• Ambulatory HCC Coding Educator…

    CaroMont Health (Gastonia, NC)
    …required to capture HCC 's for Risk Adjustment coding . Train and educate coding staff on HCC coding issues. Work with payer representatives who audit ... HCC coding for Managed Medicare plans and participate in the...other departments as needed. Develop new procedures related to HCC coding and assist with implementation of… more
    CaroMont Health (10/26/24)
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  • HCC Coding Compliance Assistant-KS…

    Kelsey-Seybold Clinic (IA)
    …Official ICD-10-CM Guidelines for Coding and Reporting. **Job Title: HCC Coding Compliance Assistant-KS Plan Advantage-Risk Adjustm** **Location: 100% ... **Responsibilities** To ensure the accurate coding of diagnoses which fall into the HCC model as required by CMS for Medicare Advantage plans. To ensure… more
    Kelsey-Seybold Clinic (11/05/24)
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  • Remote HCC Coder (CPC)

    Insight Global (Tampa, FL)
    …progress notes for one patient in a one-to-two-year period. All our retro projects are HCC coding only. We are a company committed to creating diverse and ... AAPC or AHIMA, OR Certified Coding Specialist (CCS) 3+ years minimum of HCC coding OR Fee for service coding experience. Comfortable with CPT coding more
    Insight Global (11/13/24)
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  • HCC Risk Adjustment QA Auditor: Medicare…

    Providence (OR)
    …Risk Adjustment QA Auditor: Medicare Advantage & ACA **who will:** + Perform internal coding audits of Hhierarchical Condition category ( HCC ) coding review ... Oregon **Required qualifications for this position include:** + 5+ years HCC specific coding experience + 3+ years of recent auditing experience + Proficiency… more
    Providence (10/31/24)
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  • Risk Adjustment Coding Specialist (Hybrid)

    CareFirst (Baltimore, MD)
    …Upon Hire Preferred **Experience:** 3 years risk adjustment/hierarchical condition category ( HCC ) coding experience. **Knowledge, Skills and Abilities (KSAs)** + ... **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Specialist supports prospective risk adjustment via concurrent review and supplemental data CMS… more
    CareFirst (10/17/24)
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  • Coding Auditor - Finance - Sharp Corporate…

    Sharp HealthCare (San Diego, CA)
    …Years experience working as a certified coder. + 2 Years experience working as a HCC risk adjustment coding auditor. + Experience with medical billing and with ... and coding principles.Educates clinicians and their staff on the HCC /Risk Adjustment coding guidelines and makes recommendations for documentation… more
    Sharp HealthCare (11/10/24)
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  • Remote HCC Coder

    Amergis (Cleveland, OH)
    …pertinent information from patient records. Must have 2 years of recent production coding experience within HCC (Medicare Advantage or IVA) Essential Duties and ... in compliance with CMS policies and procedures and Official Coding Guidelines + Implements medical center's physician query process...medical record is inadequate, ambiguous or unclear for + coding purposes + Keeps abreast of coding more
    Amergis (10/22/24)
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  • Clinical Documentation Specialist I

    Mount Sinai Health System (New York, NY)
    …minimum of 3 years coding experience + At least 1 year of HCC Risk Adjustment experience, preferred + Clinical background in a healthcare setting, preferred + ... of ICD-10, CPT, and HCPCS + Familiarity and understanding of CMS HCC Risk Adjustment coding and data validation requirements + Familiarity with APC coding more
    Mount Sinai Health System (11/06/24)
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  • Complex Coder Physician Practice General Medicine

    Banner Health (AZ)
    …career here! **Bring your years of Multi-Specialty - General Medicine (some HCC ) Coding ** **experience** with Certified Risk Adjustment Coder (CRC) certification ... **Primary City/State:** Arizona, Arizona **Department Name:** Coding Ambulatory **Work Shift:** Day **Job Category:** Revenue Cycle Great careers are built at Banner… more
    Banner Health (09/21/24)
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  • Outpatient Clinical Documentation Specialist/Full…

    Henry Ford Health System (Troy, MI)
    …experience in HCC /Risk Adjustment preferred. + Knowledge of ICD-10 and HCC coding guidelines. + Exemplary organizational and communication skills. + Ability ... coding guidelines (ICD-10 and CPT), Hierarchical Condition Categories ( HCC ), standards of compliance, and clinical knowledge to identify opportunities and… more
    Henry Ford Health System (11/06/24)
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  • Risk Adjustment Provider Educator Lead Analyst-…

    The Cigna Group (Houston, TX)
    …matrix 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 ... process, anatomy, and physiology. + Working Knowledge of CMS Risk Adjustment and HCC Coding Process. + Strong computer skills (ie, MS Word, Excel, PowerPoint). +… more
    The Cigna Group (11/14/24)
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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 ... and Medicaid HCCs through medical record reviews. The Risk Adjustment Coding Specialist II reviews provider documentation of ICD-10-CM (including ICD-9-CM) codes… more
    Point32Health (10/09/24)
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  • Risk Adjustment Education Specialist - HYBRID

    Carle (Urbana, IL)
    …and processes. + Collaborates with necessary departments to ensure, when appropriate priority HCC coding activities are included on any and all provider, joint ... and knowledge of risk adjustment initiatives, particularly related to coding accuracy and quality improvement. Serves as coding... coding accuracy and quality improvement. Serves as coding subject matter expert and assists and/or liaises for… more
    Carle (09/10/24)
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  • HFHP Associate Risk Adjustment Analyst

    Health First (Rockledge, FL)
    …for Health Management (PAHM) certification. * Work Experience: o 1 year of HCC coding work experience. * Knowledge/Skills/Abilities: o No additional required. ... IFP plan payments. 3. Review of qualified medical records with documentation to include coding of ICD-10-CM codes to validate Risk Adjustment data for the MA and/or… more
    Health First (10/25/24)
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  • Medical Assistant

    Spira Care, LLC (Shawnee, KS)
    coding and documentation for Medical Advantage and Hierarchical Condition Category ( HCC ) coding . Spira Care is an equal opportunity employer. All qualified ... applicants will receive consideration for employment without regard to, among other things, race, color, religion, sex, sexual orientation, gender identity, national origin, age, status as a protected veteran, or disability. Spira Care is an advanced primary… more
    Spira Care, LLC (10/02/24)
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  • Coder I - OP & IP Profee, Neurosurgery

    Baylor Scott & White Health (Lakeway, TX)
    …observation, day surgery, professional fee to include evaluation and management (E/M) coding , profee surgery, hierarchical condition category ( HCC ) Risk Adjusted ... **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,… more
    Baylor Scott & White Health (09/12/24)
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  • System VP for Revenue Operations - Mid-Cycle

    UNC Health Care (Chapel Hill, NC)
    …with the Health Alliance to provide supportive documentation and leadership regarding HCC /RAF and coding elements in support of alternative payment models. ... impactful results across the revenue cycle, focusing on clinical documentation, coding , charge capture, and utilization review. The position oversees system-wide… more
    UNC Health Care (11/08/24)
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  • Intermediate Clinical Auditor/Analyst, QA - Remote

    UPMC (Pittsburgh, PA)
    …with DRG Assignment and clinical validation of diagnoses. + Experience with HCC /Risk Adjustment coding preferred. + Proficiency using Epic, One Content ... the analysis of care and services related to clinical guidelines, coding requirements, regulatory requirements, and resource utilization. This includes using vast… more
    UPMC (11/01/24)
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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 code diagnosis and documentation information + Research and resolution of coding projects as assigned + Document requested information from the medical record… more
    MedKoder (10/16/24)
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  • Risk Coder

    Brockton Hospital (West Bridgewater, MA)
    …have an advanced level knowledge of medical terminology and working knowledge of ICD-10-CM coding conventions and HCC and risk adjust coding guidelines, be ... of our patients. Position Summary: Under the general supervision of the Ambulatory Coding Manager, and the Senior Risk Coder, the primary function of this position… more
    Brockton Hospital (09/03/24)
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