20 crc certified risk adjustment coder jobs found

Risk Adjustment Medical Coder Location: Remote ***MUST LIVE IN THE STATE OF NEW YORK*** Schedule: Monday–Friday, 8:30 AM – 5:00 PM Duration: April 1 – June 26 About the Role We are seeking an experienced Risk Adjustment Medical Coder to support coding accuracy and compliance initiatives related to risk adjustment and reimbursement. This role focuses on reviewing clinical documentation, assigning appropriate diagnosis codes, and ensuring adherence to regulatory guidelines. The ideal candidate thrives in a remote environment and consistently delivers high-quality, accurate work. Key Responsibilities Review medical records and encounter data to assign accurate diagnosis codes in alignment with risk adjustment and regulatory standards Analyze clinical documentation for completeness and specificity to ensure proper code assignment Identify and resolve coding discrepancies while maintaining compliance with established guidelines Document coding decisions and maintain organized,...

Risk Adjustment Medical Coder Location: Remote ***MUST LIVE IN THE STATE OF NEW YORK*** Schedule: Monday–Friday, 8:30 AM – 5:00 PM Duration: April 1 – June 26 About the Role We are seeking an experienced Risk Adjustment Medical Coder to support coding accuracy and compliance initiatives related to risk adjustment and reimbursement. This role focuses on reviewing clinical documentation, assigning appropriate diagnosis codes, and ensuring adherence to regulatory guidelines. The ideal candidate thrives in a remote environment and consistently delivers high-quality, accurate work. Key Responsibilities Review medical records and encounter data to assign accurate diagnosis codes in alignment with risk adjustment and regulatory standards Analyze clinical documentation for completeness and specificity to ensure proper code assignment Identify and resolve coding discrepancies while maintaining compliance with established guidelines Document coding decisions and maintain organized,...

Risk Adjustment Medical Coder Location: Remote ***MUST LIVE IN THE STATE OF NEW YORK*** Schedule: Monday–Friday, 8:30 AM – 5:00 PM Duration: April 1 – June 26 About the Role We are seeking an experienced Risk Adjustment Medical Coder to support coding accuracy and compliance initiatives related to risk adjustment and reimbursement. This role focuses on reviewing clinical documentation, assigning appropriate diagnosis codes, and ensuring adherence to regulatory guidelines. The ideal candidate thrives in a remote environment and consistently delivers high-quality, accurate work. Key Responsibilities Review medical records and encounter data to assign accurate diagnosis codes in alignment with risk adjustment and regulatory standards Analyze clinical documentation for completeness and specificity to ensure proper code assignment Identify and resolve coding discrepancies while maintaining compliance with established guidelines Document coding decisions and maintain organized,...

Risk Adjustment Medical Coder Location: Remote ***MUST LIVE IN THE STATE OF NEW YORK*** Schedule: Monday–Friday, 8:30 AM – 5:00 PM Duration: April 1 – June 26 About the Role We are seeking an experienced Risk Adjustment Medical Coder to support coding accuracy and compliance initiatives related to risk adjustment and reimbursement. This role focuses on reviewing clinical documentation, assigning appropriate diagnosis codes, and ensuring adherence to regulatory guidelines. The ideal candidate thrives in a remote environment and consistently delivers high-quality, accurate work. Key Responsibilities Review medical records and encounter data to assign accurate diagnosis codes in alignment with risk adjustment and regulatory standards Analyze clinical documentation for completeness and specificity to ensure proper code assignment Identify and resolve coding discrepancies while maintaining compliance with established guidelines Document coding decisions and maintain organized,...

Risk Adjustment Medical Coder Location: Remote ***MUST LIVE IN THE STATE OF NEW YORK*** Schedule: Monday–Friday, 8:30 AM – 5:00 PM Duration: April 1 – June 26 About the Role We are seeking an experienced Risk Adjustment Medical Coder to support coding accuracy and compliance initiatives related to risk adjustment and reimbursement. This role focuses on reviewing clinical documentation, assigning appropriate diagnosis codes, and ensuring adherence to regulatory guidelines. The ideal candidate thrives in a remote environment and consistently delivers high-quality, accurate work. Key Responsibilities Review medical records and encounter data to assign accurate diagnosis codes in alignment with risk adjustment and regulatory standards Analyze clinical documentation for completeness and specificity to ensure proper code assignment Identify and resolve coding discrepancies while maintaining compliance with established guidelines Document coding decisions and maintain organized,...

Risk Adjustment Medical Coder Location: Remote ***MUST LIVE IN THE STATE OF NEW YORK*** Schedule: Monday–Friday, 8:30 AM – 5:00 PM Duration: April 1 – June 26 About the Role We are seeking an experienced Risk Adjustment Medical Coder to support coding accuracy and compliance initiatives related to risk adjustment and reimbursement. This role focuses on reviewing clinical documentation, assigning appropriate diagnosis codes, and ensuring adherence to regulatory guidelines. The ideal candidate thrives in a remote environment and consistently delivers high-quality, accurate work. Key Responsibilities Review medical records and encounter data to assign accurate diagnosis codes in alignment with risk adjustment and regulatory standards Analyze clinical documentation for completeness and specificity to ensure proper code assignment Identify and resolve coding discrepancies while maintaining compliance with established guidelines Document coding decisions and maintain organized,...

Risk Adjustment Medical Coder Location: Remote ***MUST LIVE IN THE STATE OF NEW YORK*** Schedule: Monday–Friday, 8:30 AM – 5:00 PM Duration: April 1 – June 26 About the Role We are seeking an experienced Risk Adjustment Medical Coder to support coding accuracy and compliance initiatives related to risk adjustment and reimbursement. This role focuses on reviewing clinical documentation, assigning appropriate diagnosis codes, and ensuring adherence to regulatory guidelines. The ideal candidate thrives in a remote environment and consistently delivers high-quality, accurate work. Key Responsibilities Review medical records and encounter data to assign accurate diagnosis codes in alignment with risk adjustment and regulatory standards Analyze clinical documentation for completeness and specificity to ensure proper code assignment Identify and resolve coding discrepancies while maintaining compliance with established guidelines Document coding decisions and maintain organized,...

Medical Coding Specialist Overview: Reviews and audits claims for billing, coding, services and other compliance or reimbursement issues. Assists with non-clinical aspects of the claims review process and acts as a coding resource. Provides training and support to Medical Care at Home Clinicians and staff to provide best practices of claims coding. Applies coding skills to various initiatives to ensure compliance in claims submissions. Works under moderate supervision. What You Will Do: Reviews medical claims, records and other requested information for billing, coding and other compliance or reimbursement related issues; makes coding and documentation recommendations for adherence to risk adjustment models. Reviews medical documentation to ensure all key quality metrics are noted on claim, as provided during the encounter. Performs medical chart reviews to validate codes for quality monitoring, reporting, and analysis. Conducts coding reviews independently on all provider...

Position: Risk Adjustment Coder . Location: Remote (Must reside in NY/ NJ/ CT) . Schedule: Monday - Friday 9 am-5 pm . Compensation: $77,506.87 - 87,195.23 annual salary - - CPC, CCS, RHIT or RHIA and CRC are required - - . Join VillageCar Coder, Risk, Healthcare, Processing

Risk Adjustment Medical Coder Location: Remote ***MUST LIVE IN THE STATE OF NEW YORK*** Schedule: Monday–Friday, 8:30 AM – 5:00 PM Duration: April 1 – June 26 About the Role We are seeking an experienced Risk Adjustment Medical Coder to support coding accuracy and compliance initiatives related to risk adjustment and reimbursement. This role focuses on reviewing clinical documentation, assigning appropriate diagnosis codes, and ensuring adherence to regulatory guidelines. The ideal candidate thrives in a remote environment and consistently delivers high-quality, accurate work. Key Responsibilities Review medical records and encounter data to assign accurate diagnosis codes in alignment with risk adjustment and regulatory standards Analyze clinical documentation for completeness and specificity to ensure proper code assignment Identify and resolve coding discrepancies while maintaining compliance with established guidelines Document coding decisions and maintain organized,...

Risk Adjustment Coder Join VillageCare as a Full Time Risk Adjustment Coder and embrace the opportunity to work remotely while making a significant impact in the Health Care sector. This role offers the flexibility of a work-from-home environment, allowing you to balance your professional and personal commitments without the daily commute. You'll be part of a dynamic team that thrives on innovation, problem-solving, and a customer-centric approach, all while contributing to the excellence and integrity that VillageCare stands for. With a competitive salary up to $77,506.87 - $87,195.23, this is not just a job but a chance to build your career in a forward-thinking organization dedicated to healthcare improvement. As a team member you'll be able to enjoy benefits such as PTO package, 10 Paid Holidays, Personal and Sick time, Medical/Dental/Vision, HRA/FSA, Education Reimbursement, Retirement Savings 403(b), Life and Disability, Commuter Benefits, Paid Family Leave, and Additional...

Join Datavant, a leading data platform company revolutionizing health data exchange. Our mission ensures that every healthcare decision is guided by the right data at the right time and in the right format. As the world's foremost health data network, our platform enables secure, accessible, and actionable data, empowering healthcare stakeholders including life sciences firms, government agencies, and care providers. By becoming part of Datavant's high-performing, values-driven team, you'll contribute to innovative technology solutions that address some of healthcare's most challenging issues. Our diverse team brings various professional, educational, and life experiences together to achieve our ambitious goals for the healthcare sector. What You'll Be Doing: Conduct audits of coded medical charts according to the client's guidelines as assigned by the quality supervisor. Navigate multiple client guidelines with ease. Maintain a 95% quality average at the...

Overview Reviews and audits claims for billing, coding, services and other compliance or reimbursement issues. Assists with non-clinical aspects of the claims review process and acts as a coding resource. Provides training and support to Medical Care at Home Clinicians and staff to provide best practices of claims coding. Applies coding skills to various initiatives to ensure compliance in claims submissions. Works under moderate supervision. What We Provide Per Diem team members are eligible for some benefits and can access our extensive Employee Assistance Program that includes financial, legal, and mental health counseling programs as well as participate in a 403b retirement savings program. What You Will Do Reviews medical claims, records and other requested information for billing, coding and other compliance or reimbursement related issues; makes coding and documentation recommendations for adherence to risk adjustment models. Reviews medical...

Position: Risk Adjustment Coder Location: Remote (Must reside in NY/NJ/CT) Schedule: Monday - Friday 9am-5pm Compensation: $77,506.87 - 87,195.23 annual salary **CPC, CCS, RHIT or RHIA and CRC are required** Join VillageCare as a Full Time Risk Adjustment Coder and embrace the opportunity to work remotely while making a significant impact in the Health Care sector. This role offers the flexibility of a work-from-home environment, allowing you to balance your professional and personal commitments without the daily commute. You'll be part of a dynamic team that thrives on innovation, problem-solving, and a customer-centric approach, all while contributing to the excellence and integrity that VillageCare stands for. With a competitive salary up to $77,506.87 - $87,195.23, this is not just a job but a chance to build your career in a forward-thinking organization dedicated to healthcare improvement. As a team member you'll be able to enjoy benefits such as PTO...

The Marwood Group is a healthcare advisory services firm headquartered in New York City with offices in Washington, DC, and London. The Healthcare Advisory Group advises and consults with the firm’s private equity and corporate clients on healthcare policy, strategy, and market analysis issues. Areas of focus include Medicare, Medicaid, commercial insurance, worker’s compensation, and clinical compliance. Marwood operates at the intersection of Wall Street and Washington, with experienced professionals from top banking, consulting, and healthcare operations firms, as well as senior political and governmental positions. The Advisory Group is currently accepting applications for a Certified Coding Auditor to work in its New York office or remotely. Principal duties and responsibilities: Perform remote billing and coding audits to ensure client coding practices are compliant with regulations and coverage policies for both government and commercial payers. Researching...

The Marwood Group is a healthcare advisory services firm headquartered in New York City with offices in Washington, DC, and London. The Healthcare Advisory Group advises and consults with the firm’s private equity and corporate clients on healthcare policy, strategy, and market analysis issues. Areas of focus include Medicare, Medicaid, commercial insurance, worker’s compensation, and clinical compliance. Marwood operates at the intersection of Wall Street and Washington, with experienced professionals from top banking, consulting, and healthcare operations firms, as well as senior political and governmental positions. The Advisory Group is currently accepting applications for a Certified Coding Auditor to work in its New York office or remotely. Principal duties and responsibilities: Perform remote billing and coding audits to ensure client coding practices are compliant with regulations and coverage policies for both government and commercial payers. Researching...

Remote Certified Coder Altegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to-end solutions to help improve payment integrity data, to support accreditation programs, and to meet regulatory requirements. Altegra's nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in: CMS HCC Risk Adjustment HEDIS Medical Record Reviews (Accreditation) And more Job Description These are a remote/home based temporary positions forecast to run through the end of 2015 and Coders will be paid by the chart. Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and Altegra Health Flagged Event. Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines). Responsibilities: Abstract pertinent information from...

Job Type Full-time Description Come and join our growing organization as a Medical Coder - Certified ! Roswell Park Care Network is a recognized leader in oncology and specialty care, supporting community physician practices across New York State. We are committed to delivering exceptional patient care while advancing innovative treatment options in a collaborative and patient-focused environment. Why Join Roswell Park Care Network? We offer an outstanding benefits package designed to support your professional growth and work-life balance: Work-Life Balance: Monday-Friday schedule - no nights or weekends Hybrid Schedule: One on-site day per week after on-site training is completed Comprehensive Benefits: Medical, dental, and vision coverage Retirement Savings: 401(k) with company match Paid Time Off: Generous vacation and sick time Insurance Coverage: Company-paid life insurance, with options for Long-Term Disability, Critical Illness,...

Position Overview The Inpatient-Outpatient Coder is responsible for conducting coding audits and education for providers with greatest opportunity for improvement. This individual will ensure medical diagnosis and procedure codes submitted on provider claims are accurate. In addition, this person will review medical records for: physician documentation, clinical evidence that supports the diagnoses, medical necessity of procedures, appropriate setting of care and accurate use of CMS coding guidelines. Scope of Role & Responsibilities Identifies trends and inconsistencies in provider documentation and coding practices. Audits and reviews medical records to determine if the medical record is complete, accurate, and in support of individual patient risk adjustment score accuracy. Develops curriculum to improve provider coding practices. Educates providers and their practice staff in coding guidelines. Works in collaboration with other departments, develop plans...

Inpatient-Outpatient Coder Job Ref: TE0031 Category: Claims Department: CLAIMS Location: 50 Water Street, 7th Floor, New York, NY 10004 Job Type: Regular Employment Type: Full-Time Work Arrangement: Hybrid Salary Range: $76,000.00 - $86,661.00 Position Overview The Inpatient-Outpatient Coder is responsible for conducting coding audits and education for providers with greatest opportunity for improvement. This individual will ensure medical diagnosis and procedure codes submitted on provider claims are accurate. In addition, this person will review medical records for: physician documentation, clinical evidence that supports the diagnoses, medical necessity of procedures, appropriate setting of care and accurate use of CMS coding guidelines. Scope of Role & Responsibilities Identifies trends and inconsistencies in provider documentation and coding practices. Audits and reviews medical records to determine if...