- MedKoder (Mandeville, LA)
- …production). Must have at least 1 year of specialized experience in Medicare Risk Adjustment disciplines- such as HCC , CCC HEDIS + Auditing experience ... a PLUS. ICD-10 experience/education a PLUS. About MedKoder, LLC: * Privately held, growing company with strong values and ethics * Professional development and education * All positions are permanent - no contracts or sitting on a "coding bench" * Generous… more
- Covenant Health Inc. (Knoxville, TN)
- …in care coordination efforts. + Demonstrates knowledge of HEDIS, HCC 's and Medicare Risk Adjustment and their impact on pay-per-performance contracts. + ... Perform other duties as assigned or requested. Qualifications Minimum Education: None specified; however, must be sufficient to meet the standards for achievement of the below indicated license and/or certification as required by the issuing authority. Minimum… more
- CaroMont Health (Gastonia, NC)
- …Clinical Documentation Specialists regarding coding guidelines and documentation required to capture HCC 's for Risk Adjustment coding. Train and educate ... HCC coding issues. Work with payer representatives who audit HCC coding for Managed Medicare plans and participate in the sharing of those audits with staff… more
- UCLA Health (Los Angeles, CA)
- …with physician billing and/or coding, required + Three or more years of recent experience in CMS- HCC Risk Adjustment models V24 and V28, required + Three or ... Description As the Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment , you will be an expert in risk adjustment coding… more
- UCLA Health (Los Angeles, CA)
- …direction. You can do all this and more at UCLA Health. As member of the Medicare Advantage Risk Adjustment leadership team, the Assistant Director of ... Risk Adjustment is instrumental in participating in the planning with...projects from end to end + In-depth knowledge of HCC models V24 and V28 + Familiarity with claims… more
- The Cigna Group (Houston, TX)
- …providers and internal matrix partners of Cigna Medicare 's programs specific to CMS Risk Adjustment and HCC Coding Processes. It will require expertise ... **Job Summary:** This role is responsible for supporting Cigna Medicare Advantage's Risk Adjustment &...process, anatomy, and physiology. + Working Knowledge of CMS Risk Adjustment and HCC Coding… more
- VNS Health (Manhattan, NY)
- …areas, including Medicaid. + Maintains current knowledge of CMS' Hierarchical Condition Categories ( HCC ) and Prescription Drug Risk Adjustment codes (RxHCCs) ... OverviewSupports initiatives that will impact the Risk Adjustment programs and operations. Collaborates with internal departments and external vendors on risk… more
- Fairview Health Services (St. Paul, MN)
- …setting, including physician encounters and how physician documentation translates into ICD-10-CM and HCC risk adjustment for claims submission to meet ... guidelines, and unanswered queries. + Promotes compliance with CMS, Medicare documentation, and coding and billing regulations. + Participates...or a combination of 1-2 years coding experience and HCC Capture, Risk Adjustment or… more
- LA Care Health Plan (Los Angeles, CA)
- …care claims Knowledge of Risk Adjustment models (eg CMS Medicare Advantage, HHS- HCC , Medicaid DxCG) Extensive knowledge of healthcare industry, ... Manager, Analytics Job Category: Accounting/Finance Department: Risk Adjustment Strategies & Initiatives Location: Los Angeles, CA, US, 90017 Position Type: Full… more
- CVS Health (Overland Park, KS)
- …working with large Medicare claims dataset -Ability to conduct actuarial and risk adjustment (CMS- HCC ) analysis -Excellent oral & written communication ... **What will you do?** + Evaluate the impact of Medicare quality and risk adjustment ...(MSSP and ACO REACH), including but not limited to risk adjustment opportunities, HCC gaps,… more
- Sharp HealthCare (San Diego, CA)
- …3 Years experience working as a certified coder. + 2 Years experience working as a HCC risk adjustment coding auditor. + Experience with medical billing and ... medical records review and coding principles.Educates clinicians and their staff on the HCC / Risk Adjustment coding guidelines and makes recommendations for… more
- Banner Health (AZ)
- …Multi-Specialty - General Medicine (some HCC ) Coding** **experience** with Certified Risk Adjustment Coder (CRC) certification in an active status, and have ... with General Medicine: Multi-Specialty experience.** This is a skilled team that supports HCC , Hospitalist and Toxicology - and has an opportunity for growth in… more
- Trinity Health (Fresno, CA)
- …to local ministry and Trinity practices and policies. Partners with leadership to improve HCC and other Risk Adjustment capture with provider and coder ... and procedure codes using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS). Monitor's accuracy of centralized coder's charge… more