- Carle (Urbana, IL)
- Risk Adjustment Education Specialist - HYBRID + Department: FCC - Case Mgmt + Entity: FirstCarolinaCare + Job Category: Professional + Employment Type: ... Requirements: None Email a Friend Save Save Apply Now Position Summary: The Risk Adjustment Education Specialist consults with providers and their office… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Specialist supports the retrospective risk adjustment supplemental filing, HHS- ... and documentation guidelines. The development and ongoing maintenance of the Commercial Risk Adjustment Coding guidelines, as well as, guiding junior coding… more
- Fallon Health (Worcester, MA)
- …on FCHP patient charts for the purpose of validating regulatory Risk Adjustment scores. The Chart Review Specialist will collect diagnostic details and ... from start to end + Collect documentation feedback and submit to Manager for provider education efforts + Update risk adjustment software with all relevant… more
- Trinity Health (Livonia, MI)
- **Employment Type:** Full time **Shift:** **Description:** **CERTIFIED RISK ADJUSTMENT CODING SPECIALIST ** **Location:** Trinity Health PACE Corp Michigan ... abstracting and validating data from medical records, and providing education on documentation to support HCCs. **Position Details:** This...+ Must be certified or obtaining certification for Certified Risk Adjustment Coder thru AAPC. If not… more
- VNS Health (Manhattan, NY)
- …Professional Coder (CPC), Certified Coding Specialist (CCS), or (CRC) Certified Risk Adjustment Coder in ICD-10-CM coding required + License and current ... OverviewAs the Clinical Manager for Risk Adjustment , you will be at...summarizes data from medical records into various formats; coordinates education and feedback to providers. + Keeps abreast of… more
- Apex Health Solutions (Houston, TX)
- …cadence to enrich the overall member experience. Essential Duties and Responsibilities: Risk Adjustment Coder is responsible for reviewing, abstracting, and ... inpatient and/or outpatient medical records to ensure proper ICD-10 coding and compliance with risk adjustment requirements. Follows CMS Risk Adjustment … more
- Baylor Scott & White Health (Columbia, SC)
- …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...vary based upon position type and/or level **QUALIFICATIONS** + EDUCATION - Associate's or 2 years of work experience… more
- Centene Corporation (Tallahassee, FL)
- …using the most current International Classification of Diseases, (ICD-10) for CMS risk adjustment purposes. + Codes, abstracts and analyzes inpatient and/or ... a complete understanding of these guidelines. + Follows CMS risk adjustment guidelines and has a complete...external audits. + Complies with all policies and standards ** Education /Experience:** Required A High School or GED **Preferred A… more
- Centene Corporation (Tallahassee, FL)
- …Certified Coding Specialist (CCS)** **Preferred Skills:** Experience with Risk Adjustment coding Comfortable utilizing Microsoft 365 (Word, Excel, ... a complete understanding of these guidelines. + Follows CMS risk adjustment guidelines and has a complete...assigned. + Complies with all policies and standards **Required Education :** High School or GED Preferred: Bachelor's Degree in… more
- The Cigna Group (Nashville, TN)
- …one of the below):** Certified Professional Coder (CPC) Certified Risk Adjustment Coder (CRC) Certified Coding Specialist for Providers (CCS-P) Certified ... **Coding Education Specialist (AHIMA or AAPC certified)...outpatient or medical office coding experience, preferably two years risk adjustment coding experience. + Extensive knowledge… more