- BlueCross BlueShield of Tennessee (Nashville, TN)
- The Risk Adjustment Medical Record Retrieval team at BCBST is seeing a Medical Record Retrieval Specialist to join our team\. In this role, you will be ... on a regular basis\. **Job Responsibilities** + Load medical records into BCBST coding system and link records to appropriate chart IDs\. + Download medical records… more
- Emanate Health (Covina, CA)
- …**J** **ob Summary** Responsible for the oversight of HCC Program and STAR measures coding related functions. The coding specialist will work with the ... STAR measures related tasks. Responsible to ensure the IPA risk adjustment factor maintains or exceeds 1.0...and achieves or improves upon 4.0 STAR rating. The coding specialist is responsible for education to… more
- Trinity Health (Albany, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** Risk Adjustment Coding Specialist -St. Peter's Health Partners - Full-time - Remote ... **POSITION PURPOSE:** The Risk Adjustment Coding Specialist works in a team environment and is responsible for reviewing clinical documentation and … more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Specialist supports the retrospective risk adjustment supplemental filing, ... to coding and documentation guidelines. The development and ongoing maintenance of the Risk Adjustment Coding guidelines, as well as, guiding junior … more
- Trinity Health (Livonia, MI)
- **Employment Type:** Full time **Shift:** **Description:** **CERTIFIED RISK ADJUSTMENT CODING SPECIALIST ** **Location:** Trinity Health PACE Corp ... one of the following certifications: Certified Outpatient Coder, Certified Coding Specialist , Certified Professional Coder thru AAPC...year if hired.** + **Two-years of experience in a risk adjustment coding environment required.**… 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
- Trinity Health (Columbus, OH)
- …chronic conditions. + Collaborate with providers to clarify documentation and educate on risk adjustment coding best practices. + Conduct retrospective and ... regulatory changes. + Train and mentor peers and new coders on risk adjustment coding standards, MEAT/TAMPER documentation, and E&M/CPT capture. +… more
- Apex Health Solutions (Houston, TX)
- …(CPC) . Certified Risk Adjustment Coder (CRC) . Certified Coding Specialist (CCS) . Registered Health Information Technician (RHIT) or Registered Health ... medical records to ensure proper ICD-10-CM, HCPCS, and CPT coding and compliance with Risk Adjustment requirements. EDUCATION: . High School Diploma… more
- Centene Corporation (Jefferson City, MO)
- … coding guidelines. + Validate clinical documentation to support appropriate risk adjustment coding , including Hierarchical Condition Categories (HCCs), ... reviews and advise on clinical best practices related to risk adjustment coding , HCC capture,...required and + Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) required + NP or… more
- Centene Corporation (Jefferson City, MO)
- …Coder (CPC) or Certified Coding Specialist (CCS) required + Certified Risk Adjustment Coder (CRC) preferred Pay Range: $55,100.00 - $99,000.00 per year ... effectively communicates findings to business stakeholders to ensure the quality of risk adjustment data. + Ensure coding accuracy by reviewing inpatient and… more
- Avera (Sioux Falls, SD)
- … (RA) initiatives and Healthcare Effectiveness Data Information Sets (HEDIS). The Quality and Risk Adjustment Specialist will work closely with the Director ... providers to ensure that proper clinical documentation. The QRA Specialist will be responsible for ensuring that medical records...do** + Understand the rationale behind Risk Adjustment Work with physicians, clinic staff, coding ,… 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...Required + Experience using Cozeva Required + Certified HCC Coding Specialist Required + Certified Professional Coder… more
- Sutter Health (Burlingame, CA)
- … Coder + OR CPC-Certified Professional Coder + OR CCS-Certified Coding Specialist + CRC-Certified Risk Adjustment Coder (required within 1 year) ... knowledge of ICD-10 diagnosis coding conventions and requirements. + Knowledge of HCC/ Risk Adjustment coding . + Knowledge of CPT and HCPCS coding … more
- CareFirst (Baltimore, MD)
- …**Education Level:** High School Diploma or GED. **Experience:** 5 years experience in risk adjustment coding , ambulatory coding and/or CRC ... and incentive models. Strategizes alternatives and solutions to maximize quality payments and risk adjustment . Translates from claim language to services in an… 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
- Health Care Service Corporation (Mcallen, TX)
- …Experience in health insurance or health care setting + Previous experience working on Risk Adjustment coding for either Medicare Advantage or Retail ... on health plan coding initiative guidelines and requirements of the Risk Adjustment program to ensure correct coding and documentation. This position… more
- AdventHealth (Shawnee, KS)
- …Cert, OR + Certified Coding Specialist (CCS), OR + Certified Risk Adjustment Coder (CRC), OR + Certified Documentation Improvement Practitioner (CDIP) OR ... provides Hierarchical Condition Category (HCC) education, including clinical documentation integrity, coding , HCC Risk Adjustment Methodology, and provider… more
- AdventHealth (Greenwood Village, CO)
- …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
- CVS Health (Hartford, CT)
- …Qualifications** CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist -Physician).) (CRC (Certified Risk Adjustment Coder must be ... the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical… more
- CenterWell (Tallahassee, FL)
- … leaders/coders) + Partner with MRA Strategy and Analytics teams to establish risk adjustment analytics to identify coding improvement opportunities, ... function or segment. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible...provider coding improvement opportunities, risk score trending and tracking. + Partners with MRA… more
