- Prisma Health (Columbia, SC)
- …capture, HAC/PSI, HCC and Quality Indicator validation. Uses knowledge of coding and compliance guidelines to identify potential documentation, coding and ... Serve with compassion. Be the difference. Job Summary Responsible for leading coding teams, coder training, work que management, performing prebill and second-level … more
- Prisma Health (Greenville, SC)
- …Location Independence Pointe Facility 7002 Value-Based Care and Network Services Department 70028459 HCC Coding Services Share your talent with us! Our vision is ... Job Summary Conducts prospective review to abstract Hierarchical Condition Categories ( HCC 's) codes to report for the calendar year. Communicates (via Epic… 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. ... + Extensive knowledge of ICD -10 + 2 years' HCC coding experience + 1+ years' Team...etc + Comprehensive training led by a credentialed professional coding manager + Exceptional service-style management and… 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 ... monitor, mouse, etc + Comprehensive training led by a credentialed professional coding manager + Exceptional service-style management and mentorship (we're in… 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 ... **Description** Under the direct supervision of Manager of Revenue Integrity, the Coding ...in the clinics. Prepares reports associated with RAF score, HCC Coding Accuracy, HCC Recapture… 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 ... interview process to fill personnel vacancies. + Perform System Manager tasks for specified applications in his/her absence to...Coding and Reporting. Code chronic disease that meets HCC and Risk Adjustment criteria. Validate missed coding… more
- Humana (Salt Lake City, UT)
- …a part of our caring community and help us put health first** The Senior Coding Educator will work closely with providers to identify documentation and coding ... in the risk adjustment methodology. This role reports to the Risk Adjustment Manager and will work closely with market operations, finance, and clinical team to… more
- University of Southern California (Alhambra, CA)
- …and in a timely fashion. * Performs other duties as requested/assigned by Director, Manager , Supervisor, or designee. + CODING & ABSTRACTING ACCURACY * Ability ... In accordance with current federal & state coding compliance regulations and guidelines, the HIM ...HCC assignments based on medical necessity documentation & coding of PDx, SecDx, and CPT/HCPCS in accordance with… more
- UNC Health Care (Chapel Hill, NC)
- …Abilities Requirements:** * Strong knowledge of ICD-10-CM, ICD-10-PCS, and CPT coding , MS DRG, hierarchical condition categories ( HCC ), and CDI ... shared services. This position reports to the HCS Supervisor Coding and CDI Quality and Training. This position may...hiring and selection of new CDS with the hiring manager as requested. 6. Analyzes and audits medical records… 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 ... GENERAL SUMMARY: The Outpatient Clinical Documentation (CDI) Manager is responsible for managing, coordinating, and performing day-to-day operations for the… more
- J&J Family of Companies (San Bernardino, CA)
- …States, San Bernardino, California, United States **Job Description:** **Field Reimbursement Manager (Immunology Rheumatology) - Orange County, CA - Johnson & ... Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position that will include the Riverside,… more
- J&J Family of Companies (Denver, CO)
- …Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position that will include the **Greater ... help overcome challenges to fulfillment, on-boarding, and adherence. The Field Reimbursement Manager (FRM) is responsible for serving as the primary field-based lead… more
- J&J Family of Companies (Manchester, NH)
- …Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position that will include the Manchester, ... help overcome challenges to fulfillment, on-boarding, and adherence. The Field Reimbursement Manager (FRM) is responsible for serving as the primary field-based lead… more
- Hartford HealthCare (Farmington, CT)
- …will work in collaboration with the clinical documentation specialists (CDS), coding professionals, providers, nursing staff and other patient care givers to ... record. This role supports attaining appropriate DRGs, quality outcomes, and accurate coding based on sound clinical entries in the medical record. The Clinical… more
- Henry Ford Health System (Grand Blanc, MI)
- …to work remotely. + Proficient in medical terminology. + Proficient in ICD-10 CM, CPT, HCC and HCPCS coding . + Able to recognize patterns and trends and escalate ... conjunction with OP Audit Analysts and Coordinators will utilize documentation and coding expertise to facilitate audits of the quality and completeness of medical… more
- Amazon (IL)
- … Risk Adjustment * Possesses advanced knowledge and understanding of Profee and HCC Risk Adjustment, coding and documentation requirements. * Previous experience ... Medical Clinical and Revenue Cycle teams in reviewing the coding accuracy of claims. This role reports into the... accuracy of claims. This role reports into the Manager I, Revenue Cycle. As part of Amazon Health… more
- Convey Health Solutions (Fort Lauderdale, FL)
- …field. + Strong understanding of Medicare Advantage programs, risk adjustment models (eg, HCC coding ), and the regulatory environment (CMS). + Experience working ... Health Solutions company seeks a highly skilled and results-driven Senior Product Manager to lead our Medicare Advantage Risk Adjustment solution portfolio. In this… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …streams to ensure timely submission of records for internal and external coding teams. This includes effective tracking of requests, ongoing assessment of timelines, ... to ensure department goals for successful and accurate medical record retrieval and coding are met. * Coordinate, track, and update process flows and training… more
- Datavant (Boise, ID)
- …headset, and keyboard + Comprehensive training led by a credentialed professional coding manager + Exceptional service-style management and mentorship (we're in ... in neurosurgery and orthopedics. Experience in Interventional Radiology and HCC is a plus. **You Will:** + Conduct inpatient...manager . + Prepare the final reports for the coding audit and actively participates in the resolution of… more
- UPMC (Pittsburgh, PA)
- …Plan has an exciting opportunity for a Physician Educator position in the HCC Risk Adjustment Department. This is a full-time position working Monday through Friday ... to address issues, questions and learning needs related to coding and documentation in the medical record and the...care and maximize risk adjustment revenue. + Assist Senior Manager in development of education objectives and programs. +… more
