• CRC Risk Adjustment

    Robert Half Accountemps (Nashville, TN)
    Description Immediate need for a CRC Risk Adjustment Medical Coder to join our dynamic healthcare team on a 100% REMOTE basis. The individual must ... our inclusive work environment. CRC certification is highly preferred. Requirements Medical Coding, Risk Adjustment Coding, CPC, CRC Robert Half is… more
    Robert Half Accountemps (09/08/24)
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  • Risk Adjustment Medical

    BlueCross BlueShield of Tennessee (Chattanooga, TN)
    …ICD\-10 coding standards required\. The Senior Care division at BCBST is looking to add a Risk Adjustment Medical Record Coder to our team\. In this role, ... coding guidelines\. + Perform comprehensive 1st pass reviews of medical records and physician assessment forms \(HCC coding\)\. +...\(CPC, CCS, RHIT, RHIA\)\. + Must acquire the Certified Risk Adjustment Coder \( CRC \) certificate… more
    BlueCross BlueShield of Tennessee (09/21/24)
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  • CRC Risk Adjustment

    Robert Half Accountemps (Chandler, AZ)
    Description A hospital in Los Angeles is in the need of a Medical Coder for a Medical Chart Auditor. The Medical Chart Auditor whose primary responsibilities ... finalizing edits in the Patient Accounting System or claims editing system. The Medical Chart Auditor will conduct insurance audits in conjunction with chosen payer… more
    Robert Half Accountemps (09/08/24)
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  • Associate Director, Risk Adjustment

    CenterWell (Carson City, NV)
    …community and help us put health first** The Associate Director, Risk Adjustment oversees quality assurance audits of medical records, ICD-10-CM, CPT, & ... and over government agencies. In addition, the Associate Director, Risk Adjustment oversees all medical ...clinical documentation with the health record. + Ensure medical record documentation is accurate and complete. + Follow… more
    CenterWell (08/21/24)
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  • Chart Review Specialist - Medicare-Medicaid…

    Fallon Health (Worcester, MA)
    …and report on FCHP patient charts for the purpose of validating regulatory Risk Adjustment scores. The Chart Review Specialist will collect diagnostic details ... documentation feedback and submit to Manager for provider education efforts + Update risk adjustment software with all relevant chart review observations + Meet… more
    Fallon Health (08/13/24)
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  • Sr. Coding Quality Auditor & Educator - Certified…

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …Quality Auditor & Educator provides education and training for the Risk Adjustment Coding team to ensure coding and clinical documentation accuracy and ... consistency. Collaborating with the Manager of Risk Adjustment Operations, this position will also...coding guideline + AAPC, Certified Professional Coder (CPC), Certified Risk Coder ( CRC ) This document is not… more
    Blue Cross Blue Shield of Massachusetts (09/11/24)
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  • Clinical Manager, Risk

    VNS Health (Manhattan, NY)
    OverviewAs the Clinical Manager for Risk Adjustment , you will be at the forefront of our mission to optimize clinical coding practices and enhance the ... enhancements, changes, and new products. + Provides updates to Risk Adjustment Stakeholders on program clinical...Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or ( CRC ) Certified Risk Adjustment Coder… more
    VNS Health (09/04/24)
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  • Risk Adjustment Coding Specialist…

    CareFirst (Baltimore, MD)
    **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Specialist supports the retrospective risk adjustment supplemental filing, HHS- Risk ... and documentation guidelines. The development and ongoing maintenance of the Commercial Risk Adjustment Coding guidelines, as well as, guiding junior coding… more
    CareFirst (08/31/24)
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  • Risk Adjustment Coder

    Apex Health Solutions (Houston, TX)
    …standards. Tracking and monitoring of medical records requests for all risk adjustment projects. Performs telephonic outreach to provider practices and/or ... Education/Licenses/Certifications: ​A certification in one of the following is required: Certified Risk Adjustment Coder ( CRC ) Certified Professional Coder… more
    Apex Health Solutions (09/15/24)
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  • Medicare Advantage Risk Adjustment

    UCLA Health (Los Angeles, CA)
    …individual with: + A Certified Professional Coder (CPC) certification and a Certified Risk Adjustment Coder ( CRC ), required + Bachelor's degree (healthcare ... Description As the Medicare Advantage Risk Adjustment Provider Documentation Trainer and...associated with the health plan. You will: + Conduct medical record audits for physicians (MD, DO, or NP)… more
    UCLA Health (08/29/24)
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