- Premera Blue Cross (Mountlake Terrace, WA)
- …coding within medical records. This position is essential for maintaining the integrity of Risk Adjustment and HCC coding. By leveraging a deep understanding ... Coding Clinic) that impact financial and operational aspects of risk adjustment coding. + Collaborate and communicate...of experience as a RHIA, RHIT, or CPC certified coder within a healthcare provider organization or health insurance… more
- Datavant (Nashville, TN)
- …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... experiences to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code… 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
- Ascension Health (Elk Grove Village, IL)
- …Candidates must have the following certification thru AAPC (credentialing board): **Certified Risk Adjustment Coder (CRC) - STRONGLY PREFERRED** + ... to hire date or job transfer date.* Certified Professional Coder (CPC) credentialed from the American Academy of Professional...in the CRC program please apply!** + 1 year ** RISK CODING** experience, preferred (NEW GRADUATES WELCOME) + Experience… more
- Ascension Health (Austin, TX)
- …following from AAPC and/or AHIMA: Certified Professional Coder (CPC), Certified Risk Adjustment Coder (CRC), Certified Professional Medical Auditor ... Medical Coding experience with at least 2 years specific to Medicare Risk Adjustment / HCC Coding required. + ICD-10 coding experience required. + Experience… more
- Trinity Health (Columbus, OH)
- **Employment Type:** Full time **Shift:** **Description:** The Risk Adjustment Coder is responsible for reviewing and abstracting medical records to ensure ... review chart and collaboration with providers. **Position Purpose:** The Risk Adjustment Coder is responsible...opportunities. + Stay current with updates to coding guidelines, risk adjustment models (eg, CMS- HCC ,… more
- Apex Health Solutions (Houston, TX)
- …of the following is required : Certified Professional Coder (CPC) Certified Risk Adjustment Coder (CRC) Certified Coding Specialist (CCS) Registered ... Summary Certified Medical Coder role is responsible for reviewing, abstracting, and...years HCC experience performing concurrent and retrospective risk adjustment chart review s required Current… more
- University of Washington (Seattle, WA)
- …Coding System (HCPCS) codes in Epic work queues (WQ) and/or Hierarchical Condition Category ( HCC )/ Risk Adjustment Factor (RAF) and/or Care Gap review to ... 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
- Trinity Health (Albany, NY)
- …and Medicaid Services (CMS). **SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:** **. Certified Risk Adjustment Coder (CRC) required** . Excellent verbal ... system work queues and natural language processing (NLP) tools to support addressing HCC codes for Risk Adjustment before a claim is submitted to payers. .… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …a focus on Medicare Advantage and ACA risk adjustment . * Certified Risk Adjustment Coder (CRC) certification * In-depth knowledge of ACA & Medicare ... as CPMA, RHIT, RHIA, CCA, CCS. * Expertise in CMS- HCC , and HHS- HCC Risk Adjustment models. Compensation and Benefits: Pay Range: $88,600.00 - $117,400.00… more
