- Centene Corporation (Tallahassee, FL)
- …Reporting and has a complete understanding of these guidelines. + Follows CMS risk adjustment guidelines and has a complete understanding of these guidelines. ... the impact of ICD-10 codes on the CMS HCC risk adjustment model. + Ability to meet...one of the following is required: **Required Certified Professional Coder (CPC):** **Preferred Certified Coding Specialist (CCS):** Pay Range:… more
- Evolent Health (Tallahassee, FL)
- …2+ years in a Risk Adjustment HCC coding role as a Certified Risk Adjustment Coder ("CRC") or equivalent. Experience in working with Primary Care ... Stay for the culture. **What You'll Be Doing:** The ** Risk Adjustment HCC Coding Support Specialist** at...and Commercial patients using the CMS HCC crosswalks, this coder will perform a comprehensive review of each progress… more
- AdventHealth (Altamonte Springs, FL)
- …multiple priorities at once with little supervision. * Possesses knowledge about risk adjustment and hospital publicly reported data. * Possesses knowledge ... better. **Job Location** : **Monday-Friday** **Remote** **The role you'll contribute:** The Coder Analyst IV is a Health Information Professional with a high level… more
- Banner Health (FL)
- …required. Experience normally obtained with 2-3 year experience in CMS HCC Risk Adjustment payment methodology and coding and documentation requirements. Must ... and career here! In this **Inpatient Facility/HIMS Certified Medical CODER QUALITY ASSOCIATE -Remote** position, you bring your **3-5+...DRG (MS-DRG), APC, ACG, DCG, HCC and other Health Risk Adjusted Factors appropriate to the assigned area, and… more
- Centene Corporation (Tallahassee, FL)
- …medical record audits, analysis of practice coding patterns, education and training regarding risk adjustment to ensure accurate CMS payment and improve quality ... and market level. + Subject matter experts for proper risk adjustment coding and CMS data validation...setting or a Managed Care Organization as a medical coder **2+ years of experience** in coding with knowledge… more
- Baylor Scott & White Health (Tallahassee, FL)
- …Scott and White Health strategies and processes for lines of business subject to risk adjustment . **SALARY RANGE** The pay range for this position is $26.27/hr ... audits and creates provider scorecards to offer feedback on Risk Adjustment Methodology + Interprets health record...Certified Coding Specialist-Physician Based + CPC - Certified Professional Coder + RHIA - Reg Health Info Administrator +… more
- Conviva (Tallahassee, FL)
- …interrelate across the function or segment. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible for driving ongoing ... Responsible for performance management and strategy development for PCO risk adjustment at the division and market...Leader to identify and influence enhancements to the GenAI ( CODER ) tool to improve the medical coder … more
- Highmark Health (Tallahassee, FL)
- …anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits. Works closely with ... leadership to identify and deliver high quality and accurate risk adjustment coding. Supports all Remote Patient...CERTIFICATIONS** **Required** (any of the following) + Certified Professional Coder (CPC) + Certified Risk Coder… more
- Health First (Rockledge, FL)
- …ratings. * Ensure financial impact to organization as well as data submitted for Risk adjustment and HEDIS measures is complete, accurate and thorough to ... agency audits. * Gain a thorough understanding of the Risk Adjustment payment methodology, submission requirements and...required within the first year of employment: Certified Professional Coder (CPC). * 3 years experience in health care,… more
- Conviva (Tallahassee, FL)
- …collaboration with healthcare providers + Medical record review knowledge + Medicare Risk Adjustment knowledge + Extensive knowledge of coding guidelines (ie ... speaking and presentation skills **Preferred Qualifications** + Bachelor's degree + Certified Risk Coder (CRC) + Experience interacting with healthcare providers… more