• 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 ... records. Must have 2 years of recent production coding experience within HCC (Medicare Advantage or IVA) Essential Duties and Responsibilities: + Assigns ICD-10… 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 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
    MedKoder (10/16/24)
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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 ... **Physi** **cian Practice Coding Team** is looking for an **experienced** **Medical Coder with General Medicine: Multi-Specialty experience.** This is a skilled team… more
    Banner Health (09/21/24)
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  • Coder - Medical Group

    Providence (Milwaukie, OR)
    **Description** The Coder 1 performs coding audits and review of outpatient provider services to support coding optimization and compliance for the medical group. ... In addition to the audit and review work, the Coder 1 will work side by side with outpatient...with the code entry process, documentation, ICD-9, ICD-10, and HCC coding in alignment with current medical group reimbursement… more
    Providence (10/09/24)
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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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  • Risk Coder

    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
    Brockton Hospital (09/03/24)
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  • Medical Coder /Coding Specialist III-…

    Tidelands Health (Murrells Inlet, 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
    Tidelands Health (09/08/24)
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  • Risk Adjustment Coder II

    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
    Point32Health (10/09/24)
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  • Coding Data Quality Auditor

    CVS Health (Tallahassee, FL)
    …Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories ( HCC ) preferred. + CRC (Certified Risk Adjustment Coder ) preferred. ... related duties as required. **Required Qualifications** + CPC (Certified Professional Coder ) or CCS-P (Certified Coding Specialist-Physician) required. + Minimum of… more
    CVS Health (10/26/24)
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  • Clinical Documentation Specialist I - Remote

    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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  • Sr Coding Compliance Auditor

    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
    Catholic Health Initiatives (10/25/24)
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  • A**Divisional Coding Quality Auditor-Educator

    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
    AdventHealth (10/24/24)
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  • Risk Adjustment Education Specialist - HYBRID

    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
    Carle (09/10/24)
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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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  • Onsite Coding Auditor, SAMF Admin CBO - Full Time…

    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
    Trinity Health (10/02/24)
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  • Coding Auditor

    Ascension Health (Halethorpe, MD)
    …and sufficiency of supporting documentation. + Audit specified number of records per coder as defined in the system coding audit plan. + Prepare audit reports ... Health Information Management Association (AHIMA) preferred. + Certified Professional Coder (CPC) credentialed from the American Academy of Professional Coders… more
    Ascension Health (10/24/24)
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  • Coding Education Specialist - Philadelphia…

    The Cigna Group (Nashville, TN)
    …**Coding certification required (at least one of the below):** Certified Professional Coder (CPC) Certified Risk Adjustment Coder (CRC) Certified Coding ... CPT/Evaluation and Management guidelines + Working Knowledge of CMS Risk Adjustment and HCC Coding Process + Strong computer skills (ie MS Office) + Prior… more
    The Cigna Group (09/20/24)
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