CRC (Certified Risk Adjustment Coder) * Experience working within Value-Based Care (VBC) models ... Additionally, by creating value-based contracts across a wide variety of health plans, we aim to ...
CRC (Certified Risk Adjustment Coder) * Experience working within Value-Based Care (VBC) models ... Additionally, by creating value-based contracts across a wide variety of health plans, we aim to ...
Manager, Value-Based Care
Dade City, FL · On-site
This leadership role connects clinical operations, risk coding, data analytics, revenue cycle, and ... contract performance. You will own key VBC metrics, turn data into action, close care gaps, and ...
New
Manager, Value-Based Care
Dade City, FL · On-site
This leadership role connects clinical operations, risk coding, data analytics, revenue cycle, and ... contract performance. You will own key VBC metrics, turn data into action, close care gaps, and ...
New
Manager, Value-Based Care
Dade City, FL · On-site
This leadership role connects clinical operations, risk coding, data analytics, revenue cycle, and ... contract performance. You will own key VBC metrics, turn data into action, close care gaps, and ...
Quick apply
Manager, Value-Based Care
Dade City, FL · On-site
This leadership role connects clinical operations, risk coding, data analytics, revenue cycle, and ... contract performance. You will own key VBC metrics, turn data into action, close care gaps, and ...
Manger, Value-Based Care
Dade City, FL · On-site
This leadership role connects clinical operations, risk coding, data analytics, revenue cycle, and ... contract performance. You will own key VBC metrics, turn data into action, close care gaps, and ...
Manger, Value-Based Care
Dade City, FL · On-site
This leadership role connects clinical operations, risk coding, data analytics, revenue cycle, and ... contract performance. You will own key VBC metrics, turn data into action, close care gaps, and ...
Manger, Value-Based Care
Dade City, FL · On-site
This leadership role connects clinical operations, risk coding, data analytics, revenue cycle, and ... contract performance. You will own key VBC metrics, turn data into action, close care gaps, and ...
Manger, Value-Based Care
Dade City, FL · On-site
This leadership role connects clinical operations, risk coding, data analytics, revenue cycle, and ... contract performance. You will own key VBC metrics, turn data into action, close care gaps, and ...
Counselor-TOB
Orlando, FL · On-site
$16.47 - $24.26/hr
... CRC/TC location. We are looking for individuals with strong leadership skills and a passion for ... Be available to work all shifts to ensure proper coverage per contract and policy standards.
Counselor-TOB
Orlando, FL · On-site
$16.47 - $24.26/hr
... CRC/TC location. We are looking for individuals with strong leadership skills and a passion for ... Be available to work all shifts to ensure proper coverage per contract and policy standards.
Counselor-TOB
Orlando, FL · On-site
$16.47 - $24.26/hr
... CRC/TC location. We are looking for individuals with strong leadership skills and a passion for ... Be available to work all shifts to ensure proper coverage per contract and policy standards.
Counselor-TOB
Orlando, FL · On-site
$16.47 - $24.26/hr
... CRC/TC location. We are looking for individuals with strong leadership skills and a passion for ... Be available to work all shifts to ensure proper coverage per contract and policy standards.
Contract Crc Coding information
What is the difference between Contract Crc Coding vs Medical Coder?
| Aspect | Contract Crc Coding | Medical Coder |
|---|---|---|
| Certifications | Typically requires CRC certification, CPC, or equivalent | Usually requires CPC, CCS, or equivalent certifications |
| Work Environment | Often contract-based, remote or on-site healthcare settings | Full-time or part-time, hospital or outpatient clinics |
| Industry Usage | Used mainly in healthcare compliance and risk adjustment | Primarily in medical billing, coding, and documentation |
Contract CRC Coding and Medical Coder roles share certifications like CPC and work in healthcare environments. However, Contract CRC Coding focuses on compliance and risk adjustment, often in contract positions, while Medical Coders handle billing and documentation in various healthcare settings. Both roles require similar credentials but serve different primary functions within the healthcare industry.
What are the most commonly searched types of Crc Coding jobs in Florida?
The most popular types of Crc Coding jobs in Florida are:
What are popular job titles related to Contract Crc Coding jobs in Florida?
For Contract Crc Coding jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Contract Crc Coding jobs in Florida look for?
The top searched job categories for Contract Crc Coding jobs in Florida are:
What cities in Florida are hiring for Contract Crc Coding jobs?
Cities in Florida with the most Contract Crc Coding job openings:
Coding Quality Assurance (QA) Manager, Remote
Fort Lauderdale, FL • On-site, Remote
Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 12 days ago
Job description
- Team Leadership & Oversight: Lead, mentor, and manage a team of QA Specialists. Establish team goals, monitor productivity, conduct regular performance reviews, and foster a culture of continuous learning.
- Quality Audits: Oversee and perform comprehensive quality assurance reviews for coding completed by internal CDI staff and external vendor partners, ensuring compliance with official ICD-10-CM guidelines and risk adjustment models.
- SOP & Guideline Development: Design, implement, and maintain standard operating procedures, audit workflows, scoring methodologies, and coding quality guidelines across the organization.
- Payer Audit Support: Act as a key subject matter expert (SME) during external payer audits (e.g., RADV, Medicare, Commercial). Assist with chart selection, review, dispute documentation, and appeal responses.
- Vendor Management: Evaluate third-party coding vendor accuracy rates against established SLAs. Deliver constructive feedback, identify trend errors, and drive corrective action plans when necessary.
- Education & Feedback Loops: Translate QA audit findings into actionable insights. Provide structured feedback and target educational resources to internal CDI specialists and vendors to prevent recurring errors.
- Other duties as assigned
- Bachelor's Degree in health care management, nursing or related field or an Associate Degree with relevant experience in CDI, coding, coding management, or HCC Risk Adjustment required.
- Minimum of 4 years of HCC coding experience with 2 years specifically focused on coding quality assurance, auditing, or compliance monitoring.
- Active professional credentials from AAPC and/or AHIMA required (such as CRC, CCS, CPC, or CPMA).
- Deep mastery of ICD-10-CM coding, CMS Risk Adjustment guidelines, RADV audit rules, and clinical documentation requirements.
- CRC (Certified Risk Adjustment Coder)
- Experience working within Value-Based Care (VBC) models, ACOs, or Advantage plans.
- Prior experience managing small teams or leading vendor oversight programs.
- Exceptional leadership, communication, and organizational skills.
- Proficiency with EHR systems and encoder software