- CDPHP (Latham, NY)
- …employees who share these values and invites you to be a part of that experience. The Risk Adjustment Coding Specialist will be responsible for the chart ... review and ICD-10 diagnosis coding of risk adjustment eligible...or GED required. Associates degree preferred. + CCS/CCS-P (Certified Coding Specialist ) or CPC/CPC-A (Certified Coding… more
- Redeemer Health Home Care & Hospice (Huntingdon Valley, PA)
- …pathophysiology, and medical terminology necessary to correctly code diagnoses. The Certified Risk Adjustment Coding /Audit Specialist analyzes and ... journey. We invite you to apply today. SUMMARY OF JOB The Certified Risk Adjustment Coding /Audit Reviewer is a physician facing position and must have… more
- Evolent (Helena, MT)
- …Doing:** **Manager, Coding Support Specialist ** Evolent Care Partners is seeking a Risk Adjustment Coding Support Manager to be a core member of the ... Risk Adjustment Coding Support team. Evolent Care Partners' mission is to partner directly with primary care organizations across the country to improve… 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 ... for the Highmark Health Enterprise. Ensures that Highmark's Risk Adjustment programs comply with all applicable...coding . Promotes the strategy and capabilities to develop risk management and physician / member initiatives that support… more
- Bluestone Physician Services (Stillwater, MN)
- …reviews of patient charts to identify gaps in documentation and opportunities for risk adjustment coding improvement. + Collaborate with Bluestone providers ... join our team as a Clinical Documentation Improvement (CDI) Specialist . The primary responsibility of this role is...support to Bluestone providers to enhance their understanding of risk adjustment coding guidelines and… more
- St. Luke's University Health Network (Allentown, PA)
- …serve, regardless of a patient's ability to pay for health care. The Risk Adjustment Clinical Documentation Specialist facilitates accurate, complete, ... of illness (appropriate capture of true disease burden and quality using official Risk Adjustment and relevant official documentation/ coding guidelines. +… more
- Corewell Health (Grand Rapids, MI)
- …This position will evaluate and assess the organization's risk related to risk adjustment coding and conduct internal audits to improve compliance. ... exposure/ risk . Contributes to and approves Priority Health Risk Adjustment Coding Guidelines. +...Academy of Professional Coders 180 Days required Or + CRT- Coding Specialist (CCS) - AHIMA American Health… more
- University of Colorado (Aurora, CO)
- …and/or facility fee setting. + Experience with outpatient (HOPD, freestanding) and inpatient coding , risk adjustment auditing. + Experience building and ... **Billing and Coding Specialist ** **Description** **University of Colorado Anschutz Medical Campus** **Department: Neurosurgery** **Job Title** **Billing and … more
- Penn Medicine (Bala Cynwyd, PA)
- …of relevant coding medical professional services experience including ambulatory outpatient and risk adjustment coding . (Required) + Certified Risk ... Medicine Hospice- 150 Monument Road** **Hours: Full-Time** **Job Summary:** The Ambulatory Coding and Documentation Specialist reports to the Primary Care… more
- AdventHealth (Daytona Beach, FL)
- …Category (HCC) education including but not limited to clinical documentation integrity, coding , HCC Risk Adjustment Methodology, and provider performance ... an advanced understanding of the HCC risk adjustment methodology gained from HCC documentation, coding ,...Health Information Technician (RHIT) - Cert, OR + Certified Coding Specialist (CCS), OR + Certified Documentation… more
- HCA Healthcare (Nashville, TN)
- …minimal overnight travel. **EDUCATION:** + Bachelor's Degree preferred. + Must be a Certified Coding Specialist (CCS), Certified Coding Specialist - ... (CPC(R)) credential or Certified Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) **EXPERIENCE:** + Experience with Cerner and… more
- HCA Healthcare (Dallas, TX)
- …minimal overnight travel. EDUCATION: + Bachelor's Degree preferred. + Must be a Certified Coding Specialist (CCS), Certified Coding Specialist - ... Coder (CPC(R)) credential or Certified Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) EXPERIENCE: + Experience with Cerner and… more
- MyFlorida (Tallahassee, FL)
- RISK MANAGEMENT PROGRAM SPECIALIST - 43000332 Date: Sep 15, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... . Requisition No: 860881 Agency: Financial Services Working Title: RISK MANAGEMENT PROGRAM SPECIALIST - 43000332 Pay Plan:… more
- AdventHealth (Tampa, FL)
- …and approved coding policies and procedures. . Participates in the mortality/ risk adjustment reviews when assigned. . Assists with post-payment DRG appeals. ... work experience required + 1-2 years of auditing experience preferred + Certified Coding Specialist (CCS) required. Will accept RHIA or RHIT in lieu of CCS This… more
- Amazon (Boston, MA)
- …diverse stakeholders; evaluate control effectiveness within AI; understand levels of potential risk and how to address them; provide in-depth consultation; and have ... data to identify patterns, draw conclusions, and prioritize remediation efforts using risk management concepts. Excellent writing skills are required as the output… more
- Virginia Mason Franciscan Health (Seattle, WA)
- …and 3 years experience as an instructor/trainer preferred. Clinical knowledge and exposure to risk adjustment coding preferred. We deliver inspired people to ... or equivalent plus credentialed as a Certified Professional Coder (CPC) orCertified Coding Specialist - Physician based (CCS-P). + This position also requires 1… more
- Hartford HealthCare (Hartford, CT)
- … Coding Specialist - Physician (CCS-P) or Certified Coding Specialist (CCS) Certified Risk Adjustment Coder (CRC) preferred (required within 6 ... Adjustment Coder Educator develops and implements an enterprise-wide risk adjustment coding and documentation education program to support documentation… more
- Mayo Clinic (Rochester, MN)
- …CDI!** Join our team to train providers on documentation best practices and risk adjustment , deliver tailored education, and develop engaging content across Mayo ... business demands. Applies advanced clinical knowledge and expertise from the Certified Coding Specialist (CCS) or CIC certification to accurately assign… more
- NCH (Naples, FL)
- …well as applicable organizational policies and procedures. * Experience in MS-DRG and APR-DRGs, risk adjustment , HACs and PSIs, O/E mortality, and LOS. * Working ... clinically appropriate, accurately reflects the severity of illness and risk of mortality for the patient and is reflective...a diagnosis. * Acts as a liaison between the Coding Department and the Clinical Documentation Integrity Specialist… 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 ... Compliance Auditing Specialist - Remote/Hybrid available Company: NorthEast Provider Solutions Inc....concurrent and retrospective reviews of documentation and coding and working with providers and staff to ensure… more
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