprehensive ... standards. Travels to provider offices when necessary. The Risk Adjustment Coding and Training Specialist is responsible for developing and delivering… more
- UCLA Health (Los Angeles, CA)
- …- Medicare Advantage Risk Adjustment , you will be an expert in risk adjustment coding and documentation, working closely with physicians, IPA coders, ... Professional Coder (CPC) certification or Certified Coding Specialist (CCS) certification, required + A Certified Risk... Specialist (CCS) certification, required + A Certified Risk Adjustment Coder (CRC), required + Reliable… more
- Penn Medicine (Bala Cynwyd, PA)
- … coding medical professional services experience including ambulatory outpatient and risk adjustment coding . (Required) . Additional experience could ... Medicine Hospice- 150 Monument Road** **Hours: Full-Time** **Job Summary:** The Ambulatory Coding and Documentation Specialist reports to the Primary Care… more
- HCA Healthcare (Overland Park, KS)
- …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
- 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
- Kelsey-Seybold Clinic (Pearland, TX)
- …Assessment certificate. Preferred: HEDIS experience **License(s)** Required: CCS-P (Certified Coding Specialist -Physician) or CPC (Certified Professional Coder) ... **Responsibilities** To ensure the accurate coding of diagnoses which fall into the HCC...or CPC-A or CRC (Certified Risk Adjustment Coder) Preferred: N/A **Special Skills**… more
- Hartford HealthCare (Hartford, CT)
- … Coding Specialist - Physician (CCS-P) or Certified Coding Specialist (CCS) Certified Risk Adjustment Coder (CRC) preferred (required within 6 ... Adjustment Coder Educator develops and implements an enterprise-wide risk adjustment coding and documentation education program to support documentation… more
- Commonwealth Care Alliance (Boston, MA)
- …recovery + Serve as a resource for primary care site to answer questions regarding risk adjustment , corrective CPT coding , Medicare & Medicaid coding ... Associate's Degree or equivalent experience + Possession of Certified Coding Specialist designation (CCS, CCS-P, CCA from...documentation and coding + Knowledge of Medicare Risk Adjustment Documentation with Certified Risk… more
- Hartford HealthCare (Farmington, CT)
- … will support documentation practices that comply with CMS risk adjustment program requirements and ICD 10 coding guidelines. Reporting to Manager ... Relationships:_* *This Job Reports To (Job Title):*Audit and Education Specialist Manager *Education* . Minimum: o Medical Coding...Hartford Healthcare o Experience with the nuances of diagnosis coding and risk adjustment programs… more
- WMCHealth (Valhalla, NY)
- …Details: Job Summary: Serves as an internal expert on Risk Adjustment and Hierarchical Conditions Categories (HCC) coding . Specific duties include performing ... Compliance Auditing Specialist - Remote/Hybrid available Company: NorthEast Provider Solutions Inc....concurrent and retrospective reviews of documentation and coding and working with providers and staff to ensure… more
- Queen's Health System (Honolulu, HI)
- …completeness of documentation and code assignment for the purposes of appropriate reimbursement, risk adjustment , severity of illness, risk of mortality, ... to ensure the appropriate capture of Comorbid conditions and Major comorbid conditions. * Collaborates with coding staff and quality team to ensure integrity and… more
- Humana (Gainesville, FL)
- …our caring community and help us put health first** The Medical Record Retrieval Specialist ( Risk Adjustment Representative 3) Travels to provider offices ... a secure system. The records are reviewed by Humana's Coding staff. Gainesville, FL area Alachua, Putnam and Marion...Marion counties in FL The Medical Record Retrieval Representative ( Risk Adjustment Representative 3): + Travel up… more
- New York State Civil Service (Albany, NY)
- …Title Virtual Currency Data Governance Senior Analyst (Financial Services Specialist 2 (Policy Analysis), SG-23) Occupational Category Financial, Accounting, ... for the position of Senior Virtual Currency Data Analysis Specialist in the Virtual Currency Unit within the Research...to the team;* Ensures consistency by adhering to software coding and style guides;* Provides training and support to… more
- Amazon (Austin, TX)
- …Key job responsibilities As a Software Development Engineer (SDE) within the Specialist Engineering team, you will design, engineer, and deliver software with ... cause of endemic problems and remove bottlenecks. About the team The Specialist Engineering team's charter is to develop easy-to-use, repeatable, scalable software… more
- System One (Deland, FL)
- …in-depth research, appeals, rebilling, obtaining insurance authorizations or referrals, correcting coding , calling the payer or clinic, and utilizing payor portals + ... Address patient benefit-related denials, including phone verification of plan requirements, financial risk , as well as other factors that may impact reimbursement +… more
- Fairview Health Services (St. Paul, MN)
- …Management Association (AHIMA) + Registered Health Information Technician (RHIT) + Certified Coding Specialist (CCS) + American Academy of Professional Coders ... Medical Coder (CMC) OR Equivalent certifications, examples include: + Certified Risk Adjustment Coder (CRC), Certified Documentation Expert Outpatient (CDEO),… more
- Scripps Health (San Diego, CA)
- …Categories (HCCs) for accuracy and compliance as relates to Outpatient CDI. Monitors Risk Adjustment Factor (RAF) Scores. * Directs instructions and education ... * AHIMA RHIT (Registered Health Information Technician) * AHIMA CCS (Certified Coding Specialist ) or AAPC CPC (Certified Professional Coder) * Knowledge… more
- St. Luke's Health System (Boise, ID)
- …Information Administrator), RHIT (Registered Health Information Technician), CCS (Certified Coding Specialist ), CPC (Certified Professional Coder), COC ... accuracy and appropriateness of codes. + Applies knowledge of coding to solve unique or new cases resulting in...(Certified Outpatient Coder), CIC (Certified Inpatient Coder), CRC (Certified Risk Adjustment Coder). **What's in it for… more
- Centene Corporation (Tallahassee, FL)
- …Collaborates with Provider Relations to improve provider performance in areas of Quality, Risk Adjustment and Operations (claims and encounters). + Assists in ... **A license in one of the following is preferred:** Certified Coding Specialist (CCS), Licensed Practical Nurse (LPN), Licensed Master Social Work (LMSW),… more