Newark, NJ · On-site
$23.50 - $32.25/hr
Primary responsibilities include working with the Risk Adjustment Management Business Analyst to ... AAPC Certified Professional Coder (CPC) or AHIMA Certified Coding Specialist (CCS) Knowledge:
Newark, NJ · On-site
$23.50 - $32.25/hr
Primary responsibilities include working with the Risk Adjustment Management Business Analyst to ... AAPC Certified Professional Coder (CPC) or AHIMA Certified Coding Specialist (CCS) Knowledge:
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
Manhattan, NY · On-site
$30 - $34.25/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 ...
Manhattan, NY · On-site
$30 - $34.25/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 ...
New York, NY · On-site
$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 ...
New York, NY · On-site
$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 ...
Manhattan, NY · On-site
$80 - $110/hr
CPC, CRC, CCS, or equivalent. * Minimum 3 years of operational compliance, coding, clinical chart ... HCC/Risk Adjustment Coding * CAP Development & Closure * Regulatory Compliance * Data Analysis ...
Manhattan, NY · On-site
$80 - $110/hr
CPC, CRC, CCS, or equivalent. * Minimum 3 years of operational compliance, coding, clinical chart ... HCC/Risk Adjustment Coding * CAP Development & Closure * Regulatory Compliance * Data Analysis ...
Bronx, NY · On-site +1
$37 - $49.75/hr
... HCC/risk adjustment coding accuracy. * Serve as the operational compliance liaison to RCM ... CPC, CRC, CCS, or equivalent. * Minimum 3 years of operational compliance, coding, clinical chart ...
Bronx, NY · On-site +1
$37 - $49.75/hr
... HCC/risk adjustment coding accuracy. * Serve as the operational compliance liaison to RCM ... CPC, CRC, CCS, or equivalent. * Minimum 3 years of operational compliance, coding, clinical chart ...
Bronx, NY · On-site +1
$75K - $90K/yr
... HCC/risk adjustment coding accuracy. * Serve as the operational compliance liaison to RCM ... CPC, CRC, CCS, or equivalent. * Minimum 3 years of operational compliance, coding, clinical chart ...
Bronx, NY · On-site +1
$75K - $90K/yr
... HCC/risk adjustment coding accuracy. * Serve as the operational compliance liaison to RCM ... CPC, CRC, CCS, or equivalent. * Minimum 3 years of operational compliance, coding, clinical chart ...
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 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 ...
Passaic, NJ · On-site
$50K - $65K/yr
This role combines EHR training, clinical documentation review, risk adjustment coding, and billing support. The ideal candidate will be a Certified Professional Coder (CPC) with strong experience in ...
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Passaic, NJ · On-site
$50K - $65K/yr
This role combines EHR training, clinical documentation review, risk adjustment coding, and billing support. The ideal candidate will be a Certified Professional Coder (CPC) with strong experience in ...
... HCC/risk adjustment coding accuracy. * Serve as the operational compliance liaison to RCM ... CPC, CRC, CCS, or equivalent. * Minimum 3 years of operational compliance, coding, clinical chart ...
... HCC/risk adjustment coding accuracy. * Serve as the operational compliance liaison to RCM ... CPC, CRC, CCS, or equivalent. * Minimum 3 years of operational compliance, coding, clinical chart ...
$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.
$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.
New York, NY · On-site
$65K - $87K/yr
Certified Risk Adjustment Coder (CRC) Additional Requirements: * Be legally authorized (for example, currently licensed, registered, or certified if applicable) to practice in the State in which the ...
New York, NY · On-site
$65K - $87K/yr
Certified Risk Adjustment Coder (CRC) Additional Requirements: * Be legally authorized (for example, currently licensed, registered, or certified if applicable) to practice in the State in which the ...
... Risk Adjustment Coder (CRC™) · Certified Coding Specialist (CCS) · Certified Coding Specialist - Physician based (CCS-P) For consideration, please email resume and cover letter as attachments ...
... Risk Adjustment Coder (CRC™) · Certified Coding Specialist (CCS) · Certified Coding Specialist - Physician based (CCS-P) For consideration, please email resume and cover letter as attachments ...
Brooklyn, NY · On-site
$62K - $84K/yr
Certified Risk Adjustment Coder (CRC) Additional Requirements: * Be legally authorized (for example, currently licensed, registered, or certified if applicable) to practice in the State in which the ...
Brooklyn, NY · On-site
$62K - $84K/yr
Certified Risk Adjustment Coder (CRC) Additional Requirements: * Be legally authorized (for example, currently licensed, registered, or certified if applicable) to practice in the State in which the ...
New York, NY · Hybrid
$163K - $215K/yr
The Risk Adjustment Data Science team turns that data into the models, pipelines, and systems that ... code review, and testing Bonus points: * Advanced degree in a quantitative or technical field
New York, NY · Hybrid
$163K - $215K/yr
The Risk Adjustment Data Science team turns that data into the models, pipelines, and systems that ... code review, and testing Bonus points: * Advanced degree in a quantitative or technical field
Hasbrouck Heights, NJ · On-site
$105K/yr
Certified Risk Adjustment Coder (CRAC). If you feel that the above description speaks directly to your strengths and capabilities, then please apply today! Starting Minimum Rate Minimum rate of $105 ...
Hasbrouck Heights, NJ · On-site
$105K/yr
Certified Risk Adjustment Coder (CRAC). If you feel that the above description speaks directly to your strengths and capabilities, then please apply today! Starting Minimum Rate Minimum rate of $105 ...
Certified Risk Adjustment Coder (CRAC). If you feel that the above description speaks directly to your strengths and capabilities, then please apply today! Minimum rate of $105,747.20 Annually HMH is ...
Certified Risk Adjustment Coder (CRAC). If you feel that the above description speaks directly to your strengths and capabilities, then please apply today! Minimum rate of $105,747.20 Annually HMH is ...
$19.12 is the 25th percentile. Wages below this are outliers.
$16.55 - $19.17
26% of jobs
$19.17 - $21.79
9% of jobs
$21.79 - $24.41
12% of jobs
The median wage is $25.73 / hr.
$24.41 - $27.04
9% of jobs
$27.04 - $29.66
11% of jobs
$29.66 - $32.28
5% of jobs
$34.25 is the 75th percentile. Wages above this are outliers.
$32.28 - $34.90
6% of jobs
$34.90 - $37.52
5% of jobs
$37.52 - $40.14
5% of jobs
$40.14 - $42.77
3% of jobs
$42.77 - $45.39
10% of jobs
$16
$28
$45
| Aspect | Crc Risk Adjustment Coder | Medical Coder |
|---|---|---|
| Certifications | CPMA, CPC, or RHIT/RHIA often preferred | CPC, CCS, or CPC-H |
| Work Environment | Healthcare facilities, insurance companies, risk adjustment teams | Hospitals, clinics, physician offices |
| Industry Usage | Risk adjustment, Medicare Advantage, health plans | Medical 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.
For Crc Risk Adjustment Coder jobs in East Orange, NJ, the most frequently searched job titles are:
The top searched job categories for Crc Risk Adjustment Coder jobs in East Orange, NJ are:
Newark, NJ • On-site
$23.50 - $32.25/hr
Contractor
Re-posted 2 days ago
A Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing.
One of our direct client is looking for potential candidate with the below mentioned skills
Direct Client: Immediate Interview
Contract to Hire
Position: Provider Liaison
MUST HAVE:
Certifications
AAPC Certified Professional Coder (CPC) or AHIMA Certified Coding Specialist (CCS)
Job Summary:
The Provider Liaison is accountable for extracting insights specific to providers and provider groups regarding commercial risk adjustment and developing educational materials for Network Management professionals to communicate with providers and staff regarding Client's risk adjustment programs. Primary responsibilities include working with the Risk Adjustment Management Business Analyst to measure commercial risk adjustment performance for the development of education materials. Ongoing responsibilities include communicating and educating Network Management Provider Educators to enable content delivery to specific providers. This role will operate within the Risk Adjustment Management function, but work closely with the Network Management team.
Responsibilities:
Operates as the intermediary between the Risk Adjustment Management team and provider-facing staff to report and deliver commercial risk adjustment insights
Works closely with the Risk Adjustment Management Business Analyst to monitor risk adjustment trends, provider coding performance and member health status using existing tools and performing ad hoc analysis
Collaborates with the Network Management leadership in developing, monitoring and driving key performance metrics for Network Management Provider Educators
Collaborates with the Network Management leadership in developing and delivering commercial risk adjustment educational content and materials for internal and external use, including clinicians and supporting staff
Validates documentation against submitted claims diagnosis codes and prepares detailed reports
Supports Risk Adjustment Data Validation audits
Drives communication with pertinent staff and managers to ensure that interdependencies between the departments, other projects and functional work streams are accurately identified and addressed
Provides status reports to management
Certifications:
AAPC Certified Professional Coder (CPC) or AHIMA Certified Coding Specialist (CCS)
Knowledge:
Understands key tenets of commercial risk adjustment and the HHS-HCC risk adjustment model
Mastery of medical coding best practices
Project management skills
Experience displaying ability to think analytically
Strong communications and presentation skills
Computer skills: Outlook, Excel, Word & Powerpoint; SAS & Access preferred
Kind Regards
Sammeer Gaikwad
Operations Manager
Integrated Resources, Inc.
IT Life Sciences Allied Healthcare CRO
Certified MBE |GSA - Schedule 66 I GSA - Schedule 621I
(BOARD) # 732-549-2030 - Ext - 243
Education Experience:
Bachelor's degree in business, healthcare administration, or other related field
Requires a minimum of three (3) years of healthcare experience, preferably with provider focus
Requires CPC or CCS certification
Requires program/project management experience
Kind Regards
Sammeer Gaikwad
Operations Manager
Integrated Resources, Inc.
IT Life Sciences Allied Healthcare CRO
Certified MBE |GSA - Schedule 66 I GSA - Schedule 621I
(BOARD) # 732-549-2030 - Ext - 243
Sourced by ZipRecruiter
Integrated Resources Inc (IRI), based in Edison, NJ, US, is an esteemed player in the staffing solutions industry with a credible presence on their official website irionline.com. Notably, IRI provides a range of professional staffing services including contract, contract-to-hire, and direct hire solutions to a wide spectrum of industries such as healthcare, life sciences, manufacturing, financial, insurance, and others. Since its inception, IRI has been committed to delivering top-talent and optimum solutions to meet its clients' diverse needs.
Recruiting and staffing services
51 - 200 Employees
Edison, NJ, US
1996
