- 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...on client specific guidelines for the project. + The coder will ensure compliance with established ICD-10 CM, third… 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 ... using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical… more
- Molina Healthcare (Jacksonville, FL)
- …Quality (CPHQ) * Nursing License (RN may be preferred for specific roles) * Certified Risk Adjustment Coder (CRC) To all current Molina employees: If you ... **Job Description** **Job Summary** The Director, Clinical Data Acquisition for Risk Adjustment , is responsible for the implementation, monitoring, and oversight… more
- CVS Health (Tallahassee, FL)
- …CPC (Certified Professional Coder ) or CCS-P (Certified Coding Specialist-Physician).) (CRC (Certified Risk Adjustment Coder must be able to obtain within ... for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in… more
- HCA Healthcare (Fort Lauderdale, FL)
- …(CPC(R)) credential or Certified Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) EXPERIENCE: + Experience with Cerner ... and eClinicalWorks (eCW) is strongly preferred. + Minimum 7 years professional fee coding and revenue cycle operations experience strongly preferred. + Minimum 5 years health care management/leadership experience required. + Experience leading large… more
- CenterWell (Tallahassee, FL)
- …of experience as a certified medical coder + Experience with Medicare Risk Adjustment coding **Additional Information** + Remote Role + Standard working ... of our caring community and help us put health first** The Medical Coder is responsible for extracting clinical information from medical records and assigning… more
- Insight Global (Tampa, FL)
- Job Description Insight Global is hiring HCC/ Risk Adjustment Medical coders to support a backlog for inpatient and outpatient Medicare advantage projects . Must ... certification (CPC) through AAPC or AHIMA, or a CCS. Will be coding more risk adjustment vs profee. Most of the markets are strictly risk adjustment… 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...Team and Training Team. + Tracks audits completed per coder to ensure coders are receiving timely feedback. Assists… more
- Wolters Kluwer (Tallahassee, FL)
- …Data | Health Language | Wolters Kluwer (https://www.wolterskluwer.com/en/solutions/health-language)** ** Coder Workbench Solution:** ** Risk Adjustment ... the Eastern or Central time zone, have a solid understanding of risk adjustment in the Healthcare Technology space, experience with Payer, Provider, and Vendor,… more
- CenterWell (Tallahassee, FL)
- …interrelate across the function or segment. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible for driving ongoing ... Responsible for performance management and strategy development for PCO risk adjustment at the division and market...Leader to identify and influence enhancements to the GenAI ( CODER ) tool to improve the medical coder … more