- Emanate Health (Covina, CA)
- …**ob Summary** Responsible for the oversight of HCC Program and STAR measures coding related functions. The coding specialist will work with the IPA ... Director, Health Plan, and MSO personnel on HCC and STAR measures related tasks. Responsible to ensure...and achieves or improves upon 4.0 STAR rating. The coding specialist is responsible for education to… more
- Trinity Health (Albany, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** Risk Adjustment Coding Specialist -St. Peter's Health Partners - Full-time - Remote ... **POSITION PURPOSE:** The Risk Adjustment Coding Specialist works in a team environment...environment and is responsible for reviewing clinical documentation and coding using HCC (Hierarchical Condition Category) and… more
- University of Southern California (Alhambra, CA)
- …1 - 2 years Lead Experience. Required Licenses/Certifications: + Req AHIMA Certified Coding Specialist (CCS) only; or AAPC Certified Inpatient Coder (CIC) only; ... federal & state coding compliance regulations and guidelines, the HIM Coding Denials Management Specialist " analyze, investigate, mitigate, and resolve all … more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Specialist supports the retrospective risk adjustment supplemental filing, Risk Adjustment Data ... customers who may be demanding or otherwise challenging. **Licenses/Certifications** : CCS-Certified Coding Specialist or CPS, CCS-P, CRC Upon Hire Required or… more
- Genesis Healthcare (PA)
- Overview We are seeking a full time Certified Professional Coding Specialist to join our Advanced Care Organization (ACO) team. This is a remote position. ... experience in the field in required.** The Certified Professional Coding specialist will work as a compliance...will be key in assisting with the LTC ACO HCC program ensuring that claims are coded and documented… 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 ... that have opted into shared services. This position reports to the HCS Supervisor Coding and CDI Quality and Training. This position may travel from entity to entity… 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 ... in the clinics. Prepares reports associated with RAF score, HCC Coding Accuracy, HCC Recapture...Information Management Association upon hire. OR + National Certified Coding Specialist - American Health Information Management… more
- WMCHealth (Valhalla, NY)
- …activities. Monitors and reports key performance indicators relative to clinical documentation and HCC coding . . Documents and maintains records of all query, ... Compliance Auditing Specialist - Remote/Hybrid available Company: NorthEast Provider Solutions Inc....competencies in clinical documentation improvement and ICD, CPT and HCC coding through continuing education. Assists with… more
- Centene Corporation (Jefferson City, MO)
- …+ LVN, LPN or RN required and + Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) required + NP or PAN preferred + Certified Risk ... reviews and advise on clinical best practices related to risk adjustment coding , HCC capture, and documentation improvement. + Performs other duties as assigned.… more
- CVS Health (Austin, TX)
- …, and/or auditing. + CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist -Physician) required. + CRC (Certified Risk Adjustment Coder) + ... regulations and internal policies and procedures. + Proven ability to support coding judgment and decisions using industry standard evidence and tools. + Proficient… 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 ... OP Audit Analysts and Coordinators will utilize documentation and coding expertise to facilitate audits of the quality and...medical record, the OP Audit - outpatient complex audit specialist will be responsible for utilizing knowledge of Local,… more
- Deloitte (Los Angeles, CA)
- …quality improvement, and value-based payment models + Proven applicable CPT and ICD-10 coding experience; APR-DRG, MS-DRG and HCC assignment + Other revenue ... Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk...for inpatient and outpatient service areas for accuracy of coding and documentation to ensure regulatory compliance + Apply… more
- Datavant (Boise, ID)
- …to realize our bold vision for healthcare. As an **ProFee Audit Specialist ** you will be instrumental in addressing consulting and educational needs related ... to coding quality, compliance assessments, external payer reviews, ...in neurosurgery and orthopedics. Experience in Interventional Radiology and HCC is a plus. **You Will:** + Conduct inpatient… more
- Bluestone Physician Services (Stillwater, MN)
- …in healthcare coding , with a focus on Hierarchical Condition Category ( HCC ) coding and risk adjustment. Knowledge/Skills/Abilities + Proficiency in reviewing ... individual to join our team as a Part-Time Clinical Documentation Improvement (CDI) Specialist . The primary responsibility of this role is to conduct thorough… more
- Corewell Health (Grand Rapids, MI)
- …Demonstrated ability to manage multiple practices and priorities Preferred + Knowledge of HCC coding , risk adjustment, and value-based care model Preferred + ... the Position The Population Health RN - Risk Adjustment Specialist will play a critical role in improving clinical...role in improving clinical documentation for Hierarchical Condition Category ( HCC ) coding accuracy across a portfolio of… more
- Hartford HealthCare (Farmington, CT)
- …experience preferred **Licensure, Certification, Registration** . RN and/or Certified Coding Specialist (CCS) **And** . Certified Clinical Documentation ... will work in collaboration with the clinical documentation specialists (CDS), coding professionals, providers, nursing staff and other patient care givers to… more
- University of Washington (Seattle, WA)
- …**UW Medicine Enterprise Records and Health Information** has an outstanding opportunity for a ** Coding Specialist 1 - Edits Coder** **WORK SCHEDULE** + 100% FTE ... assigned. + May perform the work of lower level classifications of the Coding Specialist series. **REQUIRED POSITION QUALIFICATIONS** High school diploma or… more
- University of Southern California (Alhambra, CA)
- …in hospital and/or outpatient clinic preferred. Required Licenses/Certifications: + Req Certified Coding Specialist - CCS (AHIMA) OR AHIMA Certified Coding ... to billing interface and claims submission. + Works cooperatively with HIM Coding Support and/or Clinical Documentation Improvement Specialist in obtaining… more
- WMCHealth (Valhalla, NY)
- …the required experience. Licenses / Certifications: Current certification as either a Certified Coding Specialist (CCS) or Certified Coding Specialist ... in a large multispecialty practice setting, including surgical speacialties is required. HCC Risk adjustment Coding esperience is preferred. Education: High… more
- Scripps Health (San Diego, CA)
- …Administrator) o RHIT (Registered Health Information Technician) o CCS (Certified Coding Specialist ) o CPC (Certified Professional Coder) * Comprehensive ... understanding of ICD, CPT, and HCPCS coding systems, MS-DRG/APR-DRG methodologies, and risk adjustment/ HCC principles. * Strong technical proficiency and… more
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