- CaroMont Health (Gastonia, NC)
- …Summary: To identify needs for (through auditing or other methods)and provide coding education related to HCC (Hierarchical Category Coding ). Serve as ... for Risk Adjustment coding . Train and educate coding staff on HCC coding ...Qualifications: Bachelor degree with 2 years experience related to coding / auditing ; Associate degree with 3-4 years experience… more
- Providence (Beaverton, OR)
- …**Required qualifications for this position include:** + 5+ years HCC specific coding experience + 3+ years of recent auditing experience + Proficiency in ... Medicare Advantage & ACA **who will:** + Perform internal coding audits of Hhierarchical Condition category ( HCC )...internal coding audits of Hhierarchical Condition category ( HCC ) coding review for Risk Adjustment staff,… more
- MedKoder (Mandeville, LA)
- Position Location: 100% Remote Qualifications The Medical Coder provides coding and coding auditing services directly to providers. This includes the ... 1 year of specialized experience in Medicare Risk Adjustment disciplines- such as HCC , CCC HEDIS + Auditing experience a PLUS. ICD-10 experience/education a… more
- AdventHealth (Altamonte Springs, FL)
- …Categories ( HCC ) . Expert level knowledge of medical terminology, coding guidelines and methodologies . Understanding of HIPAA privacy rules and ability ... **Remote** **The role you'll contribute:** The inpatient or outpatient coding team Corporate Quality Auditor (QA)/Educator supports the operations of… more
- Trinity Health (Fresno, CA)
- …procedures; and ensuring proper assignment of diagnosis and procedure codes using coding guidelines established by the Centers for Medicare and Medicaid Services ... (CMS). Monitor's accuracy of centralized coder's charge capture and coding with proper International Classification of Diseases 10th Revision (ICD-10), Current… more
- CVS Health (Tallahassee, FL)
- …of 3 years recent and related experience in medical record documentation review, diagnosis coding , and/or auditing . + Minimum of 3 years of experience with ... to demonstrate proficiency in the following: + Proven ability to support coding judgment and decisions using industry standard evidence and tools. + Proficient… more
- Ascension Health (Halethorpe, MD)
- …and present educational programs related tocoding. + Assist in the management of the coding and billing auditing and monitoring program to address high risk ... Perform periodic and ongoing audits of claims to ensure accuracy of coding and billing, and sufficiency of supporting documentation. + Audit specified number… more
- UPMC (Pittsburgh, PA)
- …projects and other auditing activities. + Complete audits by utilizing standard coding guidelines and principles and coding clinics to verify that the ... with DRG Assignment and clinical validation of diagnoses. + Experience with HCC /Risk Adjustment coding preferred. + Proficiency using Epic, One Content… more
- 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/or hospital care management environment required. Prior experience with Risk Adjustment coding and auditing preferred. + Thorough knowledge of medical… more
- 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 ... open communication and knowledge of risk adjustment initiatives, particularly related to coding accuracy and quality improvement. Serves as coding subject matter… more
- The Cigna Group (Bluffton, SC)
- …**Certified Coding Specialist required.** 5+ years of experience with auditing . Experience with Risk Adjustment Data Validation Audits required. Strong knowledge ... audit activities for the Cigna Compliance Department, with particular emphasis on Coding , Risk Adjustment and Coding Decisions. Collaborates with Cigna… more
- Henry Ford Health System (Troy, MI)
- …facility and the physicians. The Supervisor utilizes knowledge of national coding guidelines (ICD-10), CPT, Hierarchical Condition Categories ( HCC ), standards ... Administration or Healthcare related field) or 5 years medical billing, coding , auditing , compliance, CDI, revenue integrity, healthcare/business financial or… more
- 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 ... assurance auditing (ie ensure appropriateness and accuracy of ICD-9/ICD-10 coding ) for WellCare's Medical Coding Specialists. + Communicates QA results… more