- Insight Global (Tampa, FL)
- …all progress notes for one patient in a one-to-two-year period. All our retro projects are HCC coding only. DAY TO DAY/EXPLANATION OF ROLE: Will be coding ... for one patient in a one-to-two-year period. All our retro projects are HCC coding only. We have opportunities to review the following chart types. Outpatient… more
- Datavant (Boise, ID)
- …Any other tasks asked by quality supervisor **What You Need to Succeed:** + 2 years' HCC Coding experience + 2 years' HCC Auditing experience + Extensive ... realize our bold vision for healthcare. **What We're Looking For:** As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have… more
- Datavant (St. Paul, MN)
- …credentials (CPC, CPC-H, COC, CIC, or CRC). + A minimum of 2 years HCC coding experience, while certified. + Full understanding and knowledge of ICD-10, ... to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical...guidelines. + Coders must meet and maintain a 95% coding accuracy rate. + Any other task requested by… more
- AdventHealth (Lees Summit, MO)
- …( HCC ) education including but not limited to clinical documentation integrity, coding , HCC Risk Adjustment Methodology, and provider performance metrics. The ... advanced understanding of the HCC risk adjustment methodology gained from HCC documentation, coding , and provider education experience. **The value you'll… more
- UPMC (Pittsburgh, PA)
- **UPMC Health Plan has an exciting opportunity for a Certified Coding Specialist I position in the Medicare HCC department. This is a full time position working ... + Review appropriate documents to accurately assign a Risk Adjustment HCC diagnosis. + Review coding for accuracy and completeness prior to submission. + Utilize… more
- WMCHealth (Valhalla, NY)
- …activities. Monitors and reports key performance indicators relative to clinical documentation and HCC coding . . Documents and maintains records of all query, ... Maintains current competencies in clinical documentation improvement and ICD, CPT and HCC coding through continuing education. Assists with compliance audits and… more
- Trinity Health (Albany, NY)
- …a team environment and is responsible for reviewing clinical documentation and coding using HCC (Hierarchical Condition Category) and MEAT (Monitored, ... claim is submitted to payers. . Demonstrate a solid understanding of ICD-10-CM coding and medical terminology, Hierarchical Condition Category ( HCC ), and MEAT… more
- Henry Ford Health System (Grand Blanc, MI)
- …or related field) required; + Bachelor's degree preferred. + 3 or more years of HCC coding required. + 5 or more years' experience either in the clinical ... or CCS; or combination thereof preferred. + Knowledge of ICD-10 and HCC coding guidelines. + Exemplary organizational and communication skills. + Ability to… more
- The Cigna Group (Bloomfield, CT)
- …and coding compliance, with both Inpatient and Outpatient documentation * HCC coding experience preferred * Computer competency with excel, MS Word, ... The Risk Adjustment Quality & Review Analyst in IFP brings medical coding and Hierarchical Condition Category expertise to the role, evaluates complex medical… more
- Marshfield Clinic (Marshfield, WI)
- …of CPT coding rules, ICD‐9 and ICD‐10 codes, Healthcare Common Procedure Coding System (HCPCS) codes, HCC coding , use of modifiers, documentation ... Procedural Terminology (CPT), and ICD‐9, ICD-10 and Hierarchical Condition Category ( HCC ) coding . **Preferred/Optional:** Bachelor of Science in Nursing.… more
- The Cigna Group (Bloomfield, CT)
- …to documentation and coding , both with Inpatient and Outpatient documentation + HCC coding experience preferred + Computer competency with excel, MS Word, ... and compliantly execute daily RA program operations, as identified. Participates in coding reviews of medical documentation for RA programs, as needed._ _Responsible… more
- Hartford HealthCare (Hartford, CT)
- …the development of complex and advanced ICD-10 and Hierarchical Condition Category ( HCC ) coding and documentation training programs including defining training ... Coder Educator develops and implements an enterprise-wide risk adjustment coding and documentation education program to support documentation practices among… more
- Commonwealth Care Alliance (Boston, MA)
- …diagnoses, and provider data. + Familiarity with CMS risk adjustment methodologies and HCC coding preferred. + Experience with data visualization tools such as ... Commonwealth Care Alliance's (CCA) risk adjustment and Hierarchical Condition Category ( HCC ) revenue programs. This position ensures the integrity, accuracy, and… more
- Tufts Medicine (Burlington, MA)
- …ICD-10-CM coding standards, as well as lead efforts to evaluate the HCC /DxCG coding practices and provide analyses and recommendations to improve overall ... to physicians on a regular basis in regard to Risk Adjustment Coding guidelines ( HCC /DxCG), as well as ICD-10-CM Guidelines and regular coding requirements.… more
- AmeriHealth Caritas (Newtown Square, PA)
- …risk adjustment and quality performance, with oversight of strategies that impact HCC coding accuracy, risk score integrity, and quality measures (HEDIS/STARS). ... on Quality analytics and supplemental data opportunities. + Deep knowledge of HCC Coding , risk adjustment models (CMS, HHS,STARS, HEDIS, and value based care. +… more
- Albany Medical Center (Albany, NY)
- …and training to providers and coding staff. Act as an expert for the HCC /Risk adjustment coding . This position is remote but does require onsite education to ... Guideline for Coding and Reporting. Code chronic disease that meets HCC and Risk Adjustment criteria. Validate missed coding opportunities. + Conducts… more
- Martin's Point Health Care (Portland, ME)
- …of third-party analytical tools and reporting platforms related to risk profile analysis and HCC coding + Recommends tools and methodologies that can be deployed ... configuration support, and interface development applications as needed + Supports CMS HCC Risk Adjustment modeling + Maintains and is a proficient user… more
- Datavant (Sacramento, CA)
- …required. + People Leader experience managing a team of employees. + Familiarity with HCC coding . + A strong knowledge base of medical terminology, medical ... educational and life experiences to realize our bold vision for healthcare. The Coding Supervisor serves as a working supervisor with oversight and management of… more
- Henry Ford Health System (Grand Blanc, MI)
- …to work remotely. + Proficient in medical terminology. + Proficient in ICD-10 CM, CPT, HCC and HCPCS coding . + Able to recognize patterns and trends and escalate ... conjunction with OP Audit Analysts and Coordinators will utilize documentation and coding expertise to facilitate audits of the quality and completeness of medical… more
- University of Virginia (Charlottesville, VA)
- …the subject matter expert on Centers for Medicare and Medicaid Services (CMS) HCC documentation requirements and ICD-10-CM coding guidelines + Ensures key ... The Director of Enterprise Coding is an integral member of the Revenue...the overall structure, process, oversight, and accountability of professional coding and health data collection activities to ensure accurate… more