Spearhead initiatives for Risk Adjustment improvement, develop recommendations for Risk Adjustment ... 10 coding. Familiarity with CMS HCC Model and Guidelines, as well as ICD-10 Guidelines, is ...
Spearhead initiatives for Risk Adjustment improvement, develop recommendations for Risk Adjustment ... 10 coding. Familiarity with CMS HCC Model and Guidelines, as well as ICD-10 Guidelines, is ...
RADV (Risk Adjustment Validation) Nurse- Quality Management
San Antonio, TX · On-site
$36.50 - $53/hr
Spearhead initiatives for Risk Adjustment improvement, develop recommendations for Risk Adjustment ... 10 coding. Familiarity with CMS HCC Model and Guidelines, as well as ICD-10 Guidelines, is ...
RADV (Risk Adjustment Validation) Nurse- Quality Management
San Antonio, TX · On-site
$36.50 - $53/hr
Spearhead initiatives for Risk Adjustment improvement, develop recommendations for Risk Adjustment ... 10 coding. Familiarity with CMS HCC Model and Guidelines, as well as ICD-10 Guidelines, is ...
Will review all provider visit medical encounters and apply most appropriate diagnosis codes. * Overall accountability for the HCC/Risk Adjustment of goals and workflows to support value capture ...
Will review all provider visit medical encounters and apply most appropriate diagnosis codes. * Overall accountability for the HCC/Risk Adjustment of goals and workflows to support value capture ...
Will review all provider visit medical encounters and apply most appropriate diagnosis codes. * Overall accountability for the HCC/Risk Adjustment of goals and workflows to support value capture ...
Will review all provider visit medical encounters and apply most appropriate diagnosis codes. * Overall accountability for the HCC/Risk Adjustment of goals and workflows to support value capture ...
This role is critical to advancing the organization's risk adjustment performance by supporting accurate, timely, and sustainable identification of documentation and coding opportunities across the ...
Quick apply
This role is critical to advancing the organization's risk adjustment performance by supporting accurate, timely, and sustainable identification of documentation and coding opportunities across the ...
Experience with the risk adjustment and reimbursement landscape (Medicare Advantage, ACA, Medicaid managed care, HCC coding, RAF optimization, RADV, and documentation/compliance) is strongly ...
Experience with the risk adjustment and reimbursement landscape (Medicare Advantage, ACA, Medicaid managed care, HCC coding, RAF optimization, RADV, and documentation/compliance) is strongly ...
Experience with the risk adjustment and reimbursement landscape (Medicare Advantage, ACA, Medicaid managed care, HCC coding, RAF optimization, RADV, and documentation/compliance) is strongly ...
Experience with the risk adjustment and reimbursement landscape (Medicare Advantage, ACA, Medicaid managed care, HCC coding, RAF optimization, RADV, and documentation/compliance) is strongly ...
$20 - $25/hr
... HCC/RAF risk adjustment concepts • Experience with EMR systems (eCW preferred but not required ... coding accuracy rate • Meet or exceed established daily/weekly productivity standards • ...
Quick apply
$20 - $25/hr
... HCC/RAF risk adjustment concepts • Experience with EMR systems (eCW preferred but not required ... coding accuracy rate • Meet or exceed established daily/weekly productivity standards • ...
$20 - $25/hr
... HCC/RAF risk adjustment concepts • Experience with EMR systems (eCW preferred but not required ... coding accuracy rate • Meet or exceed established daily/weekly productivity standards • ...
Quick apply
$20 - $25/hr
... HCC/RAF risk adjustment concepts • Experience with EMR systems (eCW preferred but not required ... coding accuracy rate • Meet or exceed established daily/weekly productivity standards • ...
Required Credentials (One or More) • Certified Risk Adjustment Coder (CRC) -- demonstrates expertise in HCC methodology and risk adjustment documentation standards • Certified Professional Coder ...
Required Credentials (One or More) • Certified Risk Adjustment Coder (CRC) -- demonstrates expertise in HCC methodology and risk adjustment documentation standards • Certified Professional Coder ...
Required Credentials (One or More) • Certified Risk Adjustment Coder (CRC) - demonstrates expertise in HCC methodology and risk adjustment documentation standards • Certified Professional Coder ...
Required Credentials (One or More) • Certified Risk Adjustment Coder (CRC) - demonstrates expertise in HCC methodology and risk adjustment documentation standards • Certified Professional Coder ...
Required Credentials (One or More) • Certified Risk Adjustment Coder (CRC) -- demonstrates expertise in HCC methodology and risk adjustment documentation standards • Certified Professional Coder ...
Quick apply
Required Credentials (One or More) • Certified Risk Adjustment Coder (CRC) -- demonstrates expertise in HCC methodology and risk adjustment documentation standards • Certified Professional Coder ...
Senior Coder - RCO Coding (Remote)
Galveston, TX · Remote
$21.50 - $28.50/hr
CRC - Certified Risk Adjustment Coder (AAPC) JOB SUMMARY: Properly codes and/or audits professional services for inpatient and/or professional and hospital outpatient technical services for multiple ...
Senior Coder - RCO Coding (Remote)
Galveston, TX · Remote
$21.50 - $28.50/hr
CRC - Certified Risk Adjustment Coder (AAPC) JOB SUMMARY: Properly codes and/or audits professional services for inpatient and/or professional and hospital outpatient technical services for multiple ...
Senior Coder - RCO Coding (Remote)
Galveston, TX · Remote
$21.50 - $28.50/hr
CRC - Certified Risk Adjustment Coder (AAPC) JOB SUMMARY: Properly codes and/or audits professional services for inpatient and/or professional and hospital outpatient technical services for multiple ...
Senior Coder - RCO Coding (Remote)
Galveston, TX · Remote
$21.50 - $28.50/hr
CRC - Certified Risk Adjustment Coder (AAPC) JOB SUMMARY: Properly codes and/or audits professional services for inpatient and/or professional and hospital outpatient technical services for multiple ...
Senior Coder - RCO Coding (Remote)
Galveston, TX · On-site +1
$21.50 - $28.50/hr
CRC - Certified Risk Adjustment Coder (AAPC) JOB SUMMARY: Properly codes and/or audits professional services for inpatient and/or professional and hospital outpatient technical services for multiple ...
Senior Coder - RCO Coding (Remote)
Galveston, TX · On-site +1
$21.50 - $28.50/hr
CRC - Certified Risk Adjustment Coder (AAPC) JOB SUMMARY: Properly codes and/or audits professional services for inpatient and/or professional and hospital outpatient technical services for multiple ...
Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more About the Job: We are currently recruiting RNs, LPNs, MA's, Certified Coders ...
Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more About the Job: We are currently recruiting RNs, LPNs, MA's, Certified Coders ...
Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more About the Job: We are currently recruiting RNs, LPNs, MA's, Certified Coders ...
Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more About the Job: We are currently recruiting RNs, LPNs, MA's, Certified Coders ...
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 ...
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 ...
Client Coding Project Manger (CCPM)
Dallas, TX · On-site
$7.5K/mo
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 ...
Quick apply
Client Coding Project Manger (CCPM)
Dallas, TX · On-site
$7.5K/mo
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 ...
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 ...
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 ...
Internship Hcc Risk Adjustment Coder information
What is the difference between Internship Hcc Risk Adjustment Coder vs Hcc Risk Adjustment Coder?
| Aspect | Internship Hcc Risk Adjustment Coder | Hcc Risk Adjustment Coder |
|---|---|---|
| Credentials | Typically none or basic certifications | Certifications like CPC, CCS, or RHIT often required |
| Work Environment | Internship setting, training-focused | Full-time professional setting, independent work |
| Employer & Industry | Hospitals, healthcare providers, training programs | Healthcare organizations, insurance companies |
| Search & Comparison Intent | Learning, entry-level roles, training | Professional, experienced roles, career advancement |
The Internship Hcc Risk Adjustment Coder is an entry-level position designed for training and gaining experience, often without requiring certifications. In contrast, the Hcc Risk Adjustment Coder is a full-time professional role that typically requires relevant certifications and experience. Both roles are within the healthcare industry, but they differ significantly in responsibilities, expectations, and career progression.
What are the most commonly searched types of Hcc Risk Adjustment Coder jobs in Texas? The most popular types of Hcc Risk Adjustment Coder jobs in Texas are:
What are popular job titles related to Internship Hcc Risk Adjustment Coder jobs in Texas? For Internship Hcc Risk Adjustment Coder jobs in Texas, the most frequently searched job titles are:
What job categories do people searching Internship Hcc Risk Adjustment Coder jobs in Texas look for? The top searched job categories for Internship Hcc Risk Adjustment Coder jobs in Texas are:
What cities in Texas are hiring for Internship Hcc Risk Adjustment Coder jobs? Cities in Texas with the most Internship Hcc Risk Adjustment Coder job openings:
$36.50 - $53/hr
Full-time
Posted 7 days ago
University Of Nevada (Reno) rating
8.1
Based on 16 frontline employees who took The Breakroom Quiz
137th of 555 rated colleges and universities
Job description
POSITION SUMMARY/RESPONSIBILITIES
Manages, supervises, and assists Sr. Manager Clinical Process Improvement of Quality Management and Accreditation with oversight assigned staff to facilitate high-quality, cost-effective care for Community First membership. The RADV Nurse will enhance consistency and efficiency by collaborating with Providers to meet goals for Hierarchical Condition Categories (HCC) Ratio. Spearhead initiatives for Risk Adjustment improvement, develop recommendations for Risk Adjustment plans, and design tools and databases to gather relevant data for assigned provider groups. Works closely with various departmental teams and their leaders in a matrix structure. Additionally, the RADV Nurse will provide direction and support to provider Medical Coding Analysts and Community First cross-functional team members regarding Risk Adjustment issues. Creates customized reports based on analysis of data for dissemination and makes recommendations to improve the quality of operational/clinical performance and health outcomes. Provides ongoing management of data collection systems and the development of procedures for monitoring, validating, and reconciling data for accuracy. May serve as a leader/facilitator of process improvement efforts. Provides oversight of and performs functions of review, investigation and analysis of member level clinical care data and provider performance as it compares to standards of care.
EDUCATION/EXPERIENCE
Graduation from an accredited school of professional nursing is required. Bachelor's degree in nursing, clinical informatics, or other health care related field is preferred. Over five years of experience in the healthcare industry, including at least one year of ICD-10 coding. Familiarity with CMS HCC Model and Guidelines, as well as ICD-10 Guidelines, is essential. Experience in data analysis and preparation of QI or related reports is preferred. Excellent communication and interpersonal skills required. Quality Management certification such as CPHQ or CHCQM is preferred. Working knowledge of continuous process improvement principles and standard coding products is preferred. Proficiency in health information systems, electronic health records (EHRs), HEDIS, RADV, and claims data analysis is a plus.
LICENSURE/CERTIFICATION
- Current licensure as a Registered Nurse in the State of Texas is required.
- Coding certification within 2 years of employment (e.g., Certified Professional Coder - CPC, Certified Coding Specialist - CCS)
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