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

MJHS

Certified Medical Coder

Manhattan, NY

$61K - $73K/yr

Certified Risk Adjustment Coder (CRC) preferred * Experience working with managed care health organization and outpatient medical practice preferred * Ability to work independently and ...

MJHS

Certified Medical Coder

Manhattan, NY · On-site

$61K - $73K/yr

Certified Risk Adjustment Coder (CRC) preferred * Experience working with managed care health organization and outpatient medical practice preferred * Ability to work independently and ...

Essen Healthcare

Be Seen First

Director of Coding Compliance

Bronx, NY · On-site

$85K - $110K/yr

Review ICD-10-CM, CPT, HCPCS, and risk adjustment coding to ensure alignment with CMS and payer ... CRC, CPMA, CCS, or other advanced coding/audit certification preferred. * Experience supporting ...

Healthfirst (New York)

Hybrid Coding Educator

New York, NY

$29.75 - $34/hr

Responsible for auditing clinical documentation encounters to validate Risk Adjustment and HCCs ... CPC and CRC (If no CRC, then it must be obtained within the first 6 months of employment) Preferred ...

Stanford Health Care

Physician Educator III

Newark, NJ

$44.13 - $57.36/hr

CRC - Certified Risk Adjustment Coder and * CPC - Certified Professional Coder or * CCS - Certified Coding Specialist Physical Demands and Work Conditions Physical Demands * Constant Sitting.

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

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
Certified Medical Coder

Certified Medical Coder

MJHS

Manhattan, NY

$61K - $73K/yr

Full-time

Posted 4 days ago

Job description

MJHS is a large not-for-profit health system in the Greater New York area. Our range of health services include home care, hospice and palliative care for adults and children, rehabilitation and nursing care at Menorah and Isabella Centers, and the research based MJHS Institute for Innovation and Palliative Care. We also offer Elderplan/HomeFirst: health plans for Medicare and dual-eligible individuals. As a not-for-profit organization, many of our programs and services are made possible through the generosity of grateful families, corporate donors and grants, as well as our own employees.

Our MJHS Medical Associates, P.C. is a group of Nurse Practitioners, Physician Assistants, RN Case Managers and LPN's who provide care to Elderplan members who are residents of assisted living and long term care facilities, as well as to those living at home.

Supports medical professional corporation procedural and diagnostic coding of medical records for billing.
Works with professional and non-professional staff for timely record review and ensuring accuracy of medical
documentation and sequencing ensuring that codes meet required legal and insurance rules. Works with internal
and external billing staff to ensure timely and complete billing of claims and encounters. Collaborates and
corresponds with insurance companies and health care professionals to resolve claim denials. Maintains
medical records both electronically and hard copies, maintains productivity and chart metrics. Collaborate with
management staff for process improvement, project work. Performs compliance audits regarding billing,
procedural and diagnostic coding to ensure documentation is accurate and timely. Submits statistical data for
analysis and research by other departments. Able to handle multiple priorities.

  • Collaborate with health plan leadership and third-party vendor to plan and conduct education initiatives to improve and enhance clinical documentation. Assist in developing and implementing monitoring programs, policies, and procedures of review process. Develop and execute reporting tools for monitoring
  • Review and complete procedural and diagnostic coding of medical visits and encounters ensuring compliance with current legal standards
  • Interact with third parties to resolve payment denials and medical record requests
  • Collaborate with finance to generate revenue cycle reporting on key financial indicators including visit volume,
    coded, billed, paid, denied, rebilled and write off
  • Maintains and secures medical records for professional corporation. Makes management aware of issues related to incomplete work and/or problem areas. Accurately prepares medical record documentation for internal and external audits
  • Assist with manager with all departmental initiatives
  • Associates degree required. Bachelor’s degree preferred
  • Required coding certification (CCS-P or CPC through AHIMA/AAPC)
  • Requires at lead 1 year of medical record coding and record review experience required
  • ICD-10 certified, knowledge and experience in CPT codes required
  • Proficiency with electronic medical records (EMR) or electronic health record (EHR) required
  • Certified Risk Adjustment Coder (CRC) preferred
  • Experience working with managed care health organization and outpatient medical practice preferred
  • Ability to work independently and collaboratively within a team environment to ensure that changes and encounters are posted accurately and timely
  • Able to multi-task and meet deadlines
  • Excellent problem-solving skills
  • Must have excellent interpersonal and communication skills including written, oral and active listening skills
  • Intermediate Excel, MS Word, Access data entry and report generation
  • Must have excellent written and oral communication skills, active listening skills
  • Medical terminology and coding both ICD-9 and ICD-10, CPT required
  • Experience in internal and external audits required
  • Knowledge of billing cycle required
MJHS logo

About MJHS

Sourced by ZipRecruiter

Our range of health services include home care, hospice and palliative care for adults and children, rehabilitation and nursing care (Isabella & Menorah Center), and the research-based MJHS Institute for Innovation in Palliative Care. We also offer health plans for Medicare and dual-eligible individuals. As a not-for-profit organization, many of our programs and services are made possible, in part, through support to the MJHS Foundation. The generosity of grateful families, private and corporate donors and grants, as well as our own employees, support our specialized services not reimbursed by government programs or private insurance.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

New York, NY, US

Year founded

1907

Social media

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