- Pyramid Consulting, Inc. (Addison, TX)
- Immediate need for a talented Risk Adjustment Coder ....Understands the impact of ICD-10 codes on the CMS HCC risk adjustment model. Ability ... and Reporting and has a complete understanding of these guidelines. Follows CMS risk adjustment guidelines and has a complete understanding of these guidelines.… more
- Cano Health (Jupiter, FL)
- …for patients and are seeking healthcare enthusiasts to join us. Job Summary The Risk Adjustment coder will identify, collect, assess, monitor and document ... appropriateness of diagnosis codes based on services rendered. The Risk Adjustment Coder is required...information to identify all appropriate coding based on CMS HCC categories Prepare the medical charts and track patient… more
- Insight Global (Tampa, FL)
- Job Description Insight Global is hiring HCC / Risk Adjustment Medical coders to support a backlog for inpatient and outpatient Medicare advantage projects . ... more risk adjustment vs profee. Most of the markets are strictly risk adjustment focusing on HCC ICD-10 codes only. We do code from the problem list… 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 ... program requirements and ICD 10 coding guidelines. The Risk Adjustment Coder Educator will...of complex and advanced ICD-10 and Hierarchical Condition Category ( HCC ) coding and documentation training programs including defining training… more
- Geisinger (Danville, PA)
- …certifications is required:CPC - Certified Professional Coder CRC - Certified Risk Adjustment Coder RHIT - Registered Health Information Technician ... in decision making relevant to physician coding education and HCC targeting purposes. + Provides encoder software and EMR...Technician (RHIT) - American Health Information Management Association; Certified Risk Adjustment Coder - American… more
- Florida Health Care Plans, Inc. (Daytona Beach, FL)
- …communication. + Experience with Electronic Health Record preferred. + Understanding Risk Adjustment coding and supportive documentation preferred. + Ability ... POSITION SUMMARY: The Physician Office Medical Coder /Biller (POMB) conducts a documentation review of electronic...will support the physician and mid-level providers to capture HCC codes within the clinical visit. The POMB will… more
- Sutter Health (Sacramento, CA)
- …+ HS Diploma or General Education Diploma (GED) **CERTIFICATION & LICENSURE:** + CRC-Certified Risk Adjustment Coder OR CPC-Certified Professional Coder ... of Quality Coding Program requirements such as the Medicare Advantage Coding Program/ HCC , as well as medical terminology and abbreviations of disease, illness and… more
- Tufts Medicine (Burlington, MA)
- …provider education when necessary. **Job Description** **Minimum Qualifications:** 1. Certified Risk Adjustment Coder (CRC) **OR** Certified Professional ... experience, . **Preferred Qualifications:** 1. Associate's degree. 2. Certified Risk Adjustment Coder (CRC) highly...to physicians on a regular basis in regard to Risk Adjustment Coding guidelines ( HCC /DxCG),… more
- Trinity Health (Albany, NY)
- …and Medicaid Services (CMS). **SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:** **. Certified Risk Adjustment Coder (CRC) required** . Excellent verbal ... system work queues and natural language processing (NLP) tools to support addressing HCC codes for Risk Adjustment before a claim is submitted to payers. .… more
- Trinity Health (Syracuse, NY)
- …LICENSURE AND EXPERIENCE INCLUDES:** + Risk Adjustment Coding - Certified Risk Adjustment Coder (CRC) required and + Auditing - Certified Auditor ... Education if needed. Auditing Experience Posting **POSITION PURPOSE:** A Risk Adjustment Auditor Educator is responsible for...to the PCP prior to their next visit. + HCC education and training will be conducted per Excellus… more
- UCLA Health (Los Angeles, CA)
- …certification or Certified Coding Specialist (CCS) certification, required + A Certified Risk Adjustment Coder (CRC), required + Reliable transportation ... billing and/or coding, required + Three or more years of recent experience in CMS- HCC Risk Adjustment models V24 and V28, required + Three or more years… 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 ... reports key performance indicators relative to clinical documentation and HCC coding. . Documents and maintains records of all...with one or more of the following credentials: Certified Risk Coder (CRC), Certified Professional Coder… more
- Marshfield Clinic (Marshfield, WI)
- …one year. State of Wisconsin Registered Nurse license (if applicable). **Preferred/Optional:** Certified Risk Adjustment Coder awarded by American Academy of ... external stakeholders as it relates to Medicare Advantage, ACA/Exchange and Medicaid risk adjustment reimbursement methodologies and policies to ensure the… more
- Trinity Health (Boise, ID)
- …Partners with leadership to improve HCC and other Risk Adjustment capture with provider and coder education. Conducts ongoing reviews of patient ... the Centers for Medicare and Medicaid Services (CMS). Monitor's accuracy of centralized coder 's charge capture and coding with proper ICD-10, CPTs, HCPCs, as well as… more
- Sutter Health (Sacramento, CA)
- …workflows, data management, coding staff specific to clinical documentation improvement and risk adjustment coding initiatives. Manages the day to day operations ... related to Risk Adjustment Coding. Provides oversight to the...other related field **CERTIFICATION & LICENSURE:** + CPC-Certified Professional Coder OR CCSP-Certified Coding Specialist-Professional OR CCS-Certified Coding Specialist… more
