Description. Primarily responsible for overseeing and facilitating quality assurance audits for providers and internal coders. The audits will be used to set department goals and objectives, to identify deficiencies or process improvements, and to ensure compliance with state and federal guidelines. Focus will include the review of HEDIS performance measures and ensuring submitted conditions are fully supported by clinical documentation and are b...
Job Title: Risk Adjustment Coder. Location: New York, NY, 10004 -Remote. Initial Duration: 3 months with possible extension. Pay range: $25.- $30/hr. on w2. Responsibilities. Seeking medical coder with experience in reviewing medical records for purposes of ICD-10-CM diagnostic coding and Risk Adjustment condition validation. You will be responsible for searching for medical records in an EHR interface and identifying and coding chronic condition...
Who we are. Community Health Plan of Washington is an equal opportunity employer committed to a diverse and inclusive workforce. All qualified applicants will receive consideration for employment without regard to any actual or perceived protected characteristic or other unlawful consideration. Our commitment is to. Strive to a. pply an equity lens to all our work. . . Reduce health disparities. . . Become an anti-racist organization. . . Create ...
SUMMARY: Risk Adjustment Coder is responsible for reviewing, abstracting, and coding inpatient and/or outpatient medical records to ensure proper ICD-10 coding and compliance with risk adjustment requirements. Reports to: AVP, STARs & Risk Adjustment Location: Houston, TX EDUCATION: High School Diploma or GED Required LICENSES/CERTIFICATIONS: A certification in one of the following is required: Certified Risk Adjustment Coder (CRC) Certified Prof...
A client of Insight Global's is hiring for a Risk Adjustment Coder in the state of Florida. The risk adjustment coder will be responsible for. Acting as an internal resource for the outpatient group professional service coding and documentation education. Performing medical record audits to ensure compliance with all applicable federal, state and local regulations, as well as with institutional/organizational standards, practices, policies and pr...
Description. The Why Behind Wellvana. The healthcare system isn’t designed for health. We’re designed to change that. . We’re Wellvana, and we help doctors deliver life-changing healthcare. Through our high-touch approach to value-based care, we're moving beyond fee-for-service and helping tie the healthy outcomes of patients directly to healthier profitability for providers and health systems. . Providers in our curated network keep their indepe...
