21 (CRC) Certified Risk Adjustment Coder jobs

Job Description Seeking a CRC CERTIFIED MEDICAL CODER or CPC or RHIT with Primary Care experience Monday-Friday, 40 Hours, Part-time may be available $18-22 DOE Certified greater than three years starts at $21/hr 2+ years' experience as a CRC coder or a CPC or RHIT with Primary Care experience. This company offers an excellent/competitive benefits package , rewards their associates through incentive potential, and boasts of an extremely desirable culture! Must have current Coding Certification. Starts out onsite until fully trained in, then has potential to go remote after 3 months. These opportunities are Temp to Hire with good performance and attendance! This position could potentially go remote after 6 months - a year, or once trained in. Must live in the Knoxville, TN or surrounding areas.

Job Description The Position : Responsible for the accurate coding, coding review, and submission of eligible participant diagnoses to CMS. DUTIES AND RESPONSIBILITIES: * Oversee all aspects of HCC and frailty coding operations for Center for Elders' Independence. * Interprets, analyzes, and assigns diagnostic codes to ensure compliance with governmental reimbursement policies, regulations and applicable guidelines. * Reviews provider coded encounters for accuracy of diagnoses. * Abstracts all CMS participant eligible diagnoses into a CMS submittal format. * Reviews and analyzes medical documentation to ensure that the final diagnosis listed accurately reflects the care and treatment submitted for reimbursement. * Collaborates and coordinates with external auditors; provides feedback on audit reports as appropriate. * Identifies inconsistencies, discrepancies and/or trends within the medical record and discusses with the appropriate medical providers. Recommends appropriate...

Job Description O ur Vision is to be the best choice for healthcare in our community Conduct provider medical record review of HCC coding, analysis of practice coding patterns, of daily patients visit assigned to centers regarding risk adjustment to ensure accurate reporting of sickness data and improve quality of care. Provide ICD diagnosis of MRA identifying all diagnoses, along with possible comorbidities and complications, sickness level of the patient, to identify patterns and development of interventions at the provider. **This is a Hybrid position - 50% Remote/50% on site) MUST RESIDE IN FL - PREFERABLY IMMEDIATE TAMPA BAY REGION** WHAT DOES FMC HAVE TO OFFER ITS EMPLOYEES? We offer a wide choice of compensation and benefit programs that are among the best. From competitive salaries to retirement plans. We make every effort to take care of the people who make our company great. * Gives you an employer that you will have pride in working for * Provides excellent training...

Job Description South Los Angeles based FQHC looking for onsite Certified HCC coder . *This is not a remote position Conduct the necessary audits of medical record to verify the physicians have appropriately documented the diagnoses then code these diagnoses in ICD-10 for Medicare Risk Adjustments/Medicare Advantage. Evaluate medical information (Outpatient/Inpatient) documentation from a clinical standpoint for evidence of the possibility of additional medical conditions that may not have been documented in the past, and ensure accurate coding of the encounter data and recommend processes for accurate coding practices. This process involves a very strong understanding of medical coding. * Ascertain that medical record documentations have accurate diagnoses and conditions to assure not to up-code, fraudulently or misrepresent the patient condition and ensure compliance to prepare for random CMS medical records audit * HEDIS coding and record collection * Report Coding...

Job Description A-Line Staffing is now hiring Remote HCC Coder . The Remote HCC Coder would be working for a Fortune 500 company and has career growth potential. This would be full time / 40+ hours per week. If you are interested in this Remote HCC Coder position, please contact Ignacio at ifierro@alinestaffing.com Remote HCC Coder Compensation * The pay for this position is 28/ per hour * Benefits are available to full-time employees after 90 days of employment * A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates Remote HCC Coder Highlights * This position is a contract assignment with potential to hire on permanently based upon attendance, performance, and business needs * The required availability for this position is M-F 8A-5P Remote HCC Coder Responsibilities -Abstracts relevant clinical and demographic information from the medical record to assign current ICD-10 and CPT codes in accordance with coding and...

Job Description Our Client is seeking a Clinical Specialist - Coder that can support clients transitioning to value-based programs and troubleshoots lagging performance by assisting in removing barriers. The Clinical Specialist is a nurse and certified risk adjustment coder. They serve as an advisor and consultant on coding initiatives for internal and external stakeholders. This individual will create and review clinical content related to coding, perform coding audits for select clients, and train clients on accurate and complete coding. Job Responsibilities: To perform this job successfully, an individual must be able to perform the following satisfactorily; other duties may be assigned. * Audit accuracy, quality, and consistency of coded data by conducting audits of medical records, practice management systems, billing systems, and computer databases related to Medicare reimbursement. * Serve as a subject matter expert on topics such as CMS risk adjustment coding, Hierarchical...

Immediate Opening for San Ramon, CA and Bay Area territory, this position will require visiting Providers and will be hybrid. Please apply today for consideration! The Risk Adjustment Coder II provides support and coding expertise to all programs that support risk adjustment and data validation efforts for our Medicare, Commercial and PPO lines of business, along with other ad hoc and long-term projects assigned by the Manager, Government Programs. These projects impact revenue and prepare us for health plan, CMS and HHS audits. In addition, the Risk Adjustment Coder will provide analytics, education, in-person trainings in provider offices, and serve as the subject matter expert for all HCC coding initiatives, policies and procedures that adhere to our organizations coding guidelines and compliance standards. The position will interact with physician leadership, the provider network, and internal departments within the organization (e.g. Regional Services, Clinical Services,...

DEPARTMENT:  Health Information Services START:  7/10/23  END: 10/31/2023 LOCATION: Remote  JOB DESCRIPTION: The Risk Adjustment Coder performs medical record diagnosis code abstraction based upon clinical documentation, ICD-10-CM Official Guidelines for Coding and Reporting, AHA Coding Clinic Guidance, CMS program guidance and in accordance with all state regulations, federal regulations, internal policies, and internal procedures. The Risk Adjustment Coder will apply the guidance provided for the medical records code abstraction of the following programs; including but not limited to, Commercial Risk Adjustment, Medicare Advantage Risk Adjustment, Commercial IVA (Initial Validation Audit), and Medicare RADV (Risk Adjustment Data Validation) and Medicaid. Role Responsibilities:   Perform code abstraction of medical records to ensure ICD-10-CM codes are accurately assigned and supported by clinical documentation Identify diagnosis and chart-level impairments...

Job Description We are seeking a skilled professional, who is committed to delivering high quality customer service. This role will offer excellent customer service and represent Catalyst Medical Group with a positive, caring attitude while providing high quality HCC/Risk Adjustment coding for a high population of patients. Job Responsibilities include, but are not limited to: * Identify and communicate documentation deficiencies for improvement * Review and assign accurate medical HCC coding for diagnoses performed by providers * Work with multiple Excel reports * Work closely with insurance companies to ensure goals are being met (Contact Human Resources for the full job description.) The ideal candidate will: * Be well organized and have strong communication skills * Be accurate and thorough in their work * Maintain a positive attitude and help foster a friendly work environment * Be a confident public speaker Education: Required: * High School Diploma or GED * Minimum of 2...

Job Description Welcome to Pine Park Health! About us Pine Park Health is a value-based primary care practice that's reshaping how residents of senior living communities experience healthcare. We provide high-quality prevention and screening, care for chronic conditions, lab work, and diagnostic testing to patients in their homes and closely partner with community staff to improve resident health and wellness. We also provide in-person and virtual Rapid Care for common concerns -- like falls, wounds, or changes in behavior -- to help patients avoid trips to the ER where they're exposed to further health issues. Over 80 communities across the Bay Area, San Diego, and Phoenix work with Pine Park today and we're growing rapidly to expand our reach and impact. Investors include First Round Capital, Google's AI fund, Canvas Ventures, Foundation Capital, Y Combinator, and Susa. If you're interested in changing healthcare for seniors, join us! The Opportunity The Remote HCC Coder has a...

Job Description Location: Raymond Diehl Area/Department: Finance Hours per week: 40 F/T or P/T status: Full Time Work schedule/hours: Based upon the company's needs, weekly work schedule may vary between M-F 8 am - 5:30 pm Job Summary: This role will provide coding quality auditing services and evaluate clinical documentation to ensure accurate coding. This position is responsible for timely communication of identified quality issues concerning documentation and coding. The ultimate goal is improvement in coding accuracy. The minimum productivity goal is set by project with an expectation of minimum 95% accuracy rate. Minimum Qualifications: High School diploma or equivalent required. Associate's degree or equivalent from two-year college or technical school preferred. AAPC/AHIMA certification and at least 1 year of previous coding experience required. Certified Professional Coder (CPC) or Certified Risk Adjustment Coder (CRC) preferred. Job Posted by ApplicantPro

Job Description Position Location: 100% Remote Qualifications The Medical Coder provides coding and coding auditing services directly to providers. This includes the analysis and translation of medical and clinical diagnoses, procedures, injuries, or illnesses into designated numerical codes. This is a full-time, remote position that offers a flexible schedule. Responsibilities: * Receive assigned medical charts to code * Review medical charts electronically using a computer * Abstract and code diagnosis and documentation information * Research and resolution of coding projects as assigned * Document requested information from the medical record * Determine valid encounters including legibility and valid signature requirements * Identify valid face to face encounters * Perform ongoing analysis of medical record charts for the appropriate coding compliance * Coder is responsible for meeting daily production goal and quality goal of averaging 95% accuracy rate on a consistent basis...

Job Description Equality Health is an Arizona-based population healthcare company focused on improving care delivery for underserved populations through culturally-sensitive programs that improve access, quality, and patient trust. Our mission is to ensure diverse populations receive quality healthcare that improves and enriches their lives. We have developed our product portfolio around centralized technology, services and network designs intended to organize a better healthcare delivery system for cultures that have struggled with integrating into the traditional one-size-fits-all U.S. healthcare system. The HCC Coder is an integral part of Equality Health's risk adjustment efforts to achieve effective documentation and coding practices while maintaining and/or improving provider relationships. This individual will review submitted medical records to validate ICD-10-CMs and add recently identified ICD-10-CMs. They will deliver direct feedback to provider offices when validation...

Why should you consider a career with Colorado Access?   We are a Colorado-based company, working to improve the health of our state.   We care for individuals, families, and children who receive health care under Child Health Plan  Plus  (CHP+) and Health First Colorado (Colorado's Medicaid Program).   O ur focus is driving improvements in quality, member experience, outcomes, and cost. We are a mission-driven organization whose foundation is built by our vision, supported by our values and pillared by diversity, equity and inclusion.   Find work/life balance:   We offer PTO, floating holidays, seven company paid holidays, work from home options (exceptions apply), an Employee Assistance Program and a 401K. Be a part of something bigger and make an impact : We serve the underserved and most vulnerable populations in our community through access to quality and affordable health care. No matter what you do for Colorado Access, you are impacting our community...