• Cambia Health Solutions, Inc (Renton, WA)
    Medical Coder - Risk Adjustment ( Risk Adjustment Auditor II)Work from home within Oregon, Washington, Idaho or Utah Build a career with purpose. Join ... this role may be the perfect fit. What You Bring to Cambia: Qualifications: Medical Coder - Risk Adjustment ( Risk Adjustment Auditor II) would have… more
    JobGet (06/09/24)
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  • Risk Adjustment Coder

    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 ... A certification in one of the following is required: * Certified Risk Adjustment Coder (CRC) * Certified Professional Coder (CPC)… more
    Apex Health Solutions (03/13/24)
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  • Outpatient Risk Adjustment

    Baystate Health (Springfield, MA)
    The Prospective Outpatient Risk Adjustment Coder supports risk adjustment optimization activities that improve value-based care and population health ... as an MA or LPN in an outpatient setting. **Position** + Prospective Outpatient Risk Adjustment Coder **SCHEDULE:** + Monday - Friday + No weekends no… more
    Baystate Health (05/08/24)
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  • Risk Adjustment Coder

    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 responsible for: -Performing medical record audits to ensure compliance with all applicable federal, state and local… more
    Insight Global (05/31/24)
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  • Risk Adjustment Coder

    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
    US Tech Solutions (05/10/24)
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  • Risk Adjustment Coder II

    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 II reviews provider documentation of… more
    Point32Health (05/31/24)
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  • Risk Adjustment Coder I

    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
    Point32Health (05/31/24)
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  • HCC Risk Adjustment Coder

    MedKoder (Mandeville, LA)
    …hands-on production). Must have at least 1 year of specialized experience in Medicare Risk Adjustment disciplines- such as HCC, CCC HEDIS + Auditing experience a ... 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
    MedKoder (04/18/24)
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  • Risk Adjustment HCC Coder

    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
    The Cigna Group (06/07/24)
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  • Coder IV (health information coding - AHIMA…

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

    Vatica Health (Atlanta, GA)
    …clinical experience as a Registered Nurse (RN) + Prefer incumbent to have Certified Risk Adjustment Coder (CRC) Certification + Bachelor's Degree or ... people to join our diverse team. The RN Clinical Coder -Nurse Auditor will independently review cases, ensuring accurate ICD-10-CM...They will stay abreast of current changes to the Risk Adjustment field and continue education to… more
    Vatica Health (06/08/24)
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  • Coder 3 MMG

    Methodist Health System (Dallas, TX)
    …**Days Of Week :** 8-4:30 **Work Shift :** **Job Description :** Your Job: The Risk Adjustment Coder works in a collaborative effort directly with physicians ... medical records and other clinical documentation to identify appropriate risk adjustment codes and quality gap closure...AAPC or AHIMA coding certified preferred. * CRC (certified risk coder ) is required, or minimum of… more
    Methodist Health System (06/05/24)
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  • Clinical Quality Coder II

    Sutter Health (Sacramento, CA)
    …+ 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 conventions and requirements,… more
    Sutter Health (06/07/24)
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  • Risk Adjustment Provider Service…

    BlueCross BlueShield of North Carolina (NC)
    …field + Must have a Certified Professional Coder (CPC) or Certified Risk Adjustment Coder (CRC) certification **Salary Range** $55,800.00 - $89,300.00 ... facing role. Evaluates and monitors provider performance to achieve excellence in risk adjustment coding. Participates in regular provider meetings and/or calls… more
    BlueCross BlueShield of North Carolina (04/27/24)
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  • HCC Coding Provider Education Senior Analyst-…

    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) ... Summary:** This role is responsible for supporting Cigna Medicare Advantage's Risk Adjustment & Stars program for assigned populations in an operational market.… more
    The Cigna Group (05/29/24)
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  • Provider Education Lead Analyst - Hybrid- Memphis…

    The Cigna Group (Chattanooga, TN)
    …least one of the below): + Certified Professional Coder (CPC) + Certified Risk Adjustment Coder (CRC) + Certified Coding Specialist for Providers (CCS-P) ... **Job Summary:** This role is responsible for supporting Cigna Medicare Advantage's Risk Adjustment program for assigned populations in an operational market.… more
    The Cigna Group (05/09/24)
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  • Coding Education Specialist - Careallies…

    The Cigna Group (Philadelphia, PA)
    …(at least one of the below):** Certified Professional Coder (CPC) Certified Risk Adjustment Coder (CRC) Certified Coding Specialist for Providers (CCS-P) ... inpatient / outpatient or medical office coding experience, preferably two years risk adjustment coding experience. + Extensive knowledge and adherence to… more
    The Cigna Group (05/31/24)
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  • Analyst, Coding Data Quality Auditor

    CVS Health (Jefferson City, MO)
    …Professional Coder ) or CCS-P (Certified Coding Specialist-Physician) and CRC (Certified Risk Adjustment Coder ) required Preferred Qualifications + CPMA ... for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in… more
    CVS Health (05/25/24)
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  • Coding Data Quality Auditor

    CVS Health (Tallahassee, FL)
    …(Certified Professional Coder ) or CCS-P (Certified Coding Specialist-Physician).) ( CRC (Certified Risk Adjustment Coder must be able to obtain within 1 ... for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in… more
    CVS Health (04/27/24)
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