- 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
- 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
- Marshfield Clinic (Marshfield, WI)
- …the most exciting missions in the world!** **Job Title:** Medical Coder - Professional **Cost Center:** 682891390 SHP-Strategic Finance **Scheduled Weekly Hours:** ... States of America) **Job Description:** **JOB SUMMARY** The Medical Coder -Professional reviews, analyzes and assigns current international classification of disease… more
- Dignity Health (Bakersfield, CA)
- …**Responsibilities** This position is remote.** **Position Summary:** The Value Based Coder is an employee of Dignity Health Managed Services Organization (DHMSO), ... Dignity Health. As a member of the Quality Management/Risk team, the Value Based Coder works with providers and office staff across DHMSO and its clinical integrated… more
- Banner Health (AZ)
- …make a life and career here! In this **Inpatient Facility/HIMS Certified Medical Coder , Quality Associate** position, you bring your **5** **years of acute care ... to allow for monitoring and evaluation of trends in DRG (MS/APR-DRG), APC, HCC , other Heath Risk Adjusted Factors, National Correct Coding Initiative (NCCI) and the… 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
- Sutter Health (Sacramento, CA)
- …or equivalent education/experience **CERTIFICATION & LICENSURE** + CRC-Certified Risk Adjustment Coder OR CPC-Certified Professional Coder OR AHMA OR AAPC ... of Quality Coding Program requirements such as the Medicare Advantage Coding Program/ HCC , as well as medical terminology and abbreviations of disease, illness and… more
- Sutter Health (Sacramento, CA)
- …General Education Diploma (GED) **CERTIFICATION & LICENSURE:** + CRC-Certified Risk Adjustment Coder OR CPC-Certified Professional Coder OR AHMA or AAPC Coding ... of Quality Coding Program requirements such as the Medicare Advantage Coding Program/ HCC , as well as medical terminology and abbreviations of disease, illness and… 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
- Iron Mountain (Royersford, PA)
- …malpractice reports **QUALIFICATIONS:** + Must be at a minimum Certified Professional Medical Coder with either AAPC or AHIMA + 1+ year(s) of prior experience in ... Medical Coding Role, preferably in Risk Adjustment ( HCC ) + Coding Knowledge in ICD-10-CM, HCPCS, CPT, Category II, and/or E/M Coding + Skills: Strong Communication,… more
- Intermountain Health (Columbus, OH)
- …This position assigns ICD-10 Clinical Modification (CM), Hierarchal Condition Category ( HCC ), and ICD-10 code Procedure Classification System (PCS) codes and ... Diagnosis Related Groups (DRG) to ensure accurate billing data for patient populations and publicly reported data. This position uses extensive knowledge and expertise to work alongside and collaborate with Clinical Documentation Integrity to review complex… 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
- WMCHealth (Valhalla, NY)
- …an internal expert on Risk Adjustment and Hierarchical Conditions Categories ( HCC ) coding. Specific duties include performing concurrent and retrospective reviews of ... Monitors and reports key performance indicators relative to clinical documentation and HCC coding. . Documents and maintains records of all query, audit, and… 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
- Baylor Scott & White Health (Columbus, OH)
- …and/or procedures for inpatient, outpatient, and clinic cases + Conducts focused HCC reviews on providers and clinics, tracks results and identifies trends and ... deficiencies for follow-up + Researches complex coding HCC issues and keeps abreast of coding and compliance...(CCS), Cert Coding Spec Physician Bas (CCS-P), Cert Professional Coder (CPC), Reg Health Info Administrator (RHIA), Reg Health… more
- Marshfield Clinic (Marshfield, WI)
- …Terminology (CPT), and ICD‐9, ICD-10 and Hierarchical Condition Category ( HCC ) coding. **Preferred/Optional:** Bachelor of Science in Nursing. **EXPERIENCE** ... ICD‐9 and ICD‐10 codes, Healthcare Common Procedure Coding System (HCPCS) codes, HCC coding, use of modifiers, documentation guidelines, CMS Policy requirements, and… more
- VNS Health (Manhattan, NY)
- …practices for improvement. Qualifications Licenses and Certifications: + Certified Professional Coder (CPC) or Certified Inpatient Coder (CIC) required and ... + Certified Coding Specialist (CCS) or (CRC) Certified Risk Adjustment Coder or Registered Health Information Technician (RHIT) in ICD-10-CM coding required + Valid… more
- Fallon Health (Worcester, MA)
- …Specialist (CCS), Certified Risk Adjustment Coding (CRC) or Certified Professional Coder (CPC) required. * RN Licensure preferred **Experience:** * Strong ... MS Office * Proven/demonstrated knowledge in the following 1.ICD-10-CM Coding/Risk Adjustment HCC coding 2. Regulatory Compliance 3. HIPAA and Legal Aspects of… more
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