- Geisinger (Danville, PA)
- …Health Information Technician (RHIT) - American Health Information Management Association; Certified Risk Adjustment Coder - American Academy ... of reimbursement changes. Additionally, this position provides daily support for coding and reimbursement needs across negotiations, claims processing, and provider… more
- Trinity Health (Albany, NY)
- …Peter's Health Partners' confidentiality requirements as they relate to patient information. What a Certified Risk Adjustment Coding Specialist will do: ... **Employment Type:** Full time **Shift:** Day Shift **Description:** Risk Adjustment Coding Specialist...Medicaid Services (CMS). **SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:** **. Certified Risk Adjustment Coder (CRC)… more
- Apex Health Solutions (Houston, TX)
- …: Certified Professional Coder (CPC) Certified Risk Adjustment Coder (CRC) Certified Coding Specialist (CCS) Registered Health Information ... Summary Certified Medical Coder role is responsible for reviewing,...medical records to ensure proper ICD-10-CM, HCPCS, and CPT coding and compliance with Risk Adjustment… more
- Trinity Health (Columbus, OH)
- …chronic conditions. + Collaborate with providers to clarify documentation and educate on risk adjustment coding best practices. + Conduct retrospective and ... + Train and mentor peers and new coders on risk adjustment coding standards, MEAT/TAMPER...and maintains accurate database of submission and payment. + Certified Risk Adjustment Coder certification… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Specialist supports the retrospective risk adjustment supplemental filing, Risk ... to coding and documentation guidelines. The development and ongoing maintenance of the Risk Adjustment Coding guidelines, as well as, guiding junior … more
- Datavant (Jefferson City, MO)
- … Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring production and quality of ... daily basis, including education on time management and best coding practices. + Provide coaching and feedback on achieving...**What you will bring to the table:** + AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified… more
- BJC HealthCare (St. Louis, MO)
- …setting. Background to be successful in the role: + **Hierarchical Condition Category (HCC)** ** coding and risk adjustment ** + **Bachelors degree** + **2 ... Requirements** **Licenses & Certifications** + Cert Clinical Documentation + Certified Coding Spec + Cert Doc Improve Practitioner **Benefits and Legal… more
- Ascension Health (Elk Grove Village, IL)
- …Candidates must have the following certification thru AAPC (credentialing board): ** Certified Risk Adjustment Coder (CRC) - STRONGLY ... Registration: + One or more of the following required:* Certified Coding Specialist (CCS) credentialed from the...in the CRC program please apply!** + 1 year ** RISK CODING ** experience, preferred (NEW GRADUATES WELCOME)… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …you'll play a critical role in ensuring the accuracy, completeness, and compliance of risk adjustment coding across both internal teams and external ... data. Your Responsibilities * Ensure accuracy and compliance of risk adjustment coding , including the...and ACA risk adjustment . * Certified Risk Adjustment Coder (CRC)… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …of provider-facing or leadership-facing experience * Knowledge of Health Care Quality measures * Certified Risk Adjustment Coder (CRC via AAPC) or ... characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Quality & Risk Adjustment Provider Consultant Location: Hybrid | Eagan, Minnesota Career… more
- Humana (Salt Lake City, UT)
- …across team. Holds team members accountable for following established policies. The Manager Risk Adjustment ensures coding is accurate and properly supported ... community and help us put health first** The Manager, Risk Adjustment conducts quality assurance audits of...as well as internal policies and guidelines while analyzing coding information and medical records. May participate in provider… 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 ... COC, CIC, or CRC). + A minimum of 2 years HCC coding experience, while certified . + Full understanding and knowledge of ICD-10, medical terminology, medical… more
- Highmark Health (Cheyenne, WY)
- …partners at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding . Supports all Remote Patient Monitoring (RPM) ... Supports other key objectives to drive capture of correct Risk Adjustment coding including documentation...Certified Professional Coder (CPC) + Certified Risk Coder (CRC) + Certified Coding… 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 ... support to Bluestone providers to enhance their understanding of risk adjustment coding guidelines and...in Health Information Management, Nursing, or related field. + Certified Risk Adjustment Coder (CRC)… more
- Humana (Concord, NH)
- …medical record review knowledge + 2 or more years of risk adjustment provider education + Familiar with coding guidelines (ie ICD-9/ICD-10) + Comprehensive ... Educator is responsible for creating and executing the risk adjustment strategy for each provider groups....and presentation skills **Preferred Qualifications** + Bachelor's degree + Certified Risk Coder (CRC) + Experience interacting… more
- Humana (Greenville, SC)
- …Carolina, North Carolina or Georgia **Preferred Qualifications** + Bachelor's Degree + CRC - Certified Risk Adjustment Coder + Experience interacting with ... an impact** **Required Qualifications** + AHIMA or AAPC CPC ( Certified Professional Coder) Certification + 3 or more years...presentation skills with healthcare providers + Risk Adjustment knowledge + Familiar with coding guidelines… more
- CareFirst (Baltimore, MD)
- …+ Certified Coder (CCS or CPC)-AHIMA or AAPC **Experience:** 3 years' experience in risk adjustment coding , ambulatory coding and/or CRC coding ... models. Supports to use of alternatives and solutions to maximize quality payments and risk adjustment . Translates from claim language to services in an episode… more
- UTMB Health (Galveston, TX)
- …CPC-A - Certified Professional Coder - Apprentice (AAPC) _or_ + CRC - Certified Risk Adjustment Coder (AAPC) **JOB SUMMARY:** Properly codes and/or ... LICENSES, REGISTRATIONS, OR CERTIFICATIONS:** **One of the following:** + CCA - Certified Coding Associate (AHIMA) _or_ + CCS - Certified Coding… more
- St. Luke's Health System (Boise, ID)
- …COC ( Certified Outpatient Coder), CIC ( Certified Inpatient Coder), or CRC ( Certified Risk Adjustment Coder). **What's in it for you** At St. ... (Registered Health Information Administrator), RHIT (Registered Health Information Technician), CCS ( Certified Coding Specialist), CCS-P ( Certified Coding… more
- Ascension Health (Austin, TX)
- …of the following from AAPC and/or AHIMA: Certified Professional Coder (CPC), Certified Risk Adjustment Coder (CRC), Certified Professional Medical ... Auditor (CPMA), Certified Documentation Expert Outpatient (CDEO), Certified Coding Specialist (CCS), Certified ...experience with at least 2 years specific to Medicare Risk Adjustment /HCC Coding required. +… more
