- Datavant (Carson City, NV)
- …experience, preferred + People Leader experience managing a team of employees. + Familiarity with HCC coding and auditing + A strong knowledge base of ... educational and life experiences to realize our bold vision for healthcare. Coding Supervisor serves as a working supervisor with oversight and management of… more
- CareFirst (Baltimore, MD)
- …day-to-day activities and operational processes of the coding operations team - including HCC coding , auditing and data submission to CMS and other ... activities, and drive ongoing professional development on CMS, HHS, HCC , and ICD-10 coding requirements. + Identify...development on CMS, HHS, HCC , and ICD-10 coding requirements. + Identify and resolve process bottlenecks, ensuring… more
- Datavant (Santa Fe, NM)
- …You Need to Succeed:** + 2 years' HCC Coding experience + 2 years' HCC Auditing experience + Extensive knowledge of ICD -10 + High school diploma or GED ... vision for healthcare. **What We're Looking For:** As an HCC (Hierarchical Condition Category) Auditor you will review medical...by coders and or auditors + Participate in weekly coding project review meetings + Any other tasks asked… more
- Datavant (Hartford, CT)
- …to realize our bold vision for healthcare. We're looking for experienced and credentialed HCC Coding Team Leads to become an integral part of our team. ... to ensure coders are receiving timely feedback. Assists with auditing when the coder has not received recent feedback....+ Extensive knowledge of ICD -10 + 2 years' HCC coding experience + 1+ years' Team… more
- Datavant (Denver, CO)
- …3 years of HCC coding experience + Minimum 2 years of HCC Auditing experience + High school diploma or GED equivalent + AHIMA certified credentials ... credentials (CPC, CPC-H, COC, CIC or CRC). + Proficient in ICD-10 coding . + Experienced in HCC coding across Medicare, commercial, and Medicaid sectors. +… 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, ... Compliance Auditing Specialist- Remote/Hybrid available Company: NorthEast Provider Solutions...competencies in clinical documentation improvement and ICD, CPT and HCC coding through continuing education. Assists with… more
- University of Colorado (Aurora, CO)
- …bachelor's degree on a year-for-year basis. + Three (3) years of clinical coding / auditing experience in Neurosurgery or a similar environment. + Active CCS-P, ... Experience with specific primary care medicine and/or sports medicine coding , ie CPT, HCC , ICD-10, HCPCS +...EHR systems. **Preferred Qualifications:** + 5+ years of clinical coding / auditing experience, preferably in Neurosurgery or a… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …ICD-9-CM/ICD-10-CM coding , Medicare Advantage and Commercial Hierarchical Condition Category ( HCC ) coding , and Medicaid Clinical Risk Groups (CRGs) to ensure ... coding validation, monitoring plan specifications, Hierarchical Condition Category ( HCC ) assignment accuracy and Risk Adjustment Validation Audits (RADV). *… more
- WelbeHealth (Charleston, WV)
- …+ Work closely with Coding Supervisor in identifying opportunities for HCC coding education **Job Requirements:** + Associates Degree preferred; three (3) ... or a combination of healthcare-related education and experience in coding and auditing + Minimum of two...+ Minimum of two (2) years of Risk Adjustment ( HCC ) coding experience in a managed care… more
- East Boston Neighborhood Health Center (Revere, MA)
- …CPMA, CCS) EXPERIENCE: + 10+ years of experience in professional and outpatient coding , provider education, or risk adjustment auditing + Experience delivering ... across multiple specialties + Extensive knowledge of cpt, revenue codes, ICD-10-CM coding and HCC /risk adjustment methodologies + Experience with Medicare… more
- AdventHealth (Altamonte Springs, FL)
- …Categories ( HCC ) + Expert level knowledge of medical terminology, coding guidelines and methodologies + Understanding of HIPAA privacy rules and ability ... : Remote **The role you will contribute:** The inpatient or outpatient coding team Corporate Quality Auditor (QA)/Educator supports the operations of the inpatient… more
- Banner Health (AR)
- … coding (clearly reflected in your attached resume);** + **DRG and PCS Coding , Auditing experience;** + **Bachelors degree or equivalent;** + **Must be ... **Department Name:** Coding -Acute Care Compl & Educ **Work Shift:** Day...HCC , other Heath Risk Adjusted Factors, National Correct Coding Initiative (NCCI) and the effect on Case Mix… 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 Cycle division, working closely with the financial and clinical operations to provide… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Skills and Experience * Bachelor's degree * Experience in provider office medical coding , claims auditing , or specialty clinics. * Certifications such as CPMA, ... ensuring the accuracy, completeness, and compliance of risk adjustment coding across both internal teams and external partners. Your...RHIT, RHIA, CCA, CCS. * Expertise in CMS- HCC , and HHS- HCC Risk Adjustment models. Compensation… more
- Elevance Health (Waukesha, WI)
- …and a minimum of 5 years of related experience, including 3 years of hands-on HCC coding , chart review, and RAF calculations; or any combination of education and ... company-and is well-versed in Medicare and Medicaid risk adjustment policies, RADV auditing , and the infrastructure that underpins claims delivery. **How you will… more