- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …Perform comprehensive 1st pass reviews of medical records and physician assessment forms \( HCC coding \)\. + Assist with the intake and quality assurance of ... Division at BCBST** is seeking a skilled **Risk Adjustment Medical Record Coder ** to support our mission...professional work experience\. _Experience_ + 1 year \- Progressive medical coding and health care experience required\.… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …communities that we serve through our Healthsource blog: https://healthsource.premera.com/ . The ** Medical Coding Auditor** plays a crucial role in ensuring the ... essential for maintaining the integrity of Risk Adjustment and HCC coding . By leveraging a deep understanding...errors and documentation deficiencies. In addition to auditing, the Medical Coding Auditor conducts quality assurance (QA)… more
- Prisma Health (Columbia, SC)
- …health. Serve with compassion. Be the difference. Job Summary Responsible for leading coding teams, coder training, work que management, performing prebill and ... capture, HAC/PSI, HCC and Quality Indicator validation. Uses knowledge of coding and compliance guidelines to identify potential documentation, coding and… more
- Datavant (Topeka, KS)
- …our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using ... Review, analyze, and code diagnostic information in a patient's medical record based on client specific guidelines for the...CIC, or CRC). + A minimum of 2 years HCC coding experience, while certified. + Full… more
- Datavant (Atlanta, GA)
- …to realize our bold vision for healthcare. We're looking for experienced and credentialed HCC Coding Team Leads to become an integral part of our team. ... the rebuttal through the process if they agree the coder 's initial coding was correct. + Answers...+ Extensive knowledge of ICD -10 + 2 years' HCC coding experience + 1+ years' Team… 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 ... - Fridays + 100% Remote **POSITION HIGHLIGHTS** The Edits Coder position reports to the Outpatient Coding ...is responsible for performing daily activities related to analyzing medical records to validate the correct coding … more
- Amazon (IL)
- …a member of the Amazon One Medical Senior Health Revenue Cycle team, the Medical Coder I will be responsible for supporting Amazon One Medical Clinical ... related projects and ensuring deliverables are up to One Medical standards while being turned around in an acceptable...* Possesses advanced knowledge and understanding of Profee and HCC Risk Adjustment, coding and documentation requirements.… more
- WMCHealth (Valhalla, NY)
- …Internal Applicant link Job Details: Job Summary: The Coder is responsible for auditing medical records, ... opportunities for improvement as well as assuring compliance with coding and documentation guidelines. In addition the coder...Responsibilities: + Using the current HCPCS, ICD and CPT coding guidelines, audits medical records for … more
- University of Southern California (Alhambra, CA)
- …guidelines, and conventions. + Ability to improve APC/ HCC assignments specific to medical necessity documentation & coding of PDx, SecDx, and CPT/HCPCS in ... Medical Terminology, Anatomy & Physiology and a certified coding course. Successful completion of the hospital specific ... Specialist - Physician (CCS-P); OR AAPC Certified Professional Coder (CPC); OR AAPC Certified Outpatient Coding … more
- Cedars-Sinai (Los Angeles, CA)
- …**Working Title** : Facility Inpatient Coder (Remote) **Department** : CSRC Coding Hospital Inpt **Business Entity** : Cedars-Sinai Medical Center **Job ... this role:** Working under the general direction of a coding supervisor, the Facility Inpatient Coder is...Category** : Patient Financial Services **Job Specialty** : Medical Coding **Overtime Status** : NONEXEMPT **Primary… more
- Ascension Health (Elk Grove Village, IL)
- …preferred (NEW GRADUATES WELCOME) + Experience in HCC or chronic condition coding + Experience in medical practice outpatient setting **Why Join Our Team** ... job specific experience required. **Additional Preferences** **Minimum Requirements:** + ** Medical Assistants with ICD-10 coding experience strongly recommended… more
- Insight Global (Campbell, CA)
- Job Description As an HCC Medical Coder , your primary responsibilities will revolve around ensuring accurate and compliant coding practices. You'll need ... plays a crucial role in helping doctors improve their coding accuracy. Chart reviews and coding for...Requirements -5+ years of experience as a risk adjustment coder , CRC -Must have active CRC certification -Experience being… more
- Trinity Health (Albany, NY)
- …payers. . Demonstrate a solid understanding of ICD-10-CM coding and medical terminology, Hierarchical Condition Category ( HCC ), and MEAT standards. . ... a team environment and is responsible for reviewing clinical documentation and coding using HCC (Hierarchical Condition Category) and MEAT (Monitored,… more
- Humana (Salt Lake City, UT)
- …federal regulations. + Cultivate effective partnerships in a matrix environment of coding educators, medical director, clinical and market operations. + ... Qualifications** + 5+ years of experience in risk adjustment coding /auditing/education and provider relations/engagement + Certified Professional Coder … more
- University of Southern California (Alhambra, CA)
- …guidelines, and conventions. * Ability to improve APC/ HCC assignments based on medical necessity documentation & coding of PDx, SecDx, and CPT/HCPCS in ... Medical Terminology, Anatomy & Physiology and a certified coding course. Must possess a thorough knowledge of ICD/DRG...Coding Specialist (CCS) only; or AAPC Certified Inpatient Coder (CIC) only; or either the CCS or CIC… more
- Genesis Healthcare (PA)
- …Care Organization (ACO) team. This is a remote position. **Current certification in medical coding from an accredited institution (such as AAPC or AHIMA) ... will be key in assisting with the LTC ACO HCC program ensuring that claims are coded and documented...medical documentation and the ensuing billing documentation and coding ; + Work with team to develop comprehensive ICD-10… more
- Mount Sinai Health System (New York, NY)
- …in a multi-entity or academic health system. - Familiarity with risk adjustment, HCC coding , and value-based care models. - Proven success in implementing ... **Job Description** The Senior Director of Coding is a strategic and operational leader responsible...corrective action planning. - Manage performance metrics including DNFB, coder productivity, and denial rates. Compliance & Quality -… more
- Centene Corporation (Jefferson City, MO)
- …extraction of medical diagnoses and ensure accurate and complete diagnosis coding in alignment with HCCs and other risk adjustment models. Identifies and ... with regulatory and coding guidelines. + Ensure coding accuracy by reviewing inpatient and outpatient medical...advise on clinical best practices related to risk adjustment coding , HCC capture, and documentation improvement. +… more
- CVS Health (Austin, TX)
- …recent and related experience in medical record documentation review, diagnosis coding , and/or auditing. + CPC (Certified Professional Coder ) or CCS-P ... Coding Specialist-Physician) required. + CRC (Certified Risk Adjustment Coder ) + Computer proficiency including experience with Microsoft Office products (Word,… 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, ... Maintains current competencies in clinical documentation improvement and ICD, CPT and HCC coding through continuing education. Assists with compliance audits and… more
