59 jobs found

Judge Healthcare is currently seeking a HCC Coders to work remotely!! Full Time - 40 hours a week Part Time-20 hours a week Responsibilities: The certified coder reviews, analyzes, and codes diagnostic information in a patients medical record based on client specific guidelines for the project. The coder will ensure compliance with established ICD 10 CM, DRGs coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. Coders must meet and maintain 95% coding accuracy rate. Any other task requested by management. Qualifications: 1 year of HCC coding experienceAHIMA certified credentials (RHIT, CCS) or AAPC certified credentials (CPC, COC, CIC, or CRC) Extensive knowledge of ICD - 10. Ability to be flexible in the work environment. A strong knowledge base of medical terminology, medical abbreviations, pharmacology and disease processes. Ability to work in a fast paced production environment while maintaining high quality. Must be able to follow...

Remote HCC Risk Adjustment Coder Job Locations US-Remote Requisition ID 2023-34307 # of Openings 9 Category (Portal Searching) HCC Coding Position Type (Portal Searching) Employee Full-Time Overview Who we are... Ciox Health merged with Datavant in 2021, creating the nation's largest health data ecosystems, powering secure data connectivity on behalf of thousands of providers, payers, health data analytics companies, patient-facing applications, government agencies, research institutions and life science companies. The combined company is focused on improving patient outcomes and reducing costs by removing impediments to the secure exchange of health data. Ciox, a Datavant company will offer the ability to access, exchange, and connect data among the thousands of organizations in its ecosystem for use cases ranging from better clinical care and value-based payments to health analytics and medical...

CSI is actively hiring for a REMOTE Risk Adjustment Medical Coder for full-time hours ( minimum 35 hours a week) with a nationally recognized healthcare company that is known for championing innovation, leading from the front with technology, and transforming the healthcare system.This is not just another contract, it's the next step in your career as a Medical Coder!Check out what other coders are sharing about their experience working at CSI-Indeed Reviews The What You Want to Know! 100% REMOTE -Work from home Flexible working schedule PAY PER HOUR model Paid training Long term contract position- Benefits Offered! MINIMUM REQUIREMENT of 4 YEARS RISK ADJUSTMENT EXPERIENCE Required Certification: Active certified coder certification through AHIMA or AAPC required: CRC, CPC, CCS-P, CCS (Certified Risk Adjustment Coder, Certified Professional Coder, Certified Coding Specialist- Physician Based) In House Expert Coding Support - mentoring, coaching, QA...

CSI is actively hiring for a REMOTE Risk Adjustment Medical Coder for full-time hours ( minimum 35 hours a week) with a nationally recognized healthcare company that is known for championing innovation, leading from the front with technology, and transforming the healthcare system.This is not just another contract, it's the next step in your career as a Medical Coder!Check out what other coders are sharing about their experience working at CSI-Indeed Reviews The What You Want to Know! 100% REMOTE -Work from home Flexible working schedule PAY PER HOUR model Paid training Long term contract position- Benefits Offered! MINIMUM REQUIREMENT of 4 YEARS RISK ADJUSTMENT EXPERIENCE Required Certification: Active certified coder certification through AHIMA or AAPC required: CRC, CPC, CCS-P, CCS (Certified Risk Adjustment Coder, Certified Professional Coder, Certified Coding Specialist- Physician Based) In House Expert Coding Support - mentoring, coaching, QA Various projects in Medicaid,...

Location: Johns Creek, GA Salary: $22.00 USD Hourly - $25.00 USD Hourly Description: Judge Healthcare is currently seeking a HCC Coders to work remotely!! Full Time - 40 hours a week Part Time-20 hours a week Responsibilities: The certified coder reviews, analyzes, and codes diagnostic information in a patients medical record based on client specific guidelines for the project. The coder will ensure compliance with established ICD 10 CM, DRGs coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. Coders must meet and maintain 95% coding accuracy rate. Any other task requested by management. Qualifications: 1 year of HCC coding experience AHIMA certified credentials (RHIT, CCS) or AAPC certified credentials (CPC, COC, CIC, or CRC) Extensive knowledge of ICD - 10. Ability to be flexible in the work environment. A strong knowledge base of medical terminology, medical abbreviations,...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Position in this function review documentation to assure proper application of ICD-10 coding/risk adjustment guidelines and policies are being met. Application of appropriate CPT, CPT II, HCPCS, and modifiers necessary for accurate charge submission and reimbursement. Maintain defined charge submission turnaround times. Query providers for documentation clarification. Communicate with providers...

CSI is actively hiring for a REMOTE SENIOR Risk Adjustment Medical Coder for full-time hours ( minimum 35 hours a week) with a nationally recognized healthcare company that is known for championing innovation, leading from the front with technology, and transforming the healthcare system.This is not just another contract, it's the next step in your career as a Medical Coder! Check out what other coders are sharing about their experience working at CSI- Indeed Reviews The What You Want to Know! 100% REMOTE - Work from home Flexible working schedule PAY PER HOUR model Paid training Long term contract position- Benefits Offered! MINIMUM REQUIREMENT of 4 YEARS RISK ADJUSTMENT EXPERIENCE Required Certification: Active certified coder certification through AHIMA or AAPC required: CRC, CPC, CCS-P, CCS (Certified Risk Adjustment Coder, Certified Professional Coder, Certified Coding Specialist- Physician Based) In House Expert Coding Support - mentoring, coaching, QA Various projects in...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Position in this function review documentation to assure proper application of ICD-10 coding/risk adjustment guidelines and policies are being met. Application of appropriate CPT, CPT II, HCPCS, and modifiers necessary for accurate charge submission and reimbursement. Maintain defined charge submission turnaround times. Query providers for documentation clarification. Communicate with providers...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Position in this function review documentation to assure proper application of ICD-10 coding/risk adjustment guidelines and policies are being met. Application of appropriate CPT, CPT II, HCPCS, and modifiers necessary for accurate charge submission and reimbursement. Maintain defined charge submission turnaround times. Query providers for documentation clarification. Communicate with providers...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Position in this function review documentation to assure proper application of ICD-10 coding/risk adjustment guidelines and policies are being met. Application of appropriate CPT, CPT II, HCPCS, and modifiers necessary for accurate charge submission and reimbursement. Maintain defined charge submission turnaround times. Query providers for documentation clarification. Communicate with providers...

CSI is actively hiring for a REMOTE SENIOR Risk Adjustment Medical Coder for full-time hours ( minimum 35 hours a week) with a nationally recognized healthcare company that is known for championing innovation, leading from the front with technology, and transforming the healthcare system.This is not just another contract, it's the next step in your career as a Medical Coder! Check out what other coders are sharing about their experience working at CSI- Indeed Reviews The What You Want to Know! 100% REMOTE - Work from home Flexible working schedule PAY PER HOUR model Paid training Long term contract position- Benefits Offered! MINIMUM REQUIREMENT of 4 YEARS RISK ADJUSTMENT EXPERIENCE Required Certification: Active certified coder certification through AHIMA or AAPC required: CRC, CPC, CCS-P, CCS (Certified Risk Adjustment Coder, Certified Professional Coder, Certified Coding Specialist- Physician Based) In House Expert Coding Support - mentoring, coaching, QA...

Welcome to Veradigm! Our Mission is to be the most trusted provider of innovative solutions that empower all stakeholders across the healthcare continuum to deliver world-class outcomes. Our Vision is a Connected Community of Health that spans continents and borders. With the largest community of clients in healthcare, Veradigm is able to deliver an integrated platform of clinical, financial, connectivity and information solutions to facilitate enhanced collaboration and exchange of critical patient information. Location: REMOTE Job Summary Analyzes and translates concurrent, prospective, and retrospective medical and clinical diagnoses, procedures, injuries, and illnesses into Medicare Risk Adjustment (MRA) ICD-10 codes and Hierarchical Condition Categories (HCCs). Completes assignments with an emphasis on completeness, accuracy, and supporting clinical care plans as it pertains to Risk Adjustment Data Validation (RADV) timelines. Essential Functions Accurately...

Location: REMOTE Salary: $29.00 USD Hourly - $32.00 USD Hourly Description: Our client is currently seeking a Certified Risk Adjustment Coder to work Remotely!  This job will have the following responsibilities: Certified RA coder will be part of value-based care team performing pre-review and concurrent review activities; may query providers and/or provide education. Qualifications & Requirements: At least 3 years certified risk adjustment coding, preferably with the CMS-HCC model (even better if candidate has some direct CMS contracting model experience, e.g. Primary Care First, Next Gen model, etc.), where coding must be correct prior to billing If interested, please apply directly or reach out to one of my contact methods below ASAP EMAIL: mthum@judge.comPHONE /TXT: (484) 753-3515 Contact: mthum@judge.com This job and many more are available through The Judge Group. Find us on the web at www.judge.com

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Position in this function review documentation to assure proper application of ICD-10 coding/risk adjustment guidelines and policies are being met. Application of appropriate CPT, CPT II, HCPCS, and modifiers necessary for accurate charge submission and reimbursement. Maintain defined charge submission turnaround times. Query providers for documentation clarification. Communicate with providers...

Location: REMOTE Salary: $20.00 USD Hourly - $25.00 USD Hourly Description: the Judge Group is currently seeking a HCC Risk Adjustment Coder This job will have the following 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 and documentation improvement opportunities for provider education.  Assist coding leadership by making recommendations for process improvements to further enhance coding goals and outcomes.  Maintain current knowledge of ICD-10-CM codes, CMS documentation requirements, and state and federal regulations.  Consistently maintain a minimum 95% accuracy on coding quality audits  Meet minimum productivity requirements as outlined by the project terms Handle other related duties as required or assigned. Qualifications & Requirements: 1-2 years of HCC coding experience...

Location: REMOTE Salary: $21.00 USD Hourly - $22.00 USD Hourly Description: Judge Healthcare is seeking Remote entry level HCC Coders (Accepting CPC-A's and no HCC Experience) ASAP!! Position Title: HCC Coder Type of Engagement: Contract (Ongoing/Long term) Rate: Competitive and Dependent on Experience Locations: Remote Summary of Position: The Medical Record Coder will code medical records in electronic formats using ICD-10-CM for charts in dates of service over a two-year range. Monitor regulatory changes as they apply to ICD-10-CM coding guidelines. Serve as a resource to Medicare Advantage Coding to ensure reimbursement accuracy. Perform ongoing analysis of charts for the appropriate coding compliance. Research and resolve assigned Coding projects. Major Responsibilities: 1. Research and resolution of coding projects as assigned. 2. Perform ongoing analysis of medical record charts for the appropriate coding compliance. 3. Coder is responsible for...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Position in this function review documentation to assure proper application of ICD-10 coding/risk adjustment guidelines and policies are being met. Application of appropriate CPT, CPT II, HCPCS, and modifiers necessary for accurate charge submission and reimbursement. Maintain defined charge submission turnaround times. Query providers for documentation clarification. Communicate with providers...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Position in this function review documentation to assure proper application of ICD-10 coding/risk adjustment guidelines and policies are being met. Application of appropriate CPT, CPT II, HCPCS, and modifiers necessary for accurate charge submission and reimbursement. Maintain defined charge submission turnaround times. Query providers for documentation clarification. Communicate with providers...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Position in this function review documentation to assure proper application of ICD-10 coding/risk adjustment guidelines and policies are being met. Application of appropriate CPT, CPT II, HCPCS, and modifiers necessary for accurate charge submission and reimbursement. Maintain defined charge submission turnaround times. Query providers for documentation clarification. Communicate with providers...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Position in this function review documentation to assure proper application of ICD-10 coding/risk adjustment guidelines and policies are being met. Application of appropriate CPT, CPT II, HCPCS, and modifiers necessary for accurate charge submission and reimbursement. Maintain defined charge submission turnaround times. Query providers for documentation clarification. Communicate with providers...

Full time employee consultants - must be located in United States - preferred CST and EST Our client is looking for experienced ProFee Consultant Clinicians to join their growing team as full time employees in a team-based environment and have responsibility for ProFee opportunity identification, ProFee education and training, and general client support. They will also be engaged in assessments, implementations, and ongoing support, including HCC, E/M changes, Value-Based Purchasing and Population Health/ACO to ensure clients are positioned for success in these areas. Consultants are responsible for chart reviews and audits, creating or updating tools and educational materials, providing education and training, client mentoring, ProFee clinical documentation process reviews and enhancements, supporting the enhancement of the offering, and client support. Heavy involvement and role in overall client interaction and satisfaction. Partner with clients in all phases of CDI...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Position in this function review documentation to assure proper application of ICD-10 coding/risk adjustment guidelines and policies are being met. Application of appropriate CPT, CPT II, HCPCS, and modifiers necessary for accurate charge submission and reimbursement. Maintain defined charge submission turnaround times. Query providers for documentation clarification. Communicate with providers...