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  •  ...lives of our members. SUMMARY: The Junior Quality Improvement Coder is responsible for providing director support to all...  ...care through quality improvement activities that will include RAF, HEDIS, CMS Star Ratings and other health plan reporting. ESSENTIAL... 
    HEDIS

    Astiva Health, Inc

    Orange County, CA
    10 hours agonew
  •  ...shares guidelines/best practices with internal risk adjustment coders to improve coding documentation techniques May develop policies...  ...coding guidelines May pull medical records for our risk adjustment/HEDIS/STARS projects Helps with special projects within our Risk... 
    HEDIS
    Work at office

    Blue Cross and Blue Shield of Kansas City

    Kansas City, MO
    4 days ago
  •  ...based, quality healthcare to our patients. Overview PMC is looking for a CDI/Certified Professional Coder who will demonstrate deep knowledge in Medical Risk Adjustment, HEDIS, CNS Coding guidelines, billing standards and regulations. A teamwork person who will deliver a... 
    HEDIS
    Full time
    Apprenticeship
    Work at office
    Local area
    Remote work
    Monday to Friday
    Shift work
    Day shift

    Palm Medical Centers

    Miami, FL
    1 day ago
  •  ...Join Our Team as a General Coder! Are you a medical coder looking to advance your career in a supportive and dynamic environment? We...  ...Category II, ICD-10-CM codes, and quality reporting measures like HEDIS. Verify records for billing, reimbursement, and regulatory compliance... 
    HEDIS
    Full time
    Remote work
    Relocation package
    Monday to Friday

    CMU Health

    Saginaw, MI
    1 day ago
  •  ...Assisting physicians in room with patients Knowledge of HEDIS measures (2-3 years experience) Returning patient phone calls...  ...and proficient in general computer processes Experience as a coder and transcriber (Preferred) + 2-3 Years of experience required... 
    HEDIS
    Work at office

    DHG Medical Center

    Pembroke Pines, FL
    15 hours ago
  •  ...terminology is required. Requirements Must have experience with HEDIS medical records review process. Someone who has or previously...  ...Assistant, CNA, or LPN. Another alternative is a Medical Coder who does have a current and valid certification. Maybe a... 
    HEDIS

    BizTek People

    Maumee, OH
    15 hours ago
  •  ...care accurately and efficiently with support from quality-based coders. Participate in on-call rotation and support growth initiatives...  ...relationship environment Knowledge of Medicare guidelines and coverage Knowledge of HEDIS quality indicators... 
    HEDIS

    CenterWell and Conviva Senior Primary Care

    Mesa, AZ
    2 days ago
  • $225k - $315k

     ...workers, clinical pharmacists, care coordinators, and quality-based coders. Participate in daily huddles, collaborate on care plans, and...  ...skills. Experience in geriatrics, Medicare Advantage, VBC, HEDIS, or EMR systems is helpful-but not required for motivated learners... 
    HEDIS
    Full time
    Relocation package
    Monday to Friday

    She Recruits LLC

    Kansas City, MO
    2 days ago
  • $80k - $95k

     ...for those conditions. Additionally, the reviewer will abstract HEDIS quality gaps specific for the patient based on specific documentation...  ...MD), Nurse Practitioner, Physician Assistant, Nurse (RN, LPN), Coder, CDI certification or similar experience Current coding... 
    HEDIS
    Work at office

    Sky Mavis

    Henderson, NV
    2 days ago
  • $115.2k - $158.4k

     ...care accurately and efficiently with support from quality-based coders. Participate in on-call rotation and support growth initiatives...  ...and/or Medicaid and Medicare numbers Familiarity with HEDIS quality indicators and Medicare guidelines. Compensation &... 
    HEDIS
    Full time
    Temporary work
    Apprenticeship
    Flexible hours

    CenterWell Senior Primary Care

    Augusta, GA
    15 hours ago
  •  ...that promotes Healthcare Effectiveness Data and Information Set (HEDIS) metrics, Utilization Review Accreditation Commission (URAC),...  ...Association (AHIMA) and/or American Association of Professional Coders (AAPCS) will be accepted. Completion of a coding program from other... 
    HEDIS
    Work at office
    Local area

    UNIVERSITY HEALTH

    San Antonio, TX
    15 hours ago
  • $300k

     ...documentation in a timely manner working with a quality- based coder to optimize coding specificity. Follows policy and protocol defined...  ...a value-based relationship environment Knowledge of Medicare guidelines and coverage Knowledge of HEDIS quality indicators... 
    HEDIS
    Relocation package

    CenterWell and Conviva Senior Primary Care

    Richmond, VA
    3 days ago
  •  ...Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators and more. Our approach allows us to...  ...environment Knowledge of Medicare guidelines and coverageKnowledge of HEDIS quality indicatorsAdditional Job DescriptionGuaranteed base... 
    HEDIS
    Permanent employment
    Local area
    Relocation package

    CenterWell Senior Primary Care

    Phoenix, AZ
    15 hours ago
  • $115.2k - $158.4k

     ...efficient documentation of care with support from quality-based coders. Contribute to on-call rotations and assist in implementing...  ...or the capability to obtain these. Familiarity with HEDIS quality indicators and Medicare guidelines. Compensation &... 
    HEDIS
    Full time
    Temporary work
    Flexible hours

    CenterWell

    Atlanta, GA
    1 day ago
  • $250k - $330k

     ...medical record documentation daily, collaborating with quality-based coders to ensure comprehensive documentation. Adhere to clinical...  ...is required if selected. Preferred: Knowledge of HEDIS/STARS, CAHPS, and HOS. Experience working in medically underserved... 
    HEDIS
    Temporary work

    She Recruits LLC

    Biloxi, MS
    1 day ago
  • $199.4k - $298.3k

     ...professionals, pharmacists, nurses, behavioral health specialists, coders, referral coordinators, and more, to work together effectively....  ...patient panel. Familiarity with Medicare guidelines and HEDIS quality indicators. Bilingual capabilities are a plus.... 
    HEDIS
    Local area
    Relocation package

    CenterWell

    Goodlettsville, TN
    2 days ago
  • $95.4k - $208.3k

     ...coding and documentation, working closely with physicians, IPA coders, and risk adjustment teams associated with the health plan. Conduct...  ...and HCPCS coding systems Knowledge of Medicare Advantage STARS/HEDIS program and NCQA technical specifications Knowledge of HIPAA... 
    HEDIS
    Work at office
    3 days per week

    University of California - Los Angeles Health

    Los Angeles, CA
    1 day ago
  • $115.2k - $158.4k

     ...care accurately and efficiently with support from quality-based coders. Participate in on-call rotation and support growth initiatives...  ...and/or Medicaid and Medicare numbers. Familiarity with HEDIS quality indicators and Medicare guidelines. Compensation &... 
    HEDIS
    Temporary work
    Apprenticeship
    Flexible hours

    Centerwell

    Woodstock, GA
    23 hours ago
  •  ...Altegra's nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare...  ...Altegra Health specializes in: CMS HCC Risk Adjustment HEDIS Medical Record Reviews (Accreditation) And more We... 
    HEDIS
    Permanent employment
    Full time
    Live in
    Work from home

    Altegra Health

    Grand Rapids, MI
    4 days ago
  • $115.2k - $158.4k

     ...care accurately and efficiently with support from quality-based coders. * Participate in on-call rotation and support growth initiatives...  ...and/or Medicaid and Medicare numbers * Familiarity with HEDIS quality indicators and Medicare guidelines. Compensation & Benefits... 
    HEDIS
    Full time
    Temporary work
    Apprenticeship
    Flexible hours

    CenterWell Primary Care

    Jacksonville, FL
    2 days ago
  •  ...resources on topics such as: Risk adjustment and HCC coding HEDIS, Stars, CAHPS, and other quality measures Documentation...  ...dashboards. Preferred Certifications: ~ Certified Risk Adjustment Coder (CRC), Certified Professional Coder (CPC), Certified... 
    HEDIS
    Work at office
    1 day per week

    Femwell Group Health

    Miami, FL
    1 day ago
  • $300k

     ...medical documentation is completed promptly while working with a coder to optimize coding specificity. Adhere to policies and...  ...care. Familiarity with Medicare guidelines. Knowledge of HEDIS quality indicators. Additional Information: ~ Guaranteed... 
    HEDIS
    Full time
    Temporary work
    Relocation package

    CenterWell

    Las Vegas, NV
    2 days ago
  • $300k

     ...medical assistants, behavioral health, specialists, quality based coders, referral coordinators, and more. Our approach allows us to...  ...Knowledge of Medicare guidelines and coverage Knowledge of HEDIS quality indicators Additional Information: ~ Guaranteed... 
    HEDIS
    Temporary work
    Local area
    Flexible hours

    Centerwell

    San Antonio, TX
    1 day ago
  • $300k

     ...record documentation in a timely manner working with a quality-based coder to optimize coding specificity. Follows policy and protocol...  ...Knowledge of Medicare guidelines and coverage Knowledge of HEDIS quality indicators Bilingual English/Spanish. Must be able to... 
    HEDIS
    Local area

    Centerwell

    Mcallen, TX
    2 days ago
  • $300k

     ...Medical Assistants, Behavioral Health, Specialists, Quality-based Coders, and Referral Coordinators, ensuring a holistic approach and...  ...Familiarity with Medicare guidelines and coverage. Understanding of HEDIS quality indicators. Bilingual in English and Spanish is an... 
    HEDIS
    Local area

    Humana

    Baytown, TX
    15 hours ago
  • $219.4k - $306.9k

     ...nurses, medical assistants, behavioral health specialists, quality coders, referral coordinators, and more. This teamwork allows our...  ...in coordinated care. Familiarity with Medicare guidelines and HEDIS quality indicators. Bilingual skills (English and Spanish) are... 
    HEDIS
    Local area
    Relocation package

    Humana

    Phoenix, AZ
    1 day ago
  • $79.2k - $143.4k

     ...to coding, and the highest quality of external data released to HEDIS, CMS and Vizient. MINIMUM QUALIFICATIONS Seven (7) years...  ...Minimum of three (3) years Inpatient Facility auditing experience of coders. Experience working for Level I Trauma & Academic/Research... 
    HEDIS
    Hourly pay
    Local area
    Remote work

    UC San Diego

    San Diego, CA
    23 hours ago
  • $230.4k - $322.2k

     ...care accurately and efficiently with support from quality-based coders. Participate in on-call rotation and support growth initiatives...  ...Knowledge of Medicare guidelines and coverage Knowledge of HEDIS quality indicators Compensation & Benefits ~ Competitive... 
    HEDIS
    Full time
    Temporary work
    Apprenticeship
    Flexible hours

    CenterWell Primary Care

    Sun City, AZ
    4 days ago
  • $115.2k - $158.4k

     ...documentation in a timely manner working with a quality- based coder to optimize coding specificity. ~ Follows policy and protocol...  ...of Medicare guidelines and coverage. ~ Knowledge of HEDIS quality indicators. Location: Conviva Military... 
    HEDIS
    Full time
    Temporary work
    Apprenticeship
    Local area
    Flexible hours

    CenterWell Primary Care

    Jupiter, FL
    1 day ago
  • $40k - $52.3k

     ...include physicians, nurse practitioners, medical assistants, medical coders and center administrators. Nearly 250,000 total...  ...electronic medical record (EMR) systems, including documentation of HEDIS and Stars quality measures Maintain established quality... 
    HEDIS
    Full time
    Temporary work
    Apprenticeship
    Flexible hours

    CenterWell Primary Care

    Clarksville, IN
    1 day ago