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Crc Risk Adjustment Coder Jobs in Indiana (NOW HIRING)

Humana

Medical Coder

Valparaiso, IN · On-site +1

$18.75 - $25/hr

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong knowledge of all Microsoft Office applications * Valid Driver's license and reliable transportation

Humana

Medical Coder

Valparaiso, IN · On-site +1

$18.75 - $25/hr

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong knowledge of all Microsoft Office applications * Valid Driver's license and reliable transportation

Humana

Medical Coder

Valparaiso, IN · On-site +1

$18.75 - $25/hr

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong knowledge of all Microsoft Office applications * Valid Driver's license and reliable transportation

RELX

Quality Test Analyst III

Martinsville, IN · On-site

$71.60K - $119.40K/yr

LexisNexis Risk Solutions is the essential partner in the assessment of risk. Within our Business ... status codes, and request/response validation Experience with UI test automation tools such as ...

LexisNexis

Quality Test Analyst III

Martinsville, IN · On-site

$71.60K - $119.40K/yr

LexisNexis Risk Solutions is the essential partner in the assessment of risk. Within our Business ... codes, and request/response validation • Experience with UI test automation tools such as ...

RELX Group plc

Quality Test Analyst III

Martinsville, IN

$71.60K - $119.40K/yr

LexisNexis Risk Solutions is the essential partner in the assessment of risk. Within our Business ... codes, and request/response validation • Experience with UI test automation tools such as ...

RELX Group plc

Quality Test Analyst III

Martinsville, IN · On-site

$71.60K - $119.40K/yr

LexisNexis Risk Solutions is the essential partner in the assessment of risk. Within our Business ... codes, and request/response validation • Experience with UI test automation tools such as ...

LexisNexis

Quality Test Analyst III

Martinsville, IN

$71.60K - $119.40K/yr

LexisNexis Risk Solutions is the essential partner in the assessment of risk. Within our Business ... codes, and request/response validation • Experience with UI test automation tools such as ...

RELX

Quality Test Analyst III

Martinsville, IN

$71.60K - $119.40K/yr

LexisNexis Risk Solutions is the essential partner in the assessment of risk. Within our Business ... codes, and request/response validation · Experience with UI test automation tools such as ...

Lexus Nexus

Quality Test Analyst III

Martinsville, IN

$71.60K - $119.40K/yr

Understanding of HTTP methods, status codes, and request/response validation * Experience with UI ... Familiarity with a risk-based or adversarial ("red-team") testing mindset, including negative and ...

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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.

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Crc Risk Adjustment Coder jobs near you
Risk Adjustment Coder IHCI

Risk Adjustment Coder IHCI

Community Health Network

Indianapolis, IN • On-site

Full-time

Posted 19 days ago

Community Health Network rating

7.5

Company rating: 7.5 out of 10

Based on 220 frontline employees who took The Breakroom Quiz

218th of 864 rated healthcare providers

Job description

Join Community
Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, "community" is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state-of-the-art technology. It means getting involved in the communities we serve through volunteer opportunities and benefits initiatives. It means ensuring our dedicated caregivers can learn and grow to stay at the top of their fields and to better serve our patients. And above all, it means exceptional care, simply delivered - and we couldn't do it without you.
Partner with Community Health Network and Deaconess Health System - IHCI
The Innovative Healthcare Collaborative of Indiana LLC (IHCI) is a company formed through the partnership of Community Health Network (CHNw) and Deaconess Health System (DHS). Both CHNw and DHS place high importance on continuing and advancing population health and value-based care to improve patient health outcomes.
Make a Difference
Reporting to the Clinical Documentation Integrity Manager, this role performs patient chart reviews to ensure the appropriateness and
completeness of diagnostic coding with evidence based on CMS HCC standards. The Risk Adjustment Coder is responsible for:
  • Timely, accurate, and complete review of patient charts following patient encounters, utilizing a variety of technical platforms to complete workflows.
  • Validating diagnosis codes representing patient conditions along with necessary MEAT documentation.
  • Ensuring coding is consistent with guidelines from regulatory entities.
  • Conducting audits to meet compliance with ACA standards.
  • Creating post-visit queries with follow up.
  • Collaborating with CDI team members, particularly with clinical findings.
  • Contributing to the provider education body of work, participating in pre-encounter reviews as needed.

Exceptional Skills and Qualifications
Applicants for this position should be able to collaborate with others in a team setting, have excellent communication skills, and a positive attitude toward problem-solving.
critical thinkers.
  • High School diploma or GED is required.
  • Associate degree is preferred.
  • Three (3) or more years of experience in professional OUTPATIENT Risk Adjustment (HCC) coding is required.
  • Three (3) or more years of experience in population health, VBC/ACO is preferred.
  • Three (3) or more years of experience in OUTPATIENT Coding is preferred.
  • Must obtain one of the following certifications through AAPC and/or AHIMA: CPC, CPC-H, CPC-I, CPC-A, CCSP, CCS, Certified Risk Adjustment Coder (CRC) within 6 months from hire.
  • This is a REMOTE position. Community caregivers performing work remotely are permitted to live in the following states: Indiana, Illinois, Ohio, Michigan, Kentucky, Florida and Texas. Caregivers are not allowed to perform work remotely outside of the above states. Applicants from other states may apply; however, if hired, they will be required to relocate to one of the above states within 60 days of their employment date.

Why Community?
At Community Health Network, we build teams that deliver exceptional care through empathy, communication and collaboration. We consider ALL an integral part of the exceptional patient experience. We PRIIDE ourselves on not having employees but Caregivers. Join our Community as we make a difference in your community.
Caring people apply here.
Apply Today!

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