• Hierarchical Condition

    Highmark Health (Harrisburg, PA)
    …(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 (06/28/24)
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  • Sr. Manager, Clinical and Coding Review - Quality…

    UPMC (Pittsburgh, PA)
    …Ensure that all codes are documented for the assignment of a valid and accurate Hierarchical Condition Category ( HCC ). Monitor the assignment of the ... of workers engaged in audit activities related to diagnosis, CPT/HCPC and HCC . Creates and implements review processes to address identified new risks. Responsible… more
    UPMC (06/20/24)
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