Company Statement

Connecticare is a leading health plan in the state of Connecticut and a subsidiary of EmblemHealth, a health and wellness company that provides insurance plans, primary and specialty care, and wellness solutions.  WellSpark is a digital wellness company and national subsidiary of EmblemHealth that offers a full suite of products and solutions to reward people for healthy behaviors.

 

To protect the health and safety of our workforce, members, patients, and the communities we serve, the EmblemHealth family of companies require all new employees to be fully vaccinated for COVID-19. Exemption/reasonable accommodations may be granted because of 1) a qualifying medical condition or disability that makes getting the vaccine unsafe for the individual, or 2) objection on the basis of sincerely held religious beliefs and/or practices.
 

Risk Adjustment Coder

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Manager & Professional
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EmblemHealth
Thanks for your interest in the Risk Adjustment Coder position. Unfortunately this position has been closed but you can search our 240 open jobs by clicking here.

Qualifications:

  • Bachelor’s Degree
  • Required certifications: Risk Adjustment Coder (CRC); Professional Coder (CPC)
  • 2-3 years of related work experience (R)
  • Additional experience/specialized training may be considered in lieu of educational requirements (R)
  • Experience with working in a compliance related function across a large division, department, or company (R)
  • Self-starter with ability to work with multiple levels of management and handle multiple tasks successfully  (R) 
  • Prior experience working with external vendors (R)
  • Proven track record of collaboration and coordination across all levels and areas/divisions of provider organizations (R) 
  • Effective communications skills (verbal and written) with all types and levels of audiences (R) 
  • Proficiency with MS Office applications (word processing, spreadsheet/database, presentation) (R)
  • Energetic and enthusiastic with a positive attitude (R) 
  • Knowledge of healthcare operational processes and products (P)
  • Excellent analytical skills (R)
  • Proficiency with computer and data entry retrieval skills (R) 
  • Experience with HCC Model, ACA model and Medicaid model  (R)

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