- Bon Secours Mercy Health (Cincinnati, OH)
- …for clinical and operational excellence. **Primary Function/General Purpose of Position** The HCC Coder provides extensive knowledge of documentation and review ... Risk Score Accuracy (RSA) initiative and the Hierarchical Condition Categories ( HCC ) coding program. The position performs prospective, concurrent, and retrospective… more
- Insight Global (Tampa, FL)
- …. Skills and Requirements Active CPC (Certified Professional Coder ) 4-5 years HCC /Risk Adjustment Coding experience ... Job Description Insight Global is hiring HCC /Risk Adjustment Medical coders (100% REMOTE) to support...of the markets are strictly risk adjustment focusing on HCC ICD-10 codes only. We do code from the… more
- The Cigna Group (Bloomfield, CT)
- …Some type of coding certification, which may include Certified Professional Coder (CPC), Certified Coding Specialist for Providers (CCS-P), Certified Coding ... Specialist for Hospitals (CCS-H), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA), or nursing medical background. + Extensive knowledge of ICD-10-CM and CMS coding principles and guidelines. + Familiarity… more
- MedKoder (Mandeville, LA)
- Position Location: 100% Remote Qualifications The Medical Coder provides coding and coding auditing services directly to providers. This includes the analysis and ... medical record charts for the appropriate coding compliance + Coder is responsible for meeting daily production goal and...specialized experience in Medicare Risk Adjustment disciplines- such as HCC , CCC HEDIS + Auditing experience a PLUS. ICD-10… more
- Baylor Scott & White Health (Lakeway, TX)
- **JOB SUMMARY** + Coder I is proficient in one or two types of outpatient or profee coding. + Coder I may code one time ancillary/series, emergency department, ... include evaluation and management (E/M) coding, profee surgery, hierarchical condition category ( HCC ) Risk Adjusted coding (diagnosis only with 1 year lookback) or… more
- Highmark Health (Columbus, OH)
- …using skills including but not limited to Hierarchical Condition Category ( HCC ) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for ... requirements by analyzing physician documentation and interpreting into ICD10 diagnoses and HCC disease categories. Supports other key objectives to drive capture of… more
- Baystate Health (Springfield, MA)
- The Prospective Outpatient Risk Adjustment Coder supports risk adjustment optimization activities that improve value-based care and population health by facilitating ... practices, and identifying opportunities to close care gaps. Working with the HCC Nurse Educator, the Ambulatory HCC Coordinator conducts prospective chart… more
- Apex Health Solutions (Houston, TX)
- SUMMARY: Risk Adjustment Coder is responsible for reviewing, abstracting, and coding inpatient and/or outpatient medical records to ensure proper ICD-10 coding and ... A certification in one of the following is required: * Certified Risk Adjustment Coder (CRC) * Certified Professional Coder (CPC) * Certified Coding Specialist… more
- Insight Global (Fort Myers, FL)
- Job Description Insight Global Health is seeking a dedicated risk adjustment coder for a health care client located in the Fort Myers, FL area to join their team. ... The risk adjustment coder will be responsible for: -Performing medical record audits...patient histories, symptoms, diagnoses and treatments into codes using HCC coding -Providing guidance and advice for reporting policies… more
- Banner Health (AZ)
- …make a life and career here! In this **Inpatient Facility/HIMS Certified Medical CODER QUALITY ASSOCIATE -Remote** position, you bring your **3-5+ years of acute ... the operational group. Monitors and evaluates trends in DRG (MS-DRG), APC, ACG, DCG, HCC and other Health Risk Adjusted Factors appropriate to the assigned area, and… more
- Providence (Milwaukie, OR)
- **Description** The Coder 1 performs coding audits and review of outpatient provider services to support coding optimization and compliance for the medical group. ... In addition to the audit and review work, the Coder 1 will work side by side with outpatient...with the code entry process, documentation, ICD-9, ICD-10, and HCC coding in alignment with current medical group reimbursement… more
- Tidelands Health (Murrells Inlet, SC)
- …with the CDI team to validate the DRG, SOI/ROM, and Hierarchical Condition Category ( HCC ). Forward queries created by the CDI Team to obtain the most accurate DRG. ... and Hospital Work Environment or Works in a private office space in the coder 's home in compliance with Tideland Health's Remote/Telecommuter Policy. + Must be able… more
- The Cigna Group (Bloomfield, CT)
- …partners of Cigna Medicare's programs specific to CMS Risk Adjustment and HCC Coding Processes. It will require expertise in ICD-10-CM/outpatient and CPT coding ... (at least one of the below): + Certified Professional Coder (CPC) + Certified Risk Adjustment Coder ...guidelines. + Working Knowledge of CMS Risk Adjustment and HCC Coding Process. + Strong computer skills (ie MS… more
- The Cigna Group (Baltimore, MD)
- …partners of Cigna Medicare's programs specific to CMS Risk Adjustment and HCC Coding Processes. It will require expertise in ICD-10-CM/outpatient and CPT coding ... (at least one of the below): + Certified Professional Coder (CPC) + Certified Risk Adjustment Coder ...guidelines. + Working Knowledge of CMS Risk Adjustment and HCC Coding Process. + Strong computer skills (ie, MS… more
- The Cigna Group (Bloomfield, CT)
- …through AHIMA or AAPC (at least one of the below): + Certified Professional Coder (CPC) + Certified Risk Adjustment Coder (CRC) + Certified Coding Specialist ... process, anatomy, and physiology. + Working Knowledge of CMS Risk Adjustment and HCC Coding Process. + Strong computer skills (ie, MS Word, Excel, PowerPoint) +… more
- CVS Health (Atlanta, GA)
- …Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories ( HCC ) preferred.CPC (Certified Professional Coder ), CCS ( Certified ... and interpersonal skills. Preferred Qualifications CRC (Certified Risk Adjustment Coder ) preferred. Education AA/AS or equivalent experience. Completion of… more
- UPMC (Pittsburgh, PA)
- …of workers engaged in audit activities related to diagnosis, CPT/HCPC and HCC . Creates and implements review processes to address identified new risks. Responsible ... + Directs and coordinates activities of auditors engaged in audits of HCC and other coding activities, including: Review the coding of diagnoses and… more
- Centene Corporation (Columbia, SC)
- …in a hospital, a physician setting or a Managed Care Organization as a medical coder 2+ years of experience in coding with knowledge of Medicare risk adjustment ( ... HCC Coding) Required Other experience in teaching, training or...setting, or a Managed Care Organization as a medical coder is required. 1+ years of experience in medical… more
- WMCHealth (Valhalla, NY)
- …an internal expert on Risk Adjustment and Hierarchical Conditions Categories ( HCC ) coding. Specific duties include performing concurrent and retrospective reviews of ... Monitors and reports key performance indicators relative to clinical documentation and HCC coding. . Documents and maintains records of all query, audit, and… more
- CDPHP (Albany, NY)
- …will work with the Manager, Risk Adjustment Coding Operations to prioritize coder workflows, communicate risk adjustment coding changes to staff, assist with review ... or CPC (Certified Coding Professional) credential required. + Certified Outpatient Coder (COC), Certified Inpatient Coder (CIC), or Certified Professional… more