- Cambia Health Solutions, Inc (Portland, OR)
- …compliance experience to assist in prevention, detection, and remediation activities. Experience in risk adjustment compliance (Medicare and ACA) as well as a ... laws. Duties may include, but are not limited to, risk assessment, training, monitoring, auditing, external audit coordination, investigation,...coding certification is preferred.General Functions and OutcomesOverall responsibilities include… more
- Atrium Health (Charlotte, NC)
- …This leaders will be a key subject matter expert for clinical documentation and risk adjustment coding within the enterprise. This position focuses on ... This clinical position uses clinical/nursing knowledge and understanding of national coding guidelines and standards of compliance to improve overall quality and… more
- Trinity Health (Syracuse, NY)
- **Employment Type:** Full time **Shift:** **Description:** ** Risk Adjustment Coding Specialist - CNY AIM (CIN), St. Joseph's Health - Full-time - ... **Expected Weekly Hours:** 40 **Shift:** Day Shift **Details:** **POSITION PURPOSE:** The Risk Adjustment Coding Specialist works in a team environment… more
- The Cigna Group (Bloomfield, CT)
- …(CPC) + Certified Risk Adjustment Coder (CRC) + Certified Coding Specialist for Providers (CCS-P) + Registered Health Information Management Technician ... or medical office coding experience, preferably two (2) years risk adjustment coding experience. + Excellent written and verbal communication skills.… more
- The Cigna Group (Nashville, TN)
- …least one of the below):** Certified Professional Coder (CPC) Certified Risk Adjustment Coder (CRC) Certified Coding Specialist for Providers (CCS-P) ... outpatient or medical office coding experience, preferably two years risk adjustment coding experience. + Extensive knowledge and adherence to… more
- The Cigna Group (Baltimore, MD)
- …(CPC) + Certified Risk Adjustment Coder (CRC) + Certified Coding Specialist for Providers (CCS-P) + Registered Health Information Management Technician ... (RHIT) + 5+ years of risk adjustment coding experience, 3+ national Medicare Advantage health plan experience preferred. + Must be a strong public speaker… more
- The Cigna Group (Houston, TX)
- …(CPC) + Certified Risk Adjustment Coder (CRC) + Certified Coding Specialist for Providers (CCS-P) + Registered Health Information Management Technician ... or medical office coding experience, preferably two (2) years risk adjustment coding experience. + Excellent written and verbal communication skills.… more
- US Tech Solutions (Newark, NJ)
- …to regulatory agencies and key stakeholders * Evaluate and improve the effectiveness of risk adjustment coding programs, policies & procedures and work flow ... As a Subject Matter Expert, this person will support risk adjustment coding initiatives to...the American Academy of Professional Coders or a Certified Coding Specialist , P from the American… more
- Baystate Health (Springfield, MA)
- …(CDEO); CMA or LPN + EHR (Cerner preferred) + Prospective coding or risk adjustment coding ; clinical experience in outpatient medical practice. **THE ... conditions are listed in medical record before provider visits and uses ICD-10 CM coding guidelines and risk adjustment model regulations to identify missed… more
- Apex Health Solutions (Houston, TX)
- …and coding inpatient and/or outpatient medical records to ensure proper ICD-10 coding and compliance with risk adjustment requirements. Reports to: AVP, ... SUMMARY: Risk Adjustment Coder is responsible for... Risk Adjustment Coder is responsible for reviewing, abstracting,...Coder (CRC) * Certified Professional Coder (CPC) * Certified Coding Specialist (CCS) EXPERIENCE: * Minimum of… more
- Highmark Health (Columbus, OH)
- …partners at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding . Supports all Remote Patient Monitoring (RPM) ... Supports other key objectives to drive capture of correct Risk Adjustment coding including documentation...+ Certified Risk Coder (CRC) + Certified Coding Specialist (CCS) + Registered Health Information… more
- Marshfield Clinic (Marshfield, WI)
- …Guidelines, CMS Medicare, HHS, and DHS BadgerCare Plus risk adjustment policy and Hierarchical Condition Category Coding . **JOB QUALIFICATIONS** ... position conducts quality assurance activities to ensure the accuracy and integrity of risk adjustment data submitted to the Centers for Medicare & Medicaid… more
- Centene Corporation (Carson City, NV)
- …for understanding the intricacies of the ICD-9 coding guidelines and its application to risk adjustment coding ; + An important function of the S-MCS is ... the daily operations and work flow of the Medical Coding Specialist (MCS) Team; + The S-MCS...provides ongoing training and continuing education to the Medical Coding Specialists regarding risk adjustment ,… more
- 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 ... Information Administrator), RHIT (Registered Health Information Technician), CCS (Certified Coding Specialist ), CPC (Certified Professional Coder), COC… more
- Tri-County Health Care (Wadena, MN)
- …and training in Wadena, MN. Our Revenue Integrity team is looking for an experienced Coding Specialist to join us in our mission to improve the health of ... all Medicare and HB clinic-based records and support of quality metrics adherence, risk adjustment model capture, and hierarchical condition category (HCC) … more
- Emanate Health (Covina, CA)
- …oversight of HCC Program and STAR measures coding related functions. The HCC coding specialist will work with the IPA Director, Health Plan, and MSO ... STAR measures related tasks. Responsible to ensure the IPA risk adjustment factor maintains or exceeds 1.0...achieves or improves upon 4.0 STAR rating. The HCC coding specialist is responsible for education to… more
- Corewell Health (Grand Rapids, MI)
- …related experience Required Certifications, one from below required upon hire + CRT- Coding Specialist (CCS) - AHIMA American Health Information Management ... Association Coding Dept Only + CRT-Professional Coder - AAPC American...Wealthy St SE - Grand Rapids Department Name CDI Risk Adjustment Employment Type Full time Shift… more
- Grace Hospital (Morganton, NC)
- …(American Academy of Professional Coders) Certified Professional Coder (CPC) required, Certified Risk Adjustment Coder (CRC) certification a plus. + Competitive ... valued." THE POSITION We are seeking a detail-oriented and highly analytical Coding and Auditing Specialist to join our dynamic team. In this role, you will be… more
- CVS Health (Tallahassee, FL)
- …Required Qualifications CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist -Physician).) ( CRC (Certified Risk Adjustment Coder must ... the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical… more
- HCA Healthcare (Campbell, CA)
- … and/or billing experience. . Minimum 1 year experience with HCC coding and risk adjustment Physician Services Group ... care like family! Jump-start your career as a(an) HCC Risk Management Specialist today with HCA Healthcare....is to assist and educate physician providers on proper coding of all current medical conditions to the highest… more
