• 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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  • 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 (Murrells Inlet, 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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  • 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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  • Coder - Medical Group

    Providence (Milwaukie, OR)
    …with the code entry process, documentation, ICD-9, ICD-10, and HCC coding in alignment with current medical group reimbursement requirements. Providence ... or AHIMA coding -related credential. + 1 year Medical coder experience in a medical...entry process, documentation, ICD-9, ICD-10, and HCC coding in alignment with current medical group… more
    Providence (10/09/24)
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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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  • HCC Risk Adjustment QA Auditor: Medicare…

    Providence (Beaverton, 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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  • 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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  • 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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  • 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 Education Specialist - Philadelphia…

    The Cigna Group (Nashville, TN)
    …of CPT/Evaluation and Management guidelines + Working Knowledge of CMS Risk Adjustment and HCC Coding Process + Strong computer skills (ie MS Office) + Prior ... Certified Professional Coder (CPC) Certified Risk Adjustment Coder (CRC) Certified Coding Specialist for Providers...least two years of hospital inpatient / outpatient or medical office coding experience, preferably two years… more
    The Cigna Group (09/20/24)
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  • Coding Data Quality Auditor

    CVS Health (Tallahassee, FL)
    …related duties as required. **Required Qualifications** + CPC (Certified Professional Coder ) or CCS-P (Certified Coding Specialist-Physician) required. + Minimum ... of 3 years recent and related experience in medical record documentation review, diagnosis coding , and/or auditing. + Minimum of 3 years of experience with… more
    CVS Health (10/26/24)
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  • Risk Coding Specialist for ACO…

    Trinity Health (Hartford, CT)
    …Day Shift **Description:** **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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  • 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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  • Clinical Documentation Specialist I - Remote

    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 o At least 1 year of HCC Risk Adjustment experience, preferred o Clinical background in...one or more of the following, required: o Certified Coding Specialist (CCS) o Certified Risk Adjustment Coder more
    Mount Sinai Health System (10/31/24)
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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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  • Quality Review and Audit Analyst(Remote)

    The Cigna Group (Bloomfield, CT)
    **Job Summary:** The Risk Adjustment Quality & Review Analyst in IFP brings medical coding and Hierarchical Condition Category expertise to the role, evaluates ... and coding compliance, with both Inpatient and Outpatient documentation * HCC coding experience preferred * Computer competency with excel, MS Word,… more
    The Cigna Group (11/02/24)
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