• Risk Adjustment Coder

    Apex Health Solutions (Houston, TX)
    …or 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… more
    Apex Health Solutions (03/13/24)
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  • Prospective Outpatient Risk

    Baystate Health (Springfield, MA)
    …including Excel + ICD-10 CM Coding Guidelines and Regulations **PREFERRED:** + Associate's Degree ; Certified Risk Adjustment Coder (CRC); Certified ... The Prospective Outpatient Risk Adjustment Coder supports...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 II

    Geisinger (Bloomsburg, PA)
    …(AAPC); Registered Health Information Technician (RHIT) - American Health Information Management Association; Certified Risk Adjustment Coder - American ... Experience Minimum of 3 years-Relevant experience* (Required) Certification(s) and License(s) Certified Professional Coder - American Academy of Professional… more
    Geisinger (05/18/24)
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  • Clinical Quality Coder II

    Sutter Health (Sacramento, CA)
    …**EDUCATION:** + HS Diploma or General Education Diploma (GED) **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) **TYPICAL EXPERIENCE:** + 1 year recent relevant experience. **SKILLS AND KNOWLEDGE:** + Advanced knowledge of ICD-10 diagnosis coding conventions and requirements,… more
    Sutter Health (04/03/24)
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  • Risk Adjustment Consultant TMIN

    Tufts Medicine (Burlington, MA)
    …and will provide provider education when necessary. **Job Description** **Minimum Qualifications:** 1. Certified Risk Adjustment Coder (CRC) **OR** ... care adult medicine experience. **Preferred Qualifications:** 1. Associate's degree. 2. Certified Risk Adjustment Coder (CRC) highly preferred. 3.… more
    Tufts Medicine (05/19/24)
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  • Risk Adjustment Provider Educator…

    The Cigna Group (Bloomfield, CT)
    …AAPC (at least one of the below): + Certified Professional Coder (CPC) + Certified Risk Adjustment Coder (CRC) + Certified Coding Specialist ... ** Risk Adjustment Provider Educator** **_Incumbent_** **_candidate must reside in assigned territory and have the ability to travel to the local office and… more
    The Cigna Group (05/13/24)
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  • Risk Adjustment Coding Specialist

    Trinity Health (Syracuse, NY)
    …Centers for Medicare and Medicaid Services (CMS). **SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:** + Certified Risk Adjustment Coder (CRC) required or ... Health's confidentiality requirements as they relate to patient information. **What a Certified Risk Adjustment Coding Specialist will do:** + Review and… more
    Trinity Health (05/03/24)
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  • Risk Adjustment Provider Service…

    BlueCross BlueShield of North Carolina (NC)
    …related field + Must have a Certified Professional Coder (CPC) or Certified Risk Adjustment Coder (CRC) certification **Salary Range** $55,800.00 ... 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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  • Remote HCC Coder

    Insight Global (Tampa, FL)
    …. Skills and Requirements Active CPC ( Certified Professional Coder ) 4-5 years HCC/ Risk Adjustment Coding experience ... Job Description Insight Global is hiring HCC/ Risk Adjustment Medical coders (100% REMOTE) to support a backlog for inpatient and outpatient Medicare advantage… more
    Insight Global (05/16/24)
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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 ... abstraction for the following programs; including but not limited to, Commercial Risk Adjustment , Medicare Advantage Risk Adjustment , Commercial IVA… more
    US Tech Solutions (05/10/24)
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  • Risk Adjustment Coder

    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 ... medical records and other clinical documentation to identify appropriate risk adjustment codes and quality gap closure...or AHIMA coding certified preferred. + CRC ( certified risk coder ) is required,… more
    ChenMed (04/24/24)
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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 ... year-round * Internal network of Medical Coding Industry Leaders - CEO is a Certified Coder with 20+ years of experience * Up to 100% EMPLOYER PAID Medical,… more
    MedKoder (04/18/24)
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  • Provider Education Lead Analyst - Hybrid- Memphis…

    The Cigna Group (Chattanooga, TN)
    …AAPC (at least one of the below): + Certified Professional Coder (CPC) + Certified Risk Adjustment Coder (CRC) + Certified Coding Specialist ... **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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  • Provider Education Senior Analyst- Hybrid- Cigna…

    The Cigna Group (Houston, TX)
    …AAPC (at least one of the below): + Certified Professional Coder (CPC) + Certified Risk Adjustment Coder (CRC) + Certified Coding Specialist ... 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 (05/09/24)
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  • Certified Risk Coder

    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 maintain… more
    Insight Global (05/08/24)
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  • Coding Quality Specialist

    St. Luke's Health System (Boise, ID)
    Certified Outpatient Coder ), CIC ( Certified Inpatient Coder ), CRC ( Certified Risk Adjustment Coder ), CAISS ( Certified Abbreviated ... Health Information Administrator), RHIT (Registered Health Information Technician), CCS ( Certified Coding Specialist), CPC ( Certified Professional Coder more
    St. Luke's Health System (04/30/24)
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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 ... the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical… more
    CVS Health (04/27/24)
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  • Coding Education Specialist -Careallies…

    The Cigna Group (Nashville, TN)
    …required (at least one of the below):** Certified Professional Coder (CPC) Certified Risk Adjustment Coder (CRC) Certified Coding Specialist ... inpatient / outpatient or medical office coding experience, preferably two years risk adjustment coding experience. + Extensive knowledge and adherence to… more
    The Cigna Group (05/15/24)
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  • Senior Manager, Health Care Quality Management

    CVS Health (Tallahassee, FL)
    … Professional Coder ) or CCS-P ( Certified Coding Specialist-Physician) and CRC ( Certified Risk Adjustment Coder ) required and maintain CEU's. ... 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 (05/16/24)
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  • Coding Compliance Manager (DDQ)

    Sutter Health (Sacramento, CA)
    …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 KNOWLEDGE:** * The position… more
    Sutter Health (03/21/24)
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