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Crc Risk Adjustment Coder Jobs in California (NOW HIRING)

Astiva Health

Jr. Quality Improvement Coder

Orange, CA · On-site

... and Risk Adjustment Factor. * Conduct internal reviews of documentation and billing on a timely ... Identify coding and billing risk areas, conduct focused reviews. Ensure accurate coding by ...

Astiva Health

Jr. Quality Improvement Coder

Orange, CA

$25 - $28/hr

... and Risk Adjustment Factor. * Conduct internal reviews of documentation and billing on a timely ... Identify coding and billing risk areas, conduct focused reviews. Ensure accurate coding by ...

Humana

Senior Coding Educator

Los Angeles, CA

Certified Risk Coder (CRC) * Experience interacting with healthcare providers * Medicare Risk Adjustment knowledge * Analyzing data to build unique education strategies in PowerBi Additional ...

Humana

Senior Coding Educator

Los Angeles, CA

Certified Risk Coder (CRC) * Experience interacting with healthcare providers * Medicare Risk Adjustment knowledge * Analyzing data to build unique education strategies in PowerBi Additional ...

Humana

Senior Coding Educator

Los Angeles, CA

Certified Risk Coder (CRC) * Experience interacting with healthcare providers * Medicare Risk Adjustment knowledge * Analyzing data to build unique education strategies in PowerBi Additional ...

UCLA Health

Coding Supervisor

Los Angeles, CA · Remote

$65K - $130K/yr

CPMA (Certified Professional Medical Auditor), CHC (Certified in Healthcare Compliance), HCC (Risk Adjustment Coding Certification) or Specialty Certification * Familiarity with revenue cycle ...

Astrana Health, Inc.

$33 - $38/hr

... payment, risk adjustment, quality reporting, and medical expense analysis. What You'll Do * Review inpatient hospital records and assign accurate diagnosis and procedure codes * Determine the ...

UCLA Health

Coding Supervisor

Los Angeles, CA · On-site

$65K/yr

CPMA (Certified Professional Medical Auditor), CHC (Certified in Healthcare Compliance), HCC (Risk Adjustment Coding Certification) or Specialty Certification * Familiarity with revenue cycle ...

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All JobsCrc Risk Adjustment Coder JobsCrc Risk Adjustment Coder Jobs in California

Crc Risk Adjustment Coder information

What is the difference between Crc Risk Adjustment Coder vs Medical Coder?

AspectCrc Risk Adjustment CoderMedical Coder
CertificationsCPMA, CPC, or RHIT/RHIA often preferredCPC, CCS, or CPC-H
Work EnvironmentHealthcare facilities, insurance companies, risk adjustment teamsHospitals, clinics, physician offices
Industry UsageRisk adjustment, Medicare Advantage, health plansMedical billing, coding, documentation

The Crc Risk Adjustment Coder specializes in coding for risk adjustment programs, focusing on accurate documentation for insurance and Medicare plans. Medical Coders handle a broader range of medical records and billing tasks across various healthcare settings. While both roles require coding certifications, Crc Risk Adjustment Coders focus more on risk and reimbursement accuracy within insurance programs.

What are popular job titles related to Crc Risk Adjustment Coder jobs in California? For Crc Risk Adjustment Coder jobs in California, the most frequently searched job titles are:
What job categories do people searching Crc Risk Adjustment Coder jobs in California look for? The top searched job categories for Crc Risk Adjustment Coder jobs in California are:
Crc Risk Adjustment Coder jobs near you
Certified Coder

Certified Coder

Heritage Victor Valley Medical Group

Victorville, CA • On-site

$23.31 - $24.92/hr

Full-time

Medical, Retirement, PTO

Re-posted 15 days ago

Job description

  • Audit PCP, specialist and hospital records for additional HCC diagnoses.
  • Audit all assigned providers wellness visits and send a CAP based on last year chronic conditions.
  • Log the patients
  • Prepare provider report card following completion of each PCP review utilizing comments function of qHMO.
  • Forward provider report card to HCC Manager.
  • Update encounter information with additional HCC data.
  • Conduct Risk Adjustment Data Validation (RADV) audits as requested by HCC Manager.
  • Orient providers in the use of qHMO and documentation for Risk Adjustment.
  • Reinforce to providers the necessity for thorough and accurate documentation and reporting of Risk Adjusted diagnoses.
  • Contact a provider when necessary to clarify medical record documentation.
  • Attend required meetings and participate in committees as requested by management or administration of HVVMG.
  • Enhance professional growth and development through in-service, educational programs and conferences.
  • Maintain a current center for Medicare and Medicaid Services Hierarchical Condition Category, herein referred to as CMS-HCC guideline reference.
  • Incorporate the ICD-10 yearly updates by October 1 of each year.
  • Provide clerical support to HCC Manager as needed.
  • Assist with training of HCC staff.
  • Perform other duties as assigned

The pay range for this position at commencement of employment is expected to be between $23.31 and $24.92/hour; however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, skills, and experience. The total compensation package for this position may also include other elements, including a sign-on bonus, restricted stock units, and discretionary awards in addition to a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave), dependent on the position offered. Details of participation in these benefit plans will be provided if an employee receives an offer of employment.
  • High school graduate or equivalent.
  • Certified Professional Coder (CPC). Must maintain certification
  • Completion of anatomy course preferred.
  • Experience as a medical office/clinic professional coder preferred.
  • PC knowledge of MS Office and Internet applications.
  • Excellent written and verbal communication skills
  • Ability to handle and prioritize tasks in order to meet all given deadlines and productivity goals.
  • Ability to responsibly handle matters of a confidential nature.
  • Ability to work in a multi-task, high-stress environment
  • Organizational: Outstanding organizational skills with an understanding of the importance of meeting deadlines while handling multiple projects simultaneously.
  • Driving: Current California driver's license and proof of auto insurance.
  • Other: At the discretion of HVVMG management, this position has the potential to be a full or hybrid telecommuting position.

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