• HCC Risk Adjustment Coder

    MedKoder (Mandeville, LA)
    Position Location: 100% Remote Qualifications The Medical Coder provides coding and coding auditing services directly to providers. This includes the ... of medical record charts for the appropriate coding compliance + Coder is responsible for...specialized experience in Medicare Risk Adjustment disciplines- such as HCC , CCC HEDIS + Auditing experience a PLUS. ICD-10… more
    MedKoder (10/16/24)
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  • Remote HCC Coder

    Amergis (Cleveland, OH)
    Pay rate: $23-25 The Medical Coder is responsible for assigning ICD-10 and/or CPT/HCPCS codes as appropriate, and abstracts pertinent information from patient ... records. Must have 2 years of recent production coding experience within HCC (Medicare Advantage or...in compliance with CMS policies and procedures and Official Coding Guidelines + Implements medical center's physician… more
    Amergis (10/22/24)
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  • HCC Coding Compliance Assistant-KS…

    Kelsey-Seybold Clinic (IA)
    …Official ICD-10-CM Guidelines for Coding and Reporting. **Job Title: HCC Coding Compliance Assistant-KS Plan Advantage-Risk Adjustm** **Location: 100% ... To ensure the accurate coding of diagnoses which fall into the HCC model as required by CMS for Medicare Advantage plans. To ensure documentation of… more
    Kelsey-Seybold Clinic (11/05/24)
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  • Medical Coder / Coding

    Tidelands Health (Myrtle Beach, SC)
    …Technician (RHIT) + Registered Health Information Administrator (RHIA) + Certified Coding Specialist (CCS) + Certified Inpatient Coder (CIC) ... moderate to high complexity using ICD-10-CM and ICD-10-PCS or any other designated coding classification system in accordance with coding rules and regulations.… more
    Tidelands Health (09/08/24)
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  • HCC Risk Adjustment QA Auditor: Medicare…

    Providence (OR)
    …Risk Adjustment QA Auditor: Medicare Advantage & ACA **who will:** + Perform internal coding audits of Hhierarchical Condition category ( HCC ) coding review ... and report issues to Supervisor or Director + Provide coder specific education based on audit findings and trends...**Required qualifications for this position include:** + 5+ years HCC specific coding experience + 3+ years… more
    Providence (10/31/24)
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  • Coder I - OP & IP Profee, Neurosurgery

    Baylor Scott & White Health (Lakeway, TX)
    Coder I is proficient in one or two types of outpatient or profee coding . + Coder I may code one time ancillary/series, emergency department, observation, day ... surgery, professional fee to include evaluation and management (E/M) coding , profee surgery, hierarchical condition category ( HCC ) Risk Adjusted coding more
    Baylor Scott & White Health (09/12/24)
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  • Complex Coder Physician Practice General…

    Banner Health (AZ)
    …**Physi** **cian Practice Coding Team** is looking for an **experienced** ** Medical Coder with General Medicine: Multi-Specialty experience.** This is a ... **Bring your years of Multi-Specialty - General Medicine (some HCC ) Coding ** **experience** with Certified Risk Adjustment Coder (CRC) certification in an… more
    Banner Health (09/21/24)
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  • Risk Coder

    Brockton Hospital (West Bridgewater, MA)
    …an advanced level knowledge of medical terminology and working knowledge of ICD-10-CM coding conventions and HCC and risk adjust coding guidelines, be ... Position Summary: Under the general supervision of the Ambulatory Coding Manager, and the Senior Risk Coder ,...coding conventions and rules established by the American Medical Association (AMA), and the Center for Medicare and… more
    Brockton Hospital (09/03/24)
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  • Risk Adjustment Coder II

    Point32Health (MA)
    …guidelines. The Coding Specialist II will lead efforts to evaluate the HCC coding practices and provide analyses and recommendations to improve overall ... validation of Medicare Advantage, Commercial and Medicaid HCCs through medical record reviews. The Risk Adjustment Coding ...to perform the job** + Completion of a formal coding certification program required. Certified Professional Coder more
    Point32Health (10/09/24)
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  • Risk Adjustment Coder

    Centene Corporation (Tallahassee, FL)
    …license in one of the following is required: **Required Certified Professional Coder (CPC):** **Preferred Certified Coding Specialist (CCS):** Pay Range: $22.36 ... on workplace flexibility. CPC or CSS Certification and (2) years direct coding experience required **Position Purpose:** Coders will work daily reviewing medical more
    Centene Corporation (11/15/24)
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  • Coding Auditor - Finance - Sharp Corporate…

    Sharp HealthCare (San Diego, CA)
    …experience working as a certified coder . + 2 Years experience working as a HCC risk adjustment coding auditor. + Experience with medical billing and with ... medical terminology. + Certified Professional Coder (CPC) - AAPC **OR** Certified Coding ...coding principles.Educates clinicians and their staff on the HCC /Risk Adjustment coding guidelines and makes recommendations… more
    Sharp HealthCare (11/10/24)
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  • Sr Coding Compliance Auditor

    Catholic Health Initiatives (Chattanooga, TN)
    …organization. The position will support risk adjustment improvement efforts across the medical group. The Hierarchical Condition Category ( HCC ) Quality program ... concepts, practices, policies, procedures, standards, systems and tools applicable to medical records coding ; including documentation requirements and medical more
    Catholic Health Initiatives (10/25/24)
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  • A**Divisional Coding Quality…

    AdventHealth (Altamonte Springs, FL)
    …and Hierarchical Condition Categories ( HCC ) . Expert level knowledge of medical terminology, coding guidelines and methodologies . Understanding of HIPAA ... as well as supporting on-going quality assurance needs for coding staff. They will review medical records...HIM field **LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:** + Certified Coding Specialist + Certified Professional Coder +… more
    AdventHealth (10/24/24)
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  • Risk Coding Specialist for ACO…

    Trinity Health (Hartford, CT)
    …Local Residency required **Position Purpose** The Clinically Integrated Network (CIN) Risk Coding Specialist is responsible for reviewing medical records to ... in risk coding , demonstrate a solid understanding of ICD-10-CM coding , medical terminology, Hierarchical Condition Categories (HCCs), and MEAT (Monitor,… more
    Trinity Health (10/11/24)
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  • Onsite Coding Auditor, SAMF Admin CBO…

    Trinity Health (Fresno, CA)
    …with provider and coder education. Conducts ongoing reviews of patient medical record documentation and procedural and diagnosis coding by each practitioner. ... Medicare and Medicaid Services (CMS). Monitor's accuracy of centralized coder 's charge capture and coding with proper...Must have a solid understanding of ICD-10 and CPT coding and medical terminology, with knowledge of… more
    Trinity Health (10/02/24)
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  • Coding Auditor

    Ascension Health (Halethorpe, MD)
    …billing, and sufficiency of supporting documentation. + Audit specified number of records per coder as defined in the system coding audit plan. + Prepare audit ... appropriate. + Develop corrective action plans to address opportunities for coding , billing and documentation improvement. + Identify trends and educational… more
    Ascension Health (10/24/24)
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  • Outpatient Clinical Documentation Integrity (CDI)…

    Fairview Health Services (St. Paul, MN)
    …to facilitate improved provider documentation. + Maintain competence related to HCC documentation requirements, ICD-10-CM code assignment, coding guidelines, ... Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Professional Coder (CPC),… more
    Fairview Health Services (11/16/24)
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  • Clinical Documentation Specialist I

    Mount Sinai Health System (New York, NY)
    …and the Mount Sinai Health Partners team to review and code ambulatory medical records, identify opportunities to improve coding , educate physicians, and act ... coding experience + At least 1 year of HCC Risk Adjustment experience, preferred + Clinical background in...one or more of the following, required: + Certified Coding Specialist (CCS) + Certified Risk Adjustment Coder more
    Mount Sinai Health System (11/06/24)
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  • Risk Adjustment Education Specialist - HYBRID

    Carle (Urbana, IL)
    …and processes. + Collaborates with necessary departments to ensure, when appropriate priority HCC coding activities are included on any and all provider, joint ... internal and external customers. Works collaboratively with Coding Analysts, Coding Supervisor, Manager, Director, and Medical Director to strategically plan… more
    Carle (09/10/24)
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  • Risk Adjustment Provider Educator Lead Analyst-…

    The Cigna Group (Houston, TX)
    …matrix partners of Cigna Medicare's programs specific to CMS Risk Adjustment and HCC Coding Processes. It will require expertise in ICD-10-CM/outpatient and CPT ... audit departments regarding compliance, coding , and inappropriate coding . + Provides second level medical record...physiology. + Working Knowledge of CMS Risk Adjustment and HCC Coding Process. + Strong computer skills… more
    The Cigna Group (11/14/24)
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