- Trinity Health (Livonia, MI)
- **Employment Type:** Full time **Shift:** **Description:** **CERTIFIED RISK ADJUSTMENT CODING SPECIALIST ** **Location:** Trinity Health PACE Corp ... one of the following certifications: Certified Outpatient Coder, Certified Coding Specialist , Certified Professional Coder thru AAPC...year if hired.** + **Two-years of experience in a risk adjustment coding environment required.**… more
- Apex Health Solutions (Houston, TX)
- …(CPC) . Certified Risk Adjustment Coder (CRC) . Certified Coding Specialist (CCS) . Registered Health Information Technician (RHIT) or Registered Health ... medical records to ensure proper ICD-10-CM, HCPCS, and CPT coding and compliance with Risk Adjustment requirements. EDUCATION: . High School Diploma… more
- LA Care Health Plan (Los Angeles, CA)
- Risk Adjustment Coding Auditor II Job Category: Accounting/Finance Department: Risk Adjustment Strategies & Initiatives Location: Los Angeles, CA, ... net required to achieve that purpose. Job Summary The Risk Adjustment Coding Auditor II... Coder (CRC) Certified Professional Coder (CPC) OR Certified Coding Specialist -Physician (CCS-P) Licenses/Certifications Preferred And/Or any… more
- Centene Corporation (Jefferson City, MO)
- … coding guidelines. + Validate clinical documentation to support appropriate risk adjustment coding , including Hierarchical Condition Categories (HCCs), ... reviews and advise on clinical best practices related to risk adjustment coding , HCC capture,...required and + Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) required + NP or… more
- Avera (Sioux Falls, SD)
- … (RA) initiatives and Healthcare Effectiveness Data Information Sets (HEDIS). The Quality and Risk Adjustment Specialist will work closely with the Director ... providers to ensure that proper clinical documentation. The QRA Specialist will be responsible for ensuring that medical records...do** + Understand the rationale behind Risk Adjustment Work with physicians, clinic staff, coding ,… more
- HCA Healthcare (Campbell, CA)
- …colleagues invested over 156,000 hours impacting our communities. As a Director of Quality and Risk Adjustment with HCA Healthcare, you can be a manager in an ... join our team as a Director of Quality and Risk Adjustment . We care for our communities...Required + Experience using Cozeva Required + Certified HCC Coding Specialist Required + Certified Professional Coder… more
- Sutter Health (Burlingame, CA)
- … Coder + OR CPC-Certified Professional Coder + OR CCS-Certified Coding Specialist + CRC-Certified Risk Adjustment Coder (required within 1 year) ... knowledge of ICD-10 diagnosis coding conventions and requirements. + Knowledge of HCC/ Risk Adjustment coding . + Knowledge of CPT and HCPCS coding … more
- CareFirst (Baltimore, MD)
- …**Education Level:** High School Diploma or GED. **Experience:** 5 years experience in risk adjustment coding , ambulatory coding and/or CRC ... and incentive models. Strategizes alternatives and solutions to maximize quality payments and risk adjustment . Translates from claim language to services in an… more
- Trinity Health (Newtown Square, PA)
- …degree in Medical Field + If RN, Current Registered Nurse License + Certified Coding Specialist (CCS), Certified Clinical Documentation Specialist (CCDS), or ... documentation in the record which impacts HCC or other risk score coding . + Conducts pre and...the outpatient setting required. + Minimum of one year Risk Adjustment Validation experience required. **We offer… more
- Penn Medicine (Bala Cynwyd, PA)
- …of relevant coding medical professional services experience including ambulatory outpatient and risk adjustment coding . (Required) + Certified Risk ... Medicine Hospice- 150 Monument Road** **Hours: Full-Time** **Job Summary:** The Ambulatory Coding and Documentation Specialist reports to the Primary Care… more
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