- Datavant (Albany, NY)
- …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
- Ankura (New York, NY)
- …as knowledge of Risk Adjustment coding requirements preferably with a Risk Adjustment Coder certification. For individuals assigned and/or hired to ... investigations, and/or litigation/dispute matters generally focused on Medicare and Commercial Risk Adjustment . The Senior Director will also support practice… more
- Trinity Health (Albany, NY)
- …and Medicaid Services (CMS). **SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:** **. Certified Risk Adjustment Coder (CRC) required** . Excellent verbal ... **Employment Type:** Full time **Shift:** Day Shift **Description:** Risk Adjustment Coding Specialist -St. Peter's Health Partners - Full-time - Remote… more
- Datavant (Albany, NY)
- …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 (Albany, NY)
- …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
- Datavant (Albany, NY)
- …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 (Albany, NY)
- …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
- Datavant (Albany, NY)
- …The individual will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be responsible for ... compliance and accuracy + Monitor the performance of the Risk Adjustment Operations both internally and with...of study preferred or 3-5 years related work experience coder with a minimum of 5 year's coding experience… more
- WMCHealth (Valhalla, NY)
- …Applicant link Job Details: Job Summary: Serves as an internal expert on Risk Adjustment and Hierarchical Conditions Categories (HCC) coding. Specific duties ... setting with one or more of the following credentials: Certified Risk Coder (CRC), Certified Professional Coder certification (CPC), Certified Professional… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …addition, the quality team supports the goals, objectives, and direction of the Risk Adjustment Department. Essential Accountabilities: Level I + Assists in the ... internally. + Supports and implements initiatives to support the Risk Adjustment & HEDIS Strategic Goals and...with current New York State License or Certified Professional Coder certification required. + Bachelor's degree in relevant field… more