- 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
- 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
- Providence (Central Point, 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
- 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 (Columbia, SC)
- …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 ... A license in one of the following is required: **Certified Professional Coder (CPC)** **Certified Coding Specialist (CCS)** Centene offers a comprehensive benefits… 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
- 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
- Ascension Health (Kalamazoo, MI)
- …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 (Indianapolis, IN)
- …Previous experience with surgical case coding would be a plus Experience with HCC /RAF coding would be a plus Experience with presenting results to clinicians and ... and sufficiency of supporting documentation. + Audit specified number of records per coder as defined in the system coding audit plan. + Prepare audit reports… 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
- 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
- Trinity Health (Hartford, CT)
- …Full time **Shift:** Day Shift **Description:** Must have Certified Risk Coder (CRC) certification Local Residency required **Position Purpose** The Clinically ... available to prioritize patients needing follow up, identify suspect conditions and HCC gap opportunities, and prepare charts in advance of visits to optimize… more
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