- MedKoder (Mandeville, LA)
- …(recent hands-on production). Must have at least 1 year of specialized experience in Medicare Risk Adjustment disciplines- such as HCC , CCC HEDIS + Auditing ... Position Location: 100% Remote Qualifications The Medical Coder provides coding and coding auditing services directly...medical record charts for the appropriate coding compliance + Coder is responsible for meeting daily production goal and… more
- The Cigna Group (Bloomfield, CT)
- …regulations and polices related to documentation and coding. + Knowledgeable of Medicare Risk Adjustment . + Proficiency with ICD-10-CM coding and guidelines. + ... Some type of coding certification, which may include Certified Professional Coder (CPC), Certified Coding Specialist for Providers (CCS-P), Certified Coding… more
- Insight Global (Tampa, FL)
- …Skills and Requirements Active CPC (Certified Professional Coder ) 4-5 years HCC / Risk Adjustment Coding experience Must have concurrent coding experience ... Job Description Insight Global is hiring HCC / Risk Adjustment Medical coders (100% REMOTE) to support a backlog for inpatient and outpatient Medicare… 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:** +...payor or healthcare coding position + with exposure to risk adjustment / HCC coding, or combination… more
- US Tech Solutions (Newark, NJ)
- …accordance with all state regulations, federal regulations, internal policies, and internal procedures. HCC Risk Adjustment Coders will be involved with ... Summary: The Senior Professional Coder provides services to perform code abstraction using...RADV ( Risk Adjustment Data Validation). HCC Risk Adjustment Coders are… more
- Apex Health Solutions (Houston, TX)
- SUMMARY: Risk Adjustment Coder is responsible for reviewing, abstracting, and coding inpatient and/or outpatient medical records to ensure proper ICD-10 ... in one of the following is required: * Certified Risk Adjustment Coder (CRC) *...Specialist (CCS) EXPERIENCE: * Minimum of three (3) years HCC experience performing retrospective risk adjustment… more
- Insight Global (Fort Myers, FL)
- Job Description Insight Global Health is seeking a dedicated risk adjustment coder for a health care client located in the Fort Myers, FL area to join their ... team. The risk adjustment coder will be...team. The risk adjustment coder will be responsible for: -Performing...in Physician/professional service coding . 3+ Experience with Medicare risk adjustment coding and HCC … more
- Point32Health (SC)
- …here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** Under the direction of the Risk Adjustment Supervisor/Manager, performs accurate and timely review and ... Commercial and Medicaid HCCs through medical record reviews. The Risk Adjustment Coding Specialist II reviews provider...Coding Specialist II will lead efforts to evaluate the HCC coding practices and provide analyses and recommendations to… more
- Point32Health (SC)
- …here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** Under the direction of the Risk Adjustment Supervisor/Manager, performs accurate and timely review and ... Medicare Advantage, Commercial and Medicaid HCCs through medical record reviews. The Risk Adjustment Coding Specialist I reviews provider documentation of… more
- Highmark Health (Columbus, OH)
- …degree **Substitutions** + None **Preferred** + None **EXPERIENCE** **Required** + 3 year's in HCC risk adjustment coding experience **Preferred** + 5 year's ... in HCC risk adjustment coding experience **LICENSES or CERTIFICATIONS**...CERTIFICATIONS** **Required** (any of the following) + Certified Professional Coder (CPC) + Certified Risk Coder… more
- Highmark Health (Columbus, OH)
- …anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits. Works closely with ... leadership to identify and deliver high quality and accurate risk adjustment coding. Supports all Remote Patient...CERTIFICATIONS** **Required** (any of the following) + Certified Professional Coder (CPC) + Certified Risk Coder… 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) ... providers and internal matrix partners of Cigna Medicare's programs specific to CMS Risk Adjustment and HCC Coding Processes. It will require expertise in… more
- The Cigna Group (Baltimore, MD)
- …least one of the below): + Certified Professional Coder (CPC) + Certified Risk Adjustment Coder (CRC) + Certified Coding Specialist for Providers (CCS-P) ... providers and internal matrix partners of Cigna Medicare's programs specific to CMS Risk Adjustment and HCC Coding Processes. It will require expertise in… more
- Robert Half Accountemps (Daly City, CA)
- …benchmarks and recover reimbursements. Other duties include conducting pre-appointment chart audits for HCC or risk adjustment , managing appeals for denied ... with coding guidelines and regulatory standards. Key Responsibilities: + Conduct pre-appointment HCC or risk adjustment chart reviews, coding audits,… more
- Banner Health (AZ)
- …coding experience required. Experience normally obtained with 2-3 year experience in CMS HCC Risk Adjustment payment methodology and coding and documentation ... and career here! In this **Inpatient Facility/HIMS Certified Medical CODER QUALITY ASSOCIATE -Remote** position, you bring your **3-5+...and evaluates trends in DRG (MS-DRG), APC, ACG, DCG, HCC and other Health Risk Adjusted Factors… more
- Sutter Health (Sacramento, CA)
- …+ HS Diploma or equivalent education/experience **CERTIFICATION & LICENSURE** + CRC-Certified Risk Adjustment Coder OR CPC-Certified Professional Coder ... of Quality Coding Program requirements such as the Medicare Advantage Coding Program/ HCC , as well as medical terminology and abbreviations of disease, illness and… more
- Intermountain Health (Murray, UT)
- …internal CRC training and competency evaluation no later than one year of hire + Certified Risk Adjustment Coder (CRC) through AAPC obtained within 1 year of ... **Job Description:** This Position is an entry-level role in Risk Adjustment and will learn to demonstrate general proficiency in the areas of Risk … more
- Centene Corporation (Columbia, SC)
- …medical coder 2+ years of experience in coding with knowledge of Medicare risk adjustment ( HCC Coding) Required Other experience in teaching, training or ... setting, or a Managed Care Organization as a medical coder is required. 1+ years of experience in medical...years of experience in coding with knowledge of Medicare risk adjustment ( HCC Coding) Required… more
- Atrius Health (Newton, MA)
- …before missing diagnoses are added. Acts as a mentor and role model to Risk Adjustment Specialist RNs assuring that they are practicing in accordance with ... record reviews to ensure that all documented chronic disease ( HCC or other risk model) diagnoses are...electronic medical record. Is an active member of the Risk Adjustment Team, participating in creating and… more
- Atrius Health (Newton, MA)
- …are captured in electronic medical record. Is an active member of the Risk Adjustment Team, participating in creating and implementing new initiatives for ... Atrius Health risk adjustment programs. EDUCATION/LICENSES/CERTIFICATIONS Graduate of a...State-approved program/school for Physician Assistants (PA). Certification as professional coder (CPC, CCS-P, CCS, CPC-H, CRC- risk , AAPC)… more