23 results for Risk Adjustment Coder Jobs

The Risk Adjustment Coder I provides coding expertise for Medicare and Commercial programs, performs risk adjustment data validation, develops education materials, conducts provider trainings, and analyzes internal systems to enhance coding accuracy. Responsibilities include monitoring practice perf...

Job DescriptionJob Summary: The Coder 1 � Risk Adjustment is responsible for concurrent, prospective, and retrospective clinical documentation review as it pertains to Risk Adjustment Data Validation (RADV) timelines, with an emphasis on completeness and accuracy of provider documentation related to...

Responsible for reviewing ambulatory medical record clinical documentation to ensure accurate capture of clinical information, evaluating the quality of coded clinical data, and ensuring compliance with coding regulations. Involves developing provider communication related to clinical documentation.

Responsibilities: Review and accurately code medical records and encounters for diagnoses and procedures related to Risk Adjustment and HCC coding guidelines. Perform chart reviews for documentation completeness and ensure all applicable codes are captured. Determine the appropriate ICD-10-CM, CPT, ...

ChennaiReveleer is a healthcare data and analytics company that uses Artificial Intelligence to give health plans across all business lines greater control over their Quality Improvement, Risk Adjustment, and Member Management programs. With one transformative solution, the Reveleer platform enables...

We are looking to hire an experienced HCC Analyst / Risk Adjustment coder! Responsibilities:Audit outpatient charts to validate ICD 10 diagnosis coding on qualifying HCCsUtilize industry-recognized references to support findings, such as the ICD-10 Official Guidelines for Coding and Reporting, AHIMA...

QualificationsMust be a graduate of a 4-year courseMust have an active Medical Coding Certification (CRC/CPC/CIC/CCS/COC)With at least 18 months of HCC/Risk Adjustment ExperienceWith experience in any EMR systems such as Epic, Cerner & Meditech Working in an evolving healthcare setting, we use o...

Job Summary:The Risk Adjustment Coder & Educator is responsible for providing expertise in the area of risk adjustment coding for assigned provider groups. This includes reviewing medical records and identifying, collecting, assessing, monitoring, and documenting claims and encounter information as ...

Job DescriptionCommunity Health Choice, Inc. (Community) is a non-profit managed care organization (MCO), licensed by the Texas Department of Insurance. Through its network of more than 10,000 providers and 94 hospitals, Community serves over 400,000 Members with the following programs: Medicaid Sta...

Responsible for providing expertise in risk adjustment coding, reviewing medical records, and documenting claims for Medicare and Commercial patients. Educates providers on coding methodology and ensures compliance with documentation guidelines. Conducts training for new providers, assesses document...