- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …from AHIMA or AAPC \(CPC, CCS, RHIT, RHIA\)\. + Must acquire the Certified Risk Adjustment Coder \(CRC\) certificate from AAPCwithin one year, after ... **The Risk Adjustment division at BCBST is looking to add a Risk Adjustment Medical Record Coder to our team\.** Expertise in HCC coding, with a… more
- Datavant (Washington, DC)
- …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and...on client specific guidelines for the project. + The coder will ensure compliance with established ICD-10 CM, third… more
- Ankura (Los Angeles, CA)
- …deliver work and seeks to gain additional opportunities for development in a variety of risk adjustment related areas. Qualifications: + Certified in Risk ... (CRC) with at least five (5) recent years of experience in HCC/ Risk Adjustment and/or RADV Audit Methodology + Associate's or Bachelor's degree preferred, but… more
- Ankura (New York, NY)
- …college/university + Current Registered Nurse license + Experience working for payors conducting risk adjustment reviews + Clinical experience in a variety of ... and mature their compliance programs, conduct program effectiveness reviews, and risk assessments, and perform compliance audits. We assist in-house and outside… more
- Hartford HealthCare (Hartford, CT)
- …recognition programs and other common practices across the system. *JOB SUMMARY:* The Risk Adjustment Coder Educator develops and implements an ... risk adjustment program requirements and ICD 10 coding guidelines. The Risk Adjustment Coder Educator will serve as a training resource for Risk … more
- Dignity Health (Phoenix, AZ)
- …experience in outpatient and/or HCC/ risk adjustment coding preferred. - Certified Risk Adjustment Coder (CRC) or Certified Professional Coder ... and office staff across the network to identify opportunities for improved quality, risk adjustment coding performance. The Value Based Coder II is a… more
- Highmark Health (Pittsburgh, PA)
- …**Required** + AAPC, Certified Professional Coder (CPC) **Preferred** + AAPC, Certified Risk Adjustment Coder (CRC) **SKILLS** + CMS Regulations + ... Manage a team of internal coder / clinicians that perform Risk Adjustment coding of medical records. Track production coding results and monitor accuracy of… more
- Redeemer Health Home Care & Hospice (Huntingdon Valley, PA)
- …work experience + AAPC or AHIMA Certification (CPC, CRC, CCS) REQUIRED + Certified Risk Adjustment Coder - PREFERRED Knowledge + Knowledgeable of medical ... you to apply today. SUMMARY OF JOB The Certified Risk Adjustment Coding/Audit Reviewer is a physician...services we provide. RECRUITMENT REQUIREMENTS High School Graduate. Certified coder CPC or CCS-P, and AAPC CRC certification. 2+… more
- Corewell Health (Grand Rapids, MI)
- …License and/or Certification in area of specialty - UNKNOWN Unknown CRC, AAPC Certified Risk Adjustment Coder preferred Physical Demands + Pallet to Waist ... Job Summary The Director Risk Adjustment Prospective Operations & ...State Other than Michigan Upon Hire required + CRT-Professional Coder - AAPC American Academy of Professional Coders 180… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …a focus on Medicare Advantage and ACA risk adjustment . * Certified Risk Adjustment Coder (CRC) certification * In-depth knowledge of ACA & Medicare ... characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Risk Adjustment QA Consultant Location: Hybrid | Eagan, Minnesota Career Area: Customer… more
- Ankura (New York, NY)
- …as knowledge of Risk Adjustment coding requirements preferably with a Risk Adjustment Coder certification. For individuals assigned and/or hired to ... investigations, and/or litigation/dispute matters generally focused on Medicare and Commercial Risk Adjustment . The Senior Director will also support practice… more
- Evolent (Helena, MT)
- …or equivelent years of work experience. + **Certification in medical coding (CRC- Certified Risk Adjustment Coder ) or demonstrated ability.** + 5+ years of ... Be Doing:** **Manager, Coding Support Specialist** Evolent Care Partners is seeking a Risk Adjustment Coding Support Manager to be a core member of the Risk… more
- Bluestone Physician Services (Stillwater, MN)
- …+ Bachelor's degree in Health Information Management, Nursing, or related field. + Certified Risk Adjustment Coder (CRC) certification, Risk ... thorough patient chart reviews to identify opportunities for providers to capture risk adjustment diagnostic codes accurately. The successful candidate will play… more
- St. Luke's University Health Network (Allentown, PA)
- …Clinical Documentation Improvement (CDI) experience. Current state Registered Nurse license. Certified Risk Adjustment Coder (CRC) Please complete your ... regardless of a patient's ability to pay for health care. The Risk Adjustment Clinical Documentation Specialist facilitates accurate, complete, consistent and… more
- Providence (Portland, OR)
- … processes, plus 5 years of progressive management experience. + **Certification:** Certified Risk Adjustment Coder (CRC) is preferred. + **Skills & ... in the states of WA, OR and CA. **The Role:** As the Director of Risk Adjustment and Strategic Accounts at Providence Health Plan, you will be the cornerstone of… more
- CDPHP (Latham, NY)
- …or AAPC CPC certification within one year of employment is required. + CRC (Certified Risk Adjustment Coder ) credential preferred. + Minimum one (1) year of ... these values and invites you to be a part of that experience. The Risk Adjustment Coding Specialist will be responsible for the chart review and ICD-10 diagnosis… more
- Datavant (Denver, CO)
- …and life experiences to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder , you will review medical records to identify and ... using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical… more
- Sharp HealthCare (San Diego, CA)
- …Information Technician (RHIT) - The American Health Information Management Association (AHIMA); Certified Risk Adjustment Coder (CRC) - American Academy of ... American Health Information Management Association (AHIMA) -REQUIRED **Preferred Qualifications** + Certified Risk Adjustment Coder (CRC) - American Academy… more
- The Cigna Group (Bloomfield, CT)
- …Information Technician (RHIT)** **o Registered Health Information Administrator (RHIA)** **o Certified Risk Adjustment Coder (CRC) certification** or ability ... The Risk Adjustment Quality & Review Analyst...American Academy of Professional Coders (AAPC):** **o Certified Professional Coder (CPC)** **o Certified Coding Specialist for Providers (CCS-P)**… more
- The Cigna Group (Bloomfield, CT)
- …Information Technician (RHIT)** + **Registered Health Information Administrator (RHIA)** + **Certified Risk Adjustment Coder (CRC) certification required** + ... for day-to-day oversight of a team of Coding Analysts specializing in HHS Risk Adjustment medical record diagnostic coding and quality audit review for… more