- CaroMont Health (Gastonia, NC)
- …required to capture HCC 's for Risk Adjustment coding . Train and educate coding staff on HCC coding issues. Work with payer representatives who audit ... HCC coding for Managed Medicare plans and participate in the...other departments as needed. Develop new procedures related to HCC coding and assist with implementation of… more
- Kelsey-Seybold Clinic (IA)
- …Official ICD-10-CM Guidelines for Coding and Reporting. **Job Title: HCC Coding Compliance Assistant-KS Plan Advantage-Risk Adjustm** **Location: 100% ... Assessment certificate. Preferred: HEDIS experience **License(s)** Required: CCS-P (Certified Coding Specialist -Physician) or CPC (Certified Professional Coder)… more
- Insight Global (Tampa, FL)
- …Requirements Must have active CPC certification through AAPC or AHIMA, OR Certified Coding Specialist (CCS) 3+ years minimum of HCC coding OR Fee for ... in a one-to-two-year period. All our retro projects are HCC coding only. We are a company...production role, ability to maintain 96% accuracy Problem list coding Certified Coding Specialist (CCS)… more
- The Cigna Group (Nashville, TN)
- …the below):** Certified Professional Coder (CPC) Certified Risk Adjustment Coder (CRC) Certified Coding Specialist for Providers (CCS-P) Certified Coding ... ** Coding Education Specialist (AHIMA or AAPC...guidelines + Working Knowledge of CMS Risk Adjustment and HCC Coding Process + Strong computer skills… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Specialist supports prospective risk adjustment via concurrent review and supplemental data CMS ... is required in addition to the required work experience. **Licenses/Certifications:** + CCS-Certified Coding Specialist or CPS, CCS-P, CRC Upon Hire Required or… more
- Tidelands Health (Murrells Inlet, SC)
- …Technician (RHIT) + Registered Health Information Administrator (RHIA) + Certified Coding Specialist (CCS) + Certified Inpatient Coder (CIC) ... complexity using ICD-10-CM and ICD-10-PCS or any other designated coding classification system in accordance with coding ...to validate the DRG, SOI/ROM, and Hierarchical Condition Category ( HCC ). Forward queries created by the CDI Team to… more
- Trinity Health (Hartford, CT)
- …Day Shift **Description:** **Position Purpose** The Clinically Integrated Network (CIN) Risk Coding Specialist is responsible for reviewing medical records to ... assess clarity, completeness, and coding accuracy of the diagnoses documented and billed for...prioritize patients needing follow up, identify suspect conditions and HCC gap opportunities, and prepare charts in advance of… more
- Catholic Health Initiatives (Chattanooga, TN)
- … Certification through American Health Information Management Association (AHIMA) as Certified Coding Specialist (CCS) or Certified Coding Specialist ... hospital, connect with us today! **Responsibilities** **Job Summary / Purpose** The Sr Coding Compliance Auditor is responsible for reviewing chart notes for proper … more
- AdventHealth (Altamonte Springs, FL)
- …degree in HIM field **LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:** + Certified Coding Specialist + Certified Professional Coder + Certified Professional ... HCC ) . Expert level knowledge of medical terminology, coding guidelines and methodologies . Understanding of HIPAA privacy...may still be eligible for this position. * Certified Coding Specialist * Certified Professional Coder *… more
- CVS Health (Tallahassee, FL)
- …required. **Required Qualifications** + CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist -Physician) required. + Minimum of 3 years recent ... to demonstrate proficiency in the following: + Proven ability to support coding judgment and decisions using industry standard evidence and tools. + Proficient… more
- Ascension Health (Halethorpe, MD)
- …compliance areas. **Requirements** Licensure / Certification / Registration: + Certified Coding Specialist (CCS) credentialed from the American Health ... Perform periodic and ongoing audits of claims to ensure accuracy of coding and billing, and sufficiency of supporting documentation. + Audit specified number… more
- Mount Sinai Health System (New York, NY)
- …preferred ? Credentials in one or more of the following, required: o Certified Coding Specialist (CCS) o Certified Risk Adjustment Coder (CRC) o Certified ... coding experience o At least 1 year of HCC Risk Adjustment experience, preferred o Clinical background in...one or more of the following, required: o Certified Coding Specialist (CCS) o Certified Risk Adjustment… more
- Carle (Urbana, IL)
- …documentation, improvement, and education. CERTIFICATION & LICENSURE REQUIREMENTS Certified Coding Specialist (AHIMA) Certification must be maintained with ... Risk Adjustment Education Specialist - HYBRID + Department: FCC - Case...Collaborates with necessary departments to ensure, when appropriate priority HCC coding activities are included on any… more
- Fallon Health (Worcester, MA)
- …as needed. + Participate in regional Coding Chapter meetings **Qualifications** + HCC coding knowledge preferred + Ability to abstract and code diagnosis ... follow us on Facebook, Twitter and LinkedIn. **Responsibilities** The Chart Review Specialist primary responsibility is to review, analyze and report on FCHP patient… more
- Fujifilm (Columbus, OH)
- …visit_ _healthcaresolutions-us.fujifilm.com_ _._ **External US** **Job Title:** **Sales Specialist , Diagnostic Oncology** **Territory: Central region (IL to TX)** ... **Job purpose** The Sales Specialist , Diagnostic Oncology, in the Invitro Diagnostics Division, is...specific assigned geographic areas and successfully drive the FUJIFILM HCC Risk Biomarkers sales through that community. As assigned… more
- Banner Health (AZ)
- …field. Requires at least one of the following: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Coding Specialist - ... career here! **Bring your years of Multi-Specialty - General Medicine (some HCC ) Coding ** **experience** with Certified Risk Adjustment Coder (CRC) certification… more
- The Cigna Group (Bloomfield, CT)
- …the American Academy of Professional Coders (AAPC): Certified Professional Coder (CPC) Certified Coding Specialist for Providers (CCS-P) Certified Coding ... coding compliance, with both Inpatient and Outpatient documentation * HCC coding experience preferred * Computer competency with excel, MS Word, Adobe… more
- Providence (Milwaukie, OR)
- …and support with the code entry process, documentation, ICD-9, ICD-10, and HCC coding in alignment with current medical group reimbursement requirements. ... with the code entry process, documentation, ICD-9, ICD-10, and HCC coding in alignment with current medical...Information Management Association upon hire. Or + National Certified Coding Specialist - American Health Information Management… more
- The Cigna Group (Bloomfield, CT)
- …in one of the following: + Certified Professional Coder (CPC) + Certified Coding Specialist for Providers (CCS-P) + Certified Professional Compliance Officer ... **_Primary Functions:_** _Works in conjunction with coding audit oversight & compliance, Global Data &...execution and be familiar with value-based reporting metrics and HCC analysis._ _The Quality Review and Audit Lead Analyst… more
- Point32Health (MA)
- …The Coding Specialist II will lead efforts to evaluate the HCC coding practices and provide analyses and recommendations to improve overall provider ... Commercial and Medicaid HCCs through medical record reviews. The Risk Adjustment Coding Specialist II reviews provider documentation of ICD-10-CM (including… more