- Datavant (Atlanta, GA)
- …for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to ... Reviews rebuttals submitted by coders. Provides education to the coder if the error is correct or sends the...experience a plus + A strong knowledge base of medical terminology, medical abbreviations, pharmacology and disease… 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...the GenAI ( CODER ) tool to improve the medical coder experience. + Oversees coding operations… more
- Humana (Salt Lake City, UT)
- …to adapt quickly to change **Preferred Qualifications** + Bachelor's Degree + Certified Risk Adjustment Coder (CRC) + Certified Documentation Expert ... improvement opportunities and give guidance around operational and clinical best practices in the risk adjustment methodology. This role reports to the Risk … more
- Molina Healthcare (MI)
- …Quality (CPHQ) * Nursing License (RN may be preferred for specific roles) * Certified Risk Adjustment Coder (CRC) To all current Molina employees: If you ... Molina Plan Senior Leadership Team, including the Plan President, Chief Medical Officer, national Risk Adjustment teams and strategic teams about key… more
- Bluestone Physician Services (Stillwater, MN)
- …+ Bachelor's degree in Health Information Management, Nursing, or related field. + Certified Risk Adjustment Coder (CRC) certification, Risk ... thorough patient chart reviews to identify opportunities for providers to capture risk adjustment diagnostic codes accurately. The successful candidate will play… more
- Humana (Fort Lauderdale, FL)
- …AAPC CPC (Certified Professional Coder ) Certification + 4 or more years of medical coding experience + Risk Adjustment knowledge + Proficiency with data ... sets **Preferred Qualifications** + Bachelor's Degree + CRC -Certified Risk Adjustment Coder + Experience...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
- Mayo Clinic (Rochester, MN)
- …AHIMA certification OR Certified Inpatient Coder (CIC) AAPC certification Certified Risk Adjustment Coder (CRC) AAPC certification **Exemption Status** ... CDI!** Join our team to train providers on documentation best practices and risk adjustment , deliver tailored education, and develop engaging content across Mayo… more
- CVS Health (Tallahassee, FL)
- …(Certified Professional Coder ) or CCS-P (Certified Coding Specialist-Physician). + CRC (Certified Risk Adjustment Coder ) must be able to obtain within 1 ... Summary** Responsible for performing quality inter-rater review audits of medical records coded by internal team (CDQA and Sr...Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and… more
- Blue KC (Kansas City, MO)
- … medical groups. + Analyze data and monitor provider metrics to identify risk adjustment , HEDIS or educational opportunities for the Medicare Advantage and ... business. + Develop educational tools for network providers regarding risk adjustment and HEDIS documentation and coding...at least five years coding experience + Obtain Certified Risk Coder (CRC) within 1 year of… more
- CVS Health (Austin, TX)
- … Coder ) or CCS-P (Certified Coding Specialist-Physician) required. + CRC (Certified Risk Adjustment Coder ) + Computer proficiency including experience ... the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical… more