- Datavant (Nashville, TN)
- …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... experiences to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code… more
- Datavant (Denver, CO)
- …educational and life experiences to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder , you will review medical records ... standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will...bring to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of … more
- Datavant (Madison, WI)
- …our bold vision for healthcare. We're looking for experienced and credentialed Auditing Team Lead, HCC Risk Adjustment Coding to become an integral part of ... 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)
- …of the following is required: . Certified Professional Coder (CPC) . Certified Risk Adjustment Coder (CRC) . Certified Coding Specialist (CCS) . ... h3> SUMMARY: Certified Medical Coder role is responsible for reviewing, abstracting, and...Administrator (RHIA) EXPERIENCE: . Minimum of three (3) years HCC experience performing retrospective risk adjustment… more
- MVP Health Care (Rochester, NY)
- …requires innovative thinking and continuous improvement. To achieve this, we're looking for a ** Risk Adjustment Coder ** to join #TeamMVP. This is the ... Condition Categories ( HCC ). + Actively participates in and supports the Risk Adjustment team-based environment to educate providers on coding compliance and… 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
- Amazon (IL)
- …* 2+ years as a Profee Coder in an office setting inclusive of risk adjustment coder experience required * 1+ year experience in Medicare/Medicare ... One Medical Senior Health Revenue Cycle team, the Medical Coder I will be responsible for supporting Amazon One...perform accurate and complete chart reviews for Profee and HCC Risk Adjustment * Possesses… more
- Molina Healthcare (AZ)
- …Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications * Certified Risk Adjustment Coder (CRC). * Certified Professional ... (CPC-P). * Certified Coding Specialist - Physician Based (CCS-P). * Familiar with HCC (Hierarchical Condition Categories) Risk Adjustment Model. * Background… more
- UNC Health Care (Chapel Hill, NC)
- …the health and well-being of the unique communities we serve. Summary: The Risk Adjustment Coordinator will be responsible for analyzing and auditing medical ... payer under the value care contracts. In addition, the Risk Adjustment Coordinator will be responsible for...Academy of Professional Coders) certification - CPC (Certified Professional Coder ) or CRC (Certified Risk Coder… 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 ... services we provide. RECRUITMENT REQUIREMENTS High School Graduate. Certified coder CPC or CCS-P, and AAPC CRC certification. 2+...a wide variety of clinical cases and services for risk adjustment models (eg, HCC ,… more
- HCA Healthcare (Campbell, CA)
- …colleagues invested over 156,000 hours impacting our communities. As a Director of Quality and Risk Adjustment with HCA Healthcare, you can be a manager in an ... join our team as a Director of Quality and Risk Adjustment . We care for our communities...deadlines Required + Experience using Cozeva Required + Certified HCC Coding Specialist Required + Certified Professional Coder… 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 ... as CPMA, RHIT, RHIA, CCA, CCS. * Expertise in CMS- HCC , and HHS- HCC Risk Adjustment models. Compensation and Benefits: Pay Range: $88,600.00 - $117,400.00… more
- Centene Corporation (Jefferson City, MO)
- …+ Perform clinical chart reviews and advise on clinical best practices related to risk adjustment coding, HCC capture, and documentation improvement. + ... United States. **Position Purpose:** Executes Line 2 oversight of Risk Adjustment activities, including monitoring, auditing, and...+ LVN, LPN or RN required + Certified Professional Coder (CPC) required + NP or PAN preferred +… more
- Humana (Helena, MT)
- …The successful candidate will possess extensive, in-depth and broad knowledge of the HCC risk adjustment methodology gained from actual experience of ... regularly. + Assist providers in understanding the CMS - HCC Risk Adjustment program as...to change **Preferred Qualifications** + Bachelor's Degree + Certified Risk Adjustment Coder (CRC) +… more
- The Cigna Group (Bloomfield, CT)
- …Information Technician (RHIT) + Registered Health Information Administrator (RHIA) + Certified Risk Adjustment Coder (CRC) certification Individuals who have ... Job Summary: The Risk Adjustment Quality & Review Analyst... Model to confirm accuracy of Hierarchical Condition Categories ( HCC ) identified from abstracted ICD-10-CM diagnosis codes for the… more
- AdventHealth (Greenwood Village, CO)
- …HCC ) education including but not limited to clinical documentation integrity, coding, HCC Risk Adjustment Methodology, and provider performance metrics. ... successful candidate will have an advanced understanding of the HCC risk adjustment methodology gained...Practitioner (CDIP) **Preferred qualifications:** + Bachelor's degree + Certified Risk Adjustment Coder (CRC) This… more
- Sutter Health (Burlingame, CA)
- …of the required degree or diploma._ Bachelor's **CERTIFICATION & LICENSURE:** + CRC-Certified Risk Adjustment Coder + OR CPC-Certified Professional Coder ... OR CCS-Certified Coding Specialist + CRC-Certified Risk Adjustment Coder (required within 1 year) **TYPICAL...ICD-10 diagnosis coding conventions and requirements. + Knowledge of HCC / Risk Adjustment coding. + Knowledge… more
- The Cigna Group (Bloomfield, CT)
- …Information Technician (RHIT) + Registered Health Information Administrator (RHIA) + Certified Risk Adjustment Coder (CRC) certification (within 12 months ... coordination and implementation of daily processes related to IFP Risk Adjustment (RA) programs, including the ...in one of the following certifications: + Certified Professional Coder (CPC) + Certified Coding Specialist for Providers (CCS-P)… 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
- Bluestone Physician Services (Stillwater, MN)
- …+ Bachelor's degree in Health Information Management, Nursing, or related field. + Certified Risk Adjustment Coder (CRC) certification, Risk ... healthcare coding, with a focus on Hierarchical Condition Category ( HCC ) coding and risk adjustment ....on Hierarchical Condition Category ( HCC ) coding and risk adjustment . Knowledge/Skills/Abilities + Proficiency in reviewing… more
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