1

Crc Risk Adjustment Coder Jobs in Virginia (NOW HIRING)

Collaborate with revenue cycle and coding teams to optimize documentation and billing accuracy ... Thorough understanding of and hands-on experience with Medicare risk adjustment and CMS-HCC models

Compliance Analyst RMG

Newport, VA · Remote

$57K - $78K/yr

Overview Primary responsibility is to independently perform clinical chart reviews, risk adjustment audits, payor audits, coding analysis, charge/reimbursement analysis, medical records reviews, and ...

Showing results 21-40

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.

What are popular job titles related to Crc Risk Adjustment Coder jobs in Virginia?

For Crc Risk Adjustment Coder jobs in Virginia, the most frequently searched job titles are:

What cities in Virginia are hiring for Crc Risk Adjustment Coder jobs?

Cities in Virginia with the most Crc Risk Adjustment Coder job openings:

Certified Medical Coder, Medicare Operations, Amazon One Medical Senior Health

Arlington, VA • On-site

Amazon
IT Services • 10K+ employees

$26 - $35.50/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 5 days ago


Amazon rating

7.4

Company rating: 7.4 out of 10

Based on 7,180 frontline employees who took The Breakroom Quiz


Job description

As a member of the Amazon One Medical Senior Health Revenue Cycle team, the Medical Coder I will be responsible for supporting Clinical and Revenue Cycle teams in reviewing the coding accuracy of claims. This role reports into the Manager I, Finance.
As part of Amazon Health Services, you will find yourself working with exceptionally talented and dedicated people committed to driving financial improvement, scalability, and process excellence. To support our growth, this candidate must possess a strong passion for accountability, setting high standards, raising the bar, and driving results through constant focus on improving existing and future state operations, systems, and processes in collaboration with management.
Key job responsibilities
- Managing multiple coding related projects and ensuring deliverables are up to One Medical standards while being turned around in an acceptable time frame
- Remaining current on CPT, ICD-10-CM coding guidelines, AHA Coding Clinic Guidance and CMS Risk Adjustment guidance
- Assign appropriate ICD-10-CM, CPT, and other relevant codes to office visits, procedures, and diagnoses in a production environment
- Responsible for the review and completion of email requests in a timely manner
- Work collaboratively with the Medicare Risk Operations team to ensure positive program outcomes
BASIC QUALIFICATIONS
- 1+ years of finance experience
- 2+ years of Accounts Receivable or Account Payable experience
- 2+ years of applying key financial performance indicators (KPIs) to analyses experience
- Bachelor's degree in Finance, Accounting, Business, Economics or a highly analytical field (e.g., Engineering, Math, and Computer Science)
- Knowledge of standard software including Excel, Access, Oracle, Essbase, SQL and VBA skills
- Experience using data to influence business decisions
- Experience in corporate finance including budgeting/planning, forecasting and reporting
- 1+ years of medical profee coding experience
- AAPC/CCS CPC certification or AHIMA CCS certification
PREFERRED QUALIFICATIONS
- 2+ years of participating in continuous improvement projects in your team to scale and improve controllership with measurable results experience
- Experience in TM1, Data Warehouse and SQL
- Demonstrates knowledge of health systems operations, including an understanding of reimbursement methodologies and coding conventions
- Demonstrates ability to perform accurate and complete chart reviews for Profee and HCC Risk Adjustment
Amazon is an equal opportunity employer and does not discriminate on the basis of protected veteran status, disability, or other legally protected status.
Our inclusive culture empowers Amazonians to deliver the best results for our customers. If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for the interview or onboarding process, please visit https://amazon.jobs/content/en/how-we-hire/accommodations for more information. If the country/region you're applying in isn't listed, please contact your Recruiting Partner.
The base salary range for this position is listed below. Your Amazon package will include sign-on payments and restricted stock units (RSUs). Final compensation will be determined based on factors including experience, qualifications, and location. Amazon also offers comprehensive benefits including health insurance (medical, dental, vision, prescription, Basic Life & AD&D insurance and option for Supplemental life plans, EAP, Mental Health Support, Medical Advice Line, Flexible Spending Accounts, Adoption and Surrogacy Reimbursement coverage), 401(k) matching, paid time off, and parental leave. Learn more about our benefits at https://amazon.jobs/en/benefits.
USA, VA, Arlington - 56,700.00 - 99,300.00 USD annually

What Amazon employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom


Amazon logo

About Amazon

Sourced by ZipRecruiter

Amazon.com, Inc., commonly known as Amazon, is an American multinational technology company. It was founded by Jeff Bezos in 1994 and initially started as an online marketplace for books. Since then, Amazon has expanded its operations and become one of the largest e-commerce companies in the world. Amazon's primary business is its online retail platform, where customers can purchase a vast array of products, including electronics, clothing, books, home goods, and much more. The company offers a convenient and user-friendly shopping experience, with features such as fast shipping, customer reviews, and personalized recommendations. In addition to its e-commerce platform, Amazon has diversified its business into various other areas. One of its notable ventures is Amazon Web Services (AWS), a comprehensive cloud computing platform that provides services such as storage, compute power, and database management to individuals and businesses. AWS has become a leader in the cloud computing industry, powering many websites and applications worldwide. Amazon has also developed its own consumer electronics, including the popular Amazon Kindle e-reader, Fire tablets, Fire TV streaming devices, and the Alexa-powered Echo smart speakers. The Alexa voice assistant, integrated into these devices, allows users to interact with their devices using voice commands, perform tasks, and access information. Furthermore, Amazon has expanded into media and entertainment. It operates Prime Video, a streaming service that offers a wide range of movies, TV shows, and original content. Amazon Music provides a platform for streaming and purchasing digital music, while Audible offers audiobooks and other audio content. The company's commitment to customer satisfaction and convenience is demonstrated by its membership program, Amazon Prime. Prime members receive various benefits, including free two-day shipping, access to streaming services, exclusive deals, and more.

Industry

It services, book publishers, retail, real estate, computer and electronic product manufacturing and software development

Company size

10,000+ Employees

Headquarters location

Seattle, WA, US