- Trinity Health (Albany, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** Risk Adjustment Coding Specialist -St. Peter's Health Partners - Full-time - Remote ... **POSITION PURPOSE:** The Risk Adjustment Coding Specialist works in a team environment and is responsible for reviewing clinical documentation and … more
- Trinity Health (Albany, NY)
- …desirable practice behaviors. + Develops and provides actionable quality audits related to the risk adjustment coding specialist team's accuracy rates ... compliance standards in our provider group. **SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:** Risk adjustment coding , provider auditing and clinical/education… more
- UCLA Health (Los Angeles, CA)
- …- Medicare Advantage Risk Adjustment , you will be an expert in risk adjustment coding and documentation, working closely with physicians, IPA coders, ... Professional Coder (CPC) certification or Certified Coding Specialist (CCS) certification, required + A Certified Risk... Specialist (CCS) certification, required + A Certified Risk Adjustment Coder (CRC), required + Reliable… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- The Risk Adjustment Medical Record Retrieval team at BCBST is seeing a **Medical Record Retrieval Specialist ** to join our team\. This position will be ... on a regular basis\. **Job Responsibilities** + Load medical records into BCBST coding system and link records to appropriate chart IDs\. + Download medical records… more
- Trinity Health (Syracuse, NY)
- …Clinical Documentation Specialist -Outpatient (CCDS-O) preferred. **EXCELLUS CONTRACT SPECIFIC Risk Adjustment Coding , Auditing and Education primary ... compliance standards in our provider group. **SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:** Risk adjustment coding , provider auditing and clinical/education… more
- Corewell Health (Grand Rapids, MI)
- …This position will evaluate and assess the organization's risk related to risk adjustment coding and conduct internal audits to improve compliance. ... exposure/ risk . Contributes to and approves Priority Health Risk Adjustment Coding Guidelines. +...Academy of Professional Coders 180 Days required Or + CRT- Coding Specialist (CCS) - AHIMA American Health… more
- UPMC (Pittsburgh, PA)
- …/ or procedure. + Review appropriate documents to accurately assign a Risk Adjustment HCC diagnosis. + Review coding for accuracy and completeness prior to ... Health Plan has an exciting opportunity for a Certified Coding Specialist I position in the Medicare...Outpatient, physician, and ED charts as necessary. + Assign Risk Adjustment HCC diagnoses by thoroughly reviewing… more
- Penn Medicine (Bala Cynwyd, PA)
- …of relevant coding medical professional services experience including ambulatory outpatient and risk adjustment coding . (Required) + Certified Risk ... Medicine Hospice- 150 Monument Road** **Hours: Full-Time** **Job Summary:** The Ambulatory Coding and Documentation Specialist reports to the Primary Care… more
- AdventHealth (Altamonte Springs, FL)
- …to support Hierarchical Conditions Categories (HCC), ICD-10, medical necessity, and the appropriate Risk Adjustment Factor. Working with the Quality Team is not ... **Quality Coding &** **Documentation** ** Specialist AdventHealth PHSO...the quality of clinical documentation, use of HCCs and Risk Adjustment of patients. **The expertise and… more
- Cleveland Clinic (Cleveland, OH)
- …(HACs), diagnoses present on admission (POA), complications and comorbid conditions, and risk adjustment models - CMS, Vizient, USNWR, etc, clarification ... coding guidelines and regulatory requirements as well as advanced knowledge of risk adjustment models (ie CMS, Vizient, USNWR, CMS-HCC) and consultative… more
- HCA Healthcare (Nashville, TN)
- …minimal overnight travel. **EDUCATION:** + Bachelor's Degree preferred. + Must be a Certified Coding Specialist (CCS), Certified Coding Specialist - ... (CPC(R)) credential or Certified Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) **EXPERIENCE:** + Experience with Cerner and… more
- HCA Healthcare (Nashville, TN)
- …minimal overnight travel. EDUCATION: + Bachelor's Degree preferred. + Must be a Certified Coding Specialist (CCS), Certified Coding Specialist - ... Coder (CPC(R)) credential or Certified Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) EXPERIENCE: + Experience with Cerner and… more
- Hartford HealthCare (Hartford, CT)
- … Coding Specialist - Physician (CCS-P) or Certified Coding Specialist (CCS) Certified Risk Adjustment Coder (CRC) preferred (required within 6 ... Adjustment Coder Educator develops and implements an enterprise-wide risk adjustment coding and documentation education program to support documentation… more
- Hartford HealthCare (Farmington, CT)
- … will support documentation practices that comply with CMS risk adjustment program requirements and ICD 10 coding guidelines. Reporting to Manager ... Relationships:_* *This Job Reports To (Job Title):*Audit and Education Specialist Manager *Education* . Minimum: o Medical Coding...Hartford Healthcare o Experience with the nuances of diagnosis coding and risk adjustment programs… more
- SSM Health (MO)
- …support an accurateDRGassignment, SOI, and/or ROM.Assists in the mortality review and risk adjustment process utilizing third-party models. + Demonstrates an ... Regular **Job Highlights:** Must have prior experience as a Clinical Documentation Specialist **Required Qualifications:** + 1 year of experience as a Clinical… more
- WMCHealth (Valhalla, NY)
- …Details: Job Summary: Serves as an internal expert on Risk Adjustment and Hierarchical Conditions Categories (HCC) coding . Specific duties include performing ... Compliance Auditing Specialist - Remote/Hybrid available Company: NorthEast Provider Solutions Inc....concurrent and retrospective reviews of documentation and coding and working with providers and staff to ensure… more
- Penn Medicine (Philadelphia, PA)
- …for documentation improvement Perform targeted chart reviews using various of risk adjustment methodologies to facilitate accurate reporting of mortality ... and/or HIM or related field. 1+ years of Clinical Documentation Improvement (CDI) Specialist and/or coding quality experience 1+ years of CCU/ICU acute care… more
- Baptist Memorial (Southaven, MS)
- …the severity of illness and risk of mortality. + Performs reviews for risk adjustment model indicators such as CMS quality measures, present on admission, ... with the Clinical Documentation Program. Provides clinical expertise in the documentation and coding of diagnoses and procedures; stays abreast of coding and… more
- Queen's Health System (Honolulu, HI)
- …completeness of documentation and code assignment for the purposes of appropriate reimbursement, risk adjustment , severity of illness, risk of mortality, ... to ensure the appropriate capture of Comorbid conditions and Major comorbid conditions. * Collaborates with coding staff and quality team to ensure integrity and… more
- Ascension Health (Elk Grove Village, IL)
- …/ Registration: + One or more of the following required:* Certified Coding Specialist (CCS) credentialed from the American Health Information ... have the following certification thru AAPC (credentialing board): **Certified Risk Adjustment Coder (CRC) - STRONGLY PREFERRED**...in the CRC program please apply!** + 1 year ** RISK CODING ** experience, preferred (NEW GRADUATES WELCOME)… more