- Apex Health Solutions (Houston, TX)
- SUMMARY: Risk Adjustment Coder is...monitoring of medical records requests for all risk adjustment projects. * Performs telephonic outreach ... in one of the following is required: * Certified Risk Adjustment Coder (CRC) *...physician setting or a Managed Care Organization as a medical coder . * Minimum of five (5)… more
- ChenMed (Miami, FL)
- …providers. We're rapidly expanding and we need great people to join our team. The Risk Adjustment Coder works in a collaborative effort directly with ... and regulations related to coding and documentation guidelines for Risk Adjustment Reviews of medical ...APPC or AHIMA coding certified preferred. + CRC (certified risk coder ) is required, or minimum of… more
- Universal Health Services (Reno, NV)
- …accurate reporting of diagnoses and service codes to support optimal performance in risk adjustment and quality measurement. The scope of work will include ... + 3+ years in CMS coding and documentation guidelines as well as HCC risk adjustment coding practices + CRC Required. + Additional Coding certification preferred… more
- MedKoder (Mandeville, LA)
- Position Location: 100% Remote Qualifications The Medical Coder provides coding and coding auditing services directly to providers. This includes the analysis ... and translation of medical and clinical diagnoses, procedures, injuries, or illnesses into...at least 1 year of specialized experience in Medicare Risk Adjustment disciplines- such as HCC, CCC… more
- Dignity Health (Bakersfield, CA)
- …integrated networks throughout to identify opportunities for improved quality, risk adjustment coding performance. The Value Based Coder is a valuable ... risk adjusting conditions to capture. The Value Based Coder will review patient medical record information...coding opportunities as it pertains to risk adjustment . Responsibilities may include: - Review patient medical… more
- St. Luke's Health System (Boise, ID)
- …), COC (Certified Outpatient Coder ), CIC (Certified Inpatient Coder ), CRC (Certified Risk Adjustment Coder ). **What's in it for you** At St. Luke's, ... **Overview** **St. Luke's Health System is seeking a Coder 2 to join our team.** Under limited...**Responibilieties:** + Reviews notations, diagnosis, or procedure information in medical record to assign appropriate diagnosis and procedure codes,… more
- Molina Healthcare (Long Beach, CA)
- … Adjustment Data Validation **Preferred License, Certification, Association** + Certified Risk Adjustment Coder - (CRC) + Certified Professional Payer ... to network of providers on how to improve their risk adjustment knowledge as well as provide...such as planning, scheduling of chart reviews, obtaining of medical records, and provider training and education + Assists… more
- Sutter Health (Sacramento, CA)
- …+ HS Diploma or General Education Diploma (GED) **CERTIFICATION & LICENSURE:** + CRC-Certified Risk Adjustment Coder OR CPC-Certified Professional Coder ... Office-Bay **Position Overview:** This position conducts review of outpatient medical records using International Classification of Disease Coding ICD-10-CM and… more
- Garnet Health (Middletown, NY)
- …to obtain optimal coding on each account. Must be able to code based on Risk Adjustment principles in accordance with all ICD-10 guidelines. At Garnet Health, we ... make your career home with us as a Inpatient Coder on our Coding team at/in Garnet Health ...Coder on our Coding team at/in Garnet Health Medical Center-Middletown. Responsibilities Accurately codes charts of discharged patients;… more
- AdventHealth (Altamonte Springs, FL)
- …manage multiple priorities at once with little supervision. *Possesses knowledge about risk adjustment and hospital publicly reported data. *Possesses knowledge ... **Job Location** : Remote **The role you'll contribute:** The Coder Analyst IV is a Health Information Professional with...you'll need to succeed:** . High school diploma and medical coding certificate program or 2 year HIM program.… more
- Tufts Medicine (Burlington, MA)
- …provider education when necessary. **Job Description** **Minimum Qualifications:** 1. Certified Risk Adjustment Coder (CRC) **OR** Certified Professional ... overall provider documentation as it pertains to coding and risk adjustment guidelines. Reviews medical ...medicine experience. **Preferred Qualifications:** 1. Associate's degree. 2. Certified Risk Adjustment Coder (CRC) highly… more
- The Cigna Group (UT)
- …least one of the below): + Certified Professional Coder (CPC) + Certified Risk Adjustment Coder (CRC) + Certified Coding Specialist for Providers (CCS-P) ... ** Risk Adjustment Provider Educator** **_Incumbent_** **_candidate...medical office coding experience, preferably two (2) years risk adjustment coding experience. + Excellent written… more
- Henry Ford Health System (Troy, MI)
- …CERTIFICATIONS/LICENSURES REQUIRED + RHIA, RHIT, CPC, CCS, or CCS-P preferred + Risk Adjustment Coder (CRC) certification preferred Additional Information ... documentation within the medical record and therefore appropriate risk adjustment reimbursement. In addition, this position is responsible for driving… more
- CareFirst (Baltimore, MD)
- …not compromising payment integrity. Consults with various teams, including the Quality, Risk Adjustment , Practice Transformation Consultants, Medical Policy ... all chronic conditions are captured at the highest level of specificity to ensure Risk Adjustment Revenue is accurate and reflective of true managed care needs.… more
- CVS Health (Hartford, CT)
- …Medicaid or Risk Adjustment health care industry experience. + Certified Risk Adjusted Coder (CRC) or Certified Professional Coder (CPC). Education ... outstanding opportunity for an enthusiastic team player to manage Risk Adjustment National Programs for the Aetna...our communities. The Company offers a full range of medical , dental, and vision benefits. Eligible employees may enroll… more
- Centene Corporation (Raleigh, NC)
- … record audits, analysis of practice coding patterns, education and training regarding risk adjustment to ensure accurate CMS payment and improve quality of ... and market level. + Subject matter experts for proper risk adjustment coding and CMS data validation....physician setting or a Managed Care Organization as a medical coder . Required 2+ years of experience… more
- The Cigna Group (Memphis, TN)
- …least one of the below): + Certified Professional Coder (CPC) + Certified Risk Adjustment Coder (CRC) + Certified Coding Specialist for Providers (CCS-P) ... This role is responsible for supporting Cigna Medicare Advantage's Risk Adjustment & Stars program for assigned...medical office coding experience, preferably two (2) years risk adjustment coding experience. + Excellent written… more
- Highmark Health (Columbus, OH)
- …Centers for Medicare and Medicaid Services (CMS) coding guidelines, and support of Risk Adjustment Data Validation (RADV) audits. Works closely with colleagues, ... physicians to identify and deliver high quality and accurate risk adjustment coding. Supports all risk...CERTIFICATIONS** **Required** (any of the following) + Certified Professional Coder (CPC) + Certified Risk Coder… more
- 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) risk ... and/or healthcare experience **Preferred** + 1 year of HCC risk adjustment coding **SKILLS** + Critical Thinking...Professional Coder Apprentice (CPC-A) **OR** Certified Professional Coder (CPC) **OR** Certified Risk Coder… more
- AdventHealth (Maitland, FL)
- …the overall structure and operations to support programs in Risk Adjustment coding, CDI review, working on Electronic Medical Record tools, Communication ... develop and lead a broad and diversified range of risk adjustment coding services for the AdventHealth... methodologies. + Expert level knowledge of coding, HCCs, risk adjustments concepts, medical record review project… more