HCC Risk Adjustment Coder (ICD-10-CM/CPT)
Northeast Community Clinic
Northeast Community Clinic is seeking an HCC Coder to evaluate accuracy and consistency of coded clinical data, collaborating with Billing Manager and Medical Director on ICD-10-CM, CPT, E/M, and documentation to ensure compliant outpatient coding. The role involves reviewing medical records, training staff on Medicare coding guidelines with emphasis on HEDIS and Risk Adjustment HCC, and leading coding process improvements. Some evening/weekend hours may be required in a full-time capacity. #J-18808-Ljbffr Northeast Community Clinic
- NECC is seeking a detail‑oriented HCC Coder to ensure accurate outpatient coding and documentation... ...Billing and Medical Director to apply ICD-10-CM, CPT, HCPCS and HCC guidelines, promoting quality measures and risk adjustment accuracy. You will review records for accuracy...CmsRisk
$34 - $39 per hour
...HCC Coder Administration Office - Alhambra, CA 91801 Overview Salary Range $3... ...classifications including but not limited to ICD-10-CM, CPT, E&M and record documentation to... ...Quality Measures with focus on HEDIS and Risk Adjustment HCC. Lead the development and...CmsRiskHourly payFull timeWork at officeLocal areaFlexible hoursWeekend workAfternoon shift- ...Health Management is seeking a Certified Risk Coder for a remote, US-based role to support value-based care and CMS risk adjustment initiatives. The successful candidate will review records, validate ICD-10-CM codes, and perform HCC coding analyses to improve...CmsRiskRemote job
- Cedars-Sinai is looking for a Claims Edit Coder (Coder II) in Los Angeles to ensure accurate coding for claims. You will work with... ...complex coding edits while ensuring data integrity. Proficiency in ICD-10-CM, CPT, and healthcare coding processes is essential. The ideal...Cms
- Astrana Health, Inc. is seeking a Risk Adjustment Coding Specialist II to support our Houston market while working remotely in CST/EST... ..., audits, and metrics tracking, mentor new staff, and stay current with ICD-10 and HCC updates. #J-18808-Ljbffr Astrana Health, Inc.CmsRiskRemote job
$70k - $85k
...currently seeking a highly motivated Risk Adjustment Coding Specialist to support... ...performance metrics—such as HCC recapture rates, AWVs, and... ...of medical records to ensure ICD-10- CM codes are accurately assigned... ...assignments. Supports coder training and orientation as requested...CmsRiskRemote jobLive inWork at officeHome office$56k - $85k
...Description The Certified Risk Coder plays a critical role in supporting... ...'s value-based care and risk adjustment initiatives by ensuring the... ...and prospective HCC coding reviews to identify documentation... ...coding opportunities Validate ICD-10-CM codes and ensure diagnoses...CmsRiskWork at officeRemote work- Signature Performance is seeking an experienced Inpatient Medical Coder to interpret health records and assign ICD-10-CM diagnoses and ICD-10-PCS procedures for complex inpatient discharges. The role requires reviewing provider notes, applying Coding Clinic guidelines,...CmsRemote job
- ...This role will lead National Health Plan Risk Adjustment analytics, benchmarking, encounter submission... ...CMS and state regulations, including HCC coding, RADV audits, and risk score submissions... ...Qualifications:ExperienceMinimum ten (10) years of experience in healthcare risk...CmsRisk
- ...DESCRIPTION JOB TITLE: Sr. Manager, Risk Adjustment FLSA STATUS: Exempt DEPARTMENT: Quality... ..., including Medicare Advantage (CMS-HCC), Marketplace (HHS-HCC), and RxHCC models... ...REQUIRED): Certified Risk Adjustment Coder (CRC) — AAPC Certified Professional Coder...CmsRiskWork at officeShift work
$65.8k - $130.8k
...required : CPC (Certified Professional Coder - AAPC) Bachelor's degree in Health... ...environment Demonstrated knowledge of ICD-10, CPT, and HCPCS coding systems and... ...(Certified in Healthcare Compliance), HCC (Risk Adjustment Coding Certification) or Specialty Certification...CmsRiskWork at office- ...charts pass the SMART cycle and are adjusted as needed. The HIM Coding Specialist... ...must have a comprehensive knowledge of ICD-10-CM, ICD-10 PCS, CPT conventions in accordance with Official... ...productivity reports on all coders. Educates and trains coding staff...CmsWork at office
- ...collaboratively with providers, coders, quality, and... ...s severity of illness, risk of mortality, quality outcomes... ..., Compliance & Risk Adjustment Support quality... ...hierarchical condition category (HCC) capture where... ...clinical indicators ~2) ICD-10-CM/PCS coding concepts ~...CmsRiskFull timeWork experience placementLocal areaShift work
$71.7k - $105k
...providers, interdisciplinary care teams, and risk adjustment stakeholders to ensure documentation... ...and care teams to support compliant CMS-HCC capture and sustainable documentation... ...medical records. Foundational knowledge of ICD-10-CM coding principles and their relationship...CmsRisk$88.85k
...rationales supporting approval, denial, or adjustment decisions. Maintain productivity and... ...policies. Working knowledge of CPT/HCPC Codes, and ICD-10. Proficient in claims processing systems... ...ability to identify discrepancies, assess risk, and recommend actionable solutions....CmsRiskFull time- ...improvement. Assists staff in identifying high-risk accounts and prioritizing resolution... ..., high volume denials, credits, adjustments, and undistributed balances, etc. in... .... Maintains superior understanding of CPT/HCPCS codes, ICD-10 codes, CMS 1500 form guidelines, eligibility...CmsRisk
- A prominent healthcare institution in California is seeking an experienced Coder II for a remote position. The role involves assigning ICD-10-CM and CPT codes for patient services. Candidates must have a CPC certification and familiarity with multi-specialty surgical coding...CmsRemote job
- ...CSMC and Cedars-Sinai Affiliates and their locations) assigns ICD-10-CM and CPT codes for patients receiving services at CSMC. Accurately... ...reimbursement and the highest quality data possible Duties of this Coder II include: Performs accurate and timely coding (CPT,...CmsRemote work
$47.6 - $62.78 per hour
...UCLA Health, AHA - Coding Clinic, and AMA - CPT Assistant guidelines, medical terminology... ..., and procedures. You will assign ICD-10-CM and CPT/HCPCS codes for patients receiving... ...more years of experience as an outpatient coder, acute care hospital experience preferred...CmsHourly payDaily paidWork at office- # Coder - OutpatientHighmark Health · Los Angeles, CATailor My ResumeStart free. No credit... ...apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing... ...and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (...Cms
- ...you will be doing in this role: The Claims Edit Coder (Coder II) operated under the general direction of... ...team. In this role, the Coder II reviews ICD-10-CM diagnosis coding and Current Procedural Terminology (CPT) procedure code for claim edit fall outs. The position...CmsHourly payLocal area
- ...the Position: The Revenue Cycle Medical Coder II is responsible for assigning diagnosis... ...tickets for review, including proper CPT and ICD-10 codes and proper linkage between the two... ...Terminology as basic building blocks for ICD-10-CM coding. • Compiles, reviews and...CmsWork at office
- Cedars-Sinai is seeking a Clinical Documentation Specialist to independently perform clinical chart reviews on risk-adjustable patient populations. The role applies clinical knowledge to correlate diagnoses for the PCP to consider during face-to-face visits and to track...CmsRisk
- ...in Los Angeles is looking for a Medical Coder with experience in Surgery experience. The... ...before claims move forward.• Apply ICD-10 and CPT coding standards to surgical and designated... ...coding accuracy, escalating unusual or high-risk issues when necessary.• Support...RiskRemote workMonday to Friday
$80 per hour
...integrity processes Monitor and maintain compliance with CPT, HCPCS, ICD-10, CMS, and payer requirements Conduct CDM audits and identify... ...billing discrepancies, denials trends, and compliance risks Drive process improvement initiatives that enhance operational...CmsRiskContract workRemote workFlexible hours$50 - $65 per hour
...Monitor project schedules, identify risks and potential delays, and work... ...of construction management (CM) or project management (PM)... ...commercial construction, OR at least 10 years of PM experience if... ...accommodation, such as the modification or adjustment of the job application process...CmsRiskContract workTemporary workFor contractorsFor subcontractorWork at office- ...appropriate assignment of MS-DRG/APR-DRG, severity of illness (SOI), risk of mortality (ROM), and identification of relevant clinical... ...in an acute care setting. Strong knowledge of MS-DRG, APR-DRG, ICD-10-CM/PCS coding guidelines. Experience using encoder and electronic...CmsRiskWork at office
- ...practice in Glendale is seeking a full-time Certified OB/GYN Coder to join our team. The ideal candidate will have 2-3 years of OB... ...medical records, procedures, surgeries, and office visits using ICD-10-CM, CPT, and HCPCS codes Assign appropriate diagnosis and procedure...CmsFull timeWork at office
$28 - $32 per hour
...Ops What You'll Do Analyze, process, research, adjust and adjudicate claims with the use of accurate procedure/revenue and ICD-10 codes, under the correct provider and member... ...preferred Must be familiar with ICD-10, HCPCS, CPT coding, APC, ASC and DRG pricing, CMS, DMHC...CmsHourly payFull timeWork at office- About the job Certified Medical Coder- Remote We are seeking a Certified Medical Coder- Remote to join our team. Weare deeply rooted... ...outpatient E/M services. Thorough knowledge of medical terminology, ICD-10-CM and CPT4 coding necessary. Understanding of both the medical...CmsRemote job
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