- The Cigna Group (Baltimore, MD)
- …matrix 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 ... with providers to assist in achieving accurate and complete coding documentation. Provider Data Lead Analysts will...guidelines. + Working Knowledge of CMS Risk Adjustment and HCC Coding Process. + Strong computer skills… more
- HCA Healthcare (Campbell, CA)
- … and/or billing experience. . Minimum 1 year experience with HCC coding and risk adjustment Physician Services Group ... coding reference sheets by specialty. . Update the HCC manual on a yearly basis to reflect any...We are experts in hospitalist integration, and graduate medical education . We lead more than 1,300 physician… more
- Trinity Health (Silver Spring, MD)
- …to improve HCC , high risk scoring, with provider and coder education . Conducts ongoing reviews of patient medical record documentation and procedural and ... diagnosis coding by each practitioner. Responsible for practitioner ...and perceiving our world and that these differences often lead to innovative solutions. Our dedication to diversity includes… more
- Trinity Health (Fresno, CA)
- …ongoing reviews of patient medical record documentation and procedural and diagnosis coding by each practitioner. Responsible for practitioner education in areas ... procedures; and ensuring proper assignment of diagnosis and procedure codes using coding guidelines established by the Centers for Medicare and Medicaid Services… more
- Tufts Medicine (Burlington, MA)
- …position has extensive knowledge of overall ICD-10-CM coding standards, as well as lead efforts to evaluate the HCC /DxCG coding practices and provide ... Adjustment Operations/NEQCA staff and vendors to identify and submit coding adjustments, as needed. 6. Provides education ...on a regular basis in regards to Risk Adjustment Coding guidelines ( HCC /DxCG), as well as ICD-10-CM… more
- HCA Healthcare (Campbell, CA)
- …CMS RADV audits) Schedule and participate in provider training as needed. (Eg HCC software, documentation and coding guidelines) + Recommend projects to improve ... urgent care operations. We are experts in hospitalist integration, and graduate medical education . We lead more than 1,300 physician practices and 170+ urgent… more
- J&J Family of Companies (Olympia, WA)
- …Reimbursement Manager (FRM) is responsible for serving as the primary field-based lead for education , assistance, and issue resolution with healthcare providers ... role involves investing time (up to 50%) on-site with HCPs, assessing their education needs and facilitating collaboration with various stakeholders. **A Day in the… more
- The Cigna Group (Westerville, OH)
- …in key areas of healthcare payer or provider operations, CMS Risk Adjustment and HCC coding process and quality including Medicare Star Ratings and HEDIS + ... The role will work under the direction of the Senior Manager - National Lead Provider Education to reach overall operational market goals in conjunction with… more
- HCA Healthcare (Tallahassee, FL)
- …a vast knowledge of Primary Care Clinic Operations to include Quality, Heidis, HCC Coding , Population Health, and Value Based Care** + **Strong Physician ... operations. We are experts in hospitalist integration, and graduate medical education . We lead more than 1,300 physician practices and 170+ urgent care centers.… more