• 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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  • 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 (11/01/24)
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  • HCC Risk Adjustment QA Auditor: Medicare…

    Providence (Beaverton, 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 Education Specialist - Philadelphia…

    The Cigna Group (Nashville, TN)
    …of CPT/Evaluation and Management guidelines + Working Knowledge of CMS Risk Adjustment and HCC Coding Process + Strong computer skills (ie MS Office) + Prior ... ** Coding Education Specialist (AHIMA or AAPC certified) -**...in the field/visit multiple provider offices each week** + ** Coding certification required (at least one of the below):**… more
    The Cigna Group (09/20/24)
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  • Associate Coding Analyst *Remote

    Providence (Beaverton, OR)
    …+ Be responsible for detailed diagnostic coding associated with Risk Adjustment and HCC Coding + Impact revenue and CMS compliance with the coordination of ... technically detailed coding applications that impacts operations, programmatic and information systems,...a comprehensive understanding of ICD-10 and other types of coding to Health Plan, contracted facilities, and providers +… more
    Providence (09/24/24)
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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 - Remote

    Mount Sinai Health System (New York, NY)
    …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 ? ... 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 (10/31/24)
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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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  • Supervisor Outpatient CDI/Full Time/Remote

    Henry Ford Health System (Troy, MI)
    …Administration or related field) required; Bachelor's degree preferred. + 3 or more years of HCC coding required. + 5 or more years' experience either in the ... or CCS; or combination thereof preferred. + Knowledge of ICD-10 and HCC coding guidelines. + Exemplary organizational and communication skills. + Ability to… more
    Henry Ford Health System (10/31/24)
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  • Quality Review and Audit Analyst(Remote)

    The Cigna Group (Bloomfield, CT)
    …and coding compliance, with both Inpatient and Outpatient documentation * HCC coding experience preferred * Computer competency with excel, MS Word, ... The Risk Adjustment Quality & Review Analyst in IFP brings medical coding and Hierarchical Condition Category expertise to the role, evaluates complex medical… more
    The Cigna Group (11/02/24)
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  • Coder - Medical Group

    Providence (Milwaukie, OR)
    …and support with the code entry process, documentation, ICD-9, ICD-10, and HCC coding in alignment with current medical group reimbursement requirements. ... support with the code entry process, documentation, ICD-9, ICD-10, and HCC coding in alignment with current medical group reimbursement requirements. Providence… more
    Providence (10/09/24)
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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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  • Risk Adjustment Auditor Educator

    Centene Corporation (Tallahassee, FL)
    …of experience** in coding with knowledge of Medicare risk adjustment ( HCC Coding ) Required experience in teaching, training or an educator/instructor role ... **Position Purpose:** Conduct provider medical record audits, analysis of practice coding patterns, education and training regarding risk adjustment to ensure… more
    Centene Corporation (09/25/24)
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  • Chart Review Specialist - Medicare-Medicaid…

    Fallon Health (Worcester, MA)
    …as needed. + Participate in regional Coding Chapter meetings **Qualifications** + HCC coding knowledge preferred + Ability to abstract and code diagnosis ... chart review life cycle from scheduling access, collecting images, coding chart and updating data software. The CRS must...in monthly Inter-rater reliability discussions to develop and enforce coding P&Ps and define Coding Standards and… more
    Fallon Health (08/13/24)
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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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  • Senior Risk Adjustment Analyst - Health Plan…

    Martin's Point Health Care (Portland, ME)
    …of third-party analytical tools and reporting platforms related to risk profile analysis and HCC coding + Recommends tools and methodologies that can be deployed ... operational and strategic planning processes + Subject matter expert in CMS HCC Risk Adjustment modeling + May lead vendor research, software installation,… more
    Martin's Point Health Care (09/06/24)
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  • Patient Liaison - USFHP

    Pacific Medical Centers (Renton, WA)
    …to close gaps in care. This position provides support for HEDIS activities, HCC coding audits, TRICARE reports, quality measure reports for provider groups, ... + Associate's Degree in Healthcare related field + 1 year experience with coding : ICD-10, CPT, HCPCS **Why Join Providence?** Our best-in-class benefits are uniquely… more
    Pacific Medical Centers (10/16/24)
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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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