- LA Care Health Plan (Los Angeles, CA)
- Risk Adjustment Coding Auditor II Job Category: Accounting/Finance Department: Risk Adjustment Strategies & Initiatives Location: Los Angeles, ... to support the safety net required to achieve that purpose. Job Summary The Risk Adjustment Coding Auditor II position is responsible for auditing… more
- Datavant (Indianapolis, IN)
- …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
- CVS Health (Springfield, IL)
- …Coder) or CCS-P (Certified Coding Specialist-Physician) and CRC (Certified Risk Adjustment Coder) required **Preferred Qualifications** + CPMA (Certified ... 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
- Albany Medical Center (Albany, NY)
- …and training to providers and coding staff. Act as an expert for the HCC/ Risk adjustment coding . This position is remote but does require onsite ... $60,367.47 - $90,551.20 This position has remote opportunity Professional Coding Auditor will apply an advanced professional...and Reporting. Code chronic disease that meets HCC and Risk Adjustment criteria. Validate missed coding… more
- Hackensack Meridian Health (Hasbrouck Heights, NJ)
- …and serve as a leader of positive change. The **Physician Billing (PB) Coding Auditor and Educator** is responsible for auditing and educating healthcare ... obtain within one (1) year of hire. **Licenses and Certifications Preferred:** + Certified Risk Adjustment Coder (CRAC). If you feel that the above description… 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
- CVS Health (Springfield, IL)
- …or CCS-P (Certified Coding Specialist-Physician) required. + CRC (Certified Risk Adjustment Coder). + Computer proficiency including experience with ... Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and...internal policies and procedures. + Proven ability to support coding judgment and decisions using industry standard evidence and… more
- WMCHealth (Valhalla, NY)
- …in a large multispecialty practice setting, including surgical speacialties is required. HCC Risk adjustment Coding esperience is preferred. Education: High ... Network Practice Coder/ Auditor Company: NorthEast Provider Solutions Inc. City/State: Valhalla,...Terminology (CPT) and Health Care Financing Administration Common Procedures Coding System (HCPCS) and identifying opportunities for improvement as… more
- Catholic Health Initiatives (Little Rock, AR)
- …the value hub. + Through Risk Management/ Auditor Manager, implements a risk adjustment coding department in appropriate Arkansas and Kentucky CIN. + ... and guidelines for these new processes. + Support the Risk Auditor Manager of closely working with...Health Management experience required + Must have experience with risk adjustment coding and value… 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