• Risk Adjustment Coding

    Trinity Health (Syracuse, NY)
    **Employment Type:** Full time **Shift:** **Description:** ** Risk Adjustment Coding Specialist - CNY AIM (CIN), St. Joseph's Health - Full-time - ... **Expected Weekly Hours:** 40 **Shift:** Day Shift **Details:** **POSITION PURPOSE:** The Risk Adjustment Coding Specialist works in a team environment… more
    Trinity Health (04/17/24)
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  • Embedded Quality, Risk Adjustment

    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 ... captured at the highest level of specificity to ensure Risk Adjustment Revenue is accurate and reflective...to ensure closure of quality and risk adjustment gaps in care. Consults on proper coding more
    CareFirst (02/22/24)
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  • Risk Adjustment Provider Educator…

    The Cigna Group (UT)
    …(CPC) + Certified Risk Adjustment Coder (CRC) + Certified Coding Specialist for Providers (CCS-P) + Registered Health Information Management Technician ... or medical office coding experience, preferably two (2) years risk adjustment coding experience. + Excellent written and verbal communication skills.… more
    The Cigna Group (03/21/24)
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  • Coding Education Specialist

    The Cigna Group (Philadelphia, PA)
    …least one of the below):** Certified Professional Coder (CPC) Certified Risk Adjustment Coder (CRC) Certified Coding Specialist for Providers (CCS-P) ... Job Description: Coding Education Specialist (AHIMA or AAPC...medical office coding experience, preferably two years risk adjustment coding experience. +… more
    The Cigna Group (03/08/24)
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  • Provider Education Data Senior Analyst- Hybrid-…

    The Cigna Group (Memphis, TN)
    …(CPC) + Certified Risk Adjustment Coder (CRC) + Certified Coding Specialist for Providers (CCS-P) + Registered Health Information Management Technician ... or medical office coding experience, preferably two (2) years risk adjustment coding experience. + Excellent written and verbal communication skills.… more
    The Cigna Group (03/28/24)
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  • Risk Adjustment Provider Education…

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …This role will be responsible for representing Blue Cross Blue Shield MA's risk adjustment coding improvement initiatives through engagement with health ... relationships with assigned providers / provider offices to improve risk adjustment coding and documentation accuracy and completeness. -Conduct… more
    Blue Cross Blue Shield of Massachusetts (04/11/24)
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  • Clinical Data Abstraction Team Lead

    Apex Health Solutions (Houston, TX)
    …one of the following is required: Certified Professional Coder (CPC) Certified Risk Adjustment Coder (CRC) Certified Coding Specialist (CCS) A license in ... specialists responsible for analyzing patient medical records to ensure accurate coding for Risk Adjustment and HEDIS purposes. EDUCATION: Bachelor's Degree… more
    Apex Health Solutions (03/09/24)
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  • Risk Adjustment Coder

    Apex Health Solutions (Houston, TX)
    …and coding inpatient and/or outpatient medical records to ensure proper ICD-10 coding and compliance with risk adjustment requirements. Reports to: AVP, ... SUMMARY: Risk Adjustment Coder is responsible for... Risk Adjustment Coder is responsible for reviewing, abstracting,...Coder (CRC) * Certified Professional Coder (CPC) * Certified Coding Specialist (CCS) EXPERIENCE: * Minimum of… more
    Apex Health Solutions (03/13/24)
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  • Senior Manager, Medicare Quality and Risk

    CVS Health (Albany, NY)
    …including proper coding and claim submission for services rendered impacting risk adjustment and Stars quality care performance. + Participates in ... resource requirements. + Supports NY/NJ Medicare Chief Medicare Officer leading Stars and Risk Adjustment while serving as a liaison to various integrated lines… more
    CVS Health (03/29/24)
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  • Senior Hierarchical Condition Category (HCC)…

    Highmark Health (Columbus, OH)
    …as quality and compliance), and/or physicians to identify and deliver high quality and accurate risk adjustment coding . Supports all risk adjustment ... Supports other key objectives to drive capture of accurate risk adjustment coding including documentation...+ Certified Risk Coder (CRC) + Certified Coding Specialist (CCS) + Registered Health Information… more
    Highmark Health (04/18/24)
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  • Supervisor Risk Adjustment & Quality…

    Kelsey-Seybold Clinic (Houston, TX)
    …Either CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist -Physician), and CRC (Certified Risk Adjustment Coder) Preferred: ... for Coding and Reporting **Job Title: Supervisor Risk Adjustment & Quality Assurance** **Location: Pearland...RN, LVN, RHIT **Special Skills** Required: Thorough understanding of Risk Adjustment , HCC coding , ICD… more
    Kelsey-Seybold Clinic (04/17/24)
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  • Assistant Director of Medicare Advantage…

    UCLA Health (Los Angeles, CA)
    …compliance officer and the manager of coding and education. The Assistant Director of Risk Adjustment will oversee the manager of the coding team and our ... can do all this and more at UCLA Health. As member of the Medicare Advantage Risk Adjustment leadership team, the Assistant Director of Risk Adjustment more
    UCLA Health (02/03/24)
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  • Hierarchical Condition Category (HCC)…

    Highmark Health (Columbus, OH)
    …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 Risk Coder (CRC) + Certified Coding Specialist (CCS) + Registered Health Information… more
    Highmark Health (03/14/24)
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  • Associate Hierarchical Condition Category (HCC)…

    Highmark Health (Columbus, OH)
    …with team members, and leadership to identify and deliver high quality and accurate risk adjustment coding . Supports all Remote Patient Monitoring (RPM) ... and/or healthcare experience **Preferred** + 1 year of HCC risk adjustment coding **SKILLS** +...**OR** Certified Risk Coder (CRC) **OR** Certified Coding Specialist (CCS) **OR** Registered Health Information… more
    Highmark Health (04/18/24)
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  • Coding Quality Specialist

    St. Luke's Health System (Boise, ID)
    …Outpatient Coder), CIC (Certified Inpatient Coder), CRC (Certified Risk Adjustment Coder), CAISS (Certified Abbreviated Injury Scale Specialist ), CSTR ... Information Administrator), RHIT (Registered Health Information Technician), CCS (Certified Coding Specialist ), CPC (Certified Professional Coder), COC… more
    St. Luke's Health System (04/10/24)
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  • HCC Coding Specialist - Exempt…

    Emanate Health (Covina, CA)
    …oversight of HCC Program and STAR measures coding related functions. The HCC coding specialist will work with the IPA Director, Health Plan, and MSO ... STAR measures related tasks. Responsible to ensure the IPA risk adjustment factor maintains or exceeds 1.0...achieves or improves upon 4.0 STAR rating. The HCC coding specialist is responsible for education to… more
    Emanate Health (04/09/24)
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  • Coding Training and Development…

    Corewell Health (Grand Rapids, MI)
    …field + 2 years of relevant experience related experience Required + CRT- Coding Specialist (CCS) - AHIMA American Health Information Management Association ... Coding Dept Only Upon Hire preferred Or + CRT-Professional...Wealthy St SE - Grand Rapids Department Name CDI Risk Adjustment Employment Type Full time Shift… more
    Corewell Health (03/22/24)
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  • PP Coding Educator and Audit…

    Grace Hospital (Morganton, NC)
    …(American Academy of Professional Coders) Certified Professional Coder (CPC) required, Certified Risk Adjustment Coder (CRC) certification a plus. + Competitive ... valued." THE POSITION We are seeking a detail-oriented and highly analytical Coding and Auditing Specialist to join our dynamic team. In this role, you will be… more
    Grace Hospital (03/01/24)
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  • Coding Data Quality Auditor

    CVS Health (Albany, NY)
    …or CCS-P (Certified Coding Specialist -Physician) required. * CRC (Certified Risk Adjustment Coder) preferred or certified within 6 months of employment. ... the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical… more
    CVS Health (04/04/24)
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  • Coding Compliance Manager (DDQ)

    Sutter Health (Sacramento, CA)
    …(RHIT) or related field **CERTIFICATION & LICENSURE:** CCS-Certified Coding Specialist OR CPC-Certified Professional Coder OR CRC-Certified Risk ... practices are appropriate. Assists with the assessment of potential or existing risk in regulatory and/or coding practices and conducts or coordinates research… more
    Sutter Health (03/21/24)
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