- Atrium Health (Charlotte, NC)
- …This leaders will be a key subject matter expert for clinical documentation and risk adjustment coding within the enterprise. This position focuses on ... This clinical position uses clinical/nursing knowledge and understanding of national coding guidelines and standards of compliance to improve overall quality and… more
- AdventHealth (Altamonte Springs, FL)
- ** Coding Specialist Risk Adjustment ** **All the benefits and perks you need for you and your family:** . Benefits from Day One . Career Development . ... **Job Location** : Virtual **The role you'll contribute:** The Medicare Risk Adjustment Coding Specialist coordinates and supports retrospective… more
- Point32Health (SC)
- …validation of Medicare Advantage, Commercial and Medicaid HCCs through medical record reviews. The Risk Adjustment Coding Specialist II reviews provider ... and recommendations to improve overall provider documentation and coding . The Risk Adjustment Coding Specialist II will review medical records to… more
- Point32Health (SC)
- …validation of Medicare Advantage, Commercial and Medicaid HCCs through medical record reviews. The Risk Adjustment Coding Specialist I reviews provider ... improvements in provider documentation and coding based on audit findings. The Risk Adjustment Coding Specialist I will review medical records to… more
- The Cigna Group (Bloomfield, CT)
- …(CPC) + Certified Risk Adjustment Coder (CRC) + Certified Coding Specialist for Providers (CCS-P) + Registered Health Information Management Technician ... or medical office coding experience, preferably two (2) years risk adjustment coding experience. + Excellent written and verbal communication skills.… more
- The Cigna Group (Philadelphia, PA)
- …least one of the below):** Certified Professional Coder (CPC) Certified Risk Adjustment Coder (CRC) Certified Coding Specialist for Providers (CCS-P) ... Must reside in Philadelphia** Job Description: Coding Education Specialist (AHIMA or AAPC...medical office coding experience, preferably two years risk adjustment coding experience. +… more
- The Cigna Group (Bloomfield, CT)
- …(CPC) + Certified Risk Adjustment Coder (CRC) + Certified Coding Specialist for Providers (CCS-P) + Registered Health Information Management Technician ... or medical office coding experience, preferably two (2) years risk adjustment coding experience. + Excellent written and verbal communication skills.… more
- The Cigna Group (Baltimore, MD)
- …(CPC) + Certified Risk Adjustment Coder (CRC) + Certified Coding Specialist for Providers (CCS-P) + Registered Health Information Management Technician ... (RHIT) + 5+ years of risk adjustment coding experience, 3+ national Medicare Advantage health plan experience preferred. + Must be a strong public speaker… more
- Centene Corporation (Carson City, NV)
- …for understanding the intricacies of the ICD-9 coding guidelines and its application to risk adjustment coding ; + An important function of the S-MCS is ... the daily operations and work flow of the Medical Coding Specialist (MCS) Team; + The S-MCS...provides ongoing training and continuing education to the Medical Coding Specialists regarding risk adjustment ,… more
- US Tech Solutions (Newark, NJ)
- …to regulatory agencies and key stakeholders * Evaluate and improve the effectiveness of risk adjustment coding programs, policies & procedures and work flow ... As a Subject Matter Expert, this person will support risk adjustment coding initiatives to...the American Academy of Professional Coders or a Certified Coding Specialist , P from the American… more
- Baystate Health (Springfield, MA)
- …(CDEO); CMA or LPN + EHR (Cerner preferred) + Prospective coding or risk adjustment coding ; clinical experience in outpatient medical practice. **THE ... conditions are listed in medical record before provider visits and uses ICD-10 CM coding guidelines and risk adjustment model regulations to identify missed… more
- Highmark Health (Columbus, OH)
- …as quality and compliance), and/or physicians to identify and deliver high quality and accurate risk adjustment coding . Supports all risk adjustment ... Supports other key objectives to drive capture of accurate risk adjustment coding including documentation...+ Certified Risk Coder (CRC) + Certified Coding Specialist (CCS) + Registered Health Information… more
- Apex Health Solutions (Houston, TX)
- …and coding inpatient and/or outpatient medical records to ensure proper ICD-10 coding and compliance with risk adjustment requirements. Reports to: AVP, ... SUMMARY: Risk Adjustment Coder is responsible for... Risk Adjustment Coder is responsible for reviewing, abstracting,...Coder (CRC) * Certified Professional Coder (CPC) * Certified Coding Specialist (CCS) EXPERIENCE: * Minimum of… more
- Highmark Health (Albany, NY)
- …partners at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding . Supports all Remote Patient Monitoring (RPM) ... Supports other key objectives to drive capture of correct Risk Adjustment coding including documentation...+ Certified Risk Coder (CRC) + Certified Coding Specialist (CCS) + Registered Health Information… more
- Centene Corporation (FL)
- …the most current International Classification of Diseases, Revision (ICD-10) for CMS risk adjustment purposes. + Codes, abstracts and analyzes inpatient and/or ... a complete understanding of these guidelines. + Follows CMS risk adjustment guidelines and has a complete...is required: Required Certified Professional Coder (CPC): Preferred Certified Coding Specialist (CCS): Pay Range: $22.36 -… more
- St. Luke's Health System (Boise, ID)
- …Outpatient Coder), CIC (Certified Inpatient Coder), CRC (Certified Risk Adjustment Coder), CAISS (Certified Abbreviated Injury Scale Specialist ), CSTR ... Information Administrator), RHIT (Registered Health Information Technician), CCS (Certified Coding Specialist ), CPC (Certified Professional Coder), COC… more
- Emanate Health (Covina, CA)
- …oversight of HCC Program and STAR measures coding related functions. The HCC coding specialist will work with the IPA Director, Health Plan, and MSO ... STAR measures related tasks. Responsible to ensure the IPA risk adjustment factor maintains or exceeds 1.0...achieves or improves upon 4.0 STAR rating. The HCC coding specialist is responsible for education to… more
- Corewell Health (Grand Rapids, MI)
- …experience Required. + Certifications, one from below required upon hire + CRT- Coding Specialist (CCS) - AHIMA American Health Information Management Association ... Coding Dept Only + CRT-Professional Coder - AAPC American...Wealthy St SE - Grand Rapids Department Name CDI Risk Adjustment Employment Type Full time Shift… more
- Grace Hospital (Morganton, NC)
- …(American Academy of Professional Coders) Certified Professional Coder (CPC) required, Certified Risk Adjustment Coder (CRC) certification a plus. + Competitive ... valued." THE POSITION We are seeking a detail-oriented and highly analytical Coding and Auditing Specialist to join our dynamic team. In this role, you will be… more
- CVS Health (Jefferson City, MO)
- …required. + CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist -Physician) and CRC (Certified Risk Adjustment Coder) required ... Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and...proficiency in the following: + Proven ability to support coding judgment and decisions using industry standard evidence and… more
