Risk Adjustment Coder — HCC Specialist (Certified)
Mount Sinai Medical Center of Florida, Inc.
Mount Sinai Medical Center of Florida, Inc. is seeking a Certified Risk Adjustment Coder to ensure accurate coding and documentation standards. The role involves reviewing medical records, providing feedback to physicians, and maintaining coding credentials. The ideal candidate will have at least five years of experience in coding and billing, with a strong knowledge of ICD-10-CM and CPT. Benefits include health insurance, paid time off, and tuition reimbursement. #J-18808-Ljbffr Mount Sinai Medical Center of Florida, Inc.
- ## Certified Risk Adjustment CoderApplylocations: Hialeah, FLtime type: Full timeposted on: Posted Todayjob requisition id: JR102682**As Mount Sinai... ...are documented for the assignment of a valid and accurate HCC for each episode of care* Regularly reviews Epic HCC and payor...RiskWork at office
- Cano Health, LLC is seeking a Risk Adjustment Coder to join our hybrid team in New York. The coder will identify and document coding information crucial for Clinical Condition Categories and ensure diagnosis code accuracy. This role involves regular collaboration with healthcare...Risk
- ...knowledge of coding and documentation standards as well as CMS risk adjustment guidelines and hierarchical condition categories (HCCs).... ...ensure all diagnosis codes are documented for valid and accurate HCC assignment for each episode of care. Regularly reviews Epic HCC...RiskWork at office
- ## Risk Adjustment CoderApplyremote type: Hybridlocations: Jupiter, FLtime type: Full timeposted... ...join us.**Job Summary**The Risk Adjustment coder will identify, collect, assess, monitor... ...all appropriate coding based on CMS HCC categories* Prepare the medical charts and...RiskWork at officeFlexible hoursWeekend work
$20.5 - $27.85 per hour
...and as needed Diagnostic, HCC, Retrospective Coding, Documentation... ...Requirements : CPC (Certified Professional Coder) Preferred or COC (... ...or CCS (Certified Coding Specialist) Preferred Additional Requirements... ...CRC (Certified Risk Adjustment Coder) required -or- CIC (...RiskCasual workRemote work- ...from leadership or higher‑level coders. Conduct retrospective... ...opportunities. Analyze Medicare Risk Adjustment (MRA) data to identify coding... ...volume than a Level I specialist. How Will You Make An Impact... ...experience, including 1 year of HCC coding. Advanced knowledge of...Risk
- Mount Sinai Medical Center is seeking a qualified candidate with extensive coding experience to ensure accurate documentation and compliance. The role requires a minimum of five years' experience in coding and billing, along with a CPC, CCS-P, or CRC certification. This...Risk
- Cano Health is looking for a Risk Adjustment Coder in the Town of Florida, NY. The role involves identifying and documenting claims coding information while ensuring the accuracy of diagnosis codes. Candidates should have two years of medical coding experience and relevant...RiskWork at office
- ...non-routine tasks and make all necessary adjustments to avoid loss, injury, or accident,... ...stopping the work when necessary to mitigate risk and ensure HSEQ compliance. • Ability to... ...Management System (NIMS) training. • Certified Safety Professional (CSP), OSHA 10-hour...RiskTemporary workFor contractorsWork experience placementLocal areaWorldwideFlexible hoursAfternoon shift
- ...diagnosis (including HCC Coding Hierarchical Condition... ...(DRG) ACCURACY - CODER ACCURACY - OUTPATIENT... ...Equivalent (Required) Certified Coding Associate (CCA)... ...AHIMA) Certified Coding Specialist (CCS) - American... ...Auditor (CPMA), Certified Risk Adjustment Coder (CRC) by AAPC, or...RiskWork experience placementWork at officeLocal areaShift work
- Millennium Physician Group is seeking a RISK ADJUSTMENT CODING SPECIALIST to abstract and assign ICD‑10‑CM diagnosis codes and conduct audits of medical records. The role requires advanced knowledge of medical terminology and coding practices, with a strong emphasis on...Risk
- ...creating a better care experience for all. SCOPE OF ROLE The Risk Adjustment and Analytics Team is working to push boundaries to redefine Risk... ...) Experience with Databricks (Preferred)Familiarity with CMS‑HCC and HHS‑HCC risk Adjustment Models Familiarity with HEDIS and...Risk
- ...forward-thinking Security Project Specialist to join our amazing culture.... ..., system start-up/check-out, certify, and customer train on... ...Identifies potential project risks, communicates to appropriate... ...workers in testing, tuning, and adjusting equipment to obtain optimum operating...RiskFull timeWork from homeNight shift
- Oscar Health is hiring an Associate, Risk Adjustment Auditor for their Risk Adjustment team. This remote role requires conducting quality audits specific to ICD-10 code abstraction and ensuring compliance with coding standards. The ideal candidate holds a Bachelor's degree...RiskRemote job
$84.58k - $89.25k
...opportunity to join our team as a Sourcing Specialist - IT. In this role, the successful... ...meet/exceed the annual savings targets. Risk Management: Assess and mitigate risks associated... ...organization. Preferred Qualifications Certified Purchasing Manager (C.P.M.) or other...RiskContract work$82.72k - $108.57k
Oscar is hiring an Associate, Risk Adjustment Auditor to join our Risk Adjustment team. This role involves conducting quality audits related to ICD-10 code abstraction and working closely with management to implement benchmarks and quality assurance programs. This is a...RiskRemote job- ...seeking a future team member for the role of Specialist, Compliance & Control (SPE) to join our... ...internal party or external party AML risk. Analyze high volume of transactional... ...investigations desired. ACAMS (Association of Certified Anti‑Money Laundering Specialists) or...RiskWork experience placement
- Centrumhealth is seeking a Risk Adjustment Analyst responsible for designing and maintaining Risk Adjustment and Quality Data for the entire portfolio. This role requires strong SQL skills and experience in healthcare analytics. The position involves collaboration across...Risk
- ...their work assignment. The Global Mobility Specialist III plays a vital role in preparing... ...through scheduled check‑in calls to assess adjustment, address concerns, and support... ...decisions. Intermediate ability to assess risks and benefits of newly proposed solutions...RiskFull timeWork at officeRelocationRelocation packageMonday to Friday
- ...complex pregnancies, performing diagnostic procedures, and emphasizing collaboration with other medical specialists. Candidates should be board eligible or certified in MFM and have a strong desire for education and research. This employed position offers competitive benefits...Risk
$19.18 - $23.99 per hour
...Opportunity:**The **Settlement Resolution Specialist** provides senior level guidance and... ...set up, fraud reporting and cardholder adjustments where applicable.* Analyzes and interprets... ...collaborate with other Settlement/Finance and Risk units to resolve issues.* Performs...RiskLocal areaFlexible hours$27 - $33 per hour
...operate. As a Workplace Health & Safety Specialist (WHSS), you'll be at the forefront of transforming... ...audits, incident investigations, and risk assessments while implementing... ...disability and need a workplace accommodation or adjustment during the application and hiring...RiskHourly payFlexible hoursShift workNight shiftWeekend work$19.18 - $23.99 per hour
...Job Summary Settlement Resolution Specialist provides senior-level guidance and subject matter... ...and compliance cases. Process adjustments for credit and debit card settlement as... ...collaborate with Settlement/Finance and Risk units. Perform account charge‑off processes...RiskHourly payLocal areaRemote workFlexible hours$54.92k - $107.1k
Job Summary Sr Specialist, Provider Engagement role implements Health Plan provider engagement strategy to achieve positive quality and risk adjustment outcomes through effective provider engagement activities. Ensures the core set of Tier 2 providers in the Health Plan...RiskRemote jobWork experience placementWork at office$35 - $65 per hour
CDI Specialist III - REMOTE Job is hosted by: Daylen Quichocho Salary: $35 - $65 per hour... ...representation of the severity of illness and risk of mortality. Collaborate with... ...related field. Registered Nurse (RN) or Certified Coding Specialist (CCS) preferred. Minimum...RiskHourly payRemote work$67.9k - $199.14k
...community at a time. Position Summary CVS Health has an exciting opportunity for a Senior Informatics Manager to join our dynamic Risk Adjustment Analytics team! In this role, you will lead and execute complex data analyses to drive health plan‑level risk adjustment...RiskRemote jobHourly payFull timeTemporary workWork experience placementLocal area- ...company expertise. Our Crop Division has been helping farmers manage risk since 1915 and is one of the few private companies authorized by... ...part‑time. Hours fluctuate based on seasonal needs. As a Crop Adjuster, You Will Understand and work claims for all major crops,...RiskFull timePart timeSeasonal work
- ...housing and placement activities, including assisting members at risk of homelessness and members recently discharged from... ...Qualifications Community Health Worker (CHW) certification. Certified Medical Assistant (CMA). Bilingual (based on community need)....RiskPermanent employmentWork at officeLocal area
- ...investment and operating firm dedicated to delivering superior risk-adjusted returns through diligent analysis and operational expertise.... ...are seeking a motivated and results-driven Corporate Leasing Specialist to join our dynamic team. This role is integral to the...RiskFull timeMonday to Friday
$22 - $25 per hour
...are seeking a qualified Associate Project Specialist to become a valued member of Industrial... ...from an accredited college. AHERA-certified Asbestos Inspector and/or Supervisor (preferred... ...EPA certified Lead Inspector and/or Risk Assessor Florida licensed Radon Measurement...RiskFull timeLive outWork at officeLocal areaFlexible hoursShift workNight shiftWeekend work
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