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Crc Risk Adjustment Coder Jobs in Michigan (NOW HIRING)

Hospice of Michigan

Nurse Practitioner

Kalamazoo, MI · On-site

... and coding standards, risk adjustment accuracy, and practice metrics. • Participates in the on-call schedule per on-call policy, providing telephone management and visits as needed. Essential ...

Hospice of Michigan

Nurse Practitioner

Kalamazoo, MI · On-site

... and coding standards, risk adjustment accuracy, and practice metrics. • Participates in the on-call schedule per on-call policy, providing telephone management and visits as needed. Essential ...

New

Hospice of Michigan

Nurse Practitioner

Kalamazoo, MI · On-site

... and coding standards, risk adjustment accuracy, and practice metrics. • Participates in the on-call schedule per on-call policy, providing telephone management and visits as needed. Essential ...

Theoria Medical

Director, Data & BI

Novi, MI · On-site

... on measure calculation, risk adjustment and HCC capture, and readmissions * AI in the Stack ... standards for code review, documentation, and delivery quality Qualifications Experience ...

Hospice of Michigan

Registered Nurse

Kalamazoo, MI

... codes (e.g., CPT 99490, 99439, 99487, 99489, 99424-99427). • Develops, implements, and ... quality reporting, risk adjustment data integrity, and compliant billing of care management ...

Hospice of Michigan

Registered Nurse

Kalamazoo, MI · On-site

... codes (e.g., CPT 99490, 99439, 99487, 99489, 99424-99427). • Develops, implements, and ... quality reporting, risk adjustment data integrity, and compliant billing of care management ...

New

Strive Health

Nurse Practitioner

Flint, MI · On-site

Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and address care gaps related to HEDIS and preventative care. * Presents patient cases and provides ...

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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

**Manager- Outpatient Clinical Documentation Improvement/Full Time/Remote

Troy, MI • On-site, Remote

Henry Ford Health System
51 - 200 employees
Learn more about Henry Ford Health Systemexternal

Full-time

Re-posted 16 days ago

Job description

Meet the Leader
Join a health system that's redefining excellence in outpatient care. As the Outpatient Clinical Documentation (CDI) Manager, you'll lead the strategy, people, and processes behind one of the most critical functions in modern healthcare: ensuring documentation tells the full, accurate story of every patient encounter.
You'll manage and inspire a skilled CDI team, collaborate directly with physicians and clinical leaders, and serve as the organization's expert on documentation standards, coding compliance, HCC/Risk Adjustment, and revenue integrity. Your leadership will influence enterprise-wide initiatives, shape system design, and drive consistent, high-quality documentation across all Henry Ford Health facilities.
This is more than a management role - it's a chance to elevate care quality, strengthen financial performance, and leave a lasting impact on a nationally recognized health system.
EDUCATION/EXPERIENCE REQUIRED:
  • Bachelor's Degree in Business Administration or Healthcare Administration. A Bachelor's Degree in Art or Science with a medical focus would also be acceptable. Bachelor's Degree in Nursing preferred.
  • Five (5) years clinical operations experience as evidenced by Acute or Ambulatory Nursing and/or Coding and CDI experience directly related to revenue coding and reimbursement for hospital or physician services.
  • Significant project management experience and outstanding analytical, communication and interpersonal skills.
  • Excellent oral and written communication skills, including the ability to teach complex technical/analytical concepts to physicians, system leadership, management and staff.
  • Analytical ability necessary to conduct basic research, analyze and interpret data, evaluate processes and propose improvements.
  • Ability to manage, coordinate, and lead simultaneously.
  • Ability to estimate time frames and meet projected deadlines.
  • Ability to understand and lead change.
  • Ability to develop strong working and collaborative relationships with physician leaders in clinical and academic settings.
  • Demonstrates clinical and/or coding competence.
  • Demonstrate experience in all areas of medical record functions, including privacy & compliance regulations.
  • Demonstrates strong knowledge of ICD-10 CM/PCS conventions, rules and regulations.

CERTIFICATIONS/LICENSURES REQUIRED:
  • Registered Nurse (RN or BSN) and/or Coding Certification required. Coding Certification may be CPC, CCS, RHIT, and RHIA.

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