- CaroMont Health (Gastonia, NC)
- Job Summary: To identify needs for (through auditing or other methods)and provide coding education related to HCC (Hierarchical Category Coding ). ... for Risk Adjustment coding . Train and educate coding staff on HCC coding ...that impact coding (ICD10 or CPT) and provide education for Ambulatory Coding … more
- Kelsey-Seybold Clinic (IA)
- …Official ICD-10-CM Guidelines for Coding and Reporting. **Job Title: HCC Coding Compliance Assistant-KS Plan Advantage-Risk Adjustm** **Location: 100% ... coding of diagnoses which fall into the HCC model as required by CMS for Medicare Advantage...and holidays + Employee Assistance Program + Continuing Medical Education allowance Kelsey-Seybold Clinic strives to provide … more
- Providence (OR)
- …Risk Adjustment QA Auditor: Medicare Advantage & ACA **who will:** + Perform internal coding audits of Hhierarchical Condition category ( HCC ) coding review ... issues and report issues to Supervisor or Director + Provide coder specific education based on audit...**Required qualifications for this position include:** + 5+ years HCC specific coding experience + 3+ years… more
- MedKoder (Mandeville, LA)
- …on a consistent basis + Attend conference calls as necessary to provide information and/or feedback Education /Experience Requirements: + Successful completion of ... Position Location: 100% Remote Qualifications The Medical Coder provides coding and coding auditing services directly to providers. This includes the analysis… more
- Henry Ford Health System (Troy, MI)
- …Coding ? If your answer is YES, this position could be for you! The Medical Coding Education Coordinator is 95% remote work, with travel as needed within the ... directly with providers. About the Role: As our Medical Coding Education Coordinator, you'll be at the...forefront of coordinating, overseeing, and optimizing the flow of provider education and medical record coded information… more
- Catholic Health Initiatives (Chattanooga, TN)
- …chart notes for proper coding with an emphasis on documentation, coding improvement, and revenue capture. Provides education to clinicians, clinic staff, ... appropriate personnel for processing. + Acts as documentation and coding liaison to clinicians to include review, education...periodic face to face visits, to assigned offices, to provide documentation education and assist with workflow… more
- Sharp HealthCare (San Diego, CA)
- …efforts and processes are followed to allow for maximum reimbursement through appropriate coding .Performs chart audits, to provide education to providers and ... coding discrepancies to management. Works to improve overall provider accuracy. **Required Qualifications** + HS Diploma or Equivalent...certified coder. + 2 Years experience working as a HCC risk adjustment coding auditor. + Experience… more
- Catholic Health (Buffalo, NY)
- …Documentation will be directly responsible for the oversight of the Health System's Provider Coding Education Program and the Ambulatory Clinical ... Documentation Improvement and HCC Risk Diagnosis capture initiatives. The position will manage...coding subject matter expert. The manager will also provide an escalation point for team members in preparation… more
- CareFirst (Baltimore, MD)
- …and provides information to management team to further enhance quality and/or provider education . Work with leadership and third-party vendors to negotiate ... federal government. Develops and conducts new physician/other healthcare practitioner coding orientation/ education , including group or individual sessions.… more
- AdventHealth (Altamonte Springs, FL)
- … coding staff. They will review medical records and documentation for coding accuracy, providing feedback, and delivering additional education to correct ... auditors, managers, and directors throughout the organization . Will provide feedback to coding and CDI team...process improvement. . Works with the audit team and coding manager to develop meaningful education and… more
- Trinity Health (Hartford, CT)
- …to risk adjustment payment models + Conduct chart review audits, identify coding and/or documentation discrepancies, and prepare feedback, education , and ... Residency required **Position Purpose** The Clinically Integrated Network (CIN) Risk Coding Specialist is responsible for reviewing medical records to assess… more
- Trinity Health (Fresno, CA)
- …with leadership to improve HCC and other Risk Adjustment capture with provider and coder education . Conducts ongoing reviews of patient medical record ... documentation and procedural and diagnosis coding by each practitioner. Responsible for practitioner education in areas related to coding , documentation and… more
- Tidelands Health (Myrtle Beach, SC)
- …in hospital inpatient coding or successful completion of Tidelands Health coding cross-training program ** Education ** : High school graduate or equivalent, ... complexity using ICD-10-CM and ICD-10-PCS or any other designated coding classification system in accordance with coding ...team as part of the clinical documentation validation, to provide the most accurate and complete diagnoses. Works with… more
- Ascension Health (Halethorpe, MD)
- …will vary based on factors including applicable licenses, certifications, education , experience, location, qualifications and comparison with associates in similar ... Option, etc.). Actual compensation offer will vary based upon role, education , experience, location, and qualifications. Connect with your Talent Advisor for… more
- The Cigna Group (Houston, TX)
- … provider office diagnosis coding . Implement provider office education , where necessary, and provide formal training, utilizing RA approved content to ... Cigna Medicare's programs specific to CMS Risk Adjustment and HCC Coding Processes. It will require expertise... meetings for assigned provider groups to provide updates, recommendations, or education supporting complete… more
- UCLA Health (Los Angeles, CA)
- …chronic conditions + Analyze coding patterns within medical groups. + Provide customized education and updating educational materials for providers and ... Description As the Medicare Advantage Risk Adjustment Provider Documentation Trainer and Auditor, you will be...Auditor, you will be an expert in risk adjustment coding and documentation, working closely with physicians, IPA coders,… 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 ... Hospitalist, Toxicology, and Select Rehab service lines. This position also performed HCC reviews and education .** Production expectations generally are 9-14… more
- Carle (Urbana, IL)
- …of degree with heavy emphasis on provider interaction related to coding and clinical documentation, improvement, and education . CERTIFICATION & LICENSURE ... heavy emphasis on provider interaction related to coding and clinical documentation, improvement, and education ....Collaborates with necessary departments to ensure, when appropriate priority HCC coding activities are included on any… more
- CareFirst (Baltimore, MD)
- …score calculation, ACA enrollment, premiums, medical and pharmacy claims, and provider data. Incumbent is responsible for performing complex analyses and problem ... overall suite of analytic capabilities and actionable reports to solve problems, provide data-driven guidance, and monitor risk adjustment performance. Provide … more
- J&J Family of Companies (MI)
- …(FRM) is responsible for serving as the primary field-based lead for education , assistance, and issue resolution with healthcare providers (HCPs), and their office ... role involves investing time (up to 50%) on-site with HCPs, assessing their education needs and facilitating collaboration with various stakeholders. A Day in the… more