23 results for Risk Adjustment Coder Jobs

Blue Cross of Idaho is looking for Risk Adjustment Medical Coder who will be responsible for the medical record retrieval and over-reads for audit project activities as they relate to risk adjustment and revenue accuracy. Collaborate and support cross-functional teams needed for various risk adjustm...

About UsJob 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: Medi...

The Risk Adjustment Auditor/Coder will code, abstract, and analyze medical records using ICD-10 guidelines, ensuring accurate coding of medical diagnoses. Responsibilities include performing medical record reviews, following Official ICD-10 guidelines, meeting productivity and quality standards, par...

ng guidelines and possess a strong understanding of medical terminology, anatomy, and physiology. **Key Responsibilities:** - Review medical records to identify all pertinent diagnoses and conditions, ensuring all HCC-relevant codes are captured. - Accurately assign ICD-10-CM codes in compliance wit...

Medicare advantage risk adjustment programs. CRC,CPC,RHIT,CCS,CCS-P or CIC certification required ( AAPC , AHIMA ) 4+ years risk adjustment experience with expertise in lines of business and /or risk adjustment functional areas. leadership , multi tasking, ability to manage at macro level and dig de...

The HCC Professional Coder Is Responsible For Review clinical documentation and assign accurate diagnosis codes according to CMS guidelines Verify the appropriateness of the ICD-10 code to include required supporting documentation and treatment plans Review medical documents such as progress notes, ...

The Lead Risk Adjustment Coder is a system support position who completes coding and abstracting of patient encounters for the purposes of analyzing and improving the accuracy of complexity capture. The specialist works closely with physicians, the Population Health quality and data teams, the codin...

Responsible for coding, abstracting, and analyzing inpatient, outpatient, and professional medical records using ICD-10 coding guidelines. Ensures accurate reporting of ICD-10 diagnoses according to CMS and Risk Adjustment guidelines, meets productivity expectations, participates in meetings and tra...

Responsible for performing prospective reviews and clinical documentation improvement, assisting healthcare providers with documentation issues, conducting chart reviews to abstract data, and maintaining confidentiality while adhering to HIPAA guidelines.

City/StateVirginia Beach, VAWork ShiftFirst (Days)Overview:Sentara Health is seeking to hire a qualified individual to join our team as Risk Adjustment Coder.Position Status: Full-time, Day ShiftPosition Location: Hybrid work model – 1 day week on-site in Virginia Beach; initial onboarding & trainin...