- Trinity Health (Syracuse, NY)
- … experience. Ability to conduct Education if needed. Auditing Experience Posting POSITION PURPOSE: The Risk Adjustment Coding Specialist works in a team ... Health's confidentiality requirements as they relate to patient information. What a Certified Risk Adjustment Coding Specialist will do: . Review and… 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
- Dignity Health (Bakersfield, CA)
- **Responsibilities** This position is remote.** **Position Summary:** The Risk Adjustment Coding Training Specialist develops and executes comprehensive ... standards. Travels to provider offices when necessary. The Risk Adjustment Coding and Training Specialist is responsible for developing and delivering… more
- UCLA Health (Los Angeles, CA)
- …- Medicare Advantage Risk Adjustment , you will be an expert in risk adjustment coding and documentation, working closely with physicians, IPA coders, ... Professional Coder (CPC) certification or Certified Coding Specialist (CCS) certification, required + A Certified Risk... Specialist (CCS) certification, required + A Certified Risk Adjustment Coder (CRC), required + Reliable… 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
- Hawaii Pacific Health (Honolulu, HI)
- …education to physicians and advanced practice providers (APPs). Previous experience with risk adjustment coding or clinical documentation improvement (CDI). ... experience. **Preferred Qualifications:** Certified Professional Coder - Risk Adjustment (CRC) or Certified Documentation Specialist (CCDS). Previous… more
- Sutter Health (Sacramento, CA)
- …workflows, data management, coding staff specific to clinical documentation improvement and risk adjustment coding initiatives. Manages the day to day ... operations related to Risk Adjustment Coding . Provides oversight...**CERTIFICATION & LICENSURE:** + CPC-Certified Professional Coder OR CCSP-Certified Coding Specialist -Professional OR CCS-Certified Coding … 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
- Kelsey-Seybold Clinic (Pearland, TX)
- …Assessment certificate. Preferred: HEDIS experience **License(s)** Required: CCS-P (Certified Coding Specialist -Physician) or CPC (Certified Professional Coder) ... **Responsibilities** To ensure the accurate coding of diagnoses which fall into the HCC...or CPC-A or CRC (Certified Risk Adjustment Coder) Preferred: N/A **Special Skills**… more
- MyFlorida (Tallahassee, FL)
- RISK MANAGEMENT PROGRAM SPECIALIST - 43001364 Date: Jun 24, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... . Requisition No: 855275 Agency: Financial Services Working Title: RISK MANAGEMENT PROGRAM SPECIALIST - 43001364 Pay Plan:… 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
- Commonwealth Care Alliance (Boston, MA)
- …recovery + Serve as a resource for primary care site to answer questions regarding risk adjustment , corrective CPT coding , Medicare & Medicaid coding ... Associate's Degree or equivalent experience + Possession of Certified Coding Specialist designation (CCS, CCS-P, CCA from...documentation and coding + Knowledge of Medicare Risk Adjustment Documentation with Certified Risk… more
- Hartford HealthCare (Farmington, CT)
- … will support documentation practices that comply with CMS risk adjustment program requirements and ICD 10 coding guidelines. Reporting to Manager ... Relationships:_* *This Job Reports To (Job Title):*Audit and Education Specialist Manager *Education* . Minimum: o Medical Coding...Hartford Healthcare o Experience with the nuances of diagnosis coding and risk adjustment programs… more
- SSM Health (MO)
- …support an accurateDRGassignment, SOI, and/or ROM.Assists in the mortality review and risk adjustment process utilizing third-party models. + Demonstrates an ... + 1 year of experience as a Clinical Documentation Specialist + Additional Two years' in an acute care...**Job Summary:** Performs concurrent analytical reviews of clinical and coding data to improving physician documentation for all conditions… 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
- Banner Health (AZ)
- …record accurately reflects the diagnostic related group (DRG), severity of illness (SOI), risk of mortality (ROM), risk adjustment , and the complexity ... coding and Providers in order to capture accurate DRG, SOI, ROM, risk adjustment , reimbursement, and complexity of patient care rendered. 3. Conducts… more
- Penn Medicine (Philadelphia, PA)
- …for documentation improvement Perform targeted chart reviews using various of risk adjustment methodologies to facilitate accurate reporting of mortality ... and/or HIM or related field. 1+ years of Clinical Documentation Improvement (CDI) Specialist and/or coding quality experience 1+ years of CCU/ICU acute care… more
- Humana (Orlando, FL)
- …caring community and help us put health first** The Medical Record Retrieval Specialist ( Risk Adjustment Representative) travels to provider offices within ... a secure system. The records are reviewed by Humana's Coding staff. * Live in Orlando * Travel Orange,...and other surrounding counties The Medical Record Retrieval Representative ( Risk Adjustment Representative): + Travel up to… more
- AIG (Scottsdale, AZ)
- …Multinational Clients. We are reimagining how we help customers to manage risk , transforming our operating model and reshaping our role responsibilities and career ... support career progression and may report to a Senior Specialist , UW Support, Team Leader, or to an Team...field operations. This role assists the underwriters by screening risk offerings and with pre and post-binding processes. The… more