10 risk adjustment coder jobs found

Are you an experienced outpatient coder ready for something more? We’re looking for an OutpatientCDS/Coder to join our Valleywise Health CDI team. This is a unique hybrid role designed for an experienced outpatient coder who wants to expand their skills into Clinical Documentation Integrity while continuing to perform production coding . You’ll build on your coding expertise through clinical documentation review, compliant query generation, provider education, risk adjustment, and documentation improvementwhile still coding and staying connected to the work you know. Strong outpatient coding experience is the foundation. We’ll help you grow the CDI side. Valleywise Health is committed to providing high-quality, comprehensive benefits designed to help our employees and their families stay physically and financially fit. Known for the diversity of not only the community of patients we serve but also our workforce and the benefits we offer, such as: Medical, Dental, and Vision...

We are so glad you are interested in joining Sutter Health! Organization: SHSO-Sutter Health System Office-Valley Position Overview: This position conducts review of outpatient medical records using International Classification of Disease Coding ICD-10-CM and Current Procedural Terminology (CPT), Medicare Advantage, ICD-10-CM, and Centers for Medicare and Medicaid Services (CMS) coding and reporting guidelines. Performs medical record reviews to ensure accurate assignment of medical diagnoses and procedures. Responsible for pre-appointment review of each encounter in scope, including Medicare Advantage encounters, to ensure accurate reporting of diagnoses and to alert the physician of potential clinical conditions that may require review. This position will support risk adjustment code validation for CMS and HHS Risk Adjustment models Job Description : EDUCATION: HS Diploma or General Education Diploma (GED) CERTIFICATION & LICENSURE: CRC-Certified...

Are you an experienced outpatient coder ready for something more? We're looking for an Outpatient CDS/Coder to join our Valleywise Health CDI team. This is a unique hybrid role designed for an experienced outpatient coder who wants to expand their skills into Clinical Documentation Integrity while continuing to perform production coding . You'll build on your coding expertise through clinical documentation review, compliant query generation, provider education, risk adjustment, and documentation improvement while still coding and staying connected to the work you know. Strong outpatient coding experience is the foundation. We'll help you grow the CDI side. Valleywise Health is committed to providing high-quality, comprehensive benefits designed to help our employees and their families stay physically and financially fit. Known for the diversity of not only the community of patients we serve but also our workforce and the benefits we offer, such as: Medical,...

Arizona Priority Care is seeking a skilled HCC Coder II to review outpatient and inpatient documentation for accurate CMS reporting and to identify all relevant HCC diagnoses. The role requires AHIMA or AAPC certification and 2 years of HCC coding experience. The position starts FT in-office for the first 60 days with a hybrid schedule after training, offering a competitive hourly range and opportunities for quality-improvement work. #J-18808-Ljbffr

Arizona Priority Care (AZPC) is an Integrated Provider Network focused on providing whole-person care to Senior and Medicaid populations, through advanced value-based models. Our provider network is comprised of more than 6,000 health care providers, including primary and specialty care physicians, hospitals and ancillary providers. We have operated in the Arizona market for more than 14 years, based in Chandler, Arizona, and are an affiliate of Heritage Provider Network. As a leading value-based provider organization, we are committed to improving the quality of care, providing excellent member and provider experiences all while reducing cost. The HCC Coder II is a highly organized, team-oriented individual who possesses the ability to quickly understand and carry out verbal and written directions and can efficiently multi-task and work on special projects in addition to regular review of outpatient and inpatient charts. The Coder II will be responsible for identifying and...

Pride Global is hiring a Quality Assurance Coder/Auditor to support risk adjustment, HCC coding quality, auditing, and provider education initiatives. You will review medical records and ensure accurate ICD-10 coding per CMS and Medicare Managed Care guidelines. The role conducts QA audits of provider/vendor data, identifies documentation gaps, and develops training materials for providers and coding staff. Strong knowledge of HCC methodologies is required. #J-18808-Ljbffr

Job DescriptionJob DescriptionAbout Optima Medical :Optima Medical is an Arizona-based medical group consisting of 30 locations and 130medical providers, who care for more than 200,000 patients statewide.Our mission is to improve the quality of life throughout Arizona by helping communities Live Better, Live Longer through personalized healthcare, with a focus on preventing the nation's top leading causes of death.We go beyond primary care with a full spectrum of services including cardiovascular health services, behavioral health, allergy testing and immunotherapy, in-house lab testing, imaging, chronic disease management and other specialty health services.We aspire to aid the growth of our company by welcoming the most qualified and deserving candidates aboard.Optima is currently seeking a HCC Risk Coder Specialist to join our team.As the Risk Adjustment Coder you will perform medical record diagnosis code abstraction based upon clinical documentation, ICD-10-CM official...

Description Position Summary: The Certified Coder is a key position in two ways: First, the employee will be responsible for abstracting medical record data and assigning/reviewing codes using current clinical classification systems appropriate for the type of care provided. Second, the employee will be able to review Medicare Risk Adjustment, understanding Medicare Advantage Plans and evaluating medical records with attention to detail. Requirements Essential Functions 1. Reviewing and assigning codes to diagnosis and procedures in order to ensure proper financial reimbursement from insurance companies. Applies comprehensive knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests. Assists facility staff with documentation requirements to completely and accurately reflect the patient care provided. Conducts claims audits/reviews, identifying opportunities for improving. 2. The Certified Coder is responsible for...

Job Title: Quality Assurance Coder/Auditor Location: Hybrid (1 - Day in office) / (Can be Fully remote for Arizona's candidate) Schedule: Full-Time | Monday – Friday | 8:00 AM – 5:00 PM ET Vacancy Type: FTC - 6 months with Option to Extend or Convert to Permanent Pay Rate: $46.07 per hour without benefits Job Summary We are seeking an experienced Quality Assurance Coder/Auditor to support risk adjustment, HCC coding quality, auditing, and provider education initiatives. This individual will review medical records and supporting documentation to ensure accurate, complete, and compliant diagnosis coding in accordance with ICD-10, CMS, Medicare Managed Care, and risk adjustment guidelines. The Coder/Auditor will perform quality audits of provider and vendor-submitted HCC data, identify coding and documentation deficiencies, recommend corrective actions, and develop educational materials for providers and coding staff. This role requires strong knowledge of HCC coding methodologies,...

Description Position Summary: The Certified Coder is a key position in two ways: First, the employee will be responsible for abstracting medical record data and assigning/reviewing codes using current clinical classification systems appropriate for the type of care provided. Second, the employee will be able to review Medicare Risk Adjustment, understanding Medicare Advantage Plans and evaluating medical records with attention to detail. Requirements Essential Functions 1. Reviewing and assigning codes to diagnosis and procedures in order to ensure proper financial reimbursement from insurance companies. Applies comprehensive knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests. Assists facility staff with documentation requirements to completely and accurately reflect the patient care provided. Conducts claims audits/reviews, identifying opportunities for improving. 2. The Certified Coder is responsible for...