- Datavant (Nashville, TN)
- …educational and life experiences to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to ... on client specific guidelines for the project. + The coder will ensure compliance with established ICD-10 CM, third...CIC, or CRC). + A minimum of 2 years HCC coding experience, while certified. + Full understanding and… more
- Highmark Health (Cheyenne, WY)
- …using skills including but not limited to Hierarchical Condition Category ( HCC ) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for ... requirements by analyzing physician documentation and interpreting into ICD10 diagnoses and HCC disease categories. Supports other key objectives to drive capture of… more
- Datavant (Atlanta, GA)
- …to realize our bold vision for healthcare. We're looking for experienced and credentialed HCC Coding Team Leads to become an integral part of our team. The ideal ... Reviews rebuttals submitted by coders. Provides education to the coder if the error is correct or sends the...+ Extensive knowledge of ICD -10 + 2 years' HCC coding experience + 1+ years' Team Lead experience… more
- University of Washington (Seattle, WA)
- …Health Information** has an outstanding opportunity for a **Coding Specialist 1 - Edits Coder ** **WORK SCHEDULE** + 100% FTE + Mondays - Fridays + 100% Remote ... **POSITION HIGHLIGHTS** The Edits Coder position reports to the Outpatient Coding Supervisor within...in Epic work queues (WQ) and/or Hierarchical Condition Category ( HCC )/Risk Adjustment Factor (RAF) and/or Care Gap review to… more
- Apex Health Solutions (Houston, TX)
- Summary Certified Medical Coder role is responsible for reviewing, abstracting, and coding inpatient and/or outpatient medical records to ensure proper ICD-10-CM, ... A certification in one of the following is required : Certified Professional Coder (CPC) Certified Risk Adjustment Coder (CRC) Certified Coding Specialist (CCS)… more
- WMCHealth (Valhalla, NY)
- Network Practice Coder /Auditor Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support Department: Health Info ... (https://pm.healthcaresource.com/cs/wmc1/#/preApply/30982) Internal Applicant link Job Details: Job Summary: The Coder is responsible for auditing medical records, including applicable… more
- Ascension Health (Elk Grove Village, IL)
- …obtained prior to hire date or job transfer date.* Certified Professional Coder (CPC) credentialed from the American Academy of Professional Coders(AAPC) obtained ... the following certification thru AAPC (credentialing board): **Certified Risk Adjustment Coder (CRC) - STRONGLY PREFERRED** + **Hybrid position** - Flexible with… 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
- Trinity Health (Livonia, MI)
- …is complete and accurate. + Validate the accurate assignment of working HCC diagnosis affecting RAF scores within the ambulatory patient population by collaborating ... outpatient reimbursement models, & the impact of provider documentation & HCC risk adjustment, ensuring compliance with reporting standards for claims submission.… more
- Trinity Health (Albany, NY)
- …responsible for reviewing clinical documentation and coding using HCC (Hierarchical Condition Category) and MEAT (Monitored, Evaluated/Assessed/Addressed, Treated) ... (CMS). **SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:** **. Certified Risk Adjustment Coder (CRC) required** . Excellent verbal and written communication skills. .… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …focus on Medicare Advantage and ACA risk adjustment. * Certified Risk Adjustment Coder (CRC) certification * In-depth knowledge of ACA & Medicare Advantage risk ... Certifications such as CPMA, RHIT, RHIA, CCA, CCS. * Expertise in CMS- HCC , and HHS- HCC Risk Adjustment models. Compensation and Benefits: Pay Range: $88,600.00 -… more
- Elevance Health (Norfolk, VA)
- …a HS diploma or equivalent and minimum of 3 years of experience as coder of medical records in physician office, hospital, or insurance/coding office setting; or any ... equivalent background. **Preferred Skills, Capabilities, and Experiences:** + Medical Coder certification from accredited source (eg American Health Information… more
- Datavant (Boise, ID)
- …with strong expertise in neurosurgery and orthopedics. Experience in Interventional Radiology and HCC is a plus. **You Will:** + Conduct inpatient coding audits on ... Scrutinizes all HCPCS and CPT codes influencing APC assignment. + Provide coder education through the auditing process. + Prepare preliminary results for review… more
- Adecco US, Inc. (Bradenton, FL)
- …patient, current treatment plan, past medical history, quality measures (eg, HEDIS, HCC , etc..), and identify potential gaps in provider documentation . Applies ... sites as needed (with mileage reimbursement) **Preferred Qualifications** * Certified Coder (AAPC or AHIMA preferred) * AHIMA Clinical Documentation Improvement… more
- Trinity Health (Livonia, MI)
- …of education & experience + Experience with compliant healthcare documentation, HCC coding requirements, alternate payment models in a multi-facility, integrated ... coding, healthcare quality or equivalent + Certified Risk Adjustment Coder (CRC), Certified Clinical Documentation Integrity (CDI), Certified Clinical Documentation… more
- Genesis Healthcare (PA)
- …Moreover, this position will be key in assisting with the LTC ACO HCC program ensuring that claims are coded and documented accurately and completely, helping ... Requirements: + High School diploma or GED completion required + Certified Professional Coder with a minimum of 3 years' experience with CPT and ICD coding… more
- Scripps Health (San Diego, CA)
- …Information Technician) o CCS (Certified Coding Specialist) o CPC (Certified Professional Coder ) * Comprehensive understanding of ICD, CPT, and HCPCS coding systems, ... MS-DRG/APR-DRG methodologies, and risk adjustment/ HCC principles. * Strong technical proficiency and experience in professional fee/physician services operations,… more
- Bluestone Physician Services (Stillwater, MN)
- …Information Management, Nursing, or related field. + Certified Risk Adjustment Coder (CRC) certification, Risk Adjustment Coding (RAC) or related risk certification ... in healthcare coding, with a focus on Hierarchical Condition Category ( HCC ) coding and risk adjustment. Knowledge/Skills/Abilities + Proficiency in reviewing and… more