• Remote HCC Coder (CPC)

    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
    Insight Global (11/01/24)
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  • Remote HCC Coder

    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 ... have 2 years of recent production coding experience within HCC (Medicare Advantage or IVA) Essential Duties and Responsibilities:...provided + Completes production log and submits to MHIS Remote and Professional Recruiter + Completes coding of all… more
    Amergis (10/22/24)
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  • HCC Risk Adjustment Coder

    MedKoder (Mandeville, LA)
    Position Location: 100% Remote Qualifications The Medical Coder provides coding and coding auditing services directly to providers. This includes the analysis ... injuries, or illnesses into designated numerical codes. This is a full-time, remote position that offers a flexible schedule. Responsibilities: + Receive assigned… more
    MedKoder (10/16/24)
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  • HCC Risk Adjustment QA Auditor: Medicare…

    Providence (Beaverton, 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
    Providence (10/31/24)
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  • Coder I - OP & IP Profee, Neurosurgery

    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
    Baylor Scott & White Health (09/12/24)
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  • Complex Coder Physician Practice General…

    Banner Health (AZ)
    …career here! **Bring your years of Multi-Specialty - General Medicine (some HCC ) Coding** **experience** with Certified Risk Adjustment Coder (CRC) certification ... offer our team members many career and lifestyle choices including remote work options. Our **Multi-Specialty, General Medicine,** **Physi** **cian Practice Coding… more
    Banner Health (09/21/24)
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  • Medical Coder /Coding Specialist III-…

    Tidelands Health (Murrells Inlet, SC)
    …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 ... 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.… more
    Tidelands Health (09/08/24)
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  • HCC Coding Compliance Assistant-KS Plan…

    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
    Kelsey-Seybold Clinic (11/05/24)
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  • Clinical Documentation Specialist I…

    Mount Sinai Health System (New York, NY)
    …have a minimum of 3 years coding experience o At least 1 year of HCC Risk Adjustment experience, preferred o Clinical background in a healthcare setting, preferred ? ... o Certified Coding Specialist (CCS) o Certified Risk Adjustment Coder (CRC) o Certified Professional Coder (CPC)...CPT, and HCPCS ? Familiarity and understanding of CMS HCC Risk Adjustment coding and data validation requirements ?… more
    Mount Sinai Health System (10/31/24)
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  • Quality Review and Audit Analyst( Remote )

    The Cigna Group (Bloomfield, CT)
    …Risk Adjustment Model to confirm accuracy of Hierarchical Condition Categories ( HCC ) identified from abstracted ICD-10-CM diagnosis codes for the correct Benefit ... or the American Academy of Professional Coders (AAPC): Certified Professional Coder (CPC) Certified Coding Specialist for Providers (CCS-P) Certified Coding… more
    The Cigna Group (11/02/24)
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  • Individual & Family Plans (IFP) Quality Review…

    The Cigna Group (Bloomfield, CT)
    …program strategy & execution and be familiar with value-based reporting metrics and HCC analysis._ _The Quality Review and Audit Lead Analyst will be instrumental in ... metrics and clinical/business impacts. + Collaborate with peers for ongoing HCC educational development while introducing innovative ideas and implementing new… more
    The Cigna Group (10/22/24)
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  • Quality Auditor/Educator - Remote

    AdventHealth (Altamonte Springs, FL)
    …while understanding that together we are even better. Job Location: **Monday-Friday** ** Remote ** The role you'll contribute: The inpatient or outpatient coding team ... leadership. The Corporate QA is responsible for initial audits during the coder onboarding process for assigned staff, as well as supporting on-going quality… more
    AdventHealth (10/19/24)
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  • Coding Education Specialist - Philadelphia…

    The Cigna Group (Nashville, TN)
    …difference in our success. **What you must have in order to do the job:** + ** Remote , Work from Home - must be located in Philadelphia, PA or Nashville TN** **_-_** ... required (at least one of the below):** Certified Professional Coder (CPC) Certified Risk Adjustment Coder (CRC)...guidelines + Working Knowledge of CMS Risk Adjustment and HCC Coding Process + Strong computer skills (ie MS… more
    The Cigna Group (09/20/24)
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  • HFHP Associate Risk Adjustment Analyst

    Health First (Rockledge, FL)
    …High School/GED * Licensure: o None required * Certification: o Certified Professional Coder (CPC) from AAPC or Certified Coding Specialist (CCS) from AHIMA (will be ... (PAHM) certification. * Work Experience: o 1 year of HCC coding work experience. * Knowledge/Skills/Abilities: o No additional...may vary from open to confined; on site or remote . * May require travel to various facilities within… more
    Health First (10/25/24)
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  • Risk Adjustment Auditor Educator

    Centene Corporation (Tallahassee, FL)
    …a hospital, a physician setting or a Managed Care Organization as a medical coder **2+ years of experience** in coding with knowledge of Medicare risk adjustment ( ... HCC Coding) Required experience in teaching, training or an...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
    Centene Corporation (09/25/24)
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