- Highmark Health (Albany, NY)
- …(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
- HCA Healthcare (Campbell, CA)
- …medical conditions to the highest specificity according to Medicare requirements for the Hierarchical Condition Category ( HCC ) risk adjusted payment ... conditions to the highest specificity according to Medicare requirements for the Hierarchical Condition Category ( HCC ) risk adjusted payment model. .… more
- UPMC (Pittsburgh, PA)
- …Ensure that all codes are documented for the assignment of a valid and accurate Hierarchical Condition Category ( HCC ). Monitor the assignment of the ... of workers engaged in audit activities related to diagnosis, CPT/HCPC and HCC . Creates and implements review processes to address identified new risks. Responsible… more
- AdventHealth (Altamonte Springs, FL)
- …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
- LifePoint Health (Marquette, MI)
- …payor registries to identify high risk patients. -Analyze clinical data and identifies Hierarchical Condition Category ( HCC ) gaps. -Query/communicate ... with provider/care manager to capture accurate Hierarchical Condition Category ( HCC ). -Assist in the evaluation of data collected to assure accuracy and… more
- Tidelands Health (Murrells Inlet, 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
- CDPHP (Albany, NY)
- …required. + Provider office relations and communication experience strongly preferred. + Hierarchical Condition Category ( HCC ) knowledge preferred. ... + Diagnosis code auditing experience is preferred. + Experience in claims adjudication, billing and enrollment systems, product or pricing is preferred. + Experience with Microsoft Office, including Word, Excel, Outlook and PowerPoint is required. +… more
- Robert Half Accountemps (Durham, NC)
- …Services 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. + Researches all department requests, set… more
- Motion Recruitment Partners (Durham, 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 To be eligible to contract at this client… more
- Baylor Scott & White Health (Lakeway, TX)
- …surgery, professional fee to include evaluation and management (E/M) coding, profee surgery, hierarchical condition category ( HCC ) Risk Adjusted coding ... (diagnosis only with 1 year lookback) or low acuity inpatient. + Coder I utilizes the International Classification of Disease (ICD-10-CM. ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other… more
- Baystate Health (Springfield, MA)
- …time Physical Therapist to join our team in Springfield, MA. **Position** + Hierarchical Condition Category Registered Nurse Educator **SCHEDULE:** + Monday ... the following: + Chronic illness diagnoses Coding + Knowledge of CMS HCC guidelines and application relevant to improved documentation and favorable reimbursement +… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …support Bon Secours Mercy Health's Risk Score Accuracy (RSA) initiative and the Hierarchical Condition Categories ( HCC ) coding program. The position performs ... for clinical and operational excellence. **Primary Function/General Purpose of Position** The HCC Coder provides extensive knowledge of documentation and review to… more
- Commonwealth Care Alliance (Boston, MA)
- …leadership, and strategically and operationally leads various quality reviews of claims, Hierarchical Condition Categories ( HCC ) and clinical coding, call ... pre-payment and post-payment claim reviews, call monitoring reviews, and evaluation of HCC audits/reviews, among others, to relevant departments. The role also leads… more
- Commonwealth Care Alliance (Boston, MA)
- …and is responsible for designing quality and control assurance reviews of claims, Hierarchical Condition Categories ( HCC ) and clinical coding, call ... of relevant quality audit/review results, call monitoring reviews, and evaluation of HCC audits/reviews, among others, to relevant departments. The role also leads… more
- AdventHealth (Altamonte Springs, FL)
- …Ambulatory CDI Senior demonstrates strong clinical knowledge and understanding of coding/ Hierarchical Condition Categories ( HCC )/Risk Adjustment Factor (RAF) ... documentation specialist. **Preferred experience:** + Regulatory background and risk adjustment/ HCC knowledge (Preferred) This facility is an equal opportunity… more
- Banner Health (AZ)
- …BMG and to identify opportunities for optimization of RAF scores and capture of Hierarchical Condition Categories (HCCs). CORE FUNCTIONS 1. Serves as a subject ... City/State:** Arizona, Arizona **Department Name:** AZ Pop Health-Clinic **Work Shift:** Day **Job Category :** Nursing Good health care is key to a good life. At… more