- Catholic Health Initiatives (Chattanooga, TN)
- …The position will support risk adjustment improvement efforts across the medical group. The Hierarchical Condition Category ( HCC ) Quality program was ... of chronic conditions for the purpose of accurately reporting HCC 's. Prospective and concurrent reviews will account for 70%...complete and compliant to facilitate the accurate reporting of HCC diagnoses via claims. + Works to resolve claims… more
- Spira Care, LLC (Shawnee, KS)
- …Preferred Qualifications: + Experience with coding and documentation for Medical Advantage and Hierarchical Condition Category ( HCC ) coding. Spira Care ... + Spira Care has specific vaccinations requirements as a condition of employment. You must be able to comply...employment. You must be able to comply with this condition of employment with or without a reasonable accommodation… more
- Tidelands Health (Murrells Inlet, SC)
- …and complete diagnoses. Works with the CDI team to validate the DRG, SOI/ROM, and Hierarchical Condition Category ( HCC ). Forward queries created by the ... of this job, the employee is frequently (activity or condition exists from 1/3 to 2/3 of the time)...up to 15 pounds of force occasionally (activity or condition exists up to 1/3 of the time), and/or… more
- UPMC (Pittsburgh, PA)
- …development of patient centered plan of care, including assessment and documentation of Hierarchical Condition Category ( HCC ) diagnoses as appropriate. ... the patients. The CRNP communicates proactively with physicians regarding the clinical condition of their patients. The position will require travel for in-home… more
- CareFirst (Baltimore, MD)
- …Information Technician or RHIA Upon Hire Preferred **Experience:** 3 years risk adjustment/ hierarchical condition category ( HCC ) coding experience. ... **Knowledge, Skills and Abilities (KSAs)** + Adobe Acrobat Professional. + Microsoft Word, Excel, Outlook, Claims Processing Facets. + Ability to adapt to various coding technology platforms, such as Electronic Medical Record (EMR) or Electronic Health Record… more
- University of Miami (Miami, FL)
- …Knowledge of HEDIS Quality Care Gaps - review and closure preferred + Knowledge of Hierarchical Condition Category ( HCC ) - review and recertification ... preferred + Physical presence required at all GIM sites + Conducts or participates in multidisciplinary rounds and ensures appropriate and quality care for patients. + Serves as a liaison and advocate between the APP and hospital leadership, department heads,… more
- University of Miami (Miami, FL)
- …+ Knowledge of HEDIS Quality Care Gaps - review and closure + Knowledge of Hierarchical Condition Category ( HCC ) - review and recertification This ... list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary. CORE QUALIFICATIONS Education: Master's degree in Nursing Certification and Licensing: Valid State of Florida… more
- Baylor Scott & White Health (Lakeway, TX)
- …surgery, professional fee to include evaluation and management (E/M) coding, profee surgery, hierarchical condition category ( HCC ) Risk Adjusted coding ... (diagnosis only with 1 year lookback) or low acuity inpatient. + Coder I utilizes the International Classification of Disease (ICD-10-CM. ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other… more
- The Cigna Group (Bloomfield, CT)
- …The Risk Adjustment Quality & Review Analyst in IFP brings medical coding and Hierarchical Condition Category expertise to the role, evaluates complex ... set. * Utilize HHS' Risk Adjustment Model to confirm accuracy of Hierarchical Condition Categories ( HCC ) identified from abstracted ICD-10-CM diagnosis codes… more
- AdventHealth (Altamonte Springs, FL)
- …level knowledge of Hospital Acquired Conditions (HAC), Patient Safety Indicators (PSI), and Hierarchical Condition Categories ( HCC ) . Expert level knowledge ... for each position may vary based on geographical location. ** Category :** Health Information Management **Organization:** AdventHealth Corporate **Schedule:** Full-time… more
- The Cigna Group (Bluffton, SC)
- …of Medicare Risk Adjustment regulations required. Strong knowledge of Risk Adjustment and Hierarchical Condition Category Payment model (ie, v12 and v22) ... superior analytical, coding skills (including ICD-9 and ICD-10), strong knowledge of HCC 's and risk scores, communication and collaborative skills, as well as the… more