6 risk adjustment coder jobs found

Location: Richmond, VA with travel to corporate office in Jacksonville, FL as necessary Schedule: Monday-Friday Pay Range: $60,000-80,000 per year, dependent on experience Be part of our growing regional company whose main objective is putting our patients first. The provider educator is responsible for identifying opportunities to improve coding, documentation and quality of care. The educator will customize an education plan customized for each provider. Position overview: Plan, conduct and coordinate all aspects of MRA process evaluation and education to internal and external partners, including but not limited to: Communicating a comprehensive understanding of Medicare Risk Adjustment, Documentation & Coding guidelines to both external/internal partners while ensuring compliance with regulatory. Analyze reports to identify and report documentation/coding trends in order to create opportunities for improvement with internal and external partners....

Join Datavant, a leading data platform company at the forefront of health data exchange. Our mission is to empower healthcare decisions with precise data when and where it is needed. At Datavant, we operate the largest and most diverse health data network in the United States, ensuring that data remains secure, accessible, and actionable for effective healthcare decisions. We are the trusted partner of top life sciences companies, government agencies, and organizations involved in delivering and financing care. By becoming a part of the Datavant team, you will engage with a high-performing and values-oriented group dedicated to solving some of healthcare's most intricate challenges through innovative technology. We celebrate a diverse array of experiences that enrich our vision for healthcare transformation. Your Role: Conduct a thorough review and analysis of medical records to accurately code diagnoses according to project-specific guidelines. Ensure adherence to...

Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world’s leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you’re stepping onto a high-performing, values-driven team. Together, we’re rising to the challenge of tackling some of healthcare’s most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ensuring...

A healthcare provider organization is seeking a Risk Adjustment Coding & Documentation Specialist to oversee compliance activities related to Medicare and Medicaid. This role includes conducting medical record reviews, supporting risk adjustment data validations, and ensuring proper coding standards are met. Candidates should possess an Associate's degree and relevant coding certifications, along with medical coding experience. The position offers benefits like medical plans, 401k matching, and tuition assistance, within a hybrid work model. #J-18808-Ljbffr

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...

Using advanced knowledge required for the complex analytical functions of this job, the Analyst conducts compliance and privacy investigations using expertise of investigative procedures, research, and analysis, applies independent judgement and critical decision making to determine regulatory compliance risk to patients and the organization. The Analyst uses the advanced knowledge of the regulatory compliance profession, and research and auditing procedures. Uses professional verbal and written communication skills to document and communicate results and findings of compliance research, analysis and decision- making. Ensures health system compliance with applicable regulatory, accreditation and requirements. 1. Identifies, researches and analyzes compliance and regulatory risk Researches and collects all data points relevant to the issue being investigated. Using advanced knowledge of federal, state and local regulations, analyzes the actual and/or potential...