- Geisinger (Danville, PA)
- …Health Information Technician (RHIT) - American Health Information Management Association; Certified Risk Adjustment Coder - American Academy ... of reimbursement changes. Additionally, this position provides daily support for coding and reimbursement needs across negotiations, claims processing, and provider… more
- Direct Jobs (Valhalla, NY)
- …in a large multispecialty practice setting, including surgical speacialties is required. HCC Risk adjustment Coding esperience is preferred. Education High ... required experience. Licenses / Certifications Current certification as either a Certified Coding Specialist (CCS) or Certified Coding … more
- Spencer Britt (Victorville, CA)
- …practices Excellent communication and patient engagement skills Preferred Qualifications CRC ( Certified Risk Adjustment Coder) certification Bilingual ... or primary care experience preferred) Strong knowledge of Medicare Advantage, HCC coding , and risk adjustment Proficient in EMR documentation and medical … more
- Johns Hopkins Medicine (Baltimore, MD)
- …acts as a systems expert on matters related to physician clinical documentation, coding , risk adjustment , education and reimbursement processes in working ... medical record/health information administration, acute care, clinical documentation and/or coding preferred. 2 years of staff management experience required at… more
- Apex Health Solutions (Houston, TX)
- …: Certified Professional Coder (CPC) Certified Risk Adjustment Coder (CRC) Certified Coding Specialist (CCS) Registered Health Information ... Summary Certified Medical Coder role is responsible for reviewing,...medical records to ensure proper ICD-10-CM, HCPCS, and CPT coding and compliance with Risk Adjustment… more
- Trinity Health (Columbus, OH)
- …chronic conditions. + Collaborate with providers to clarify documentation and educate on risk adjustment coding best practices. + Conduct retrospective and ... + Train and mentor peers and new coders on risk adjustment coding standards, MEAT/TAMPER...and maintains accurate database of submission and payment. + Certified Risk Adjustment Coder certification… more
- Datavant (Jefferson City, MO)
- … Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring production and quality of ... daily basis, including education on time management and best coding practices. + Provide coaching and feedback on achieving...**What you will bring to the table:** + AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified… more
- Datavant (Atlanta, GA)
- …realize our bold vision for healthcare. We're looking for experienced and credentialed HCC Coding Team Leads to become an integral part of our team. The ideal ... from your own workspace! **What you will do:** + Coding Team Lead is responsible for supporting the ...**What you will bring to the table:** + AHIMA certified credentials (CCS, CCS-P) or AAPC certified … more
- BJC HealthCare (St. Louis, MO)
- …setting. Background to be successful in the role: + **Hierarchical Condition Category (HCC)** ** coding and risk adjustment ** + **Bachelors degree** + **2 ... Requirements** **Licenses & Certifications** + Cert Clinical Documentation + Certified Coding Spec + Cert Doc Improve Practitioner **Benefits and Legal… more
- Ascension Health (Elk Grove Village, IL)
- …Candidates must have the following certification thru AAPC (credentialing board): ** Certified Risk Adjustment Coder (CRC) - STRONGLY ... Registration: + One or more of the following required:* Certified Coding Specialist (CCS) credentialed from the...in the CRC program please apply!** + 1 year ** RISK CODING ** experience, preferred (NEW GRADUATES WELCOME)… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …you'll play a critical role in ensuring the accuracy, completeness, and compliance of risk adjustment coding across both internal teams and external ... data. Your Responsibilities * Ensure accuracy and compliance of risk adjustment coding , including the...and ACA risk adjustment . * Certified Risk Adjustment Coder (CRC)… more
- UCLA Health (Los Angeles, CA)
- …(CPC) certification or Certified Coding Specialist (CCS) certification + A Certified Risk Adjustment Coder (CRC) + Reliable transportation to conduct ... Advantage Risk Adjustment , you will be an expert in risk adjustment coding and documentation, working closely with physicians, IPA coders, and … more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …of provider-facing or leadership-facing experience * Knowledge of Health Care Quality measures * Certified Risk Adjustment Coder (CRC via AAPC) or ... characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Quality & Risk Adjustment Provider Consultant Location: Hybrid | Eagan, Minnesota Career… more
- Humana (Salt Lake City, UT)
- …across team. Holds team members accountable for following established policies. The Manager Risk Adjustment ensures coding is accurate and properly supported ... community and help us put health first** The Manager, Risk Adjustment conducts quality assurance audits of...as well as internal policies and guidelines while analyzing coding information and medical records. May participate in provider… more
- Datavant (Nashville, TN)
- …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... COC, CIC, or CRC). + A minimum of 2 years HCC coding experience, while certified . + Full understanding and knowledge of ICD-10, medical terminology, medical… more
- Highmark Health (Cheyenne, WY)
- …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 Professional Coder (CPC) + Certified Risk Coder (CRC) + Certified Coding… 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 ... support to Bluestone providers to enhance their understanding of risk adjustment coding guidelines and...in Health Information Management, Nursing, or related field. + Certified Risk Adjustment Coder (CRC)… more
- Emanate Health (Covina, CA)
- …Plan partners, MSO personnel, physicians, and billing staff to ensure accurate documentation, coding compliance, and optimal risk adjustment outcomes. The ... HCC Coding Specialist ensures the IPA's Risk Adjustment Factor (RAF) maintains or exceeds 1.0 and supports achieving or improving a 4.0 STAR Rating or… more
- Humana (Concord, NH)
- …medical record review knowledge + 2 or more years of risk adjustment provider education + Familiar with coding guidelines (ie ICD-9/ICD-10) + Comprehensive ... Educator is responsible for creating and executing the risk adjustment strategy for each provider groups....and presentation skills **Preferred Qualifications** + Bachelor's degree + Certified Risk Coder (CRC) + Experience interacting… more
- Humana (Greenville, SC)
- …Carolina, North Carolina or Georgia **Preferred Qualifications** + Bachelor's Degree + CRC - Certified Risk Adjustment Coder + Experience interacting with ... an impact** **Required Qualifications** + AHIMA or AAPC CPC ( Certified Professional Coder) Certification + 3 or more years...presentation skills with healthcare providers + Risk Adjustment knowledge + Familiar with coding guidelines… more
