- Highmark Health (Columbus, OH)
- …Supports other key objectives to drive capture of correct Risk Adjustment coding including documentation improvement, provider education , analyzing reports, ... and identifying process improvements. **ESSENTIAL RESPONSIBILITIES** + Performs HCC coding on projects for MA, ACA,...in RPM Coding educational meetings and annual coding Summit. + Other duties as assigned. ** EDUCATION… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …II coding , to ensure compliance with state and federal guidelines. + Assists HCC Coding Supervisor and System Director of Risk Score Accuracy with special ... involving electronic health record/software/information technology processes. + Works with RSA Coding Supervisor to communicate provider coding accuracy… more
- MedKoder (Mandeville, LA)
- …on a consistent basis + Attend conference calls as necessary to provide information and/or feedback Education /Experience Requirements: + Successful completion of ... Position Location: 100% Remote Qualifications The Medical Coder provides coding and coding auditing services directly to providers. This includes the analysis… more
- Henry Ford Health System (Troy, MI)
- …Coding ? If your answer is YES, this position could be for you! The Medical Coding Education Coordinator is 95% remote work, with travel as needed within the ... directly with providers. About the Role: As our Medical Coding Education Coordinator, you'll be at the...forefront of coordinating, overseeing, and optimizing the flow of provider education and medical record coded information… more
- The Cigna Group (Nashville, TN)
- …and staff + Ability to communicate coding and documentation guidelines and education + Conduct provider training on health plan coding initiatives ... guidelines + Working Knowledge of CMS Risk Adjustment and HCC Coding Process + Strong computer skills...data to prioritize provider educational reviews. Implement education , where necessary, and provide formal training… more
- Sharp HealthCare (San Diego, CA)
- …efforts and processes are followed to allow for maximum reimbursement through appropriate coding .Performs chart audits, to provide education to providers and ... coding discrepancies to management. Works to improve overall provider accuracy. **Required Qualifications** + HS Diploma or Equivalent...certified coder. + 2 Years experience working as a HCC risk adjustment coding auditor. + Experience… more
- Geisinger (Danville, PA)
- …complete and accurate coding . + Assists in decision making relevant to physician coding education and HCC targeting purposes. + Provides encoder software ... Job Summary Health information coding is the transformation of verbal descriptions of...payers for reimbursement. A joint effort between the healthcare provider and the coder is essential to achieve complete… more
- CareFirst (Baltimore, MD)
- …and provides information to management team to further enhance quality and/or provider education . Work with leadership and third-party vendors to negotiate ... federal government. Develops and conducts new physician/other healthcare practitioner coding orientation/ education , including group or individual sessions.… more
- Providence (Everett, WA)
- … coding issues; medical record review, documentation standards and identifying and offering education in relation to provider coding errors. Coding ... diagnostic coding associated with Risk Adjustment and HCC coding . This impacts revenue and CMS...RHIA, RHIT or CPC certified coder within a healthcare provider organization or health insurance company. + Demonstrated experience… more
- Providence (Beaverton, OR)
- … coding issues, medical record review, documentation standards and identifying and offering education in relation to provider coding errors + Serve in ... diagnostic coding associated with Risk Adjustment and HCC Coding + Impact revenue and CMS...include:** + 1+ years' experience working within a healthcare provider organization or health insurance company + Demonstrated experience… more
- Trinity Health (Fresno, CA)
- …with leadership to improve HCC and other Risk Adjustment capture with provider and coder education . Conducts ongoing reviews of patient medical record ... documentation and procedural and diagnosis coding by each practitioner. Responsible for practitioner education in areas related to coding , documentation and… more
- Tidelands Health (Murrells Inlet, SC)
- …in hospital inpatient coding or successful completion of Tidelands Health coding cross-training program ** Education ** : High school graduate or equivalent, ... complexity using ICD-10-CM and ICD-10-PCS or any other designated coding classification system in accordance with coding ...team as part of the clinical documentation validation, to provide the most accurate and complete diagnoses. Works with… more
- The Cigna Group (Chattanooga, TN)
- … provider office diagnosis coding . Implement provider office education , where necessary, and provide formal training to providers and staff regarding ... Cigna Medicare's programs specific to CMS Risk Adjustment and HCC Coding Processes. It will require expertise... meetings for assigned provider groups to provide updates, recommendations, or education (may occur… more
- UCLA Health (Los Angeles, CA)
- …chronic conditions + Analyze coding patterns within medical groups. + Provide customized education and updating educational materials for providers and ... Description As the Medicare Advantage Risk Adjustment Provider Documentation Trainer and Auditor, you will be...Auditor, you will be an expert in risk adjustment coding and documentation, working closely with physicians, IPA coders,… more
- Carle (Urbana, IL)
- …of degree with heavy emphasis on provider interaction related to coding and clinical documentation, improvement, and education . CERTIFICATION & LICENSURE ... heavy emphasis on provider interaction related to coding and clinical documentation, improvement, and education ....Collaborates with necessary departments to ensure, when appropriate priority HCC coding activities are included on any… more
- CVS Health (Albany, NY)
- …risk adjustment experience in Medicare advantage or commercial - 3+ years of provider education experience - Knowledge of regulatory/accreditor guidelines - 3+ ... of electronic health records for conflicting, incomplete, or nonspecific provider documentation as it relates to appropriate HCC...A particular focus with be on Hierarchical Condition Categories ( HCC ) coding , which is used by CMS… 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 ... Hospitalist, Toxicology, and Select Rehab service lines. This position also performed HCC reviews and education .** Production expectations generally are 9-14… more
- Robert Half Finance & Accounting (San Antonio, TX)
- …in assessing coding opportunities and actively identify areas that require provider education . * Display proficiency in ICD-10-CM, CPT, HCPCS coding ... Description We are seeking an Internal HCC Coding Auditor to join our...put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits,… more
- Banner Health (LA)
- …for proper reimbursement and that coding compliance is complete. Monitors coding work and trends, then provides education where opportunities are identified. ... quality teams' initiatives to improve clinical documentation. Assists with education and training of Coding Apprentice or...Experience normally obtained with 2-3 year experience in CMS HCC Risk Adjustment payment methodology and coding … more
- Providence (Spokane, WA)
- …in medical coding and auditing with thorough knowledge of CPT,ICD-10, and HCC coding principles. + 4 years of Supervisory/management experience + 6 years ... **Description** Responsible for coding and compliance research, education , and...of timely and accurate audits of providers utilizing current coding /compliance guidelines for CPT, ICD-10, HCPCS, HCC ,… more