- Premera Blue Cross (Mountlake Terrace, WA)
- …records. This position is essential for maintaining the integrity of Risk Adjustment and HCC coding . By leveraging a deep understanding of ICD-10 and other ... coding standards, the auditor reviews and researches ...paid time off to reenergize. + Looking for continuing education ? We have tuition assistance for both undergraduate and… more
- 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 ... participates in CDI- Coding Task Force and other collaborative training and education with CDI, PFS, Specialty areas and Quality Performs other duties as… more
- UnitedHealth Group (Hopkinsville, KY)
- …on client contract Consult with provider groups on gaps in documentation and coding Provide feedback on EMR/EHR systems where it is causing issues in meeting ... national coding guidelines and appropriate reimbursement requirements Provides ICD10 - HCC coding training to providers and appropriate office staff as… more
- Providence (Spokane Valley, WA)
- … Coding Accuracy, CMS RADV and other HCC audits by various health plans. Provide HCC coding education to the providers, coders and other staff. ... for planning, organizing, implementing, staffing, and supervising all functions and workflow for HCC coding , coding WQ resolution for managed care line… more
- WMCHealth (Valhalla, NY)
- …. Maintains current competencies in clinical documentation improvement and ICD, CPT and HCC coding through continuing education . Assists with compliance ... activities. Monitors and reports key performance indicators relative to clinical documentation and HCC coding . . Documents and maintains records of all query,… 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 ... experiences to realize our bold vision for healthcare. The Provider Practice Coding Consultant role is an...make a significant impact in the field of medical coding . You will provide essential consulting services… more
- Datavant (Atlanta, GA)
- …on a daily basis, including education on time management and best coding practices. + Provide coaching and feedback on achieving production and quality ... standards of the role. + Report trends for education opportunities to management for review and/or action. +...experience managing a team of employees. + Familiarity with HCC coding . + A strong knowledge base… more
- BJC HealthCare (St. Louis, MO)
- …setting. Background to be successful in the role: + **Hierarchical Condition Category ( HCC )** ** coding and risk adjustment** + **Bachelors degree** + **2 years ... of the department as established by department leadership. **Minimum Requirements** ** Education ** + Bachelor's Degree - Healthcare related field **Experience** +… more
- Corewell Health (Grand Rapids, MI)
- …Epic, Power BI, Tableau, or similar tools. + Provide actionable insights to support coding , CDI, and provider education . + Provider Targeting & ... and deliver recurring and ad-hoc reports on RAF trends, HCC capture rates, provider performance, and suspect...or healthcare data analysis. + Strong understanding of ICD-10-CM, HCC coding , V28 models, and risk-adjustment methodologies.… more
- WMCHealth (Valhalla, NY)
- …office staff to educate on proper coding and documentation. Identifies service-specific/ provider specific trends for education . + Conducts focused audits on ... documentation guidelines. In addition the coder is responsible to provide education and training to providers and...surgical speacialties is required. HCC Risk adjustment Coding esperience is preferred. Education : High school… more
- Albany Medical Center (Albany, NY)
- …with federal and state regulations and insurance carrier guidelines. Provide education , instruction 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...specialties. - preferred + Working knowledge and experience with provider professional fee coding and charge processing.… more
- Trinity Health (Albany, NY)
- …a team environment and is responsible for reviewing clinical documentation and coding using HCC (Hierarchical Condition Category) and MEAT (Monitored, ... reports opportunities for documentation improvement to the Supervisor of Risk Adjustment Coding & Audit to develop and implement provider documentation… more
- Humana (Salt Lake City, UT)
- …condition documentation and coding audits, risk adjustment program implementation and provider education delivery. An ideal candidate will also have the ... **Required Qualifications** + 5+ years of experience in risk adjustment coding /auditing/ education and provider relations/engagement + Certified Professional… more
- CareFirst (Baltimore, MD)
- …activities and operational processes of the coding operations team - including HCC coding , auditing and data submission to CMS and other regulatory agencies, ... activities, and drive ongoing professional development on CMS, HHS, HCC , and ICD-10 coding requirements. + Identify...with state and regulatory agencies. Conduct audits to review coding accuracy and provide actionable feedback to… more
- Genesis Healthcare (PA)
- …of the organization by working with the Director of Quality Coding and Provider Compliance in identifying the need for education and training to LTC ACO ... gaps in accuracy and quality related to documentation and coding to identify education needs; and +...Support + Assist as needed in the development of provider education around the importance and applicability… 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
- UNC Health Care (Chapel Hill, NC)
- …through and complete the CDS training modules. 3. Provides ongoing documentation and coding education to CDI Physician Advisers and CDS staff. 4. Provides ... auditor provides elbow to elbow support during training and education as well as through webex. This position may...Requirements:** * Strong knowledge of ICD-10-CM, ICD-10-PCS, and CPT coding , MS DRG, hierarchical condition categories ( HCC ),… more
- University of Southern California (Alhambra, CA)
- …organize, follow directives with accuracy and precision. In addition, this position will provide guidance and training to other HIM Coding Denials Management ... of coding staff to ensure a 95% coding accuracy rate. * Develops monitoring/ education plans... issues. + UNDER GENERAL SUPERVISION, RESPONSIBLE FOR * Provide guidance and training to other HIM Coding… more
- Centene Corporation (Jefferson City, MO)
- …evaluate the effectiveness and compliance of risk adjustment quality programs. + Provide expert guidance on CMS coding requirements, clinical documentation ... chart reviews and advise on clinical best practices related to risk adjustment coding , HCC capture, and documentation improvement. + Performs other duties as… more
- Mount Sinai Health System (New York, NY)
- …in a multi-entity or academic health system. - Familiarity with risk adjustment, HCC coding , and value-based care models. - Proven success in implementing ... CDI, compliance, revenue cycle, and clinical departments to align coding practices. - Provide regular updates to...become part of Mount Sinai's unparalleled legacy of achievement, education , and innovation as we work together to transform… more
