- Wolters Kluwer (Austin, TX)
- …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
- Trinity Health (Livonia, MI)
- …in clinical documentation integrity, coding, healthcare quality or equivalent + Certified Risk Adjustment Coder (CRC), Certified Clinical Documentation ... Integrity (CDI), Certified Clinical Documentation Specialist - Outpatient (CCDS-O), Certified Documentation Expert Outpatient (CDEO), or Certified Documentation Integrity Practitioner (CDIP) credential with coding or clinical documentation integrity experience… more
- University of Washington (Seattle, WA)
- …System (HCPCS) codes in Epic work queues (WQ) and/or Hierarchical Condition Category (HCC)/ Risk Adjustment Factor (RAF) and/or Care Gap review to ensure optimal ... outstanding opportunity for a **Coding Specialist 1 - Edits Coder ** **WORK SCHEDULE** + 100% FTE + Mondays -...- Fridays + 100% Remote **POSITION HIGHLIGHTS** The Edits Coder position reports to the Outpatient Coding Supervisor within… more
- CenterWell (Tallahassee, FL)
- …of experience as a certified medical coder + Experience with Medicare Risk Adjustment coding **Additional Information** + Remote Role + Standard working ... community and help us put health first** The Medical Coder extracts clinical information from a variety of medical...codes (eg, ICD-10-CM, CPT) to patient records. The Medical Coder assumes ownership and leads advanced and highly specialized… more
- WMCHealth (Valhalla, NY)
- …a large multispecialty practice setting, including surgical speacialties is required. HCC Risk adjustment Coding esperience is preferred. Education: High school ... Network Practice Coder /Auditor Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support Department: Health Info… more
- Henry Ford Health System (Troy, MI)
- …billing and third-party payer regulations. + Knowledge of CMS programs, processes, risk adjustment payment methodology, and payment principles. + Knowledge of ... to achieve desired results. CERTIFICATIONS/LICENSURES REQUIRED: + Certified Professional Coder (CPC) required but Certified Coding Specialist (CCS) and/or Certified… more
- Datavant (Atlanta, GA)
- …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
- Hawaii Pacific Health (Honolulu, HI)
- …card. Three (3) years of clinical experience. **Preferred Qualifications:** Certified Professional Coder - Risk Adjustment (CRC) or Certified Documentation ... to physicians and advanced practice providers (APPs). Previous experience with risk adjustment coding or clinical documentation improvement (CDI).… 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
- Highmark Health (Cheyenne, WY)
- …anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits. Works closely with ... leadership to identify and deliver high quality and accurate risk adjustment coding. Supports all Remote Patient...CERTIFICATIONS** **Required** (any of the following) + Certified Professional Coder (CPC) + Certified Risk Coder… more