- Humana (Sacramento, CA)
- **Become a part of our caring community and help us put health first** The Risk Adjustment Coding Professional conducts quality assurance audits of ... for Medicare and Medicaid Services (CMS) and other government agencies. The Risk Adjustment Coding Professional work assignments are often… more
- Dignity Health (Bakersfield, CA)
- **Responsibilities** This position is remote.** **Position Summary:** The Risk Adjustment Coding Training Specialist develops and executes comprehensive ... training programs focused on value-based risk adjustment coding . This role...degree or equivalent experience in related field - Certified Professional Coder (CPC) certification - Advanced knowledge of ICD-10… more
- Datavant (Sacramento, CA)
- …looking for a Risk Adjustment Trainer to help us uplevel our Risk Adjustment Coding Department through improving overall coding accuracy and ... mapping and models + Experience with coding Medicare, Commercial and Medicaid risk adjustment charts + Understanding of Medicare, Commercial and Medicaid … more
- Humana (Sacramento, CA)
- **Become a part of our caring community and help us put health first** The Risk Adjustment Compliance Professional 2 supports the organization's adherence to ... and sound judgement in determining appropriate actions within established framework. The Risk Adjustment Compliance Professional 2 contributes to the… more
- UCLA Health (Los Angeles, CA)
- …- Medicare Advantage Risk Adjustment , you will be an expert in risk adjustment coding and documentation, working closely with physicians, IPA coders, ... or Certified Coding Specialist (CCS) certification, required + A Certified Risk Adjustment Coder (CRC), required + Reliable transportation to conduct ongoing… more
- Datavant (Sacramento, CA)
- …healthcare. The individual will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be ... problems with technology-forward solutions. Datavanters bring a diversity of professional , educational and life experiences to realize our bold...+ Monitor the performance of the Risk Adjustment Operations both internally and with coding … more
- Scripps Health (San Diego, CA)
- …Categories (HCCs) for accuracy and compliance as relates to Outpatient CDI. Monitors Risk Adjustment Factor (RAF) Scores. * Directs instructions and education ... The Senior Director manages the staff responsible for hospital and professional fee coding and CDI, ensuring quality documentation and clinical consistency. This… more
- Sutter Health (Sacramento, CA)
- …& LICENSURE** + CRC-Certified Risk Adjustment Coder OR CPC-Certified Professional Coder OR AHMA OR AAPC Coding Certification (CCS-P, CPC, COC or ... CPC-P) **PREFERRED EXPERIENCE AS TYPICALLY ACQUIRED IN:** + 1 year professional coding experience **SKILLS AND KNOWLEDGE** + Advanced knowledge of ICD-10… more
- Sutter Health (Sacramento, CA)
- …& LICENSURE:** + CRC-Certified Risk Adjustment Coder OR CPC-Certified Professional Coder OR AHMA or AAPC Coding Certification (CCS-P, CPC, COC or ... of outpatient medical records using International Classification of Disease Coding ICD-10-CM and Current Procedural Terminology (CPT), Medicare Advantage, ICD-10-CM,… more
- Sutter Health (Burlingame, CA)
- …knowledge of coding rules and regulations, along with understanding of risk adjustment and quality reporting methodology to achieve organizational goals * ... level of care with supporting documentation of regulatory compliance and accurate coding . The Physician Advisor (PA) conducts clinical reviews on cases referred by… more