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Crc Risk Adjustment Coder Jobs in New Jersey (NOW HIRING)

Cross River

VP, Commercial Credit Risk

Fort Lee, NJ · On-site

Whether you're designing code, solving regulatory puzzles, or developing strategy, you'll join a ... Master's degree (MBA) or professional certification (e.g., CFA, CRC, FRM, RMA-CCRM) (preferred ...

Cross River

VP, Commercial Credit Risk

Fort Lee, NJ · On-site

Whether you're designing code, solving regulatory puzzles, or developing strategy, you'll join a ... Master's degree (MBA) or professional certification (e.g., CFA, CRC, FRM, RMA-CCRM) (preferred ...

Cross River

VP, Commercial Credit Risk

Fort Lee, NJ · Hybrid

Whether you're designing code, solving regulatory puzzles, or developing strategy, you'll join a ... Master's degree (MBA) or professional certification (e.g., CFA, CRC, FRM, RMA-CCRM) (preferred ...

BoldAge PACE

PCP Nurse Practitioner

Oceanport, NJ · On-site

Accurately document diagnoses with attention to proper coding practices, supporting risk adjustment and quality reporting metrics. * Provide coverage for the 24/7 on-call rotation, addressing ...

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All JobsCrc Risk Adjustment Coder JobsCrc Risk Adjustment Coder Jobs in New Jersey

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

Clin Documentation Spec III - Remote

Cooper University Hospital

Camden, NJ • On-site

$70/hr

Full-time, Part-time

Medical, Dental, Vision, Life, Retirement

Posted 26 days ago

Cooper University Health Care rating

7.5

Company rating: 7.5 out of 10

Based on 133 frontline employees who took The Breakroom Quiz

235th of 887 rated healthcare providers

Job description

About Us

At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs.  Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development.

Discover why Cooper University Health Care is the employer of choice in South Jersey.

Short Description
  • Responsible for ensuring the overall quality and completeness of medical record documentation.
  • Facilitates modifications to clinical documentation through concurrent interaction with physicians, nursing staff, other patient caregiver and Health Information coding staff to support that appropriate reimbursement and clinical severity is captured for the level of service rendered to all inpatients.
  • Supports timely, accurate and complete documentation of clinical information used for measuring and reporting physician and hospital outcomes.
  • Educates all members of the patient care team on an ongoing basis.
  • Professional team player, able to communicate well with others on all levels.
  • Regular significant contacts with other personnel throughout and outside the hospital.
  • Contacts may be in person, by telephone or-through correspondence.
  • Flexible with a working knowledge of all areas of adult medicine.
  • Occasional lifting/carrying up to fifteen pounds, as well as reaching, stretching, stooping, bending, kneeling, crouching, standing, walking and pushing/pulling to move and file medical records alone or in carts.
  • Ability to sit for long periods of time, manual dexterity and mobility for extensive use of computer screen, keyboard, copy and facsimile machines, reader/printer and other office equipment.
  • Adequate to perform essential functions of the job with the type of judgments and potential consequences outlined above.
Experience Required
  • EPIC EHR
  • CDE ONE, Solventum
  • 5 years minimum experience as Clinical Documentation Specialist in an acute setting, preferably Level 1 Trauma Center. 
  • CDI Subject matter expert for ALL PAYORS, all DRG groups  (MS-DRG, APR-DRG, AP-DRG Elixhauser, risk variables)
  • PSI/HAC/HCC (Risk adjustment coding) knowledge/experience and Vizient Calculator 
Education Requirements

Registered Nurse, any state.  BSN or higher preferred or International medical graduate.  

License/Certification Requirements
  • CCDS or CDIP
  • Registered Nurse, any state.  BSN or higher preferred
  • Coding certification:  CCS or CRC; CIC is an acceptable equivalent
Special Requirements

Essential mental abilities: excellent critical thinking skills, able to assess, evaluate and teach.  Must be self governed, disciplined, and organized.  

Requires excellent work ethic, analytical thinking, problem solving, excellent computer skills, excellent verbal and written communication with knowledge of email etiquette. Must be proficient in Word, Excel, PowerPoint and typing (60 WPM)

Salary Min ($)USD $41.00Salary Max ($)USD $70.00Employment Type: OTHER

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