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Crc Risk Adjustment Coder Jobs in Texas (NOW HIRING)

St Luke's Health

Value Based Coder II

Houston, TX · On-site

$25.30 - $35.74/hr

Job Requirements 2+ years of experience in outpatient coding 2+ years focused on risk adjustment ... and HCC principles. Advanced knowledge of CPT and ICD-10 coding, with significant expertise in HCC ...

St Luke's Health

Value Based Coder II

Houston, TX

$25.30 - $35.74/hr

The Value Based Coder II acts as a valuable resource in identifying clinically appropriate risk ... as it pertains to risk adjustment and HCC. Validate the accuracy and completeness of HCC ...

Altegra Health

Remote Certified Coder

Dallas, TX · Remote

$22.25 - $30.50/hr

Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ... Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk ...

Altegra Health

Remote Certified Coder

Dallas, TX · On-site +1

$22.25 - $30.50/hr

Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ... Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk ...

CommonSpirit Health

Value Based Coder II

Houston, TX · On-site

$18 - $23.75/hr

The Value Based Coder II is an experienced professional within the Quality Management/Risk team ... as it pertains to risk adjustment and HCC. Validate the accuracy and completeness of HCC ...

St. Luke's Health

Value Based Coder II

Houston, TX · On-site +1

$25.30 - $35.74/hr

The Value Based Coder II acts as a valuable resource in identifying clinically appropriate risk ... as it pertains to risk adjustment and HCC. Validate the accuracy and completeness of HCC ...

Catholic Health Initiatives

Value Based Coder II

Houston, TX · On-site

$25.30 - $35.74/hr

... risk adjustment and HCC. Validate the accuracy and completeness of HCC documentation and coding ... Advanced Documentation Improvement & Education: Analyze clinical documentation across the network ...

Elevance Health

Coding Analyst Sr.

Austin, TX · On-site

AAPC Certified Risk Adjustment Coder (CRC) is highly preferred. * Knowledge of medical terminology and anatomy strongly preferred. Please be advised that Elevance Health only accepts resumes for ...

Elevance Health

Coding Analyst Sr.

Austin, TX

AAPC Certified Risk Adjustment Coder (CRC) is highly preferred. * Knowledge of medical terminology and anatomy strongly preferred. Job Level: Non-Management Non-Exempt Workshift: 1st Shift (United ...

Elevance Health

Coding Analyst Sr.

Austin, TX · On-site

AAPC Certified Risk Adjustment Coder (CRC) is highly preferred. * Knowledge of medical terminology and anatomy strongly preferred. Please be advised that Elevance Health only accepts resumes for ...

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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
Coding Quality Assurance Specialist II

Coding Quality Assurance Specialist II

Texas Children's Hospital

Houston, TX • On-site

Full-time

Posted 10 hours ago

Texas Children's Hospital rating

8.3

Company rating: 8.3 out of 10

Based on 174 frontline employees who took The Breakroom Quiz

78th of 1,020 rated hospitals

Job description


We're searching for a Coding Quality Assurance Specialist II - someone who works well in a fast-paced setting. In this position, you will assign and audit the accuracy of the ICD-10-CM and CPT codes to ambulatory, emergency center, observation, and day surgery records for purposes of billing, research, and providing information to government and regulatory agencies. Ascertains the accuracy of the physicians' E/M and procedure coding to their documentation, completes the auditing reporting tool, and provides feedback to the education team and/or provider.
Think you've got what it takes?
Job Duties & Responsibilities
Assigns ICD-10-CM, ICD-10-PCS, and CPT codes.
Reviews and interprets documentation for appropriate diagnosis and procedures.
Communicates with and provides feedback to the education team and/or provider.
Identifies principle and secondary diagnoses and procedure codes from the electronic medical and/or paper record.
Utilizes the encoder or coding books to correctly assign all ICD-10-CM, ICD-10-PCS, and CPT codes for diagnosis and procedures.
Sequences diagnosis and procedures to generate appropriate ICD-10-CM, CPT, PCS, and DRG codes for billing.
Queries physicians to obtain clarification or missing elements in the record preventing correct coding.
Utilizes other available resources for assignment of codes as necessary (e.g., Epic, MIQS, Cardio IMS, Logician, and coding reference materials).
Assists other coders in resolving coding problems/questions.
Provides ICD-10 and CPT, for physician research projects, and reporting purposes.
Completes abstracts for records when appropriate.
Identifies problem accounts.
Corrects problem accounts.
Participates in education and maintains certification.
Assists in auditing records.
Maintains concurrent coding for inpatient records.
Skills & Requirements
Required H.S. Diploma or GED
Required Licenses/Certifications
CCA - Certified Coding Associate by the American Health Information Management Association (AHIMA)
CCS - Cert-Cert Coding Specialist by the American Health Information Management Association (AHIMA)
CCS-P - Cert-CCS-P Physician Based by the American Health Information Management Association (AHIMA)
CIPC - Certified Inpatient Coder by the American Academy of Professional Coders (AAPC)
COC - Certified Outpatient Coder by the American Academy of Professional Coders (AAPC)
CPC - Cert-Cert Professional Coder by the American Academy of Professional Coders (AAPC)
CRC - Cert Risk Adjustment Coder by the American Academy of Professional Coders (AAPC)
RHIA - Cert-Reg Health Inform. Admins by the American Health Information Management Association (AHIMA)
RHIT - Cert-Reg Health Inform. TECH by the American Health Information Management Association (AHIMA)
Required 2 years' experience in coding

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