• HCC Risk Adjustment QA

    Providence (Beaverton, OR)
    …and retain the best people, we must empower them._** **Providence Health Plan is calling an HCC Risk Adjustment QA Auditor: Medicare Advantage & ACA who ... + Perform internal coding audits of hierarchical condition category ( HCC ) coding review for Risk Adjustment...Supervisors, and Director to improve the accuracy, integrity, and quality of coding practices as well as to ensure… more
    Providence (10/02/24)
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  • Risk Adjustment Auditor Educator

    Centene Corporation (Tallahassee, FL)
    …as a medical coder **2+ years of experience** in coding with knowledge of Medicare risk adjustment ( HCC Coding) Required experience in teaching, training or ... analysis of practice coding patterns, education and training regarding risk adjustment to ensure accurate CMS payment...the RADV Committee as subject matter experts. + Perform quality assurance auditing (ie ensure appropriateness and… more
    Centene Corporation (09/25/24)
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  • Inpatient Facility Coder Quality Associate…

    Banner Health (LA)
    …coding experience required. Experience normally obtained with 2-3 year experience in CMS HCC Risk Adjustment payment methodology and coding and documentation ... health care team for the health record(s) and for quality assurance in the alignment of clinical...and evaluates trends in DRG (MS-DRG), APC, ACG, DCG, HCC and other Health Risk Adjusted Factors… more
    Banner Health (08/30/24)
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  • Coder Complex Phys Pract General Medicine

    Banner Health (AZ)
    …Multi-Specialty - General Medicine (some HCC ) Coding** **experience** with Certified Risk Adjustment Coder (CRC) certification in an active status, and have ... department for clarification/additional information for accurate code assignment. 3. Provides quality assurance for medical records. For all assigned records… more
    Banner Health (09/21/24)
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  • Internal Auditor

    Robert Half Finance & Accounting (San Antonio, TX)
    …Certifications through AHIMA and/or AAPC: Certified Professional Coder (CPC); and/or Certified Risk Adjustment Coder (CRC) preferred. * Proficient in Accounting ... Description We are seeking an Internal HCC Coding Auditor to join our team in...tools for medical record review projects, maintaining productivity and quality metrics as per QA policy. *… more
    Robert Half Finance & Accounting (09/26/24)
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