- MedKoder (Mandeville, LA)
- …(recent hands-on production). Must have at least 1 year of specialized experience in Medicare Risk Adjustment disciplines- such as HCC , CCC HEDIS + Auditing ... Position Location: 100% Remote Qualifications The Medical Coder provides coding and coding auditing services directly...medical record charts for the appropriate coding compliance + Coder is responsible for meeting daily production goal and… more
- Insight Global (Tampa, FL)
- …Skills and Requirements Active CPC (Certified Professional Coder ) 4-5 years HCC / Risk Adjustment Coding experience Must have concurrent coding experience ... Job Description Insight Global is hiring HCC / Risk Adjustment Medical coders (100% REMOTE) to support a backlog for inpatient and outpatient Medicare… more
- Baystate Health (Springfield, MA)
- The Prospective Outpatient Risk Adjustment Coder supports risk adjustment optimization activities that improve value-based care and population health ... LPN in an outpatient setting. **Position** + Prospective Outpatient Risk Adjustment Coder **SCHEDULE:** +...payor or healthcare coding position + with exposure to risk adjustment / HCC coding, or combination… more
- US Tech Solutions (Newark, NJ)
- …accordance with all state regulations, federal regulations, internal policies, and internal procedures. HCC Risk Adjustment Coders will be involved with ... Summary: The Senior Professional Coder provides services to perform code abstraction using...RADV ( Risk Adjustment Data Validation). HCC Risk Adjustment Coders are… more
- Apex Health Solutions (Houston, TX)
- SUMMARY: Risk Adjustment Coder is responsible for reviewing, abstracting, and coding inpatient and/or outpatient medical records to ensure proper ICD-10 ... in one of the following is required: * Certified Risk Adjustment Coder (CRC) *...Specialist (CCS) EXPERIENCE: * Minimum of three (3) years HCC experience performing retrospective risk adjustment… more
- Centene Corporation (Tallahassee, FL)
- …understanding of these guidelines. + Understands the impact of ICD-10 codes on the CMS HCC risk adjustment model. + Ability to meet productivity and accuracy ... the most current International Classification of Diseases, Revision (ICD-10) for CMS risk adjustment purposes. + Codes, abstracts and analyzes inpatient and/or… more
- Highmark Health (Columbus, OH)
- …anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits. Works closely with ... leadership to identify and deliver high quality and accurate risk adjustment coding. Supports all Remote Patient...CERTIFICATIONS** **Required** (any of the following) + Certified Professional Coder (CPC) + Certified Risk Coder… more
- The Cigna Group (Baltimore, MD)
- …least one of the below): + Certified Professional Coder (CPC) + Certified Risk Adjustment Coder (CRC) + Certified Coding Specialist for Providers (CCS-P) ... providers and internal matrix partners of Cigna Medicare's programs specific to CMS Risk Adjustment and HCC Coding Processes. It will require expertise in… more
- Insight Global (Campbell, CA)
- …https://insightglobal.com/workforce-privacy-policy/ . Skills and Requirements -5+ years of experience as a risk adjustment coder , CRC, or CMC -Must have ... Job Description As an HCC Medical Coder , your primary responsibilities will revolve around ensuring accurate and compliant coding practices. You'll need to… more
- Sutter Health (Sacramento, CA)
- …+ HS Diploma or General Education Diploma (GED) **CERTIFICATION & LICENSURE:** + CRC-Certified Risk Adjustment Coder OR CPC-Certified Professional Coder ... of Quality Coding Program requirements such as the Medicare Advantage Coding Program/ HCC , as well as medical terminology and abbreviations of disease, illness and… more
- Centene Corporation (Columbia, SC)
- …medical coder 2+ years of experience in coding with knowledge of Medicare risk adjustment ( HCC Coding) Required Other experience in teaching, training or ... setting, or a Managed Care Organization as a medical coder is required. 1+ years of experience in medical...years of experience in coding with knowledge of Medicare risk adjustment ( HCC Coding) Required… more
- Tufts Medicine (Burlington, MA)
- …provider education when necessary. **Job Description** **Minimum Qualifications:** 1. Certified Risk Adjustment Coder (CRC) **OR** Certified Professional ... medicine experience. **Preferred Qualifications:** 1. Associate's degree. 2. Certified Risk Adjustment Coder (CRC) highly...to physicians on a regular basis in regards to Risk Adjustment Coding guidelines ( HCC /DxCG),… more
- The Cigna Group (Bloomfield, CT)
- …least one of the below): + Certified Professional Coder (CPC) + Certified Risk Adjustment Coder (CRC) + Certified Coding Specialist for Providers (CCS-P) ... providers and internal matrix partners of Cigna Medicare's programs specific to CMS Risk Adjustment and HCC Coding Processes. It will require expertise in… more
- AdventHealth (Altamonte Springs, FL)
- …CPC (Certified Professional Coder ) **_EDUCATION AND EXPERIENCE PREFERRED:_** + Prior risk adjustment and medical record review experience + Strong ambulatory ... background with a focus on diagnostic coding + Experience with Medicare risk adjustment , Hierarchical Condition Categories ( HCC ), coding, billing, auditing… more
- Atrius Health (Newton, MA)
- …before missing diagnoses are added. Acts as a mentor and role model to Risk Adjustment Specialist RNs assuring that they are practicing in accordance with ... record reviews to ensure that all documented chronic disease ( HCC or other risk model) diagnoses are...electronic medical record. Is an active member of the Risk Adjustment Team, participating in creating and… more
- Atrius Health (Newton, MA)
- …are captured in electronic medical record. Is an active member of the Risk Adjustment Team, participating in creating and implementing new initiatives for ... Atrius Health risk adjustment programs. EDUCATION/LICENSES/CERTIFICATIONS Graduate of a...State-approved program/school for Physician Assistants (PA). Certification as professional coder (CPC, CCS-P, CCS, CPC-H, CRC- risk , AAPC)… more
- Centene Corporation (Carson City, NV)
- …medical coder . 2+ years experience in coding with knowledge of Medicare risk adjustment ( HCC Coding). Required experience- teaching, training or ... record audits, analysis of practice coding patterns, education and training regarding risk adjustment to ensure accurate CMS payment and improve quality of care.… more
- The Cigna Group (Houston, TX)
- …least one of the below): + Certified Professional Coder (CPC) + Certified Risk Adjustment Coder (CRC) + Certified Coding Specialist for Providers (CCS-P) ... providers and internal matrix partners of Cigna Medicare's programs specific to CMS Risk Adjustment and HCC Coding Processes. It will require expertise in… more
- Kelsey-Seybold Clinic (Houston, TX)
- …with 3+ years in HCC Coding Preferred: N/A **License(s)** Required: Certified Risk Adjustment Coder (CRC) or Certified Documentation Education Outpatient ... Kelsey-Seybold's (KS) product lines and health plans. The MCA Risk Adjustment Clinical Documentation Specialist team is...complete assessment of chronic conditions which fall into the HCC model as required by CMS for Medicare Advantage… more
- CVS Health (Jefferson City, MO)
- …Professional Coder ) or CCS-P (Certified Coding Specialist-Physician) and CRC (Certified Risk Adjustment Coder ) required Preferred Qualifications + CPMA ... Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and...with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories ( HCC )… more