- Molina Healthcare (Miami, FL)
- …with Risk Adjustment Data Validation **Preferred License, Certification, Association** + Certified Risk Adjustment Coder - (CRC) + Certified ... to network of providers on how to improve their risk adjustment knowledge as well as provide...of education and experience **Required License, Certification, Association** + Certified Professional Coder (CPC) + Certified… more
- CVS Health (Tallahassee, FL)
- … Professional Coder ) **or** CCS-P ( Certified Coding Specialist-Physician) and CRC ( Certified Risk Adjustment Coder ) required. + CPMA ( ... Professional Coder ) or CCS-P ( Certified Coding Specialist-Physician) and CRC ( Certified Risk Adjustment Coder ) required. + CPMA ( Certified … more
- Datavant (Tallahassee, FL)
- …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and...**What you will bring to the table:** + AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified… more
- Datavant (Tallahassee, FL)
- …of the coding team. + Reviews rebuttals submitted by coders. Provides education to the coder if the error is correct or sends the rebuttal through the process if ... they agree the coder 's initial coding was correct. + Answers coding questions...**What you will bring to the table:** + AHIMA certified credentials (CCS, CCS-P) or AAPC certified … more
- Datavant (Tallahassee, FL)
- …and life experiences to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder , you will review medical records to identify and ... standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will...+ High school diploma or GED equivalent + AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified… more
- CVS Health (Tallahassee, FL)
- …the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical ... equal to approximately 1-2 years for CPC. + CPC ( Certified Professional Coder ) or CCS-P ( Certified...codes. + Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories… more
- AdventHealth (Altamonte Springs, FL)
- …to support Hierarchical Conditions Categories (HCC), ICD-10, medical necessity, and the appropriate Risk Adjustment Factor. Working with the Quality Team is not ... the quality of clinical documentation, use of HCCs and Risk Adjustment of patients. **The expertise and...management, and treatment + Knowledge of value-based care + Certified Coder -AHIMA or AAPC or Certified… more
- Humana (Tallahassee, FL)
- …Degree + Previous experience in Medicare Advantage or Value-Based Care + AAPC CRC ( Certified Risk Adjustment ) Certification + AAPC CDEO ( Certified ... + High school diploma or equivalent + Must hold AAPC CPC ( Certified Professional Coder ) certification + 2 years or more experience with ICD-10 CM guidelines… more
- CVS Health (Tallahassee, FL)
- …+ Knowledge of HEDIS and Pay for Performance metrics, ICD-10 coding, Medicaid risk adjustment methodology, and common billing and common billing practices + ... and peers across the organization **Preferred Qualifications** + RHI, RHIT, CRC, or CPC certified Coder or auditor (CMAS) or + RN or LPN or LISW or + Three… more