• Hierarchical Condition

    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
    Highmark Health (03/04/25)
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  • Coding Specialist

    VNS Health (Manhattan, NY)
    …is accurate, precise, and adherent to CMS guidelines pertinent to Risk Adjustment Hierarchical Condition Category ( HCC ) methodology. + Assigns ... appropriate ICD10-CD, HCPCS and CPT codes as well as other codes necessary to process claims based on claim information submitted. + Utilizes administrative policies, regulatory codes, legislative directives, and guidelines to inform decisions and appropriate… more
    VNS Health (02/11/25)
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