• Risk Adjustment Coder

    Apex Health Solutions (Houston, TX)
    SUMMARY: Risk Adjustment Coder is responsible for reviewing, abstracting, and coding inpatient and/or outpatient medical records to ensure proper ICD-10 ... A certification in one of the following is required: * Certified Risk Adjustment Coder (CRC) * Certified Professional Coder (CPC)… more
    Apex Health Solutions (03/13/24)
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  • Risk Adjustment Coder

    ChenMed (Miami, FL)
    …providers. We're rapidly expanding and we need great people to join our team. The Risk Adjustment Coder works in a collaborative effort directly with ... medical records and other clinical documentation to identify appropriate risk adjustment codes and quality gap closure...APPC or AHIMA coding certified preferred. + CRC (certified risk coder ) is required, or minimum of… more
    ChenMed (04/27/24)
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  • HCC Risk Adjustment Coder

    MedKoder (Mandeville, LA)
    …hands-on production). Must have at least 1 year of specialized experience in Medicare Risk Adjustment disciplines- such as HCC, CCC HEDIS + Auditing experience a ... Position Location: 100% Remote Qualifications The Medical Coder provides coding and coding auditing services directly...medical record charts for the appropriate coding compliance + Coder is responsible for meeting daily production goal and… more
    MedKoder (04/18/24)
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  • Coder 2

    St. Luke's Health System (Boise, ID)
    …), COC (Certified Outpatient Coder ), CIC (Certified Inpatient Coder ), CRC (Certified Risk Adjustment Coder ). **What's in it for you** At St. Luke's, ... **Overview** **St. Luke's Health System is seeking a Coder 2 to join our team.** Under limited...2 to join our team.** Under limited supervision, the Coder 2 is responsible for reviewing applicable documentation and… more
    St. Luke's Health System (02/23/24)
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  • Certified Coder - REMOTE

    Molina Healthcare (Long Beach, CA)
    Adjustment Data Validation **Preferred License, Certification, Association** + Certified Risk Adjustment Coder - (CRC) + Certified Professional Payer ... + Provides training and education to network of providers on how to improve their risk adjustment knowledge as well as provide coding updates related to Risk more
    Molina Healthcare (04/25/24)
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  • Clinical Quality Coder II

    Sutter Health (Sacramento, CA)
    …+ HS Diploma or General Education Diploma (GED) **CERTIFICATION & LICENSURE:** + CRC-Certified Risk Adjustment Coder OR CPC-Certified Professional Coder ... OR AHMA or AAPC Coding Certification (CCS-P, CPC, COC or CPC-P) **TYPICAL EXPERIENCE:** + 1 year recent relevant experience. **SKILLS AND KNOWLEDGE:** + Advanced knowledge of ICD-10 diagnosis coding conventions and requirements, knowledge of Quality Coding… more
    Sutter Health (04/03/24)
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  • Risk Adjustment Consultant TMIN

    Tufts Medicine (Burlington, MA)
    …provider education when necessary. **Job Description** **Minimum Qualifications:** 1. Certified Risk Adjustment Coder (CRC) **OR** Certified Professional ... adult medicine experience. **Preferred Qualifications:** 1. Associate's degree. 2. Certified Risk Adjustment Coder (CRC) highly preferred. 3. Five (5) years… more
    Tufts Medicine (04/23/24)
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  • Risk Adjustment Provider Educator…

    The Cigna Group (UT)
    …least one of the below): + Certified Professional Coder (CPC) + Certified Risk Adjustment Coder (CRC) + Certified Coding Specialist for Providers (CCS-P) ... ** Risk Adjustment Provider Educator** **_Incumbent_** **_candidate must reside in assigned territory and have the ability to travel to the local office and… more
    The Cigna Group (03/21/24)
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  • Director, Risk Adjustment and Value…

    Henry Ford Health System (Troy, MI)
    …CERTIFICATIONS/LICENSURES REQUIRED + RHIA, RHIT, CPC, CCS, or CCS-P preferred + Risk Adjustment Coder (CRC) certification preferred Additional Information ... The Director of Risk Adjustment & Value Based Payment is an unparalleled opportunity with Henry Ford Health. This pivotal role spearheads strategic endeavors in … more
    Henry Ford Health System (04/11/24)
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  • Risk Adjustment Provider Service…

    BlueCross BlueShield of North Carolina (NC)
    …field + Must have a Certified Professional Coder (CPC) or Certified Risk Adjustment Coder (CRC) certification **Salary Range** $55,800.00 - $89,300.00 ... facing role. Evaluates and monitors provider performance to achieve excellence in risk adjustment coding. Participates in regular provider meetings and/or calls… more
    BlueCross BlueShield of North Carolina (04/27/24)
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  • Sr. Coder - Risk Adjustment

    Universal Health Services (Reno, NV)
    …accurate reporting of diagnoses and service codes to support optimal performance in risk adjustment and quality measurement. The scope of work will include ... + 3+ years in CMS coding and documentation guidelines as well as HCC risk adjustment coding practices + CRC Required. + Additional Coding certification preferred… more
    Universal Health Services (03/29/24)
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  • Provider Education Data Senior Analyst- Hybrid-…

    The Cigna Group (Memphis, TN)
    …least one of the below): + Certified Professional Coder (CPC) + Certified Risk Adjustment Coder (CRC) + Certified Coding Specialist for Providers (CCS-P) ... Summary:** This role is responsible for supporting Cigna Medicare Advantage's Risk Adjustment & Stars program for assigned populations in an operational market.… more
    The Cigna Group (03/28/24)
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  • Coding Data Quality Auditor

    CVS Health (Tallahassee, FL)
    …(Certified Professional Coder ) or CCS-P (Certified Coding Specialist-Physician).) ( CRC (Certified Risk Adjustment Coder must be able to obtain within 1 ... for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in… more
    CVS Health (04/27/24)
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  • Coding Education Specialist - Philadelphia…

    The Cigna Group (Philadelphia, PA)
    …(at least one of the below):** Certified Professional Coder (CPC) Certified Risk Adjustment Coder (CRC) Certified Coding Specialist for Providers (CCS-P) ... inpatient / outpatient or medical office coding experience, preferably two years risk adjustment coding experience. + Extensive knowledge and adherence to… more
    The Cigna Group (03/08/24)
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  • Division Coding Consultant WFH

    HCA Healthcare (Nashville, TN)
    Coder (CPC(R)) or Certified Outpatient Coder (COC(R)). AAPC's Certified Risk Adjustment Coder (CRC(R)) as an additional credential is preferred. ... with coding, third-party reimbursement, and billing systems required. + Experience in risk adjustment coding required. + Thorough knowledge of coding practices… more
    HCA Healthcare (04/20/24)
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  • Coding Quality Specialist

    St. Luke's Health System (Boise, ID)
    …Outpatient Coder ), CIC (Certified Inpatient Coder ), CRC (Certified Risk Adjustment Coder ), CAISS (Certified Abbreviated Injury Scale Specialist), ... CSTR (Certified Specialist in Trauma Registries). **What's in it for You:** At St. Luke's, caring for people in the communities we serve is our mission - and this includes our own SLHS team. We offer a robust benefits package to support our teams both… more
    St. Luke's Health System (04/10/24)
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  • Trauma Registrar

    St. Luke's Health System (Twin Falls, ID)
    …Outpatient Coder ), CIC (Certified Inpatient Coder ), CRC (Certified Risk Adjustment Coder ), CAISS (Certified Abbreviated Injury Scale Specialist), ... CSTR (Certified Specialist in Trauma Registries). **What's in it for You:** At St. Luke's, caring for people in the communities we serve is our mission - and this includes our own SLHS team. We offer a robust benefits package to support our teams both… more
    St. Luke's Health System (04/05/24)
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  • Coding Data Quality Auditor

    CVS Health (Albany, NY)
    Coder ) or CCS-P (Certified Coding Specialist-Physician) required. * CRC (Certified Risk Adjustment Coder ) preferred or certified within 6 months ... for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in… more
    CVS Health (04/04/24)
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  • Coding Compliance Manager (DDQ)

    Sutter Health (Sacramento, CA)
    …CCS-Certified Coding Specialist OR CPC-Certified Professional Coder OR CRC-Certified Risk Adjustment Coder OR CCDS-Certified Clinical Documentation ... appropriate. Assists with the assessment of potential or existing risk in regulatory and/or coding practices and conducts or...Specialist OR CIC-Certified Inpatient Coder **TYPICAL EXPERIENCE:** 10 years recent relevant experience **SKILLS… more
    Sutter Health (03/21/24)
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  • Coder

    Dignity Health (Bakersfield, CA)
    …integrated networks throughout to identify opportunities for improved quality, risk adjustment coding performance. The Value Based Coder is a valuable ... by Dignity Health. As a member of the Quality Management/ Risk team, the Value Based Coder works...and review network coding opportunities as it pertains to risk adjustment . Responsibilities may include: - Review… more
    Dignity Health (04/10/24)
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