- Insight Global (Tampa, FL)
- Job Description Insight Global is hiring 3 HCC /Risk Adjustment Certified Professional Coders to support a backlog for inpatient and outpatient Medicare advantage ... of the markets are strictly risk adjustment focusing on HCC ICD-10 codes only. We do code from the...also be responsible to validate the CPT codes and non- HCC codes. These markets are still only reviewing Medicare… more
- Amergis (Cleveland, OH)
- Pay rate: $23-25 The Medical Coder is responsible for assigning ICD-10 and/or CPT/HCPCS codes as appropriate, and abstracts pertinent information from patient ... records. Must have 2 years of recent production coding experience within HCC (Medicare Advantage or IVA) Essential Duties and Responsibilities: + Assigns ICD-10… more
- MedKoder (Mandeville, LA)
- Position Location: 100% Remote Qualifications The Medical Coder provides coding and coding auditing services directly to providers. This includes the analysis and ... medical record charts for the appropriate coding compliance + Coder is responsible for meeting daily production goal and...specialized experience in Medicare Risk Adjustment disciplines- such as HCC , CCC HEDIS + Auditing experience a PLUS. ICD-10… more
- Providence (OR)
- …the best people, we must empower them._** **Providence Health Plan is calling an** HCC Risk Adjustment QA Auditor: Medicare Advantage & ACA **who will:** + Perform ... internal coding audits of Hhierarchical Condition category ( HCC ) coding review for Risk Adjustment staff, contractors, and...and report issues to Supervisor or Director + Provide coder specific education based on audit findings and trends… more
- Baylor Scott & White Health (Lakeway, TX)
- **JOB SUMMARY** + Coder I is proficient in one or two types of outpatient or profee coding. + Coder I may code one time ancillary/series, emergency department, ... include evaluation and management (E/M) coding, profee surgery, hierarchical condition category ( HCC ) Risk Adjusted coding (diagnosis only with 1 year lookback) or… more
- Kelsey-Seybold Clinic (IA)
- **Responsibilities** To ensure the accurate coding of diagnoses which fall into the HCC model as required by CMS for Medicare Advantage plans. To ensure ... the Official ICD-10-CM Guidelines for Coding and Reporting. **Job Title: HCC Coding Compliance Assistant-KS Plan Advantage-Risk Adjustm** **Location: 100% Remote**… more
- Banner Health (AZ)
- …career here! **Bring your years of Multi-Specialty - General Medicine (some HCC ) Coding** **experience** with Certified Risk Adjustment Coder (CRC) certification ... **Physi** **cian Practice Coding Team** is looking for an **experienced** **Medical Coder with General Medicine: Multi-Specialty experience.** This is a skilled team… more
- Brockton Hospital (West Bridgewater, MA)
- …the general supervision of the Ambulatory Coding Manager, and the Senior Risk Coder , the primary function of this position is to ensure accurate documentation, ... problem solving and performance monitoring for associates. Works with Senior Risk Coder and Team members to perform Retrospective audits for identified open gaps.… more
- Tidelands Health (Myrtle Beach, SC)
- …with the CDI team to validate the DRG, SOI/ROM, and Hierarchical Condition Category ( HCC ). Forward queries created by the CDI Team to obtain the most accurate DRG. ... and Hospital Work Environment or Works in a private office space in the coder 's home in compliance with Tideland Health's Remote/Telecommuter Policy. + Must be able… more
- Centene Corporation (Tallahassee, FL)
- …of these guidelines. + Understands the impact of ICD-10 codes on the CMS HCC risk adjustment model. + Ability to meet productivity and accuracy standards + Ability ... license in one of the following is required: **Required Certified Professional Coder (CPC):** **Preferred Certified Coding Specialist (CCS):** Pay Range: $22.36 -… more
- Point32Health (MA)
- …guidelines. The Coding Specialist II will lead efforts to evaluate the HCC coding practices and provide analyses and recommendations to improve overall provider ... + Completion of a formal coding certification program required. Certified Professional Coder (CPC-A, CPC, CPC-H, COC, CIC, or CRC) certification or Certified Coding… more
- Fairview Health Services (St. Paul, MN)
- …improved provider documentation. + Maintain competence related to HCC documentation requirements, ICD-10-CM code assignment, coding guidelines, conventions, ... physician encounters and how physician documentation translates into ICD-10-CM and HCC risk adjustment for claims submission to meet reporting requirements. +… more
- Sharp HealthCare (San Diego, CA)
- …as a certified coder . + 2 Years experience working as a HCC risk adjustment coding auditor. + Experience with medical billing and with medical terminology. ... 1 **Shift Start Time** **Shift End Time** HS Diploma or Equivalent; Certified Professional Coder (CPC) - AAPC **Hours** **:** **Shift Start Time:** 8 AM **Shift End… more
- Catholic Health Initiatives (Chattanooga, TN)
- …adjustment improvement efforts across the medical group. The Hierarchical Condition Category ( HCC ) Quality program was developed by CMS to promote quality care for ... comprehensive capture of chronic conditions for the purpose of accurately reporting HCC 's. Prospective and concurrent reviews will account for 70% of the workload… more
- Mount Sinai Health System (New York, NY)
- …have a minimum of 3 years coding experience + At least 1 year of HCC Risk Adjustment experience, preferred + Clinical background in a healthcare setting, preferred + ... + Certified Coding Specialist (CCS) + Certified Risk Adjustment Coder (CRC) + Certified Professional Coder (CPC)...CPT, and HCPCS + Familiarity and understanding of CMS HCC Risk Adjustment coding and data validation requirements +… more
- AdventHealth (Altamonte Springs, FL)
- …leadership. The Corporate QA is responsible for initial audits during the coder onboarding process for assigned staff, as well as supporting on-going quality ... Conditions (HAC), Patient Safety Indicators (PSI), and Hierarchical Condition Categories ( HCC ) . Expert level knowledge of medical terminology, coding guidelines and… more
- Carle (Urbana, IL)
- …required continuing education (CEUs). within 1 year or Certified Professional Coder (AAPC) Certification must be maintained with required continuing education ... (CEUs). within 1 year or Certified Inpatient Coder (AAPC) Certification must be maintained with required continuing...Collaborates with necessary departments to ensure, when appropriate priority HCC coding activities are included on any and all… more
- The Cigna Group (Houston, TX)
- …partners of Cigna Medicare's programs specific to CMS Risk Adjustment and HCC Coding Processes. It will require expertise in ICD-10-CM/outpatient and CPT coding ... (at least one of the below): + Certified Professional Coder (CPC) + Certified Risk Adjustment Coder ...physiology. + Working Knowledge of CMS Risk Adjustment and HCC Coding Process. + Strong computer skills (ie, MS… more
- Trinity Health (Fresno, CA)
- …for Medicare and Medicaid Services (CMS). Monitor's accuracy of centralized coder 's charge capture and coding with proper International Classification of Diseases ... Trinity practices and policies. Partners with leadership to improve HCC and other Risk Adjustment capture with provider and... and other Risk Adjustment capture with provider and coder education. Conducts ongoing reviews of patient medical record… more
- UCLA Health (Los Angeles, CA)
- …highly organized, detail-oriented individual with: + A Certified Professional Coder (CPC) certification or Certified Coding Specialist (CCS) certification, required ... + A Certified Risk Adjustment Coder (CRC), required + Registered Nurse (RN) or clinical...+ Three or more years of recent experience in CMS- HCC Risk Adjustment models V24 and V28, required +… more