3 crc certified risk adjustment coder jobs found in Baton Rouge, LA

Job Description Position Purpose: This position is responsible for ongoing risk adjustment improvement activities. Under general supervision, this position includes ongoing quality improvement activities to ensure the organizations Risk Adjustment programs are implemented and meet all government requirements. Nature and Scope: This role does not manage people.

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. Job Description : EDUCATION: HS Diploma or General Education Diploma (GED) CERTIFICATION & LICENSURE: CRC-Certified Risk Adjustment Coder OR CPC-Certified Professional Coder OR AHMA or AAPC Coding Certification...

Job Description: Job Description POSITION PURPOSE This position is responsible for ongoing risk adjustment improvement activities Under general supervision this position includes ongoing quality improvement activities to ensure the organization's Risk Adjustment programs are implemented and meet all government requirements. NATURE AND SCOPE This role does not manage people This job reports to: Departmental Leadership Necessary Contacts: In order to effectively fulfill this position, the incumbent must be in contact with: All levels of BCBSLA personnel; physicians and their office personnel; hospitals and allied health provider administration, personnel and third-party medical record vendors; other Blue Plans; Client Association and contracted vendors. QUALIFICATIONS Education High School Diploma or GED required Work Experience 3 years of medical coding experience required with experience in risk adjustment preferred 1 year medical coding audit experience preferred...