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Risk Adjustment - Risk Adjustment Auditor 135-2032

CommunityCare

Tulsa, OK

Knowledge of CMS-HCC and HHS-HCC risk adjustment model.

Risk Adjustment Medical Coder

Blue Cross of Idaho Health Service, Inc.

United States

Blue Cross of Idaho is looking for Risk Adjustment Medical Coder who will be responsible for the medical record retrieval and over-reads for audit project activities as they relate to risk…

Ambulatory Coding and Doc Specialist

Penn Medicine

Bala Cynwyd, PA

Perform prospective and retrospective chart reviews to identify, validate, and capture diagnoses affecting CMS-HCC, HHSHCC, and other risk adjustment models while ensuring diagnosis…

Coding Audit Specialist, Health Plan

Sanford Health Plan

Remote, United States

Develops, implements and monitors, along with risk adjustment leadership, to provide a continuous monitoring program for Medicare Advantage risk adjustment scores, ACA/Exchange and…

HCC Coding Manager

IKS Health

Virtual

Serve as the subject-matter expert for ICD-10-CM/PCS, CPT, HCPCS, and HCC/risk adjustment coding guidelines relevant to assigned clients

Professional Coder II

Horizon Healthcare Services, Inc

Remote, United States

The Senior Professional Coder provides services to perform code abstraction using the Official Coding Guidelines for ICD-9-CM/ICD-10-CM, AHA Coding Clinic Guidance, and in accordance with…

Coding Quality Auditor

Providence St. Joseph Health

Everett, WA

Under the supervision of the Coding Manager, Revenue Capture, the HCC Coding Quality Auditor is responsible for detailed diagnostic chart reviews of clinical documentation and coding…

Medical Coder

RELI GROUP INC

Windsor Mill, MD

• $45,000 to $55,000 USD / year

We are seeking a detail-oriented and experienced Medical Coder to support Risk Adjustment and Medicare Part C audits by accurately coding inpatient, outpatient, and physician office medical…

Hierarchical Condition Category (HCC) Coding Specialist

Highmark Health

Jefferson City, MO

This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using…

Hierarchical Condition Category (HCC) Coding Specialist

Highmark Health

Jefferson City, MO

This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using…

Hierarchical Condition Category (HCC) Coding Specialist

Highmark Health

Jefferson City, MO

This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using…

Healthcare Advocate - Field Position

UnitedHealth Group

Fairfax, VA

• $72,800 to $130,000 USD / year

Educate providers on Medicare quality programs and CMS-HCC Risk Adjustment methodology, emphasizing the importance of accurate chart documentation for proper reimbursement

HCC Risk Adjustment Coder

Datavant

Madison, WI

As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate representation of patient…

Healthcare Advocate - Field Position

UnitedHealth Group

Fairfax, VA

• $72,800 to $130,000 USD / year

Educate providers on Medicare quality programs and CMS-HCC Risk Adjustment methodology, emphasizing the importance of accurate chart documentation for proper reimbursement

Medical Coder

Centrum Health

Doral, FL

Certified Risk Adjustment Coder (CRC) (Preferred)

Risk Adjustment Program Manager Trinsic

UCHealth

Aurora, CO

• $27.61 to $41.41 USD / hour

Oversees risk adjustment, HCC documentation, coding audits, payer performance, and compliance activities across the Trinsic network to improve coding accuracy, documentation integrity, and…

Coder - Certified

Confluence Health

Wenatchee, WA

Demonstrate knowledge of CMS Hierarchical Condition Category (HCC) Risk Adjustment coding.

Medical Billing Coder

US Tech Solutions

Wellesley, MA

…procedure codes to evaluate medical record documentation for HCC risk adjustment related activities including Medicare Advantage and Commercial Risk adjustment supplemental diagnosis…

Medical Coder CPC / CCS

Healthcare Support Staffing

Columbus, OH

…tools to ensure that our provider partners are compliant with Risk Adjustment. Provide overall coding expertise as well as administrative and technical oversight to ensure successful…

Certified Coding Specialist or Certified Professional Coder

Healthcare Support Staffing

Tampa, FL

Understands the impact of ICD-9 codes on the CMS HCC risk adjustment model

Inpatient Facility Medical Coder

American IT Staff

Remote, United States

…coding conventions. Demonstrates knowledge and understand of CMS HCC Risk Adjustment coding. Routinely performs chart analysis to identify areas of the medical record that contain…

Senior Medical Coding Specialist

Care Synergy

Denver, CO

Support PACE diagnosis coding, including Medicare risk adjustment and hierarchical condition category (HCC) requirements.

Risk Adjustment Analyst

PCC MEDICAL HOLDINGS LLC

North Palm Beach, FL · San Antonio, TX · Piedmont, SC · Athens, GA

The Certified Risk Adjustment Coder is responsible for reviewing medical records, identifying and validating diagnoses, and ensuring accurate risk adjustment coding in accordance with…

Clinical Documentation Improvement Specialist

HEALTH CHOICE NETWORK

Remote, United States

If you're a collaborative problem solver with a strong background in Medicare and Medicaid Risk Adjustment, HCC Coding, Clinical Documentation Improvement, and provider education, we'd love…

Risk Adjustment Coding Spec Practice Based

AdventHealth

Maitland, FL

…data for Health Plan reports and inputs data collected from HCC programs. Assign appropriate ICD-10- codes to document and accurately represent the patient’s conditions and ensure…