- MVP Health Care (Schenectady, NY)
- …thinking and continuous improvement. To achieve this, we're looking for a Risk Adjustment Coder to join #TeamMVP. This is the opportunity for you if you have a ... - Registered Health Information Technologist or CPC-P - Certified Professional Coder (Physician) or CCS-P - Certified Coding Specialist (Physician), and… more
- Datavant (Nashville, TN)
- …educational and life experiences to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to ... on client specific guidelines for the project. + The coder will ensure compliance with established ICD-10 CM, third...CIC, or CRC). + A minimum of 2 years HCC coding experience, while certified. + Full understanding and… 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 ... you will bring to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of HCC Auditing experience + High school diploma or GED equivalent +… more
- Datavant (Madison, WI)
- …bold vision for healthcare. We're looking for experienced and credentialed Auditing Team Lead, HCC Risk Adjustment Coding to become an integral part of our team. The ... Reviews rebuttals submitted by coders. Provides education to the coder if the error is correct or sends the...+ Extensive knowledge of ICD -10 + 2 years' HCC coding or auditing experience + 1+ years' Team… more
- Apex Health Solutions (Houston, TX)
- h3> SUMMARY: Certified Medical Coder role is responsible for reviewing, abstracting, and coding inpatient and/or outpatient medical records to ensure proper ... A certification in one of the following is required: . Certified Professional Coder (CPC) . Certified Risk Adjustment Coder (CRC) . Certified Coding… more
- Amazon (IL)
- …member of the Amazon One Medical Senior Health Revenue Cycle team, the Medical Coder I will be responsible for supporting Amazon One Medical Clinical and Revenue ... outcomes. Basic Qualifications * 2+ years as a Profee Coder in an office setting inclusive of risk adjustment...perform accurate and complete chart reviews for Profee and HCC Risk Adjustment * Possesses advanced knowledge and understanding… more
- Hartford HealthCare (Hartford, CT)
- …other common practices across the system. *JOB SUMMARY:* The Risk Adjustment Coder Educator develops and implements an enterprise-wide risk adjustment coding and ... adjustment program requirements and ICD 10 coding guidelines. The Risk Adjustment Coder Educator will serve as a training resource for Risk Adjustment department… more
- MVP Health Care (Rochester, NY)
- …thinking and continuous improvement. To achieve this, we're looking for a **Risk Adjustment Coder ** to join #TeamMVP. This is the opportunity for you if you have a ... - Registered Health Information Technologist or CPC-P - Certified Professional Coder (Physician) or CCS-P - Certified Coding Specialist (Physician), and… more
- Molina Healthcare (AZ)
- …or equivalent combination of relevant education and experience. * Certified Professional Coder (CPC). * Certified Coding Specialist (CCS). * Latest Centers for ... suite/applicable software program(s) proficiency. Preferred Qualifications * Certified Risk Adjustment Coder (CRC). * Certified Professional Payer - Payer (CPC-P). *… more
- CVS Health (Indianapolis, IN)
- …and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories ( HCC ) required. + CPC (Certified Professional Coder ) or CCS-P ... (Certified Coding Specialist-Physician) and CRC (Certified Risk Adjustment Coder ) required **Preferred Qualifications** + CPMA (Certified Professional Medical… more
- HCA Healthcare (Campbell, CA)
- …all data submission deadlines Required + Experience using Cozeva Required + Certified HCC Coding Specialist Required + Certified Professional Coder Required + ... with physicians for timely closure of Quality care gaps and annual recapture of HCC conditions + Maximize and build internal team competency in Quality and Risk… more
- UNC Health Care (Chapel Hill, NC)
- …responsible for working the EPIC WQ to reorder the Hierarchical Condition Categories ( HCC ) conditions in the top 12 for claim generation. The Risk Adjustment ... Coordinator will complete Pre-Visit Planning reviews daily to improve HCC capture and HCC Persistency. Responsibilities: Perform the payer audits as required… more
- WMCHealth (Valhalla, NY)
- …an internal expert on Risk Adjustment and Hierarchical Conditions Categories ( HCC ) coding. Specific duties include performing concurrent and retrospective reviews of ... Monitors and reports key performance indicators relative to clinical documentation and HCC coding. . Documents and maintains records of all query, audit, and… more
- AdventHealth (Greenwood Village, CO)
- …with providers and operations to effectively provide Hierarchical Condition Category ( HCC ) education including but not limited to clinical documentation integrity, ... coding, HCC Risk Adjustment Methodology, and provider performance metrics. The...**Preferred qualifications:** + Bachelor's degree + Certified Risk Adjustment Coder (CRC) This facility is an equal opportunity employer… more
- Sutter Health (Burlingame, CA)
- …including by not limited to ICD-10-CM diagnoses codes, Hierarchical Condition Category ( HCC ), HCPC and CPT codes. Reviews internal and external data to inform ... degree or diploma._ Bachelor's **CERTIFICATION & LICENSURE:** + CRC-Certified Risk Adjustment Coder + OR CPC-Certified Professional Coder + OR CCS-Certified… more
- The Cigna Group (Bloomfield, CT)
- …Risk Adjustment Model to confirm accuracy of Hierarchical Condition Categories ( HCC ) identified from abstracted ICD-10-CM diagnosis codes for the correct Benefit ... or the American Academy of Professional Coders (AAPC): + Certified Professional Coder (CPC) + Certified Coding Specialist for Providers (CCS-P) + Certified Coding… more
- Humana (Helena, MT)
- …successful candidate will possess extensive, in-depth and broad knowledge of the HCC risk adjustment methodology gained from actual experience of chronic condition ... and report on progress regularly. + Assist providers in understanding the CMS - HCC Risk Adjustment program as a payment methodology and the importance of proper… more
- Redeemer Health Home Care & Hospice (Huntingdon Valley, PA)
- …Risk Adjustment (MRA) ICD - 10 codes and Hierarchical Condition Categories ( HCC 's) Completes assignments with an emphasis on completeness, accuracy, and supporting ... and in the services we provide. RECRUITMENT REQUIREMENTS High School Graduate. Certified coder CPC or CCS-P, and AAPC CRC certification. 2+ years coding, Medicare… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …focus on Medicare Advantage and ACA risk adjustment. * Certified Risk Adjustment Coder (CRC) certification * In-depth knowledge of ACA & Medicare Advantage risk ... Certifications such as CPMA, RHIT, RHIA, CCA, CCS. * Expertise in CMS- HCC , and HHS- HCC Risk Adjustment models. Compensation and Benefits: Pay Range: $88,600.00 -… more
- The Cigna Group (Bloomfield, CT)
- …Coders (AAPC) in one of the following certifications: + Certified Professional Coder (CPC) + Certified Coding Specialist for Providers (CCS-P) + Certified Coding ... (RHIT) + Registered Health Information Administrator (RHIA) + Certified Risk Adjustment Coder (CRC) certification (within 12 months of hire) + Experience with… more
