- Molina Healthcare (Dallas, TX)
- …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
- Evolent (Austin, TX)
- …healthcare administration, or a related field. + **Certification in medical coding (CRC- Certified Risk Adjustment Coder ) or demonstrated ability.** ... Be Doing:** **Manager, Coding Support Specialist** Evolent Care Partners is seeking a Risk Adjustment Coding Support Manager to be a core member of the Risk… more
- HCA Healthcare (Dallas, TX)
- … (CPC(R)) credential or Certified Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) EXPERIENCE: + Experience with ... EDUCATION: + Bachelor's Degree preferred. + Must be a Certified Coding Specialist (CCS), Certified Coding Specialist...Must be a Certified Coding Specialist (CCS), Certified Coding Specialist - Physician (CCS-P), RHIT (Registered Health… more
- Elevance Health (Houston, TX)
- …NP license in applicable state(s)** . **Preferred Skills, Capabilities and Experiences:** + **AAPC Certified Risk Adjustment Coder preferred.** + Expert ... and apply most appropriate diagnosis codes. + Overall accountability for the HCC/ Risk Adjustment of goals and workflows to support value capture initiatives and… more
- Datavant (Austin, TX)
- …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 (Austin, TX)
- …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 (Austin, TX)
- …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 (Austin, TX)
- …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
- Humana (Austin, TX)
- …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