• Coder 3 MMG

    Methodist Health System (Dallas, TX)
    …* Coding Certificate required. AAPC or AHIMA coding certified preferred. * CRC ( certified risk coder ) is required, or minimum of 3-5 years' experience ... :** 8-4:30 **Work Shift :** **Job Description :** Your Job: The Risk Adjustment Coder works in a collaborative effort directly with physicians and their office… more
    Methodist Health System (06/05/24)
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  • Risk Adjustment Coder

    Apex Health Solutions (Houston, TX)
    …GED Required LICENSES/CERTIFICATIONS: A certification in one of the following is required: * Certified Risk Adjustment Coder (CRC) * Certified ... SUMMARY: Risk Adjustment Coder is responsible for reviewing, abstracting, and coding inpatient and/or outpatient medical records to ensure proper ICD-10 coding… more
    Apex Health Solutions (03/13/24)
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  • Outpatient Risk Adjustment Coder

    Baystate Health (Springfield, MA)
    …Excel + ICD-10 CM Coding Guidelines and Regulations **PREFERRED:** + Associate's Degree ; Certified Risk Adjustment Coder (CRC); Certified Documentation ... The Prospective Outpatient Risk Adjustment Coder supports risk...years of service Free money coach advice from a certified professional Wellbeing programs that include but are not… more
    Baystate Health (05/08/24)
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  • Coder IV (health information coding - AHIMA…

    Geisinger (Danville, PA)
    …with experience. #LI-REMOTE Position Details Minimum one of the following certifications required: Certified Risk Adjustment Coder - American Academy of ... Health Information Technician (RHIT) - American Health Information Management Association; Certified Risk Adjustment Coder - American Academy of Professional… more
    Geisinger (06/06/24)
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  • Coder Senior (health information coding…

    Geisinger (Danville, PA)
    …commensurate with experience. Position Details Minimum one of the following certifications required: Certified Risk Adjustment Coder - American Academy of ... (Required) Experience Minimum of 7 years-Relevant experience* (Required) Certification(s) and License(s) Certified Risk Adjustment Coder - American Academy… more
    Geisinger (06/06/24)
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  • RN Clinical Coder -Nurse Auditor (Remote)

    Vatica Health (Atlanta, GA)
    …years of clinical experience as a Registered Nurse (RN) + Prefer incumbent to have Certified Risk Adjustment Coder (CRC) Certification + Bachelor's Degree or ... looking for great people to join our diverse team. The RN Clinical Coder -Nurse Auditor will independently review cases, ensuring accurate ICD-10-CM risk adjusted… more
    Vatica Health (06/08/24)
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  • Clinical Quality Coder II

    Sutter Health (Sacramento, CA)
    …or diploma._ + HS Diploma or equivalent education/experience **CERTIFICATION & LICENSURE** + CRC- Certified Risk Adjustment Coder OR CPC- Certified ... Professional Coder OR AHMA OR AAPC Coding Certification (CCS-P, CPC, COC or CPC-P) **PREFERRED EXPERIENCE AS TYPICALLY ACQUIRED IN:** + 1 year professional coding experience **SKILLS AND KNOWLEDGE** + Advanced knowledge of ICD-10 diagnosis coding… more
    Sutter Health (06/07/24)
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  • Risk Adjustment Provider Service Advisor…

    BlueCross BlueShield of North Carolina (NC)
    …3+ years of experience in related field + Must have a Certified Professional Coder (CPC) or Certified Risk Adjustment Coder (CRC) certification ... facing role. Evaluates and monitors provider performance to achieve excellence in risk adjustment coding. Participates in regular provider meetings and/or calls with… more
    BlueCross BlueShield of North Carolina (04/27/24)
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  • Retrospective Program Manager, Medicaid…

    CVS Health (Hartford, CT)
    …+ 2+ years in Medicaid or Risk Adjustment health care industry experience. + Certified Risk Adjusted Coder (CRC) or Certified Professional Coder ... We have an outstanding opportunity for an enthusiastic team player to manage Risk Adjustment National Programs for the Aetna Better Health Medicaid Plans. Reporting… more
    CVS Health (05/09/24)
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  • Senior Hierarchical Condition Category (HCC)…

    Highmark Health (Columbus, OH)
    …**Required** (any of the following) + Certified Professional Coder (CPC) + Certified Risk Coder (CRC) + Certified Coding Specialist (CCS) + ... will deliver value to the Health Plan and its beneficiaries enrolled in risk -adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act… more
    Highmark Health (05/31/24)
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  • Coding Quality Specialist

    St. Luke's Health System (Boise, ID)
    Coder ), COC ( Certified Outpatient Coder ), CIC ( Certified Inpatient Coder ), CRC ( Certified Risk Adjustment Coder ), CAISS ( Certified ... Abbreviated Injury Scale Specialist), CSTR ( Certified Specialist in Trauma Registries). **What's in it for You:** At St. Luke's, caring for people in the communities we serve is our mission - and this includes our own SLHS team. We offer a robust benefits… more
    St. Luke's Health System (05/21/24)
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  • Hierarchical Condition Category (HCC) Coding…

    Highmark Health (Columbus, OH)
    …**Required** (any of the following) + Certified Professional Coder (CPC) + Certified Risk Coder (CRC) + Certified Coding Specialist (CCS) + ... will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act… more
    Highmark Health (06/08/24)
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  • Remote HCC Coder

    Insight Global (Tampa, FL)
    …Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ . Skills and Requirements Active CPC ( Certified Professional Coder ) 4-5 years HCC/ Risk ... Job Description Insight Global is hiring HCC/ Risk Adjustment Medical coders (100% REMOTE) to support...(CPC) through AAPC or AHIMA. Will be coding more risk adjustment vs profee. Most of the markets are… more
    Insight Global (06/04/24)
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  • Compliance Auditing Specialist

    WMCHealth (Valhalla, NY)
    …to HCC coding in the ambulatory setting with one or more of the following credentials: Certified Risk Coder (CRC), Certified Professional Coder ... link Job Details: Job Summary: Serves as an internal expert on Risk Adjustment and Hierarchical Conditions Categories (HCC) coding. Specific duties include… more
    WMCHealth (06/08/24)
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  • Coding Compliance Manager (DDQ)

    Sutter Health (Sacramento, CA)
    …**CERTIFICATION & LICENSURE:** CCS- Certified Coding Specialist OR CPC- Certified Professional Coder OR CRC- Certified Risk Adjustment Coder OR ... CCDS- Certified Clinical Documentation Specialist OR CIC- Certified Inpatient Coder **TYPICAL EXPERIENCE:** 10 years recent relevant experience **SKILLS AND… more
    Sutter Health (03/21/24)
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  • Division Coding Consultant WFH

    HCA Healthcare (Nashville, TN)
    …Coders) Certified Professional Coder (CPC(R)) or Certified Outpatient Coder (COC(R)). AAPC's Certified Risk Adjustment Coder (CRC(R)) as ... with coding, third-party reimbursement, and billing systems required. + Experience in risk adjustment coding required. + Thorough knowledge of coding practices and… more
    HCA Healthcare (05/29/24)
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  • Regional Coding Operations Manager WFH

    HCA Healthcare (Tampa, FL)
    …credential or Certified Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) EXPERIENCE: + Experience with Cerner ... EDUCATION: + Bachelor's Degree preferred. + Must be a Certified Coding Specialist (CCS), Certified Coding Specialist...Must be a Certified Coding Specialist (CCS), Certified Coding Specialist - Physician (CCS-P), RHIT (Registered Health… more
    HCA Healthcare (05/31/24)
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  • HCC Coding Provider Education Senior Analyst-…

    The Cigna Group (Bloomfield, CT)
    …required through AHIMA or AAPC (at least one of the below): + Certified Professional Coder (CPC) + Certified Risk Adjustment Coder (CRC) + ... **Job Summary:** This role is responsible for supporting Cigna Medicare Advantage's Risk Adjustment & Stars program for assigned populations in an operational… more
    The Cigna Group (05/29/24)
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  • Provider Education Lead Analyst - Hybrid- Memphis…

    The Cigna Group (Chattanooga, TN)
    …required through AHIMA or AAPC (at least one of the below): + Certified Professional Coder (CPC) + Certified Risk Adjustment Coder (CRC) + ... **Job Summary:** This role is responsible for supporting Cigna Medicare Advantage's Risk Adjustment program for assigned populations in an operational market. The… more
    The Cigna Group (05/09/24)
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  • Analyst, Coding Data Quality Auditor

    CVS Health (Jefferson City, MO)
    Coder ) or CCS-P ( Certified Coding Specialist-Physician) and CRC ( Certified Risk Adjustment Coder ) required Preferred Qualifications + CPMA ... Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by...( Certified Professional Medical Auditor), CDEO ( Certified Documentation Expert Outpatient) or CPC-I ( Certified more
    CVS Health (05/25/24)
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