- MedKoder (Mandeville, LA)
- …position that offers a flexible schedule. Description: MedKoder, LLC is seeking a remote Professional HCC Risk Adjustment Coder who will apply both ... with government regulations while identifying opportunities for increased financial success. The HCC Risk Adjustment Coder provides coding services to… 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
- Kelsey-Seybold Clinic (Pearland, TX)
- …or CPC (Certified Professional Coder ) or CPC-A or CRC (Certified Risk Adjustment Coder ) Preferred: N/A **Special Skills** Required: Analytical. ... **Responsibilities** To ensure the accurate coding of diagnoses which fall into the HCC model as required by CMS for Medicare Advantage plans. To ensure… 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
- 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
- Sutter Health (Sacramento, CA)
- …+ HS Diploma or equivalent education/experience **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
- Trinity Health (Syracuse, NY)
- … capture initiatives, as needed. SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE: . Certified Risk Adjustment Coder (CRC) required . Excellent verbal and ... of the pre-visit and post-encounter workflows, including queries to support addressing HCC codes for Risk Adjustment before a claim is submitted to payers. .… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …and guidelines (eg ICD-9-CM, ICD-10, CPT, HCPC) * Familiarity and understanding of CMS HCC Risk Adjustment coding, Medicaid CRG coding, and data validation ... / ICD-10-CM coding validation, monitoring plan specifications, Hierarchical Condition Category ( HCC ) assignment accuracy and Risk Adjustment Validation… 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
- CenterLight Health System (NY)
- …Certified Professional Practice Manager (CPPM) 4. Certified Professional Biller (CPB) 5. Certified Risk Adjustment Coder (CRC). Experience: + Three (3) ... physician practices on current performance. + Serves as a subject matter expert on Risk Adjustment Data Validation (RADV) audits from Medicare. + Perform random… 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
- Commonwealth Care Alliance (Boston, MA)
- …CCS-P, CCA from AHIMA) or Certified Professional Coder (CPC), and Certified Risk Adjustment Coder (CRC) from the American Association of Professional ... codes and identify all appropriate codes based on CMS HCC categories + Provides technical guidance to primary care... Risk Adjustment Documentation with Certified Risk Adjustment Coder (CRC) certification… 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
- CenterLight Health System (NY)
- …identify improvement areas. + Assist the Director with analytics to support Medicare risk adjustment process through advanced medical records review to identify ... process improvement. JOB RESPONSIBILITIES: + Analyze claims data to identify risk -adjustable conditions and uncover opportunities to improve risk capture… more
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