• Hierarchical Condition

    Highmark Health (Hartford, CT)
    …(MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category ( HCC ) Coding, medical coding, clinical ... requirements by analyzing physician documentation and interpreting into ICD10 diagnoses and HCC disease categories. Supports other key objectives to drive capture of… more
    Highmark Health (12/20/24)
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  • Individual & Family Plans (IFP) Quality Review…

    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
    The Cigna Group (01/09/25)
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