Your Role The Risk Adjustment Compliance Coding Specialist (Consultant) helps to ensure organizational compliance with laws related to Risk Adjustment across our Marketplace (ACA), Medi-Cal (Medicaid), and Medicare Advantage lines of business. Specifically, the role helps to ensure
Under general supervision, responsible for assisting with analyzing medical record documentation against billing documentation guidelines and educates departments and faculty on appropriately documenting the medical record for services provided to patients. Conducts quality reviews of coding activities
For those who want to invent the future of health care, heres your opportunity. Were going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing
Position Description Base pay is influenced by several factors including a candidate’s qualifications, relevant experience, and anticipated contributions to meet the needs of the business, along with internal pay equity and external market driven rates. The
Medical Coding Specialist Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people
Medical Coding Specialist Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people
Documentation And Coding Consultant 1 The Documentation And Coding Consultant 1 provides training, consultation, review, and feedback to clinicians on their medical service documentation and coding to ensure KPNW receives appropriate reimbursement and conforms to applicable guidelines and regulations. This is
Virginia Mason Franciscan Health is seeking a Documentation & Coding Consultant to design, implement, and manage ongoing compliance monitoring and educational programs across clinical departments. You will identify coding and billing issues, verify charges, and promote optimal reimbursement while
Job Summary and Responsibilities As our Documentation & Coding Consultant, you will design, implement, and manage ongoing organizational monitoring activities and educational programs. This ensures proper reimbursement and compliance with all regulatory statutes. Every day you will work
Medical Coding Specialist Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people
Datavant is seeking a Provider Practice Coding Consultant in Salt Lake City, Utah. This role involves reviewing medical records to assign accurate codes and providing educational support to healthcare professionals. Candidates should have AHIMA or AAPC certifications, experience
Job Summary And Responsibilities As our Documentation & Coding Consultant, you will design, implement, and manage ongoing organizational monitoring activities and educational programs. This ensures proper reimbursement and compliance with all regulatory statutes. Every day you will work
Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem – including
All Jobs Senior HIM & Coding Consultant PCG Consulting International partners with healthcare organizations to solve complex operational, technology, and business challenges that improve financial performance and patient care. PCG Consulting Group is seeking an experienced Senior HIM
Datavant is seeking a Provider Practice Coding Consultant in Salt Lake City, Utah. This role involves reviewing medical records, assigning codes, and providing consulting services to healthcare professionals to improve coding practices. The ideal candidate must have at least
PCG Consulting Group is seeking an experienced Senior HIM & Coding Consultant to support a large-scale hospital revenue recovery initiative. The role focuses on HIM, clinical documentation, and coding to restore accurate billing and reimbursement. Responsibilities include reviewing documentation
Specialised Part-Time Consulting Opportunity We are sharing a specialised part-time consulting opportunity for United States-based healthcare coding and risk adjustment professionals experienced in HCC coding, Medicare Advantage risk adjustment, Medicaid managed care, ACA risk adjustment, RADV audit preparation,
What We’re Looking For: The Provider Practice Coding Consultant role is an opportunity to make a significant impact in the field of medical coding. You will provide essential consulting services and educational support, guiding healthcare professionals on improved coding practices.
Review clinical documentation to ensure coding accuracy and billing compliance. Evaluate ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding practices. Assess documentation quality and identify coding gaps affecting reimbursement. Support claim reconstruction by validating coded encounters and supporting documentation. Collaborate with
IT Healthcare Consultant Business Analyst - Advanced (Clinical Analyst & Coding Specialist) Location: Columbia, SC (Fully Remote Candidate must reside in South Carolina) Duration: 12 Months (Possible Extension) Interview Process: 1 Round Virtual/Online Key Responsibilities Initiate annual and