- Highmark Health (Trenton, NJ)
- …(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
- The Cigna Group (Philadelphia, PA)
- …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