• Sr . Coder - Risk

    Universal Health Services (Reno, NV)
    …enhancing the patient experience. Learn more at: https://prominence-health.com/ Job Summary: The Senior Coder is responsible for documentation and coding review ... diagnoses and service codes to support optimal performance in risk adjustment and quality measurement. The scope...will include pre, post and wraparound visit input. The Senior Coder will be required to work… more
    Universal Health Services (03/29/24)
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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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  • Provider Education Data Senior Analyst-…

    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 ... of medical records coded by internal team (CDQA and Sr CDQA) to ensure the ICD-10 codes that are...Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and… more
    CVS Health (04/27/24)
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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 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 ... the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical… more
    CVS Health (04/04/24)
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  • Regional Coding Operations Manager WFH

    HCA Healthcare (Salt Lake City, UT)
    …(CPC(R)) credential or Certified Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) EXPERIENCE: + Experience with Cerner ... (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid...not make a hospital. People do."- Dr. Thomas Frist, Sr . HCA Healthcare Co-Founder If you are looking for… more
    HCA Healthcare (04/20/24)
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  • Senior Hierarchical Condition Category…

    Highmark Health (Columbus, OH)
    …Centers for Medicare and Medicaid Services (CMS) coding guidelines, and support of Risk Adjustment Data Validation (RADV) audits. Works closely with colleagues, ... physicians to identify and deliver high quality and accurate risk adjustment coding. Supports all risk...CERTIFICATIONS** **Required** (any of the following) + Certified Professional Coder (CPC) + Certified Risk Coder more
    Highmark Health (04/18/24)
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  • Senior Manager Clinical Documentation…

    AdventHealth (Maitland, FL)
    …incentive programs, and develop and lead a broad and diversified range of risk adjustment coding services for the AdventHealth Population Health Ri Clinical ... limited to developing the overall structure and operations to support programs in Risk Adjustment coding, CDI review, working on Electronic Medical Record tools,… more
    AdventHealth (04/04/24)
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  • Senior Director, Revenue Cycle - Bonus…

    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 ... Clinical Documentation Integrity (CDI) and Health Information Management HIM. The Senior Director manages the staff responsible for hospital and professional fee… more
    Scripps Health (02/20/24)
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  • Coding Training and Development Specialist

    Corewell Health (Grand Rapids, MI)
    …Primary Location SITE - 1810 Wealthy St SE - Grand Rapids Department Name CDI Risk Adjustment Employment Type Full time Shift Day (United States of America) ... maintains effective working relationships within the organization. Provides information to senior levels of management on the implication of policies and procedures… more
    Corewell Health (03/22/24)
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