- CareFirst (Baltimore, MD)
- …federal government. Develops and conducts new physician/other healthcare practitioner coding orientation/ education , including group or individual sessions. ... expected to assist in guiding and mentoring less experienced staff. May lead a team of matrixed resources. **QUALIFICATIONS:** ** Education Level:** Associate's… more
- Trinity Health (Hartford, CT)
- …to risk adjustment payment models + Conduct chart review audits, identify coding and/or documentation discrepancies, and prepare feedback, education , and ... Residency required **Position Purpose** The Clinically Integrated Network (CIN) Risk Coding Specialist is responsible for reviewing medical records to assess… more
- Trinity Health (Fresno, CA)
- …ongoing reviews of patient medical record documentation and procedural and diagnosis coding by each practitioner. Responsible for practitioner education in areas ... procedures; and ensuring proper assignment of diagnosis and procedure codes using coding guidelines established by the Centers for Medicare and Medicaid Services… more
- 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 ... with providers to assist in achieving accurate and complete coding documentation. Provider Data Lead Analysts will...physiology. + Working Knowledge of CMS Risk Adjustment and HCC Coding Process. + Strong computer skills… 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 ... The Audit, Education , Analytics, & Technology Supervisor, in conjunction with...physicians, coders, and clinical staff, will utilize documentation and coding expertise to facilitate the quality and completeness of… more
- Veterans Affairs, Veterans Health Administration (Fredericksburg, VA)
- …(MSD) area of the Supply Chain Management (Logistics) Section in the Fredericksburg HCC . The primary purpose of the position is to ensure that supplies and ... needed to supply changes to Inventory Management Specialists; communicating to the lead or supervisor any concerns related to supplies, equipment and procedures,… more
- J&J Family of Companies (MI)
- …Reimbursement Manager (FRM) is responsible for serving as the primary field-based lead for education , assistance, and issue resolution with healthcare providers ... role involves investing time (up to 50%) on-site with HCPs, assessing their education needs and facilitating collaboration with various stakeholders. A Day in the… more
- CareFirst (Baltimore, MD)
- …is expected to assist in guiding and mentoring less experienced staff. May lead a team of matrixed resources. **QUALIFICATIONS:** ** Education Level:** Bachelor's ... goals are met and propose opportunities in maximizing reimbursement based on the CMS- HCC (Hierarchical Condition Code) model. Perform data mining of claims and data… more
- Henry Ford Health System (Troy, MI)
- …registration, pre-registration, insurance verification, prior authorization. 2. Mid-cycle: coding , clinical documentation improvement, HCC , HIM, utilization ... plan. 7. Coordinates with Henry Ford, Ascension, and external resources to lead Epic conversion planning, testing, and implementation. 8. Collaborate with subject… more