- 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...as possible to the Professional + Recruiter or Operations Manager + Submits vacation or personal day requests to… more
- Catholic Health Initiatives (Chattanooga, TN)
- …and committees as appropriate. + Reports areas of risk directly to the Coding Integrity Manager /Supervisor. + Maintains a high level of competency related ... hospital, connect with us today! **Responsibilities** **Job Summary / Purpose** The Sr Coding Compliance Auditor is responsible for reviewing chart notes for proper … more
- Catholic Health (Buffalo, NY)
- …Overtime: Exempt: Yes Work Schedule: Days Hours: M-F 8-4 pm Summary: The Manager , Ambulatory Coding Education & Clinical Documentation will be directly ... Education Program and the Ambulatory Clinical Documentation Improvement and HCC Risk Diagnosis capture initiatives. The position will manage...health system and will serve as a documentation and coding subject matter expert. The manager will… more
- Tidelands Health (Murrells Inlet, SC)
- …moderate to high complexity using ICD-10-CM and ICD-10-PCS or any other designated coding classification system in accordance with coding rules and regulations. ... Abides by the Standards of Ethical Coding as set forth by AHIMA. Abstracting required clinical...contact for CDI and other team members when the supervisor/ manager is not available. **Position Responsibilities & Functions** +… more
- AdventHealth (Altamonte Springs, FL)
- …Provides suggestions on process improvement. . Works with the audit team and coding manager to develop meaningful education and may conduct educational huddles ... Categories ( HCC ) . Expert level knowledge of medical terminology, coding guidelines and methodologies . Understanding of HIPAA privacy rules and ability… more
- Trinity Health (Fresno, CA)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** Reporting to the Manager Medical Group Revenue Cycle Site Operations, Fresno, this position is ... procedures; and ensuring proper assignment of diagnosis and procedure codes using coding guidelines established by the Centers for Medicare and Medicaid Services… more
- 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
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- *_SUMMARY:_* We are currently seeking a*Revenue Integrity Manager *to join our team. Thisfull-timerole will primarily workremote (SHIFT). *Purpose of this ... analysts * Works collaboratively with all Revenue Cycle Management ( Coding , Billing/Claims, etc.), Finance, Compliance, Information Services & Technology,… 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 ... of action. + Maintains productivity levels as defined by the Manager / Supervisor for a Coding Specialist II by project type and accuracy levels as defined… 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 ... and assists and/or liaises for internal and external customers. Works collaboratively with Coding Analysts, Coding Supervisor, Manager , Director, and Medical… more
- Henry Ford Health System (Troy, MI)
- …registration, pre-registration, insurance verification, prior authorization. 2. Mid-cycle: coding , clinical documentation improvement, HCC , HIM, utilization ... Ascension acute and ambulatory revenue cycle operations. The Revenue Cycle Transition Manager performs work of a complex nature across the health system.… more
- The Cigna Group (Bluffton, SC)
- …audit activities for the Cigna Compliance Department, with particular emphasis on Coding , Risk Adjustment and Coding Decisions. Collaborates with Cigna ... extent is needed. To be successful, this candidate must exhibit superior analytical, coding skills (including ICD-9 and ICD-10), strong knowledge of HCC 's and… more
- Fallon Health (Worcester, MA)
- …as needed. + Participate in regional Coding Chapter meetings **Qualifications** + HCC coding knowledge preferred + Ability to abstract and code diagnosis ... ability to oversee the chart review life cycle from scheduling access, collecting images, coding chart and updating data software. The CRS must have the ability to… more
- Brockton Hospital (West Bridgewater, MA)
- …health of our patients. Position Summary: Under the general supervision of the Ambulatory Coding Manager , and the Senior Risk Coder, the primary function of this ... level knowledge of medical terminology and working knowledge of ICD-10-CM coding conventions and HCC and risk adjust coding guidelines, be proficient in… more
- 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, ... care and improve quality metrics. Under the guidance of the Quality Manager and/or Quality Analyst, reviews quarterly performance reports, meets with network group… more
- The Cigna Group (Bloomfield, CT)
- …order to ensure patient's medical well-being and to provide accurate data for HCC (Hierarchical Condition Categories) coding , STAR ratings and reimbursement. + ... the support of care team such as: nurse care manager , behavioral health, social work, and pharmacy to meet...+ Performing other duties as assigned by the practice manager or medical director. + Perform HRA (health risk… more
- Dana-Farber Cancer Institute (Boston, MA)
- …Dana-Farber and Dana-Farber/Harvard Cancer Center:** Independently represents the department on DF/ HCC and DFCI committees, including but not limited to Scientific ... investigators on all aspects of grant submissions. Work with grants manager on all administrative aspects, including budget. **Research Portfolio Management:**… more