28 entry level risk adjustment coder jobs found

Intermountain Health in Las Vegas, NV seeks an entry-level Risk Adjustment Coding Analyst. The role focuses on auditing clinical documentation to ensure accurate CMS/HHS coding and reimbursement, with the CRC certification path within one year of hire. You will support higher level analysts, maintain coding workflow knowledge, and document chart reviews in the Risk Adjustment database. This position requires the ability to work with EMR systems and Microsoft Office while building subject matter #J-18808-Ljbffr

Intermountain Health in Las Vegas, NV is seeking an entry-level Risk Adjustment Analyst to learn coding practices for Medicare Advantage, Medicaid, and ACA programs, auditing clinical documentation after visits to ensure accurate risk adjustment coding. You will support senior analysts, maintain documentation in the Risk Adjustment database, work with EMR and Microsoft Office, and pursue CRC certification within one year of hire. #J-18808-Ljbffr

Intermountain Health is seeking an entry-level Risk Adjustment Coding Analyst to learn and perform coding audits for Medicare Advantage, Medicaid, and ACA programs. You will review clinical documentation post-visit to ensure accurate coding per CMS/HHS guidelines and work toward CRC certification within one year of hire. The role requires basic medical terminology knowledge, Microsoft Office familiarity, and strong written and verbal communication. #J-18808-Ljbffr

Intermountain Health in Las Vegas, NV seeks an entry-level Risk Adjustment Analyst to learn auditing and coding for CMS/HHS programs. The role covers documentation review, coding accuracy, and supporting senior analysts while pursuing CRC certification within 1 year of hire. Responsibilities include auditing chart notes, using EMR and coding software, and maintaining HIPAA-compliant data handling. 40-hour workweek with competitive benefits is offered. #J-18808-Ljbffr

Intermountain Health in Reno, NV is seeking an entry-level Risk Adjustment Analyst to learn and perform coding review activities for government programs such as MA, Medicaid, and ACA. The role focuses on auditing clinical documentation post-visit to ensure accurate CMS-compliant coding and will require CRC certification within 1 year of hire. Ongoing training and supervision are provided. #J-18808-Ljbffr

Intermountain Health in Las Vegas, NV is seeking an entry-level Risk Adjustment Analyst who will learn to demonstrate general proficiency in Medicare Advantage, Medicaid, and ACA coding. You will audit clinical documentation post-visit to ensure accurate coding under CMS/HHS guidelines and prepare data for audit reporting. The position requires completing CRC certification within 12 months and supports development through on-the-job training, Microsoft Office and EMR familiarity, and ongoing #J-18808-Ljbffr

Intermountain Health is seeking an entry-level Risk Adjustment Coding Analyst to learn and perform coding audits for Medicare Advantage, Medicaid, and ACA programs. You will review clinical documentation post-visit to ensure accurate coding per CMS/HHS guidelines and work toward CRC certification within one year of hire. The role requires basic medical terminology knowledge, Microsoft Office familiarity, and strong written and verbal communication. #J-18808-Ljbffr

Intermountain Health in Las Vegas, NV is seeking an entry-level Risk Adjustment Analyst to learn and apply coding practices for CMS/HHS regulated programs and to audit post-visit clinical documentation for accurate risk adjustment coding. You will support senior analysts, maintain HIPAA compliance, document chart reviews, and work with EMR and MS Office in a 40-hour work week. The position offers an hourly pay range of $28.06–$44.20 and requires CRC certification within 1 year of hire. #J-18808-Ljbffr

Intermountain Health in Las Vegas is seeking an entry-level Risk Adjustment Analyst to learn and perform coding for MA, Medicaid, and ACA programs. You will audit clinical documentation post-visit to ensure coding accuracy according to CMS/HHS guidelines and internal policies. CRC certification must be obtained within 1 year of hire. The role supports senior analysts, maintains coding workflow knowledge, and documents results in a Risk Adjustment database. #J-18808-Ljbffr

Intermountain Health in Las Vegas, NV is seeking an entry-level Risk Adjustment Analyst to learn coding for MA, Medicaid, and ACA programs. You will audit clinical documentation post-visit to ensure accurate coding in line with CMS/HHS guidelines and aim to obtain CRC certification within 1 year of hire. This role supports senior analysts, uses EMR and Microsoft Office, and requires strong communication. The position involves 40 hours weekly with an hourly rate of $28.06-$44.20 plus benefits. #J-18808-Ljbffr

Intermountain Health seeks an entry-level Risk Adjustment Analyst to learn and apply coding practices for MA, Medicaid, and ACA programs. You will audit clinical documentation post-visit to ensure CMS/HHS guidelines are followed, with CRC certification pursued within the first year. Responsibilities include supporting higher-level analysts, maintaining coding workflow knowledge, and documenting reviews in a Risk Adjustment database, while complying with HIPAA and contributing to audits as needed. #J-18808-Ljbffr

Intermountain Health in Las Vegas, NV, is seeking an entry-level Risk Adjustment Analyst to learn coding for MA, Medicaid, and ACA programs. You will audit clinical documentation post-visit to ensure CMS/HHS-aligned coding and participate in audits on a limited basis. The role requires CRC certification within 1 year of hire and active learning across CMS guidelines, with responsibilities in chart reviews, documentation in a Risk Adjustment database, and use of EMR and coding software. #J-18808-Ljbffr

Inpatient Coder Join our team as an Inpatient Coder! Role responsibilities include assessing documentation for each service rendered in the hospital's place of service, in order to accurately code principal diagnoses (i.e. preponderance of care sequence), secondary conditions, procedures, and social determinant codes using American Hospital Association guidelines, Current Procedural Terminology guidelines, payer specific rules for commercial and/or Medicaid insurance, and drug administration for specified service lines impacting Florida's enhanced ambulatory grouping. This includes excellent working knowledge of revenue charge capture and the impact to hospital billing (i.e. soft vs. hard coded charges),working knowledge of revenue codes, relevant grouper function and financial impact; assessment and entry of surgical charges (i.e. supplies, implants), and pharmacy charges (i.e. contrast, patient supplied, etc). This position is remote. Applicants must reside in one of the...

## Risk Adjustment CoderApplyremote type: Hybridlocations: Jupiter, FLtime type: Full timeposted on: Posted Yesterdayjob requisition id: JR4147It's rewarding to be on a team of people that truly believe in making an impact!We are committed to building the best primary care environment for patients and are seeking healthcare enthusiasts to join us.**Job Summary**The Risk Adjustment coder will identify, collect, assess, monitor and document claims and encounter coding information as it pertains to Clinical Condition Categories. Verify and ensure the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered. The Risk Adjustment Coder is required to follow procedures and documentation policies regarding claim/encounter information and provide appropriate support to justify their recommendations.**Duties & Responsibilities****Essential Duties & Responsibilities*** Review medical record information to identify all appropriate coding...

Intermountain Health in Las Vegas, NV is seeking an entry-level Risk Adjustment Analyst to learn coding practices for CMS/HHS programs and audit clinical documentation for accuracy. The role requires pursuing CRC certification within 1 year of hire; you will support senior analysts, maintain documentation in risk adjustment databases, and work with EMR and coding software while ensuring HIPAA compliance. #J-18808-Ljbffr

Location: Miramar, Florida At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience. Summary: Reviews medical record documentation. May assign codes to medical diagnoses, procedures and modifiers, when applicable, using appropriate coding classifications for assigned areas/record types to ensure proper billing and compliance. Responsibilities: Communicates with insurance companies about coding errors and disputes (physician billing). Abstracts pertinent data points for billing and quality reviews. Communicates with various departments as needed to ensure accuracy of patient data. Conducts audits and/or coding reviews with various health care professionals to ensure all documentation is accurate (physician billing). May assign and sequence basic CPT (Current...

Inpatient Coder Join our team as an Inpatient Coder! Role responsibilities include assessing documentation for each service rendered in the hospital's place of service, in order to accurately code principal diagnoses (i.e. preponderance of care sequence), secondary conditions, procedures, and social determinant codes using American Hospital Association guidelines, Current Procedural Terminology guidelines, payer specific rules for commercial and/or Medicaid insurance, and drug administration for specified service lines impacting Florida's enhanced ambulatory grouping. This includes excellent working knowledge of revenue charge capture and the impact to hospital billing (i.e. soft vs. hard coded charges),working knowledge of revenue codes, relevant grouper function and financial impact; assessment and entry of surgical charges (i.e. supplies, implants), and pharmacy charges (i.e. contrast, patient supplied, etc). This position is remote. Applicants must reside in one of the...

Medical Coder III Location: Remote Duration: 12 Months Payrate: $27/hr. on W2 Will this role be fully remote?: Yes Are there any specific locations the candidates should be in (i.e., do they need to live in IL): Any approved states What is the expected schedule (include dates/time/time zone): 7-4pm or 8-5pm local time M-F. What are the day-to-day job duties? Abstract and review inpatient and outpatient medical records for (Hierarchical Condition Categories) HCCs to determine if the HCC is supported by the medical record documentation. Knowledge of ICD-9 ICD10 Official Coding Guidelines, AHA Coding Clinic, including Codling clinic clarifications for DOS year under review. CMS RADV Medical Reviewer Guidance (1/10/2020). Top Skills Required: Must have prior experience with CMS Contract Level Risk Adjustment Data Validation Audits (RADV) and HHS RADV audits and IPM audits. Must have prior vendor coding review experience. Must have the ability to complete chart...

Medical Coder The entry level Medical Coder is responsible for documentation improvement and integrity and serves as a liaison between clinical care providers, finance, and billers. This role is also an information and educational resource, providing proactive and retrospective review of health center visits as they relate to ICD-10-CM diagnosis coding and reimbursement. The entry level Medical Coder will audit medical records to ensure completeness, accuracy and compliance with Medicaid coding and supporting documentation guidelines. Key Responsibilities: Evaluates medical record documentation for completion to ensure accuracy and compliance to meet Medicaid and ICD-10-CM standards. Compares past and present medical history of each participant to maintain complete and accurate ICD-10 codes for appropriate reimbursement. Reviews medical records prospectively to ensure that the care of the patient is recorded in language that payers can interpret which accurately and...

Medical Coder I At ClareMedica, exceptional is the standard. Driven by our purpose to enhance the lives of the seniors in the communities where we have the privilege to work, live, and play, the ClareMedica team is comprised of the brightest and best in their fields of expertise. From clinical excellence to unparalleled administrative support and beyond, we're working together to help seniors live happier, healthier, fuller lives. That kind of teamwork and passion for excelling can only exist in a workplace that fosters employees' growth and wellness and where their full potential and value are realized. At ClareMedica, we're excited about great people like you. We're even more excited to support you with the resources, training, benefits, competitive compensation, and more to help you thrive and succeed in our communities. Opportunity awaits – welcome to ClareMedica. We are seeking an accurate, detailed oriented Coder to join our team. You will play a key role in reviewing...

It's rewarding to be on a team of people that truly believe in making an impact! We are committed to building the best primary care environment for patients and are seeking healthcare enthusiasts to join us. Job Summary The Risk Adjustment coder will identify, collect, assess, monitor and document claims and encounter coding information as it pertains to Clinical Condition Categories. Verify and ensure the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered. The Risk Adjustment Coder is required to follow procedures and documentation policies regarding claim/encounter information and provide appropriate support to justify their recommendations. Duties & Responsibilities Essential Duties & Responsibilities Review medical record information to identify all appropriate coding based on CMS HCC categories Prepare the medical charts and track patient information via Excel spreadsheets. Complete...

Medical Coder III Location: Remote Duration: 12 Months Payrate: $27/hr. on W2 Will this role be fully remote?: Yes Are there any specific locations the candidates should be in (i.e., do they need to live in IL): Any approved states What is the expected schedule (include dates/time/time zone): 7-4pm or 8-5pm local time M-F. What are the day-to-day job duties? Abstract and review inpatient and outpatient medical records for (Hierarchical Condition Categories) HCCs to determine if the HCC is supported by the medical record documentation. Knowledge of ICD-9 ICD10 Official Coding Guidelines, AHA Coding Clinic, including Codling clinic clarifications for DOS year under review. CMS RADV Medical Reviewer Guidance (1/10/2020). Top Skills Required: Must have prior experience with CMS Contract Level Risk Adjustment Data Validation Audits (RADV) and HHS RADV audits and IPM audits. Must have prior vendor coding review experience. Must have the ability to complete chart review...

Location: Miramar, Florida At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience. Summary: Reviews medical record documentation. May assign codes to medical diagnoses, procedures and modifiers, when applicable, using appropriate coding classifications for assigned areas/record types to ensure proper billing and compliance. Responsibilities: Enhances and maintains coding knowledge and skills. Reviews all appropriate work queues daily to address edits and makes corrections following procedures and processes. Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding.Reviews medical record documentation to determine all appropriate diagnosis (including HCC Coding Hierarchical Condition Category), procedural and...

Join to apply for the Certified Coder Abstractor role at St. Joseph's Health 4 days ago Be among the first 25 applicants Join to apply for the Certified Coder Abstractor role at St. Joseph's Health Job Description Under general supervision and according to established policies and procedures, reviews and abstracts the demographic, financial and clinical data from the inpatient medical record for the purpose of assigning ICD diagnosis/procedures, HCPCS, and CPT4. Ensures that inpatient and outpatient records are coded, abstracted and entered into computer system in an accurate and timely manner. Job Description Under general supervision and according to established policies and procedures, reviews and abstracts the demographic, financial and clinical data from the inpatient medical record for the purpose of assigning ICD diagnosis/procedures, HCPCS, and CPT4. Ensures that inpatient and outpatient records are coded, abstracted and entered into computer system in an accurate and...