10 crc certified risk adjustment coder jobs found in Newark, CA

University HealthCare Alliance (dba Stanford Medicine Partners) is the medical foundation of Stanford Health Care and Stanford Medicine. Stanford Medicine Partners was born out of the aspiration for Stanford Medicine and local, leading providers to partner together to bring high-quality care to patients within surrounding communities. Together, we are committed to delivering outstanding, leading-edge care to our patients. How We Work With Stanford Health Care Anchored by Stanford Health Care and the Stanford School of Medicine, Stanford Medicine Partners is dedicated to providing the highest standards of clinical excellence in order to ensure access for Bay Area patients to leading providers, while contributing to Stanford University’s well-respected Stanford Hospital and Clinics’ transformation into a broader and more integrated regional health system. Together, SMP and Stanford are pioneering new ways to practice medicine across multiple locations, using Stanford’s advanced...

Senior Risk Adjustment Coder The Senior Risk Adjustment Coder will perform code audits and abstraction in accordance with all state regulations, federal regulations, internal policies, and internal procedures. The HCC Coding Auditor Senior will be involved with activities of quality assurance auditing and risk adjustment code abstraction for the following programs: including but not limited to Medicare Advantage Risk Adjustment. What you will do: Risk Adjustment Review May perform prospective and concurrent Clinical Documentation Improvement (CDI) workflows as well as retrospective auditing Reviewing medical records to ensure accurate HCC coding and identify opportunities for recapture and suspect diagnoses. Evaluating medical records to verify that M.E.A.T criteria support the submitted diagnosis codes. Inquire with clinicians the recommended HCC diagnosis for chart addendum. Collaborating with other departments to address coding updates and support risk adjustment...

Job Details Job Location: Burlingame, CA 94010 Salary Range: $42.79 - $48.75 Hourly ESSENTIAL JOB FUNCTIONS HCC Coding and Risk Adjustment (RA) Program Support Perform comprehensive review of patient charts to identify and validate diagnosis codes in alignment with HCC and risk adjustment guidelines. Ensure all coding adheres to CMS and ICD-10 guidelines, focusing on accuracy, completeness, and compliance. Conduct prospective and retrospective chart audits to assess risk adjustment coding accuracy. Provider Training and Clinical Documentation Improvement (CDI) Develop and deliver provider education sessions and materials on best practices for clinical documentation and HCC/RA coding. Provide one‑on‑one and group training to providers and clinical staff to improve documentation quality and accuracy. Serve as a resource and subject matter expert on HCC, risk adjustment, and related coding standards. Data Analysis and Reporting Analyze coding data to identify trends,...

Health Coder - Hcc & Risk Adjustment Burlingame, CA 94010 Overview Salary Range $42.79 - $48.75 Hourly Description The Healthcare Coder plays a critical role in supporting accurate and compliant coding for NEMS MSO operations with a focus on Medicare Risk Adjustment (RA) programs. This position ensures accurate capture of Hierarchical Condition Category (HCC) coding and improves risk adjustment scores by conducting chart audits, providing provider education, and supporting clinical documentation improvement (CDI) initiatives. The Healthcare Coder will collaborate closely with providers, clinical staff, and leadership to improve coding accuracy and compliance, directly impacting the organization's quality outcomes and financial performance. Essential Job Functions: Hcc Coding and Risk Adjustment (Ra) Program Support Perform comprehensive review of patient charts to identify and validate diagnosis codes in alignment with Hcc and risk adjustment guidelines....

A healthcare organization in California is seeking a Medical Coder to perform chart reviews, coding audits, and provide training on ICD-10 codes. The ideal candidate will have an AA or AS degree, relevant coding credentials, and two years of healthcare experience. Responsibilities include coding audits, maintaining knowledge of coding guidelines, and assisting with billing inquiries. This role offers competitive benefits including free medical, dental, and vision insurance. #J-18808-Ljbffr

Millennium Physician Group is seeking a skilled Medical Coder to abstract and assign ICD-10-CM diagnosis codes from encounter documentation and perform retrospective audits of medical records to validate coding accuracy and claim quality. You will review VBAT-driven provider actions to identify outliers, analyze Medicare Risk Adjustment data, and communicate risks and opportunities to leadership. This role requires independent work, strong organizational skills, and proficiency with MS Office. #J-18808-Ljbffr

Job Description Job Description Coder Router is responsible for effective and efficient completion of departmental tasks and ensuring those tasks are performed on time with high quality and attention to detail. Role may be updated in the future; task items may be removed or added verbally or in writing as the needs of the company evolve. CODER/ROUTER: Direct Costs: Receive invoices from Stampli and code to correct project and activity code in NetSuite. Research the PO number in ComputerEase and add the corresponding PO number, job, phase, and category into Stampli. Indirect & SG&A Costs: Receive invoices from Stampli and code to correct general ledger accounts in NetSuite. Route Invoices: Route invoices for approval to appropriate parties. ACCOUNTS PAYABLE (BACKUP): AP Import: Import accounts payable invoices and Ramp reimbursements from NetSuite into ComputerEase. Vendor Account Reconciliations: Reconcile vendor statements against accounts. Mailed Invoices: Scan...

The Medical Coder is primarily responsible for performing chart reviews and coding audits; reviewing appropriate ICD-10 diagnoses codes, and CPT and HCPCS procedure codes assigned for evaluation and management of the patient. Additional responsibilities include supporting pre-or post-payment coding audit for benchmark and/or reimbursement recovery, and other coding-related activities such as pre-appointment chart audits for HCC or risk adjustment, appeals of denied claims, providing information or education to providers for specificity of documentation to align with the coding guidelines to comply with federal, state, and regulatory requirements. ESSENTIAL JOB FUNCTIONS: Performs pre-appointment HCC or risk adjustment chart reviews, coding audits, or other coding-related projects Acts as internal resource for all coding inquiries from providers, Billing, Laboratory, Radiology, and other departments. Provides real time coding consultation and review and evaluation of...

Job Description Coder Router is responsible for effective and efficient completion of departmental tasks and ensuring those tasks are performed on time with high quality and attention to detail. Role may be updated in the future; task items may be removed or added verbally or in writing as the needs of the company evolve. CODER/ROUTER Direct Costs: Receive invoices from Stampli and code to correct project and activity code in NetSuite. Research the PO number in ComputerEase and add the corresponding PO number, job, phase, and category into Stampli. Indirect & SG&A Costs: Receive invoices from Stampli and code to correct general ledger accounts in NetSuite. Route Invoices: Route invoices for approval to appropriate parties. ACCOUNTS PAYABLE (BACKUP) AP Import: Import accounts payable invoices and Ramp reimbursements from NetSuite into ComputerEase. Vendor Account Reconciliations: Reconcile vendor statements against accounts. Mailed Invoices: Scan and email mailed...

Job Description Job Description Coder Router is responsible for effective and efficient completion of departmental tasks and ensuring those tasks are performed on time with high quality and attention to detail. Role may be updated in the future; task items may be removed or added verbally or in writing as the needs of the company evolve. CODER/ROUTER: • Direct Costs: Receive invoices from Stampli and code to correct project and activity code in NetSuite. Research the PO number in ComputerEase and add the corresponding PO number, job, phase, and category into Stampli. • Indirect & SG&A Costs: Receive invoices from Stampli and code to correct general ledger accounts in NetSuite. • Route Invoices: Route invoices for approval to appropriate parties. ACCOUNTS PAYABLE (BACKUP): • AP Import: Import accounts payable invoices and Ramp reimbursements from NetSuite into ComputerEase. • Vendor Account Reconciliations: Reconcile vendor statements against accounts. • Mailed...