- Monster (Allentown, PA)
- …Clinical Documentation Improvement (CDI) experience. Current state Registered Nurse license. Certified Risk Adjustment Coder (CRC) Please complete your ... regardless of a patient's ability to pay for health care. The Risk Adjustment Clinical Documentation Specialist facilitates accurate, complete, consistent and… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- … Risk Adjustment division at BCBST is looking to add a Risk Adjustment Medical Record Coder to our team\.** Expertise in HCC coding, with a ... this role, you will perform first\-pass reviews of member medical records to identify and capture active conditions that...\(CPC, CCS, RHIT, RHIA\)\. + Must acquire the Certified Risk Adjustment Coder \(CRC\) certificate… more
- Evolent (Helena, MT)
- …equivelent years of work experience. + **Certification in medical coding (CRC- Certified Risk Adjustment Coder ) or demonstrated ability.** + 5+ years of ... a crucial role in ensuring accurate medical coding and compliance with risk adjustment models. **What You will Be Doing:** + Hires and oversees the initial… more
- ChenMed (Miami, FL)
- …providers. We're rapidly expanding and we need great people to join our team. The Risk Adjustment Coder works in a collaborative effort directly with ... and regulations related to coding and documentation guidelines for Risk Adjustment Reviews of medical ...APPC or AHIMA coding certified preferred. + CRC (certified risk coder ) is required, or minimum of… more
- Datavant (Washington, DC)
- …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to...Review, analyze, and code diagnostic information in a patient's medical record based on client specific guidelines for the… more
- Ankura (Los Angeles, CA)
- …deliver work and seeks to gain additional opportunities for development in a variety of risk adjustment related areas. Qualifications: + Certified in Risk ... and code diagnoses based on information in a patient's medical record according to specific guidelines for each project....at least five (5) recent years of experience in HCC/ Risk Adjustment and/or RADV Audit Methodology +… more
- Ankura (New York, NY)
- …college/university + Current Registered Nurse license + Experience working for payors conducting risk adjustment reviews + Clinical experience in a variety of ... and mature their compliance programs, conduct program effectiveness reviews, and risk assessments, and perform compliance audits. We assist in-house and outside… 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 ... with CMS risk adjustment program requirements and ICD 10 coding guidelines. The Risk Adjustment Coder Educator will serve as a training resource for … more
- Dignity Health (Phoenix, AZ)
- …experience in outpatient and/or HCC/ risk adjustment coding preferred. - Certified Risk Adjustment Coder (CRC) or Certified Professional Coder ... staff across the network to identify opportunities for improved quality, risk adjustment coding performance. The Value Based Coder II is a valuable resource… more
- Insight Global (Tampa, FL)
- Job Description JOB DESCRIPTION Insight Global is hiring HCC/ Risk Adjustment Medical coders to support a backlog for inpatient and outpatient Medicare ... certification (CPC) through AAPC or AHIMA, or a CCS. Will be coding more risk adjustment vs profee. Most of the markets are strictly risk adjustment… more
- Highmark Health (Pittsburgh, PA)
- …Production Coding: Manage a team of internal coder / clinicians that perform Risk Adjustment coding of medical records. Track production coding results ... Assurance on RPM Programs coding results: Lead team of coder / clinicians to review member medical records...Professional Coder (CPC) **Preferred** + AAPC, Certified Risk Adjustment Coder (CRC) **SKILLS**… more
- Redeemer Health Home Care & Hospice (Huntingdon Valley, PA)
- …Certification (CPC, CRC, CCS) REQUIRED + Certified Risk Adjustment Coder - PREFERRED Knowledge + Knowledgeable of medical and clinical terminology, ... and clinical diagnoses and procedures, injuries, and illnesses into Medical Risk Adjustment (MRA) ICD...services we provide. RECRUITMENT REQUIREMENTS High School Graduate. Certified coder CPC or CCS-P, and AAPC CRC certification. 2+… more
- Corewell Health (Grand Rapids, MI)
- …License and/or Certification in area of specialty - UNKNOWN Unknown CRC, AAPC Certified Risk Adjustment Coder preferred Physical Demands + Pallet to Waist ... 7 years of relevant experience in Risk Adjustment in a health plan or medical ...State Other than Michigan Upon Hire required + CRT-Professional Coder - AAPC American Academy of Professional Coders 180… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …procedures and business rule tools governing the response to Risk Adjustment Data Validation (RADV) Audits, prospective medical record coding, and ... right for you, we encourage you to apply! Job Description: Summary: The Risk Adjustment Coding Coordinator is responsible for various aspects of decision-making… 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 ... Blue Cross and Blue Shield of Minnesota Position Title: Risk Adjustment QA Consultant Location: Hybrid |...CMS RADV audits, including retrieval and coding of targeted medical records. * Design and implement QA programs to… more
- Ankura (New York, NY)
- …as knowledge of Risk Adjustment coding requirements preferably with a Risk Adjustment Coder certification. For individuals assigned and/or hired to ... investigations, and/or litigation/dispute matters generally focused on Medicare and Commercial Risk Adjustment . The Senior Director will also support practice… more
- St. Luke's University Health Network (Allentown, PA)
- …Clinical Documentation Improvement (CDI) experience. Current state Registered Nurse license. Certified Risk Adjustment Coder (CRC) Please complete your ... regardless of a patient's ability to pay for health care. The Risk Adjustment Clinical Documentation Specialist facilitates accurate, complete, consistent and… more
- Bluestone Physician Services (Stillwater, MN)
- …+ Bachelor's degree in Health Information Management, Nursing, or related field. + Certified Risk Adjustment Coder (CRC) certification, Risk ... thorough patient chart reviews to identify opportunities for providers to capture risk adjustment diagnostic codes accurately. The successful candidate will play… more
- Providence (Portland, OR)
- … processes, plus 5 years of progressive management experience. + **Certification:** Certified Risk Adjustment Coder (CRC) is preferred. + **Skills & ... OR and CA. **The Role:** As the Director of Risk Adjustment and Strategic Accounts at Providence...401(k) Savings Plan with employer matching, health care benefits ( medical , dental, vision), life insurance, disability insurance, time off… more
- Datavant (Hartford, CT)
- …for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to ... Reviews rebuttals submitted by coders. Provides education to the coder if the error is correct or sends the...experience a plus + A strong knowledge base of medical terminology, medical abbreviations, pharmacology and disease… more
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