• CDI Specialist - Managed Care Exp preferred

    Fallon Health (Worcester, MA)
    …of any of the following Certified Coding Specialist (CCS), Certified Risk Adjustment Coding (CRC) or Certified Professional Coder (CPC) required. * ... updates * Develop and coordinate education and training that focuses on Risk Adjustment coding and documentation opportunities utilizing a variety of methods… more
    Fallon Health (12/26/24)
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  • Medical Coding Compliance Specialist

    Medical Mutual of Ohio (OH)
    Coding Compliance Specialist I** Optimizes/reviews documentation for the application of risk adjustment coding for ACA (Affordable Care Act) and MA ... Coding Compliance Specialist II** Optimizes/reviews documentation for the application of risk adjustment coding for ACA (Affordable Care Act) and MA… more
    Medical Mutual of Ohio (12/10/24)
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  • PAR - Medical Coding Compliance…

    Medical Mutual of Ohio (Toledo, OH)
    …(Registered Health Information Technician) and/or + CCS/CCS-P (Certified Coding Specialist /Physician-based + CRC (Certified Risk Adjustment Coder) or ... **Job Summary:** Optimizes/reviews documentation for the application of risk adjustment coding for ACA (Affordable Care Act) and MA (Medicare Advantage) with… more
    Medical Mutual of Ohio (11/28/24)
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  • Risk and Quality Provider Educator

    VNS Health (Manhattan, NY)
    …and + Certified Coding Specialist (CCS) or (CRC) Certified Risk Adjustment Coder or Registered Health Information Technician (RHIT) in ICD-10-CM ... of opportunity to support accuracy clinical documentation. Works with Risk Adjustment and Quality team to identify...Adjustment required + 2 years of experience in coding and/or clinical documentation education required + Working knowledge… more
    VNS Health (12/03/24)
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  • Clinical Documentation Integrity Specialist

    UCLA Health (Los Angeles, CA)
    …- Medicare Advantage Risk Adjustment , you will be an expert in risk adjustment coding and documentation, working closely with physicians, IPA coders, ... Professional Coder (CPC) certification or Certified Coding Specialist (CCS) certification, required + A Certified Risk... Specialist (CCS) certification, required + A Certified Risk Adjustment Coder (CRC), required + Registered… more
    UCLA Health (02/10/25)
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  • Risk Adjustment Specialist II…

    Centene Corporation (Phoenix, AZ)
    …70-100 providers. + Develop collaborative relationships with providers to educate and improve Risk Adjustment coding and documentation competencies. + Use ... surrounding Tempe and Tucson, Arizona visiting Providers. **Position Purpose:** Utilize risk adjustment methodologies, principles, and knowledge of managed care… more
    Centene Corporation (02/08/25)
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  • Risk Adjustment Provider Programs…

    Medical Mutual of Ohio (OH)
    …Medicare Supplement, and individual plans. _Collaborates with internal departments on risk adjustment coding strategies, HEDIS performance, provider ... the review of provider agreements.** + **Acts as project manager over large internal risk adjustment projects (eg, Optum In Office Assessment program for both MA… more
    Medical Mutual of Ohio (12/06/24)
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  • Certified Coding Specialist I

    UPMC (Pittsburgh, PA)
    …and/or procedure. + Review appropriate documents to accurately assign a Risk Adjustment HCC diagnosis. + Review coding for accuracy and completeness before ... UPMC Health Plan is seeking a full-time Certified Coding Specialist I. The Certified ...Outpatient, physician, and ED charts as necessary. + Assign Risk Adjustment HCC diagnoses by thoroughly reviewing… more
    UPMC (02/07/25)
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  • Billing and Coding Specialist

    University of Colorado (Aurora, CO)
    …and/or facility fee setting. + Experience with outpatient (HOPD, freestanding) and inpatient coding , risk adjustment auditing. + Experience building and ... **Billing and Coding Specialist ** **Description** **University of Colorado Anschutz Medical Campus** **School of Medicine | Department of Family Medicine** **Job… more
    University of Colorado (01/30/25)
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  • Coding Training and Development…

    Corewell Health (Grand Rapids, MI)
    …of relevant experience related experienced. Required 1 of 7 Certifications + CRT- Coding Specialist (CCS) - AHIMA American Health Information Management ... Association Coding Dept Only. + CRT-Professional Coder - AAPC American...Wealthy St SE - Grand Rapids Department Name CDI Risk Adjustment Employment Type Full time Shift… more
    Corewell Health (11/19/24)
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