- AdventHealth (Maitland, FL)
- ** Risk Adjustment Coding Auditor AdventHealth PHSO Resources** **All the benefits and perks you need for you and your family:** + Benefits from Day One + ... **Location:** Remote **The role you'll contribute:** The inpatient or outpatient coding team Corporate Quality Auditor (QA)/Educator supports the operations… more
- Datavant (Denver, CO)
- …educational and life experiences to realize our bold vision for healthcare. As an Auditor , HCC Risk Adjustment Coder, you will review medical records ... standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will...to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of HCC Auditing… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan has an exciting opportunity for a Risk Adjustment Clinical Auditor /Analyst position in the Medicare department. This is a full time position ... Auditor /Analyst is an integral part of the Risk Adjustment Department and is responsible for...are supported within the audit year, and utilize AHA Coding clinics, ICD-10-CM Coding Guidelines, CPT … more
- Catholic Health Initiatives (Chattanooga, TN)
- …team to support the needs of the organization. The position will support risk adjustment improvement efforts across the medical group. The Hierarchical Condition ... **Job Summary and Responsibilities** **Job Summary / Purpose** The Sr Coding Compliance Auditor is responsible for reviewing chart notes for proper coding … more
- CVS Health (Helena, MT)
- …(Certified Professional Coder) or CCS-P (Certified Coding Specialist-Physician). + CRC (Certified Risk Adjustment Coder) must be able to obtain within 1 year ... Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and...proficiency in the following: + Proven ability to support coding judgment and decisions using industry standard evidence and… more
- Avera (Sioux Falls, SD)
- …(CPC) - American Academy of Professional Coders (AAPC) Upon Hire or + Certified Risk Adjustment Coder (CRC) - American Academy of Professional Coders (AAPC) Upon ... our patients. Work where you matter.** **A Brief Overview** Assists HIM/ Coding leadership in providing consultant services to health information management… more
- Geisinger (Danville, PA)
- …one Coding Certification required:--Certified Professional Coder - AAPC --Certified Risk Adjustment Coder - American Academy of Professional Coders (AAPC) ... Information Technician (RHIT) - American Health Information Management Association; Certified Risk Adjustment Coder - American Academy of Professional Coders… more
- WelbeHealth (Charleston, WV)
- …and experience in coding and auditing + Minimum of two (2) years of Risk Adjustment (HCC) coding experience in a managed care environment + Current ... team culture, and mission. At the direction of the Coding Supervisor, the Coding Auditor ...in provider education programs to ensure compliance with CMS risk adjustments diagnosis coding guidelines + Work… more
- WMCHealth (Valhalla, NY)
- …Details: Job Summary: Serves as an internal expert on Risk Adjustment and Hierarchical Conditions Categories (HCC) coding . Specific duties include performing ... concurrent and retrospective reviews of documentation and coding and working with providers and staff to ensure the accuracy and completeness of medical record… more
- NCH (Naples, FL)
- …well as applicable organizational policies and procedures. * Experience in MS-DRG and APR-DRGs, risk adjustment , HACs and PSIs, O/E mortality, and LOS. * Working ... opportunities for documentation clarification, act as a liaison between coding and CDI to resolve DRG or other code...clinically appropriate, accurately reflects the severity of illness and risk of mortality for the patient and is reflective… more
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