- Corewell Health (Grand Rapids, MI)
- …and/or Certification in area of specialty - UNKNOWN Unknown CRC, AAPC Certified Risk Adjustment Coder preferred Physical Demands + Pallet to Waist (6" from ... Job Summary The Director Risk Adjustment Prospective Operations & Risk Mitigation is the...finance, accounting or business management or related field. + Preferred Master's Degree in a related field of study.… more
- Redeemer Health Home Care & Hospice (Huntingdon Valley, PA)
- …experience + AAPC or AHIMA Certification (CPC, CRC, CCS) REQUIRED + Certified Risk Adjustment Coder - PREFERRED Knowledge + Knowledgeable of medical and clinical ... We invite you to apply today. SUMMARY OF JOB The Certified Risk Adjustment Coding/Audit Reviewer is a physician facing position and must have extensive knowledge… more
- Tufts Medicine (Burlington, MA)
- …Coder (CPC). 2. Two (2) years of outpatient billing, coding, and risk adjustment experience, . ** Preferred Qualifications:** 1. Associate's degree. 2. Certified ... **Job Overview** Under the director of the Director, Risk Adjustment Operations, performs accurate and timely reviews and validations...Risk Adjustment Coder (CRC) highly preferred . 3. Two (2) years of outpatient billing, coding,… more
- Datavant (Olympia, WA)
- …mindset and a focus on continuous improvement. + Familiarity with CMS HCC risk adjustment processes preferred \#LI-BC1 We are committed to building a diverse ... in Business, Operations Management, or a related field; MBA or equivalent advanced degree preferred . + At least 8 to 10 years of experience in healthcare technology… more
- Centene Corporation (Tallahassee, FL)
- … adjustment and/or compliance required + Previous experience in risk adjustment oversight and/or coding planning preferred + Demonstrated understanding of ... risk adjustment regulatory landscape preferred + Risk Adjustment regulatory audit experience preferred + Medicare experience preferred Pay Range:… more
- Molina Healthcare (Orlando, FL)
- … management activities and clinical informatics + Experience with Risk Adjustment Data Validation ** Preferred License, Certification, Association** + Certified ... training and education to network of providers on how to improve their risk adjustment knowledge as well as provide coding updates related to Risk Adjustment … more
- CDPHP (Latham, NY)
- …CPC certification within one year of employment is required. + CRC (Certified Risk Adjustment Coder) credential preferred . + Minimum one (1) year of experience ... to be a part of that experience. The Risk Adjustment Coding Specialist will be responsible for the chart...+ High school diploma or GED required. Associates degree preferred . + CCS/CCS-P (Certified Coding Specialist) or CPC/CPC-A (Certified… more
- Commonwealth Care Alliance (Boston, MA)
- …including claims, encounters, diagnoses, and provider data. + Familiarity with CMS risk adjustment methodologies and HCC coding preferred . + Experience with data ... of Encounter Data Management within the Revenue Cycle Department, the Risk Adjustment Data Developer is responsible for the design, development, and maintenance of… more
- Hartford HealthCare (Hartford, CT)
- …strongly desired. * Experience with the nuances of diagnosis coding and risk adjustment programs preferred * Progressively responsible role with leadership * ... - Physician (CCS-P) or Certified Coding Specialist (CCS) Certified Risk Adjustment Coder (CRC) preferred (required within 6 months of hire) _We take great care… more
- AdventHealth (Altamonte Springs, FL)
- …+ 3 years of experience in HCC coding + CPC (Certified Professional Coder) ** Preferred qualifications:** + Prior risk adjustment and medical record review. + ... **Risk Adjustment Coding Specialist** **AdventHealth** **PHSO Resources** **All the...**Location:** Remote **The role you'll contribute:** The Medicare Risk Adjustment Coding Specialist coordinates and supports retrospective and concurrent… more