- Trinity Health (Albany, NY)
- …a team environment and is responsible for reviewing clinical documentation and coding using HCC ( Hierarchical Condition Category ) and MEAT (Monitored, ... . Demonstrate a solid understanding of ICD-10-CM coding and medical terminology, Hierarchical Condition Category ( HCC ), and MEAT standards. . Exercise… more
- AdventHealth (Lees Summit, MO)
- …CDI leader and will work closely with providers and operations to effectively provide Hierarchical Condition Category ( HCC ) education including but not ... limited to clinical documentation integrity, coding, HCC Risk Adjustment Methodology, and provider performance metrics. The successful candidate will have an… more
- Datavant (Boise, ID)
- …experiences to realize our bold vision for healthcare. **What We're Looking For:** As an HCC ( Hierarchical Condition Category ) Auditor you will review ... by quality supervisor **What You Need to Succeed:** + 2 years' HCC Coding experience + 2 years' HCC Auditing experience + Extensive knowledge of ICD -10 + High… more
- Datavant (St. Paul, MN)
- …educational and life experiences to realize our bold vision for healthcare. As an HCC ( Hierarchical Condition Category ) coder you will review ... 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, medical… more
- Commonwealth Care Alliance (Boston, MA)
- …data systems and tools that support Commonwealth Care Alliance's (CCA) risk adjustment and Hierarchical Condition Category ( HCC ) revenue programs. This ... + Develop and support risk adjustment financial models that align with HCC revenue projections and CMS methodologies. + Maintain and enhance reporting infrastructure… more
- 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
- Spira Care, LLC (Kansas City, KS)
- …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
- 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
- Praxis Health (Portland, OR)
- …+ Transitional Care Management (TCM) + Annual Wellness Visit (AWV) completion rates + Hierarchical Condition Category ( HCC ) performance 2. Transitional ... and news Praxis Health. LocationUS-OR-Portland Job ID 2025-6473 # Positions 1 Category Medical Clinic (MA,RN,LPN,ETC) Schedule Full-time, Monday - Friday more
- BlueCross BlueShield of North Carolina (NC)
- …(CMS). + Uses all resources to ensure compliance and understanding of the CMS Hierarchical Condition Category ( HCC ) payment methodology. + Develops ... and maintains professional working relationships with Medical Providers and their staff necessary to facilitate onsite review of medical records. + Maintains documents for tracking audit results, status of reviews etc. **What You'll Bring** + High school… more
- 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
- Hartford HealthCare (Hartford, CT)
- …*JOB RESPONSIBILITIES* 1. Oversees the development of complex and advanced ICD-10 and Hierarchical Condition Category ( HCC ) coding and documentation ... training programs including defining training objectives, developing training materials and tools 2. Implements documentation and coding training programs for Medicare Advantage contracted providers. Presents coding and documentation education in a variety of… more
- The Cigna Group (Bloomfield, CT)
- …The Risk Adjustment Quality & Review Analyst in IFP brings medical coding and Hierarchical Condition Category expertise to the role, evaluates complex ... set. * Utilize HHS' Risk Adjustment Model to confirm accuracy of Hierarchical Condition Categories ( HCC ) identified from abstracted ICD-10-CM diagnosis codes… more
- AdventHealth (Sebring, FL)
- …patients to reduce care gaps and assist with risk adjustment factor (RAF) and Hierarchical Condition Categories ( HCC ) AF/ HCC proposals, medication ... for each position may vary based on geographical location. ** Category :** Patient Care **Organization:** AdventHealth Heartland **Schedule:** Full-time **Shift:** 1… more
- AdventHealth (Altamonte Springs, FL)
- …knowledge of Hospital Acquired Conditions (HAC), Patient Safety Indicators (PSI), and Hierarchical Condition Categories ( HCC ). Expert level knowledge of ... for each position may vary based on geographical location. ** Category :** Health Information Management **Organization:** AdventHealth Corporate **Schedule:** Full-time… more
- Commonwealth Care Alliance (Springfield, MA)
- …gaps in clinical practice and in collaboration with patient's external providers. * Evaluate Hierarchical Condition Categories ( HCC ) and work to recapture * ... religion, sex, national origin, age, physical or mental disability, genetic information or any other category protected by applicable federal, state or local laws. more