- Endeavor Health (Elmhurst, IL)
- …compliant physician reimbursement and for both evaluation/ management, preventive ( HCC risk adjustment) and surgical services under general supervision. Communicates ... with physicians and staff to resolve discrepancies with patient records and coding selections. Performs provider audits on E/M (evaluation/management) services and … more
- BJC HealthCare (St. Louis, MO)
- …setting. Background to be successful in the role: + **Hierarchical Condition Category ( HCC )** ** coding and risk adjustment** + **Bachelors degree** + **2 years ... Requirements** **Licenses & Certifications** + Cert Clinical Documentation + Certified Coding Spec + Cert Doc Improve Practitioner **Benefits and Legal Statement**… 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. ... (CPC, CPC-H, COC, CIC, CRC) + Extensive knowledge of ICD -10 + 2 years' HCC coding experience + 1+ years' Team Lead experience a plus + A strong knowledge base… more
- Datavant (Atlanta, GA)
- …required. + People Leader experience managing a team of employees. + Familiarity with HCC coding . + A strong knowledge base of medical terminology, medical ... educational and life experiences to realize our bold vision for healthcare. The Coding Supervisor serves as a working supervisor with oversight and management of… more
- Datavant (Indianapolis, IN)
- …outcomes in both hospitals and alternative care settings. Candidates with Profee and HCC coding experience with annual wellness visits are strongly encouraged to ... realize our bold vision for healthcare. The Provider Practice Coding Consultant role is an opportunity to make a...make a significant impact in the field of medical coding . You will provide essential consulting services and educational… more
- Emanate Health (Covina, CA)
- …#19 ranked company in the country. **J** **ob Summary** Responsible for the oversight of HCC Program and STAR measures coding related functions. The coding ... the IPA Director, Health Plan, and MSO personnel on HCC and STAR measures related tasks. Responsible to ensure...and achieves or improves upon 4.0 STAR rating. The coding specialist is responsible for education to external physician… more
- Corewell Health (Grand Rapids, MI)
- …RAF modeling, or healthcare data analysis. + Strong understanding of ICD-10-CM, HCC coding , V28 models, and risk-adjustment methodologies. + Ability to ... opportunity targeting. The ideal candidate understands CMS risk-adjustment methodologies, coding impacts, and can turn data insights into actionable strategies… more
- Datavant (Topeka, KS)
- …credentials (CPC, CPC-H, COC, CIC, or CRC). + A minimum of 2 years HCC coding experience, while certified. + Full understanding and knowledge of ICD-10, ... to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical...guidelines. + Coders must meet and maintain a 95% coding accuracy rate. + Any other task requested by… more
- Providence (Spokane Valley, WA)
- …for planning, organizing, implementing, staffing, and supervising all functions and workflow for HCC coding , coding WQ resolution for managed care line ... system implementation in the clinics. Prepares reports associated with RAF score, HCC Coding Accuracy, HCC Recapture rates. Performs medical record review… more
- CareFirst (Baltimore, MD)
- …activities and operational processes of the coding operations team - including HCC coding , auditing and data submission to CMS and other regulatory agencies, ... activities, and drive ongoing professional development on CMS, HHS, HCC , and ICD-10 coding requirements. + Identify...development on CMS, HHS, HCC , and ICD-10 coding requirements. + Identify and resolve process bottlenecks, ensuring… more
- CareFirst (Baltimore, MD)
- …work experience. **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 the retrospective risk adjustment supplemental filing, Risk Adjustment Data… more
- Mount Sinai Health System (New York, NY)
- …in a multi-entity or academic health system. - Familiarity with risk adjustment, HCC coding , and value-based care models. - Proven success in implementing ... **Job Description** The Senior Director of Coding is a strategic and operational leader responsible...responsible for overseeing all aspects of professional and hospital coding across the health system. This role ensures … more
- Albany Medical Center (Albany, NY)
- …and training to providers and coding staff. Act as an expert for the HCC /Risk adjustment coding . This position is remote but does require onsite education to ... Guideline for Coding and Reporting. Code chronic disease that meets HCC and Risk Adjustment criteria. Validate missed coding opportunities. + Conducts… more
- Centene Corporation (Jefferson City, MO)
- …chart reviews and advise on clinical best practices related to risk adjustment coding , HCC capture, and documentation improvement. + Performs other duties as ... proper extraction of medical diagnoses and ensure accurate and complete diagnosis coding in alignment with HCCs and other risk adjustment models. Identifies and… more
- WMCHealth (Valhalla, NY)
- …activities. Monitors and reports key performance indicators relative to clinical documentation and HCC coding . . Documents and maintains records of all query, ... Maintains current competencies in clinical documentation improvement and ICD, CPT and HCC coding through continuing education. Assists with compliance audits and… more
- Trinity Health (Albany, NY)
- …a team environment and is responsible for reviewing clinical documentation and coding using HCC (Hierarchical Condition Category) and MEAT (Monitored, ... claim is submitted to payers. . Demonstrate a solid understanding of ICD-10-CM coding and medical terminology, Hierarchical Condition Category ( HCC ), and MEAT… more
- Datavant (Topeka, KS)
- …& Execution** + Develop and execute a sales strategy to grow adoption of HCC coding solutions among risk-bearing providers (eg, health systems, ACOs, provider ... a trusted advisor, demonstrating a strong understanding of risk adjustment, HCC coding , and value-based care operations. + Liaison account management activities,… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …+ Perform comprehensive 1st pass reviews of medical records and physician assessment forms \( HCC coding \)\. + Assist with the intake and quality assurance of ... you must obtain it within one year of hire\. + Strong expertise in HCC \(Hierarchical Condition Category\) coding , with experience in MA \(Medicare Advantage\)… more
- Bluestone Physician Services (Stillwater, MN)
- …in healthcare coding , with a focus on Hierarchical Condition Category ( HCC ) coding and risk adjustment. Knowledge/Skills/Abilities + Proficiency in reviewing ... disease capture for Bluestone providers. If you are passionate about improving coding practices and ensuring quality patient care, we encourage you to apply!… more
- Henry Ford Health System (Troy, MI)
- …medical group leadership, clinical and ancillary departments regarding appropriate clinical documentation, coding rules and regulations, HCC Coding and Risk ... Health System and ensures alignment of high quality documentation and coding that supports compliant and accurate medical record documentation. EDUCATION/EXPERIENCE… more
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