- ICONMA (Atlanta, GA)
- … medical services, according to ICD-9/ICD-10 CM coding guidelines and risk adjustment model regulations. . This position supports Annual Commercial ... (ACA) and Medicare Advantage Risk Adjustment Data Validation Audits (RADV) along with the annual Risk Adjustment life cycle for the Medicare, Medicaid,… more
- 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
- Baystate Health (Springfield, MA)
- The Prospective Outpatient Risk Adjustment Coder supports risk adjustment optimization activities that improve value-based care and population health ... LPN in an outpatient setting. **Position** + Prospective Outpatient Risk Adjustment Coder **SCHEDULE:** +...(Cerner preferred) + Prospective coding or risk adjustment coding; clinical experience in outpatient medical … more
- US Tech Solutions (Newark, NJ)
- …with all state regulations, federal regulations, internal policies, and internal procedures. HCC Risk Adjustment Coders will be involved with activities of code ... Summary: The Senior Professional Coder provides services to perform code abstraction using...the following programs; including but not limited to, Commercial Risk Adjustment , Medicare Advantage Risk … 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
- 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
- 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
- US Tech Solutions (Newark, NJ)
- … medical services, according to ICD-9/ICD-10 CM coding guidelines and risk adjustment model regulations. This position supports Annual Commercial (ACA) ... accountable for accurately reviewing, interpreting, auditing, coding and analyzing medical record documentation for diagnosis accuracy, correct documentation, and...and Medicare Advantage Risk Adjustment Data Validation Audits (RADV) along… more
- Insight Global (Campbell, CA)
- …https://insightglobal.com/workforce-privacy-policy/ . Skills and Requirements -5+ years of experience as a risk adjustment coder , CRC, or CMC -Must have ... Job Description As an HCC Medical Coder , your primary responsibilities will revolve around ensuring accurate and compliant coding practices. Youll need to… 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, ... from this role:** + Reviews notations, diagnosis, or procedure information in medical record to assign appropriate diagnosis and procedure codes, ensuring accuracy… more
- Firefly Health (Watertown, MA)
- …fee for service and capitated coding standards, and billing regulations + Perform risk adjustment coding to optimize reimbursement and accurately reflect patient ... Contract Position: We are looking for a Certified Professional Coder to join our team in a contract role...billing + Minimum of 1 years of experience in risk adjustment coding + Proficiency in ICD-10-CM,… more
- Insight Global (Tampa, FL)
- Job Description Insight Global is hiring HCC/ Risk Adjustment Medical coders (100% REMOTE) to support a backlog for inpatient and outpatient Medicare ... https://insightglobal.com/workforce-privacy-policy/ . Skills and Requirements Active CPC (Certified Professional Coder ) 4-5 years HCC/ Risk Adjustment Coding… more
- Sutter Health (Sacramento, CA)
- …+ HS Diploma or equivalent education/experience **CERTIFICATION & LICENSURE:** + CRC-Certified Risk Adjustment Coder OR CPC-Certified Professional Coder ... Office-Valley **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
- 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
- Centene Corporation (Columbia, SC)
- … 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 2+ years of experience in… more
- The Cigna Group (Bloomfield, CT)
- …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
- CVS Health (Hartford, CT)
- …- 2+ years of experience in the health care industry, Medicaid operations, risk adjustment , or medical coding and documentation preferred- Knowledge ... team player to lead a suite of market focused Risk Adjustment Programs for a portfolio of...on members, VBC providers, and providers that get embedded coder training. + Ensure SOPs and P&Ps are updated… more
- Trinity Health (Syracuse, NY)
- …and Medicaid Services (CMS). **SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:** + Certified Risk Adjustment Coder (CRC) required or Certified Professional ... **Employment Type:** Full time **Shift:** **Description:** ** Risk Adjustment Coding Specialist - CNY AIM (CIN), St. Joseph's Health - Full-time - Remote**… 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
