Job Summary Under the direction of the Risk Adjustment Supervisor/Manager, performs accurate and timely review... and validation of Medicare Advantage, Commercial and Medicaid HCCs through medical record reviews. The Risk Adjustment Coding...
Required Certifications/Licensure: Candidates must have one of the following certifications: Certified Risk Adjustment Coder (CRC), Certified... Professional Coder (CPC) or Certified Coding Specialist Certification; Candidates hired without Certified Risk Adjustment Coder...
HCC Risk Adjustment Coder (Clinical Operations Specialist) Remote Reveleer is a healthcare data and analytics... of Medicare and Commercial Risk Adjustment such as Hierarchical Condition category (HCC) Additional experience in facility (OPPS...
of medical risk adjustment coding experience. Nationally certified medical coder as certified by either AAPC or AHIMA (CRC, CPC..., Commercial and Medicaid risk adjustment from various chart types (physician, facility, and non-facility). May have special...
Plan is calling an HCC Risk Adjustment QA Auditor: Medicare Advantage & ACA who will: Perform internal coding audits... of hierarchical condition category (HCC) coding review for Risk Adjustment staff, contractors, and vendors Perform audits to ensure...
for Coder I, Coder II once they have tested at 95% quality. Completes image review for proper HCC mapped diagnosis coding... on risk coding. The QA position monitors & reports on the accuracy of all code captures on a % of all images of their assigned...
Join the #1 hospital in Wisconsin! We are seeking a Coding Quality Analyst to: Perform retrospective reviews for all HCC... patients. Develop HCC Coding Guidelines for medical coding Specialists. Collaborate with OP CDI staff and develop...
experience Preferred Licenses & Certifications Certification as Certified Professional Coder (CPC) Upon Hire... Required or Certified Outpatient Coder (COC) Upon Hire Required or Certified Inpatient Coder (CIC) Upon Hire Required or Certified Coding...
and communities. To learn more about who we are at Point32Health, click . Job Summary Under the direction of the Risk Adjustment... through medical record reviews. The Risk Adjustment Coding Specialist II reviews provider documentation of ICD-10-CM...
Job Summary Under the direction of the Risk Adjustment Supervisor/Manager, performs accurate and timely review... and validation of Medicare Advantage, Commercial and Medicaid HCCs through medical record reviews. The Risk Adjustment Coding...
. As a Medical Coder specializing in Risk Adjustment/HCC, you will play a crucial role in ensuring accurate and compliant coding... Medical Coders with a strong background in Risk Adjustment and Hierarchical Condition Category (HCC) coding. The ideal...
Description POSITION SUMMARY This role contributes to Health First Health Plans’ (HFHP) Risk Adjustment data... and Family (IFP) lines of business. This individual will ensure the integrity of HFHP risk adjustment data by critically...
, adoption and awareness of risk adjustment metrics and clinical/business impacts. Collaborates with peers for ongoing HCC... Administrator (RHIA) + Certified Risk Adjustment Coder (CRC) Demonstrates high degree of professionalism, enthusiasm...
Adjustment Coder (CRC). Certifications. CPC a plus Educational Requirements: Bachelor's Degree Minimum Experience: 3+ years... risk adjustment model, medical record review project management, encounter data management Demonstrated ability to work...
Adjustment Coder (CRC). Certifications. CPC a plus Educational Requirements: Bachelor's Degree Minimum Experience: 3+ years... risk adjustment model, medical record review project management, encounter data management Demonstrated ability to work...
FOR THE ROLE Certified Risk Adjustment Coder (CRC) certification required Registered Nurse (RN) or Licenses Practical Nurse...MaxHealth is hiring a Medicare Risk Adjustment Educator for our growing organization! Have you been searching...
FOR THE ROLE Certified Risk Adjustment Coder (CRC) certification required Registered Nurse (RN) or Licenses Practical Nurse...MaxHealth is hiring a Medicare Risk Adjustment Educator for our growing organization! Have you been searching...
. Qualifications Required 2+ years in a Risk Adjustment HCC coding role as a Certified Risk Adjustment Coder (“CRC”) or equivalent.... Stay for the culture. What You’ll Be Doing: The Risk Adjustment HCC Coding Support Specialist at Evolent...
Care Organization as a medical coder 2+ years of experience in coding with knowledge of Medicare risk adjustment (HCC... coding patterns, education and training regarding risk adjustment to ensure accurate CMS payment and improve quality of care...
with required continuing education (CEUs). within 1 year or Certified Risk Adjustment Coder (AAPC) Certification must be maintained...Position Summary: The Risk Adjustment Education Specialist consults with providers and their office staff on a routine...