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Inpatient Facility Medical Coder
American IT Staff
…validating any Computer Assisted Coded (CAC) assignments for dual coding. Utilizing the Code Base Charge Trigger system (CBCT) and OPTUM 360 EncoderPRO software system for professional…
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Risk Adjustment Auditor Educator
Centene Management Company LLC
2+ years of experience in coding with knowledge of Medicare risk adjustment (HCC Coding)
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Compliance Audit Specialist
(Mosaic Shared Services) Millennium Healthcare Management Serv LLC
Compliance Coding Chart Auditor II is responsible for independently conducting comprehensive medical chart audits to evaluate the accuracy, completeness, and regulatory compliance of…
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Physician Educator III
University HealthCare Alliance
Educates and guides healthcare providers and staff on accurate clinical documentation and coding practices, particularly concerning Hierarchical Condition Categories (HCCs) and risk…
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HCC Quality Auditor (TEMP)
Virtix Health LLC
HCC Coding Quality Specialist Team Members will be responsible for reviewing the accuracy of our HCC coded records, specifically those that map to HCCs and RxHCCs. Auditors will support…
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Hospital Based Outpatient Coder II - HIM - FT - Days - MSS - Remote Eligible
Memorial Healthcare System
Reviews encounters to assign and sequence appropriate diagnoses (including HCC Coding Hierarchical Condition Category) and CPT procedure codes as well as modifiers to complex diagnostic and…
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Coder II - MPG - FT - Days - MSS - Remote Eligible
Memorial Physician Group
…Enhanced Ambulatory Patient Groups (EAPG) assignments. Reviews coding edits. Reviews Local Coverage Determination (LCD) edits and guidance for codes meeting medical necessity. Research…
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Medical Auditor - Remote
Sprinter Health
- Strong understanding of HCC / risk adjustment coding principles, clinical documentation improvement, and coding validation practices.
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Medicare Risk Adjustment Compliance Auditor (CPC, CCS, or CCS-P Required) (Remote)
E2E Alignment Healthcare USA, LLC
The Remote Risk Adjustment Compliance Auditor is to conduct provider and coder level reviews and audits to ensure accurate risk adjustment data is being submitted to the CMS. Develops and…
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