- 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 ... Coder (Physician) or CCS-P - Certified Coding Specialist (Physician), and CRC-Certified Risk Adjustment Coding Credential required. + Minimum of 1 year… 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...proper ICD-10-CM, HCPCS, and CPT coding and compliance with Risk Adjustment requirements. EDUCATION: . High School… more
- Datavant (Nashville, TN)
- …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 identify and...on client specific guidelines for the project. + The coder will ensure compliance with established ICD-10 CM, third… 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 ... risk adjustment program requirements and ICD 10 coding guidelines. The Risk Adjustment Coder Educator will serve as a training resource for Risk … 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...ICD-10-CM coding guidelines, AHA Coding Clinic Guidance and CMS Risk Adjustment guidance. Assign appropriate ICD-10-CM, CPT,… more
- Molina Healthcare (AZ)
- …Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications * Certified Risk Adjustment Coder (CRC). * Certified Professional ... providers and office staff. * Provides training and education to provider network regarding risk adjustment and coding updates related to risk adjustment… 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 ... you to apply today. SUMMARY OF JOB The Certified Risk Adjustment Coding/Audit Reviewer is a physician...services we provide. RECRUITMENT REQUIREMENTS High School Graduate. Certified coder CPC or CCS-P, and AAPC CRC certification. 2+… 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 ... characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Risk Adjustment QA Consultant Location: Hybrid | Eagan, Minnesota Career Area: Customer… 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
- Providence (Portland, OR)
- …specifically, plus 5 years of progressive management experience. + **Certification:** Certified Risk Adjustment Coder (CRC) is preferred. + **Skills ... in the states of WA, OR and CA. **The Role:** As the Director of Risk Adjustment and Strategic Accounts at Providence Health Plan, you will be the cornerstone of… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …or leadership-facing experience * Knowledge of Health Care Quality measures * Certified Risk Adjustment Coder (CRC via AAPC) or Certified Professional ... Blue Cross and Blue Shield of Minnesota Position Title: Quality & Risk Adjustment Provider Consultant Location: Hybrid | Eagan, Minnesota Career Area: Customer… 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 ... using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical… 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
- Humana (Helena, MT)
- …to adapt quickly to change **Preferred Qualifications** + Bachelor's Degree + Certified Risk Adjustment Coder (CRC) + Certified Documentation Expert ... improvement opportunities and give guidance around operational and clinical best practices in the risk adjustment methodology. This role reports to the Risk … 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...American Academy of Professional Coders (AAPC): + Certified Professional Coder (CPC) + Certified Coding Specialist for Providers (CCS-P)… more
- Molina Healthcare (MI)
- …Quality (CPHQ) * Nursing License (RN may be preferred for specific roles) * Certified Risk Adjustment Coder (CRC) To all current Molina employees: If you ... **Job Description** **Job Summary** The Director, Clinical Data Acquisition for Risk Adjustment , is responsible for the implementation, monitoring, and oversight… 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
- Geisinger (Danville, PA)
- …Minimum one Coding Certification required:--Certified Professional Coder - AAPC --Certified Risk Adjustment Coder - American Academy of Professional ... Health Information Technician (RHIT) - American Health Information Management Association; Certified Risk Adjustment Coder - American Academy of Professional… 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 EXPERIENCE:** 2 years recent relevant… more
- Mayo Clinic (Rochester, MN)
- …AHIMA certification OR Certified Inpatient Coder (CIC) AAPC certification Certified Risk Adjustment Coder (CRC) AAPC certification **Exemption Status** ... CDI!** Join our team to train providers on documentation best practices and risk adjustment , deliver tailored education, and develop engaging content across Mayo… more
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