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Clinical Documentation Integrity Lead - Service Line (Remote)
Stanford Health Care
Serve as a subject matter expert and authoritative resource on interpretation and application of CDI practices, coding rules and regulations, and conducts risk assessments of potential and…
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Risk Adjustment Coder
ExactCare Pharmacy, LLC
Perform risk adjustment data validations using AHA coding guidelines.
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Risk Adjustment Medical Record Coder-2
BCBST BlueCross BlueShield of Tennessee, Inc.
In this role, you will support accurate and compliant coding practices by performing first-pass reviews of member medical records to identify and capture active conditions that map to risk…
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Senior Coding Analyst, Risk Adjustment
Altais Health Solutions
The Senior Coding Analyst will divide their time coding medical records for the purpose of HCC coding, including our annual health assessments, and working with our physicians on clinical…
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Medical Coding Spec II - Pro Fee Pathology/Lab
University of Wisconsin Medical Foundation, Inc.
Certified Risk Adjustment Coder (CRC) Upon Hire Required or
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Principal RAS Partner & Educator
Lumeris
Responsible for implementation of initiatives to improving coding and documentation accuracy for Lumeris clients. Acts as a subject matter expert and oversees the development and…
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Associate Vice President, Encounters
E2E Alignment Healthcare USA, LLC
The AVP serves as the senior functional leader for encounter data and partners closely with Risk Adjustment, which retains ownership of clinical documentation strategy. The AVP owns…
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Clinical Documentation Educator
Essentia Health
…One on One Education sessions, etc.) to physicians/advanced professional providers with moderate to high documentation and coding complexity and…
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Primary Coder
RELI GROUP INC
Perform diagnosis coding of inpatient, outpatient, and physician office medical records per Risk Adjustment Data Validation (RADV) guidelines.
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Revenue Management Educator - Health Plan
Sanford
…educational and training resource materials to assist providers in coding accuracy. The Educator develops and implements strategic action, quality improvement and risk management plans. The…
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HCC Coding Specialist (Temporary, Part Time)
Virtix Health LLC
We're currently seeking an experienced Risk Adjustment Coding Specialist to join our growing team. This part-time, fully remote position offers the flexibility to work from home, create a…
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HCC Coding Specialist Full Time
Virtix Health LLC
Are you an experienced HCC Coding professional looking for a flexible, remote opportunity that fits your lifestyle? At Virtix Health, we're passionate about helping clients exceed their…
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Inpatient Facility Coder (temp)
GeBBS Healthcare Solutions, Inc.
GeBBS Healthcare Solutions is a leading provider of Revenue Cycle Management (RCM) and Risk Adjustment services, helping healthcare organizations optimize operations, improve financial…
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Pharmacy Billing Specialist
GeBBS Healthcare Solutions, Inc.
GeBBS Healthcare Solutions is a leading provider of Revenue Cycle Management (RCM) and Risk Adjustment services, helping healthcare organizations optimize operations, improve financial…
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Clinical Quality Coder II
Sutter Health
CRC-Certified Risk Adjustment Coder OR CPC-Certified Professional Coder OR AHMA or AAPC Coding Certification (CCS-P, CPC, COC or CPC-P)
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1099 HCC Risk Adjustment & Professional-Fee (Physician) Auditor
Pinnacle Healthcare Consulting LLC
1099 HCC Risk Adjustment & Professional-Fee (Physician) Coder
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Compliance Analyst RMG
Riverside Hospital, Inc.
Primary responsibility is to independently perform clinical chart reviews, risk adjustment audits, payor audits, coding analysis, charge/reimbursement analysis, medical records reviews, and…
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Consultative Medical Coding Professional
CDO 2, LLC
Certified Risk Adjustment Coder (CRC) or Certified Documentation Expert Outpatient (CDEO).
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Outpatient (RN) CDI Specialist
Medical University Hospital Authority (MUHA)
AAPC (Certified Professional Coder - CPC, Certified Risk Adjustment Coder – CRC or Certified Documentation Expert – Outpatient CDEO)
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Senior Consultant - Healthcare Financial Transformation - Clinical Integrity (Surgical Coding, CDI)
Guidehouse Inc.
Strong understanding of coding and diagnosis capture for risk adjustment
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Hospital Based Outpatient Coder I - HIM - FT - Days - Remote Eligible
Memorial Healthcare System
…Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS) or Certified Coding Associate (CCA).For Physician Billing: Certified Professional Coder (CPC),…
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Hospital Based Outpatient Coder II - HIM - FT - Days - MSS - Remote Eligible
Memorial Healthcare System
For hospital encounters, routes to billing charge entry errors and/ or account edits preventing completion of coding and/or billing. Makes appropriate coding corrections when advised 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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Supervisor, Quality Practice Advisor
Centene Management Company LLC
Position Purpose: Responsible for providing leadership and direction for clinical, quality, risk-adjustment, value-based contracts, and provider outreach functions. Responsible for…
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Risk Adjustment Revenue Cycle Analysis and Solutions
ExactCare Pharmacy, LLC
Required:Minimum three years of experience in Hierarchical Condition Categories (HCC) or risk adjustment.Experience with Risk Adjustment Analytics strongly preferred