Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

RN Clinical Documentation Specialist | Risk Adjustment Expert

St. Tammany Parish Hospital

The Clinical Documentation Specialist (CDS) at St. Tammany Health System improves the integrity of medical record documentation by collaborating with providers to accurately reflect illness severity, mortality risk, acuity, and care complexity. They perform pre-visit and retrospective reviews to support risk adjustment strategies and ensure ICD-10-CM accuracy, DRG impact, and HCC capture. They work with physicians and advanced practice providers to educate on documentation guidelines, coding #J-18808-Ljbffr St. Tammany Parish Hospital

Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the RN Clinical Documentation Specialist | Risk Adjustment Expert in New York, NY vacancy
  •  ...guidelines and client-specific requirements. Responsibilities include reviewing records for Medicare, Commercial, and Medicaid risk adjustment, performing full coding reviews, and maintaining a quality standard above 95% while communicating workload to management. #J-1... 
    Risk
    Remote job
    Contract work

    Virtual Vocations Inc

    New York, NY
    2 hours ago
  •  ...is seeking a Value Based Care (VBC) Coder to support concurrent review, compliant query generation, and accurate documentation to optimize risk adjustment payments. The role requires CPC or CRC certification and 3+ years of medical coding experience, preferably in risk... 
    Risk

    Accompany Health, Inc.

    New York, NY
    2 days ago
  • Highmark Inc. is seeking an experienced HCC coder to support risk adjustment projects for MA, ACA and ESRD. You will translate physician documentation into ICD-10 diagnoses and HCC categories, work with physicians and teams to ensure accurate coding, and follow CMS guidelines... 
    Risk
    Remote job
    Work at office

    Highmark Health

    New York, NY
    1 day ago
  • The RN - Clinical Documentation Specialist I at Medical University of South Carolina conducts reviews of inpatient electronic medical records to identify...  ...accurate DRG assignment reflecting patient severity and risk of mortality. Under supervision, this role supports... 
    Risk

    Medical University of South Carolina

    New York, NY
    1 day ago
  • AnewHealth seeks a Professional Remote Medical Coder to apply expert ICD-10-CM, CPT and HCPCS coding for reimbursement while ensuring CMS/HIPAA compliance. You will review medical records from a home office, perform quantitative and qualitative analyses, and support accurate... 
    Risk
    Remote job
    Home office

    AnewHealth

    New York, NY
    2 days ago
  • AnewHealth is seeking a Professional Remote Medical Coder to apply technical expertise to ensure compliance and optimize reimbursement. You will review medical records and code using ICD-10-CM, CPT, and HCPCS from a home office, supporting CMS/HIPAA requirements and payer...
    Risk
    Remote job
    Full time
    Home office

    AnewHealth

    New York, NY
    2 days ago
  •  ...Summary: A Registered Nurse (RN) is a professional caregiver...  ...knowledge of medical record documentation requirements and federal/state...  ...knowledge of telephone-based clinical assessment techniques. Demonstrates...  ...a manner aimed at minimizing risk for the patients as well as... 
    Risk
    Local area
    Immediate start

    Regional Cancer Care Associates

    New York, NY
    1 day ago
  •  ...a dedicated Care Manager to oversee care plans for high-risk and special needs members. This fully remote role focuses...  ...with physicians to determine medical needs. RN licensure with 2+ years of clinical nursing and care management experience is required. We offer... 
    Risk
    Remote job

    Maryland Care Management, Inc

    New York, NY
    2 days ago
  • $114k

     ...and workflow orchestration. As our Clinical Documentation Improvement (CDI) Specialist, you will use clinical and coding...  ...appropriate severity of illness, expected risk of mortality, and complexity of...  ...care hospital Have an active RN license with experience in: ICU, Med... 
    Risk
    Work experience placement
    Local area

    R1 RCM, Inc.

    New York, NY
    2 days ago
  • $100 per hour

     ...&L. Role Overview Turing is looking for Portfolio Management experts to work with our researchers to improve the performance of AI...  ...portfolio management topics such as asset allocation frameworks, risk-adjusted return analysis, and portfolio optimization. Create rubrics... 
    Risk
    Hourly pay
    Freelance
    Remote work
    Flexible hours

    Turing

    New York, NY
    1 day ago
  • $100 per hour

     ...responses on asset allocation, portfolio risk, and rebalancing. This remote role pays $...  ...and work with AI researchers and finance experts on training methods and benchmarks. Evaluate...  ...responses about asset allocation, risk-adjusted returns, and portfolio optimization.... 
    Risk
    Hourly pay
    Contract work
    Part time
    Remote work
    Worldwide

    OpenTrain AI, Inc.

    New York, NY
    4 days ago
  • $65.89k - $98.83k

     ...Description MSHPseeks a Clinical Documentation Specialist who will support efforts to improve the overall...  ...illness complexity and estimate patient risk of future health care utilization....  ...At least 1 year of HCC Risk Adjustment experience, preferred Clinical background... 
    Risk
    Work at office

    Mount Sinai Health System

    New York, NY
    3 days ago
  •  ...appeals, and fraud and abuse referrals. The role requires applying clinical expertise and established coverage guidelines to determine...  ...remote, full-time position with competitive pay and benefits. Active RN licensure in the state hired is required, with a preference for... 
    Remote job
    Full time

    BROADWAY VENTURES, LLC

    New York, NY
    3 days ago
  • $70k - $85k

     ...alternative application process. Clinical Documentation Improvement Specialist VBS Clinical Operations Regular Full...  ...about clinical documentation, risk adjustment, and improving the quality of patient...  ...Serve as a subject matter expert on ICD-10-CM Coding Guidelines, AHA... 
    Risk
    Full time
    Remote work

    ADP

    New York, NY
    1 day ago
  •  ...Position: Clinical Documentation Improvement (CDI) Specialist Location: Remote Remote Status: Remote Job Id: 688 # of Openings: 2 Job Title: RiskAdjustment...  ...a lasting impact. The Role We are looking for a Risk Adjustment Coding Specialist to own retrospective CDI chart... 
    Risk
    Full time
    Temporary work
    Remote work
    Flexible hours

    Greater Good Health

    New York, NY
    3 days ago
  • $96k - $132k

     ...Job Description: Clinical Documentation Specialist (CDI) (Solventum) 3M Health Care is now Solventum At Solventum...  ...the severity of illness (SOI), risk of mortality (ROM), quality outcomes...  ..., severity of illness, risk adjustment, and clinical validation. Initiate compliant... 
    Risk
    H1b
    Work at office
    Remote work
    Relocation package
    Flexible hours

    Health Care Service Corporation

    New York, NY
    18 hours ago
  • Tendo is seeking a CDI specialist to provide clinical documentation and risk adjustment review for our QDI Services customers in real time with physicians and APPs. You will manage a daily review queue and identify documentation gaps to improve accuracy and compliance.... 
    Risk

    Tendo

    New York, NY
    2 hours ago
  • $35 - $42 per hour

     ...-generated financial content and provide expert feedback to improve financial reasoning and...  ...the project duration and end date may be adjusted based on client needs, workload volume,...  ...Quantitative Finance Quantitative Modeling Risk Analytics Statistical Analysis... 
    Risk
    Hourly pay
    Extra income
    Permanent employment
    Contract work
    Temporary work
    Part time
    Immediate start
    Remote work
    Flexible hours

    Volga Partners

    New York, NY
    1 day ago
  • $65.89k - $98.83k

     ...Clinical Documentation Specialist MSHP seeks a Clinical Documentation Specialist who will support efforts...  ...complexity and estimate patient risk of future health care utilization....  ...experience At least 1 year of HCC Risk Adjustment experience, preferred Clinical... 
    Risk
    Remote job
    Traineeship
    Work at office
    Local area

    Mount Sinai Health System

    New York, NY
    2 hours ago
  • $78k - $85k

     ...Medicaid Medical Review RN (Medical Reviewer III)...  ...responsible for conducting clinical reviews of medical...  ...interpretation Provides expert witness testimony as...  ...chain of custody on all documents and follows all confidentiality...  ...abuse, and operational risk. CoventBridge... 
    Risk
    For contractors
    H2b
    H1b
    Work at office
    Local area
    Remote work
    Home office

    CoventBridge Integrity Systems

    New York, NY
    1 day ago
  •  ...to-end management, delivery and support to new and existing Risk Adjustment Programs. The incumbent will deliver value to the Health Plan...  ...patient care delivery and capture of Risk Adjustment documentation/ reporting capabilities, as well as driving continuous improvement... 
    Risk
    Work at office

    Allegheny Clinic

    New York, NY
    1 day ago
  • Review medical records to validate reportable diagnoses and coding accuracy. Apply MEAT criteria and CMS guidelines for risk adjustment. Qualifications: CRC or related risk adjustment certification required. Minimum 2 years of HCC coding and risk adjustment experience.... 
    Risk
    Remote job

    Bluestone

    New York, NY
    4 days ago
  • Alignment Healthcare is seeking a Remote Risk Adjustment Compliance Auditor to conduct provider and coder reviews ensuring accurate risk adjustment data is submitted to CMS. You will develop tracking tools, review outcomes, and participate in audits related to risk adjustment... 
    Risk
    Remote job

    Alignment Health

    New York, NY
    1 day ago
  • Greater Good Health is hiring a Risk Adjustment Coding Specialist to own retrospective CDI review and drive compliant, accurate coding within our...  ...Medicare-focused model. You will work with Revenue Cycle, Clinical Operations, and leadership to close review backlogs,... 
    Risk
    Remote job

    Greater Good Health

    New York, NY
    4 days ago
  • Astrana Health is seeking a Certified Risk Coder to support value-based care by ensuring accurate capture and validation...  ...analysis. The role partners with providers to improve documentation and CMS risk-adjustment compliance. The ideal candidate has CRC credentials, 2+... 
    Risk
    Remote job

    Hatchproof

    New York, NY
    2 days ago
  • Datavant is seeking an HCC Auditor to review coded medical records for risk adjustment and reimbursement. This fully remote role requires at least 2 years of HCC coding and 2 years of auditing experience, with strong ICD-10 knowledge and excellent written communication.... 
    Risk
    Remote job

    Datavant

    New York, NY
    2 days ago
  • Lead Clinical Medical Assistant (LPN or RN required) About JECT JECT is a medical aesthetics brand specializing...  ...follow through with appropriate documentation. Maintain open lines of communication...  ..., product issues, and clinical risks before they impact patient care. Team... 
    Risk
    Immediate start

    Ject Nyc

    New York, NY
    1 day ago
  •  ...Risk Adjustment SpecialistRisk Adjustment is a growing and critical field within Health Insurance Finance. This is your opportunity to...  ...not-for-profit health insurance company. As a Risk Adjustment Specialist, you will support ongoing processes and lead projects to ensure... 
    Risk

    MetroPlusHealth

    New York, NY
    2 days ago
  • $64.38k - $96.58k

     ...only changing lives but saving them. Together. The Remote Risk Adjustment Compliance Auditor is to conduct provider and coder level reviews...  ...of Risk Adjustment education for support staff, PCPs, specialists, employees, contracted employees and central departments. Utilizes... 
    Risk
    Local area
    Remote work

    Alignment Health

    New York, NY
    1 day ago
  • Crossing Hurdles is seeking a Legal Expert for a remote contractor assignment focused on risk and compliance tasks. The role emphasizes high-quality contract drafting, litigation support, and in-depth legal research. Strong analytical ability is essential to translate complex... 
    Risk
    Remote job
    Full time
    Contract work
    For contractors

    Crossing Hurdles

    New York, NY
    2 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to RN Clinical Documentation Specialist | Risk Adjustment Expert. Be the first to apply!