- Datavant (Topeka, KS)
- …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... experiences to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code… more
- Datavant (Indianapolis, IN)
- …educational and life experiences to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder , you will review medical records ... standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will...bring to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of … more
- Datavant (Madison, WI)
- …to realize our bold vision for healthcare. We're looking for experienced and credentialed HCC Coding Team Leads to become an integral part of our team. The ideal ... Reviews rebuttals submitted by coders. Provides education to the coder if the error is correct or sends the...+ Extensive knowledge of ICD -10 + 2 years' HCC coding experience + 1+ years' Team Lead experience… 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...Administrator (RHIA) EXPERIENCE: . Minimum of three (3) years HCC experience performing retrospective risk adjustment… 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...perform accurate and complete chart reviews for Profee and HCC Risk Adjustment * Possesses… more
- UNC Health Care (Chapel Hill, NC)
- …the health and well-being of the unique communities we serve. Summary: The Risk Adjustment Coordinator will be responsible for analyzing and auditing medical ... payer under the value care contracts. In addition, the Risk Adjustment Coordinator will be responsible for...Academy of Professional Coders) certification - CPC (Certified Professional Coder ) or CRC (Certified Risk Coder… more
- Trinity Health (Columbus, OH)
- **Employment Type:** Full time **Shift:** **Description:** **Position Purpose:** The Risk Adjustment Coder is responsible for reviewing and abstracting ... opportunities. + Stay current with updates to coding guidelines, risk adjustment models (eg, CMS- HCC ,...maintains accurate database of submission and payment. + Certified Risk Adjustment Coder certification within… more
- WMCHealth (Valhalla, NY)
- …in a large multispecialty practice setting, including surgical speacialties is required. HCC Risk adjustment Coding esperience is preferred. Education: ... Network Practice Coder /Auditor Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support Department: Health Info… more
- HCA Healthcare (Campbell, CA)
- …colleagues invested over 156,000 hours impacting our communities. As a Director of Quality and Risk Adjustment with HCA Healthcare, you can be a manager in an ... join our team as a Director of Quality and Risk Adjustment . We care for our communities...deadlines Required + Experience using Cozeva Required + Certified HCC Coding Specialist Required + Certified Professional Coder… 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 ... services we provide. RECRUITMENT REQUIREMENTS High School Graduate. Certified coder CPC or CCS-P, and AAPC CRC certification. 2+...a wide variety of clinical cases and services for risk adjustment models (eg, HCC ,… more
- Trinity Health (Albany, NY)
- …and Medicaid Services (CMS). **SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:** **. Certified Risk Adjustment Coder (CRC) required** . Excellent verbal ... system work queues and natural language processing (NLP) tools to support addressing HCC codes for Risk Adjustment before a claim is submitted to payers. .… 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 ... as CPMA, RHIT, RHIA, CCA, CCS. * Expertise in CMS- HCC , and HHS- HCC Risk Adjustment models. Compensation and Benefits: Pay Range: $88,600.00 - $117,400.00… more
- Centene Corporation (Jefferson City, MO)
- …+ Perform clinical chart reviews and advise on clinical best practices related to risk adjustment coding, HCC capture, and documentation improvement. + ... the Continental United States. **Position Purpose:** Executes Line 2 oversight of Risk Adjustment activities, including monitoring, auditing, and supports Line 1… more
- AdventHealth (Shawnee, KS)
- …Condition Category ( HCC ) education, including clinical documentation integrity, coding, HCC Risk Adjustment Methodology, and provider performance ... this role include maintaining an advanced understanding of the HCC risk adjustment methodology gained...OR + Certified Coding Specialist (CCS), OR + Certified Risk Adjustment Coder (CRC), OR… more
- AdventHealth (Greenwood Village, CO)
- …HCC ) education including but not limited to clinical documentation integrity, coding, HCC Risk Adjustment Methodology, and provider performance metrics. ... successful candidate will have an advanced understanding of the HCC risk adjustment methodology gained...Practitioner (CDIP) **Preferred qualifications:** + Bachelor's degree + Certified Risk Adjustment Coder (CRC) This… 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...ICD-10 diagnosis coding conventions and requirements. + Knowledge of HCC / Risk Adjustment coding. + Knowledge… 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 ... reports key performance indicators relative to clinical documentation and HCC coding. . Documents and maintains records of all...with one or more of the following credentials: Certified Risk Coder (CRC), Certified Professional Coder… more
- Bluestone Physician Services (Stillwater, MN)
- …+ Bachelor's degree in Health Information Management, Nursing, or related field. + Certified Risk Adjustment Coder (CRC) certification, Risk ... healthcare coding, with a focus on Hierarchical Condition Category ( HCC ) coding and risk adjustment ....on Hierarchical Condition Category ( HCC ) coding and risk adjustment . Knowledge/Skills/Abilities + Proficiency in reviewing… more
- The Cigna Group (Bloomfield, CT)
- …Information Technician (RHIT)** + **Registered Health Information Administrator (RHIA)** + **Certified Risk Adjustment Coder (CRC) certification required** + ... for day-to-day oversight of a team of Coding Analysts specializing in HHS Risk Adjustment medical record diagnostic coding and quality audit review for… more
- CVS Health (Springfield, IL)
- … Coder ) or CCS-P (Certified Coding Specialist-Physician) required. + CRC (Certified Risk Adjustment Coder ). + Computer proficiency including experience ... 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