Crc Risk Adjustment Coder Jobs in Dallas, TX (NOW HIRING)

This role will be occupied by a certified risk adjustment coder to support first and second pass auditing for CMS RADV's. Required skillset: MS Suite CPC certified CRC certified 5+ years of risk ...

CPMA (Certified Professional Medical Auditor), CRC (Certified Risk Adjustment Coder), CPC (Certified Professional Coder), CCS (Certified Coding Specialist) * Willingness to travel up to 10% ...

Certified Risk Adjustment Coder (CRC) or similar certification * Experience coding in a variety of different Electronic Medical Record (EMR) systems. This is an authentic Oscar Health job opportunity.

... for risk adjustment and reimbursement purposes. You will play a critical role in translating ... COC, CIC or CRC) * A strong knowledge base of medical terminology, medical abbreviations ...

Lead executive-level presentations and client discussions Revenue Cycle & Risk Adjustment Expertise ... CPC, CPMA, CRC required * Bachelor's degree preferred Skills & Competencies * Strong analytical and ...

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 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 ...

Risk adjustment is one of the highest-stakes and fastest-evolving areas in healthcare, where coding accuracy, documentation integrity, and audit readiness directly drive financial and compliance ...

Risk Adjustment Experience: While Risk Adjustment experience is acceptable, the candidate must also possess clinic coding experience as well. Experience in Specialty Areas: The candidate must have ...

Bachelor's degree in relevant field of study preferred or 3-5 years related work experience coder with a minimum of 5 year's coding experience in risk adjustment both ACA and MA. * Expert knowledge ...

... HEDIS CAT II, Risk Adjustment - REQUIRED Must be able to handle HIGH Volume of cases - REQUIRED Evaluation Management experience - REQUIRED Ability to assign CPT codes - REQUIRED Knowledge ...

... coder you will review medical records to identify and code diagnoses using a standardized system ... for risk adjustment and reimbursement purposes. You will play a critical role in translating ...

Support Health Plan Risk Adjustment operations through government audit readiness, compliance oversight, and internal quality assurance reviews. Perform coding validation, documentation review, and ...

Ensure timely and accurate completion of documentation, coding, and risk adjustment activities to optimize accuracy in CMS reporting and attribution.**Physician Engagement & Education*** Build strong ...

Ensure timely and accurate completion of documentation, coding, and risk adjustment activities to optimize accuracy in CMS reporting and attribution. Physician Engagement & Education * Build strong ...

Strong understanding of payer policies, claims processing, medical necessity guidelines, and risk adjustment methodologies. * Experience in coding audits, denial resolution, and revenue integrity ...

Ensure timely and accurate completion of documentation, coding, and risk adjustment activities to optimize accuracy in CMS reporting and attribution. Physician Engagement & Education * Build strong ...

Strong understanding of payer policies, claims processing, medical necessity guidelines, and risk adjustment methodologies. * Experience in coding audits, denial resolution, and revenue integrity ...

Strong understanding of payer policies, claims processing, medical necessity guidelines, and risk adjustment methodologies. * Experience in coding audits, denial resolution, and revenue integrity ...

Strong understanding of payer policies, claims processing, medical necessity guidelines, and risk adjustment methodologies. * Experience in coding audits, denial resolution, and revenue integrity ...