- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Specialist supports prospective risk adjustment via concurrent review and ... and documentation guidelines. The development and ongoing maintenance of the Commercial Risk Adjustment Coding guidelines, as well as, guiding junior… more
- CDPHP (Albany, NY)
- …employees who share these values and invites you to be a part of that experience. The Risk Adjustment Coding Specialist will be responsible for the chart ... review and ICD-10 diagnosis coding of risk adjustment eligible...or GED required. Associates degree preferred. + CCS/CCS-P (Certified Coding Specialist ) or CPC/CPC-A (Certified Coding… more
- Trinity Health (Livonia, MI)
- **Employment Type:** Full time **Shift:** **Description:** **CERTIFIED RISK ADJUSTMENT CODING SPECIALIST ** **Location:** Trinity Health PACE Corp ... one of the following certifications: Certified Outpatient Coder, Certified Coding Specialist , Certified Professional Coder thru AAPC...year if hired. + Two-years of experience in a risk adjustment coding environment required.… more
- Point32Health (MA)
- …validation of Medicare Advantage, Commercial and Medicaid HCCs through medical record reviews. The Risk Adjustment Coding Specialist II reviews provider ... and recommendations to improve overall provider documentation and coding . The Risk Adjustment Coding Specialist II will review medical records to… more
- The Cigna Group (Houston, TX)
- …(CPC) + Certified Risk Adjustment Coder (CRC) + Certified Coding Specialist for Providers (CCS-P) + Registered Health Information Management Technician ... (RHIT) + 5+ years of risk adjustment coding experience, 3+ national Medicare Advantage health plan experience preferred. + Prior experience with delivery of… more
- The Cigna Group (Nashville, TN)
- …least one of the below):** Certified Professional Coder (CPC) Certified Risk Adjustment Coder (CRC) Certified Coding Specialist for Providers (CCS-P) ... ** Coding Education Specialist (AHIMA or AAPC...medical office coding experience, preferably two years risk adjustment coding experience. +… more
- Carle (Urbana, IL)
- Risk Adjustment Education Specialist ...Director, and Medical Director to strategically plan and execute Risk Adjustment coding efforts for ... a Friend Save Save Apply Now Position Summary: The Risk Adjustment Education Specialist consults...ensure open communication and knowledge of risk adjustment initiatives, particularly related to coding accuracy… more
- Trinity Health (Hartford, CT)
- …**Shift:** Day Shift **Description:** **Position Purpose** The Clinically Integrated Network (CIN) Risk Coding Specialist is responsible for reviewing ... guidelines, payor regulations, compliance and reimbursement, and the effects of coding in relation to risk adjustment payment models + Conduct chart review… more
- Health First (Rockledge, FL)
- …medical records with documentation to include coding of ICD-10-CM codes to validate Risk Adjustment data for the MA and/or IFP lines of business. 4. Maintain ... coding education updates. 7. Remain current on diagnosis coding guidelines and risk adjustment ...o Certified Professional Coder (CPC) from AAPC or Certified Coding Specialist (CCS) from AHIMA (will be… more
- CaroMont Health (Gastonia, NC)
- …Specialists regarding coding guidelines and documentation required to capture HCC's for Risk Adjustment coding . Train and educate coding staff ... Job Summary: To identify needs for (through auditing or other methods)and provide coding education related to HCC (Hierarchical Category Coding ). Serve as a… more