CPMA (Certified Professional Medical Auditor), CRC (Certified Risk Adjustment Coder), CPC (Certified Professional Coder), CCS (Certified Coding Specialist) * Willingness to travel up to 10% ...
CPMA (Certified Professional Medical Auditor), CRC (Certified Risk Adjustment Coder), CPC (Certified Professional Coder), CCS (Certified Coding Specialist) * Willingness to travel up to 10% ...
Validate denial reasons and ensures coding is accurate and reflects the denial reasons. Coordinate with the Clinical Resource Center (CRC) for clinical consultations or account referrals when ...
Validate denial reasons and ensures coding is accurate and reflects the denial reasons. Coordinate with the Clinical Resource Center (CRC) for clinical consultations or account referrals when ...
Bilingual (Spanish) Crisis Interventionist (Tue-Sat)
Tucson, AZ · On-site
$22 - $25/hr
Completes enrollment and crisis planning with Hospitals and CRC when an urgent enrollment is needed ... Models professional standards and ethics in accordance with EBF Code of Conduct, Strategic Plan ...
Bilingual (Spanish) Crisis Interventionist (Tue-Sat)
Tucson, AZ · On-site
$22 - $25/hr
Completes enrollment and crisis planning with Hospitals and CRC when an urgent enrollment is needed ... Models professional standards and ethics in accordance with EBF Code of Conduct, Strategic Plan ...
Completes enrollment and crisis planning with Hospitals and CRC when an urgent enrollment is needed ... Models professional standards and ethics in accordance with EBF Code of Conduct, Strategic Plan ...
Completes enrollment and crisis planning with Hospitals and CRC when an urgent enrollment is needed ... Models professional standards and ethics in accordance with EBF Code of Conduct, Strategic Plan ...
Clinical Research Coordinator III - Thunderbird Office
Glendale, AZ · On-site
$24 - $32/hr
... Country United States Zip Code 85306 Description & Requirements Arizona Kidney Disease and ... The CRC III mentors junior coordinators support internal audits and provides training and oversight ...
Clinical Research Coordinator III - Thunderbird Office
Glendale, AZ · On-site
$24 - $32/hr
... Country United States Zip Code 85306 Description & Requirements Arizona Kidney Disease and ... The CRC III mentors junior coordinators support internal audits and provides training and oversight ...
Bilingual (Spanish) Crisis Interventionist (Tue-Sat)
Tucson, AZ · On-site
$17 - $22.75/hr
Completes enrollment and crisis planning with Hospitals and CRC when an urgent enrollment is needed ... Models professional standards and ethics in accordance with EBF Code of Conduct, Strategic Plan ...
Bilingual (Spanish) Crisis Interventionist (Tue-Sat)
Tucson, AZ · On-site
$17 - $22.75/hr
Completes enrollment and crisis planning with Hospitals and CRC when an urgent enrollment is needed ... Models professional standards and ethics in accordance with EBF Code of Conduct, Strategic Plan ...
Auditor, Risk Adjustment
Tempe, AZ · Remote
$82K - $108K/yr
Certified Risk Adjustment Coder (CRC) or similar certification * Experience coding in a variety of different Electronic Medical Record (EMR) systems. This is an authentic Oscar Health job opportunity.
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Auditor, Risk Adjustment
Tempe, AZ · Remote
$82K - $108K/yr
Certified Risk Adjustment Coder (CRC) or similar certification * Experience coding in a variety of different Electronic Medical Record (EMR) systems. This is an authentic Oscar Health job opportunity.
Aircraft Maintenance C - A&P Mechanic
$27.50 - $36.25/hr
Aircraft Mechanic C - A&P Job Code: 39880 Job Location: Tucson, AZ (Onsite) Job Schedule: 5/8 Mon ... a required physical exam and CRC. * Ability to work in the established OCONUS work/living ...
Aircraft Maintenance C - A&P Mechanic
$27.50 - $36.25/hr
Aircraft Mechanic C - A&P Job Code: 39880 Job Location: Tucson, AZ (Onsite) Job Schedule: 5/8 Mon ... a required physical exam and CRC. * Ability to work in the established OCONUS work/living ...
Job Title: Aircraft Maintenance D / Mission Systems Specialist (Avionics) Job Code: 37228 Job ... Ability to complete/pass a required DCMA physical exam and CRC course prior to OCONUS deployment.
Job Title: Aircraft Maintenance D / Mission Systems Specialist (Avionics) Job Code: 37228 Job ... Ability to complete/pass a required DCMA physical exam and CRC course prior to OCONUS deployment.
Job Title: Aircraft Maintenance D / Mission Systems Specialist (Avionics) Job Code: 37228 Job ... Ability to complete/pass a required DCMA physical exam and CRC course prior to OCONUS deployment.
Job Title: Aircraft Maintenance D / Mission Systems Specialist (Avionics) Job Code: 37228 Job ... Ability to complete/pass a required DCMA physical exam and CRC course prior to OCONUS deployment.
Medical Case Manager
Phoenix, AZ · On-site
$53K - $98K/yr
... CCM, CRC, COHN, CRRN) Workers' Comp Case Management experience a plus Bilingual in English and ... Upholds the Crawford and Company Code of Business Conduct at all times. * Demonstrates excellent ...
Medical Case Manager
Phoenix, AZ · On-site
$53K - $98K/yr
... CCM, CRC, COHN, CRRN) Workers' Comp Case Management experience a plus Bilingual in English and ... Upholds the Crawford and Company Code of Business Conduct at all times. * Demonstrates excellent ...
Aircraft Maintenance D - A&P Mechanic
$27.50 - $36.25/hr
Aircraft Maintenance D - A&P Mechanic Job Code: 37229 Job Location: Tucson, AZ (Onsite) Job ... Ability to complete/pass a required DCMA physical exam and CRC course prior to OCONUS deployment.
Aircraft Maintenance D - A&P Mechanic
$27.50 - $36.25/hr
Aircraft Maintenance D - A&P Mechanic Job Code: 37229 Job Location: Tucson, AZ (Onsite) Job ... Ability to complete/pass a required DCMA physical exam and CRC course prior to OCONUS deployment.
Avionics Technician C Job Code: 39878 Job Location: Tucson, AZ (Onsite) Job Schedule: 5/8 Mon-Fri ... and CRC. * Ability to work day shift, night shift or weekend duty and travel as part of a ...
Avionics Technician C Job Code: 39878 Job Location: Tucson, AZ (Onsite) Job Schedule: 5/8 Mon-Fri ... and CRC. * Ability to work day shift, night shift or weekend duty and travel as part of a ...
The CE is also required to maintain continuous communication with CRC, Area/District Offices, and ... Adhere to company dress code and safety regulations * Meet or exceed on-site response time ...
The CE is also required to maintain continuous communication with CRC, Area/District Offices, and ... Adhere to company dress code and safety regulations * Meet or exceed on-site response time ...
Aircraft Maintenance C - Avionics Technician
$27.50 - $36/hr
Avionics Technician C Job Code: 39878 Job Location: Tucson, AZ (Onsite) Job Schedule: 5/8 Mon-Fri ... and CRC. * Ability to work day shift, night shift or weekend duty and travel as part of a ...
Aircraft Maintenance C - Avionics Technician
$27.50 - $36/hr
Avionics Technician C Job Code: 39878 Job Location: Tucson, AZ (Onsite) Job Schedule: 5/8 Mon-Fri ... and CRC. * Ability to work day shift, night shift or weekend duty and travel as part of a ...
The CE is also required to maintain continuous communication with CRC, Area/District Offices, and ... Adhere to company dress code and safety regulations * Meet or exceed on-site response time ...
The CE is also required to maintain continuous communication with CRC, Area/District Offices, and ... Adhere to company dress code and safety regulations * Meet or exceed on-site response time ...
Aircraft Maintenance C - A&P Mechanic
$27.25 - $35.75/hr
Aircraft Mechanic C - A&P Job Code: 39880 Job Location: Tucson, AZ (Onsite) Job Schedule: 5/8 Mon ... a required physical exam and CRC. * Ability to work in the established OCONUS work/living ...
Aircraft Maintenance C - A&P Mechanic
$27.25 - $35.75/hr
Aircraft Mechanic C - A&P Job Code: 39880 Job Location: Tucson, AZ (Onsite) Job Schedule: 5/8 Mon ... a required physical exam and CRC. * Ability to work in the established OCONUS work/living ...
Crc Coding information
See Arizona salary details
$10.04 - $13.77
5% of jobs
$13.77 - $17.50
17% of jobs
$18.09 is the 25th percentile. Wages below this are outliers.
$17.50 - $21.24
20% of jobs
The median wage is $22.81 / hr.
$21.24 - $24.97
20% of jobs
$28.01 is the 75th percentile. Wages above this are outliers.
$24.97 - $28.71
17% of jobs
$28.71 - $32.44
9% of jobs
$32.44 - $36.17
5% of jobs
$36.17 - $39.91
3% of jobs
$39.91 - $43.64
2% of jobs
$43.64 - $47.38
1% of jobs
$47.38 - $51.11
1% of jobs
$10
$25
$51
How much do crc coding jobs pay per hour?
What are the key skills and qualifications needed to thrive in the Crc Coding position, and why are they important?
Excelling in CRC Coding requires a thorough understanding of medical coding, specifically for clinical research or cancer registry cases, often supported by certifications like Certified Tumor Registrar (CTR) or Certified Professional Coder (CPC). Familiarity with medical coding systems (ICD-10, CPT), cancer registry software, and electronic health records (EHR) is essential. Attention to detail, analytical thinking, and strong communication help ensure accurate documentation and effective team collaboration. These competencies are critical for ensuring data integrity, regulatory compliance, and support of high-quality clinical outcomes.
What are some typical challenges faced in a CRC Coding role and how can they be addressed?
CRC Coding professionals often encounter challenges like interpreting complex medical records, ensuring coding accuracy for compliance, and keeping up with frequent changes in coding guidelines. Effective strategies include continuous professional development, regular training on the latest coding standards, and close collaboration with clinical and data management teams to clarify ambiguities. Staying organized and using validation tools within registry software further reduces errors. Addressing these challenges consistently leads to higher-quality data, successful audits, and contributes to improved patient care and research outcomes.
What is a CRC Coding job?
A CRC (Certified Risk Adjustment Coder) Coding job involves reviewing medical records to assign appropriate diagnosis codes for risk adjustment purposes. These coders ensure that healthcare providers receive accurate reimbursements based on patient conditions. They work with ICD-10 codes and must adhere to strict compliance and documentation guidelines. CRC coders often collaborate with healthcare providers, insurance companies, and compliance teams to ensure accurate coding and reporting.

$75K - $165K/yr
Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 4 days ago
CVS Health rating
5.8
Based on 4,317 frontline employees who took The Breakroom Quiz
88th of 109 rated pharmacies
Job description
We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselvesaccountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.
Position Summary
As a Senior Manager, Medicare Compliance - Risk Adjustment, you are responsible for overseeing and maintaining compliance with CMS regulations related to Medicare Advantage Risk Adjustment, Hierarchical Condition Categories (HCCs), encounter data submission, documentation and coding compliance, and related regulatory requirements. This position serves as a key compliance leader and subject matter expert, partnering with Risk Adjustment Operations, Coding, Provider Education, Clinical Documentation Improvement (CDI), Internal Audit, Legal, and Government Affairs teams to ensure organizational adherence to CMS requirements.
The ideal candidate possesses extensive experience in Medicare Advantage compliance and a deep understanding of CMS Risk Adjustment methodologies, diagnosis coding requirements, medical record documentation standards, RADV audits, and evolving regulatory guidance.
Key Responsibilities
Lead the Medicare Advantage Risk Adjustment compliance program.
Monitor and interpret CMS regulations, HPMS memoranda, Final Rules, Medicare Managed Care Manual guidance, RADV requirements, and OIG enforcement activities.
Assess operational processes for compliance risks related to risk adjustment activities.
Develop and implement corrective action plans for identified compliance issues.
Conduct compliance risk assessments related to coding, documentation, and encounter data submissions.
Required Qualifications
Minimum 7 years of experience in Medicare Advantage, Risk Adjustment, Coding Compliance, Audit, or Regulatory Compliance
Minimum 5 years in a leadership role
One or more of the following certifications: CPMA (Certified Professional Medical Auditor), CRC (Certified Risk Adjustment Coder), CPC (Certified Professional Coder), CCS (Certified Coding Specialist)
Willingness to travel up to 10% (including by plane)
Preferred Qualifications
Health Information Management (RHIA/RHIT)
Nursing - Strong understanding of clinical documentation and medical record review
Certified Risk Adjustment Coder (CRC) with compliance experience
Provider coding audit/compliance leadership experience
Medicare Advantage compliance leadership experience supporting RADV, HCC validation, and CMS audits
Education
Bachelor's degree in Health Information Management, Healthcare Administration, Nursing, Public Health, Business Administration, Healthcare Compliance, or a related healthcare field required; equivalent years of work experience may substitue.
Pay Range
The typical pay range for this role is:
$75,400.00 - $165,954.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company's equity award program.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
Additional details about available benefits are provided during the application process and on Benefits Moments.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
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About CVS Health
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Industry
Health care and social assistance and retail
Company size
10,000+ Employees
Headquarters location
Woonsocket, RI, US