• Hierarchical Condition

    Highmark Health (Columbus, OH)
    …(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 (12/20/24)
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  • Clinical Documentation Spec

    University of Michigan (Ann Arbor, MI)
    …contribution to society. **Responsibilities **Core Responsibilities and Expectations:** + Responsible for Hierarchical Condition Category ( HCC ) pre-visit ... function, as assigned **Department Specific Responsibilities and Expectations:** + Responsible for Hierarchical Condition Category ( HCC ) pre-visit and… more
    University of Michigan (12/19/24)
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  • Manager of HCC Coding and Audit

    R1 RCM (Salt Lake City, UT)
    …Manager of HCC Coding and Audit, you will be responsible for overseeing the HCC ( Hierarchical Condition Category ) coding and auditing team to ensure ... coding research, answer coding questions, and serve as a subject matter expert in HCC coding compliance. To thrive in this role, you must be coding certified, have… more
    R1 RCM (12/18/24)
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  • Sr Coding Compliance Auditor

    Catholic Health Initiatives (Chattanooga, TN)
    …The position will support risk adjustment improvement efforts across the medical group. The Hierarchical Condition Category ( HCC ) Quality program was ... of chronic conditions for the purpose of accurately reporting HCC 's. Prospective and concurrent reviews will account for 70%...complete and compliant to facilitate the accurate reporting of HCC diagnoses via claims. + Works to resolve claims… more
    Catholic Health Initiatives (12/23/24)
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  • Health Risk Coding & Education Specialist II…

    Henry Ford Health System (Troy, MI)
    …applicable coding and documentation standards with an emphasis on diagnosis codes mapping to Hierarchical Condition Category ( HCC ). + Assist with all ... storage and retention guidelines for all projects. + Conduct HCC -focused reviews on providers including; tracking results and identifying...to identify low risk score providers and providers whose HCC reporting is low in comparison to panel size.… more
    Henry Ford Health System (12/11/24)
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  • Revenue Management Educator (Remote Option within…

    Marshfield Clinic (Marshfield, WI)
    …of courses in Current Procedural Terminology (CPT), and ICD‐9, ICD-10 and Hierarchical Condition Category ( HCC ) coding. **Preferred/Optional:** ... ICD‐9 and ICD‐10 codes, Healthcare Common Procedure Coding System (HCPCS) codes, HCC coding, use of modifiers, documentation guidelines, CMS Policy requirements, and… more
    Marshfield Clinic (12/03/24)
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  • Medical Coder/Coding Specialist III- Remote PRN

    Tidelands Health (Myrtle Beach, SC)
    …and complete diagnoses. Works with the CDI team to validate the DRG, SOI/ROM, and Hierarchical Condition Category ( HCC ). Forward queries created by the ... of this job, the employee is frequently (activity or condition exists from 1/3 to 2/3 of the time)...up to 15 pounds of force occasionally (activity or condition exists up to 1/3 of the time), and/or… more
    Tidelands Health (12/08/24)
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  • Medical Assistant

    Spira Care, LLC (Lee's Summit, MO)
    …Preferred Qualifications: + Experience with coding and documentation for Medical Advantage and Hierarchical Condition Category ( HCC ) coding. Spira Care ... + Spira Care has specific vaccinations requirements as a condition of employment. You must be able to comply...employment. You must be able to comply with this condition of employment with or without a reasonable accommodation… more
    Spira Care, LLC (11/20/24)
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  • CRNP, Staff or Senior - UPMC Your Care

    UPMC (Pittsburgh, PA)
    …development of patient centered plan of care, including assessment and documentation of Hierarchical Condition Category ( HCC ) diagnoses as appropriate. ... the patients. The CRNP communicates proactively with physicians regarding the clinical condition of their patients. The position will require travel for in-home… more
    UPMC (12/07/24)
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  • Medical Coding Specialist (Remote in MN, WI or FL)

    Bluestone Physician Services (Tampa, FL)
    …+ Current Medical Coding Certification required + Strong E/M coding experience preferred + Hierarchical Condition Category ( HCC ) experience preferred + ... Medical billing experience a plus Knowledge/Skills/Abilities + Knowledge of: + Medical terminology and understanding of patient care notes + ICD-10-CM, CPT, and HCPCS Coding systems + Health information and medical record documentation, data integrity and… more
    Bluestone Physician Services (12/21/24)
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  • APP, Supervisor - General Internal Medicine - Full…

    University of Miami (Miami, FL)
    …Knowledge of HEDIS Quality Care Gaps - review and closure preferred + Knowledge of Hierarchical Condition Category ( HCC ) - review and recertification ... preferred + Physical presence required at all GIM sites + Conducts or participates in multidisciplinary rounds and ensures appropriate and quality care for patients. + Serves as a liaison and advocate between the APP and hospital leadership, department heads,… more
    University of Miami (12/17/24)
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  • A**Divisional Coding Quality Auditor-Educator

    AdventHealth (Altamonte Springs, FL)
    …level knowledge of Hospital Acquired Conditions (HAC), Patient Safety Indicators (PSI), and Hierarchical Condition Categories ( HCC ) . Expert level knowledge ... for each position may vary based on geographical location. ** Category :** Health Information Management **Organization:** AdventHealth Corporate **Schedule:** Full-time… more
    AdventHealth (12/13/24)
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