- Datavant (Washington, DC)
- …educational and life experiences to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to ... on client specific guidelines for the project. + The coder will ensure compliance with established ICD-10 CM, third...CIC, or CRC). + A minimum of 2 years HCC coding experience, while certified. + Full understanding and… more
- Highmark Health (Cheyenne, WY)
- …using skills including but not limited to Hierarchical Condition Category ( HCC ) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for ... requirements by analyzing physician documentation and interpreting into ICD10 diagnoses and HCC disease categories. Supports other key objectives to drive capture of… more
- Datavant (Atlanta, GA)
- …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. The ideal ... Reviews rebuttals submitted by coders. Provides education to the coder if the error is correct or sends the...+ Extensive knowledge of ICD -10 + 2 years' HCC coding experience + 1+ years' Team Lead experience… more
- University of Washington (Seattle, WA)
- …Health Information** has an outstanding opportunity for a **Coding Specialist 1 - Edits Coder ** **WORK SCHEDULE** + 100% FTE + Mondays - Fridays + 100% Remote ... **POSITION HIGHLIGHTS** The Edits Coder position reports to the Outpatient Coding Supervisor within...in Epic work queues (WQ) and/or Hierarchical Condition Category ( HCC )/Risk Adjustment Factor (RAF) and/or Care Gap review to… more
- Apex Health Solutions (Houston, TX)
- Summary Certified Medical Coder role is responsible for reviewing, abstracting, and coding inpatient and/or outpatient medical records to ensure proper ICD-10-CM, ... A certification in one of the following is required : Certified Professional Coder (CPC) Certified Risk Adjustment Coder (CRC) Certified Coding Specialist (CCS)… more
- Amazon (IL)
- …member of the Amazon One Medical Senior Health Revenue Cycle team, the Medical Coder I will be responsible for supporting Amazon One Medical Clinical and Revenue ... outcomes. Basic Qualifications * 2+ years as a Profee Coder in an office setting inclusive of risk adjustment...perform accurate and complete chart reviews for Profee and HCC Risk Adjustment * Possesses advanced knowledge and understanding… more
- WMCHealth (Valhalla, NY)
- Network Practice Coder /Auditor Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support Department: Health Info ... (https://pm.healthcaresource.com/cs/wmc1/#/preApply/30982) Internal Applicant link Job Details: Job Summary: The Coder is responsible for auditing medical records, including applicable… more
- University of Southern California (Alhambra, CA)
- …coding laws, regulations, rules, guidelines, and conventions. + Ability to improve APC/ HCC assignments specific to medical necessity documentation & coding of PDx, ... OR AHIMA Certified Coding Specialist - Physician (CCS-P); OR AAPC Certified Professional Coder (CPC); OR AAPC Certified Outpatient Coding (COC) If there is the… more
- Cedars-Sinai (Los Angeles, CA)
- …Working under the general direction of a coding supervisor, the Facility Inpatient Coder is responsible for the assignment of ICD-10-CM and ICD-10-PCS codes by ... purposes such as Social Determinants of Health (SDOH), Hierarchical Conditions ( HCC ), and severity impacting conditions. Abstracts data elements to satisfy… more
- Ascension Health (Elk Grove Village, IL)
- …obtained prior to hire date or job transfer date.* Certified Professional Coder (CPC) credentialed from the American Academy of Professional Coders(AAPC) obtained ... the following certification thru AAPC (credentialing board): **Certified Risk Adjustment Coder (CRC) - STRONGLY PREFERRED** + **Hybrid position** - Flexible with… more
- WMCHealth (Valhalla, NY)
- …an internal expert on Risk Adjustment and Hierarchical Conditions Categories ( HCC ) coding. Specific duties include performing concurrent and retrospective reviews of ... Monitors and reports key performance indicators relative to clinical documentation and HCC coding. . Documents and maintains records of all query, audit, and… more
- Trinity Health (Livonia, MI)
- …is complete and accurate. + Validate the accurate assignment of working HCC diagnosis affecting RAF scores within the ambulatory patient population by collaborating ... outpatient reimbursement models, & the impact of provider documentation & HCC risk adjustment, ensuring compliance with reporting standards for claims submission.… more
- Trinity Health (Albany, NY)
- …responsible for reviewing clinical documentation and coding using HCC (Hierarchical Condition Category) and MEAT (Monitored, Evaluated/Assessed/Addressed, Treated) ... (CMS). **SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:** **. Certified Risk Adjustment Coder (CRC) required** . Excellent verbal and written communication skills. .… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …focus on Medicare Advantage and ACA risk adjustment. * Certified Risk Adjustment Coder (CRC) certification * In-depth knowledge of ACA & Medicare Advantage risk ... Certifications such as CPMA, RHIT, RHIA, CCA, CCS. * Expertise in CMS- HCC , and HHS- HCC Risk Adjustment models. Compensation and Benefits: Pay Range: $88,600.00 -… more
- CVS Health (Springfield, IL)
- …equal to approximately 1-2 years for CPC. + CPC (Certified Professional Coder ) or CCS-P (Certified Coding Specialist-Physician) required. + CRC (Certified Risk ... Adjustment Coder ). + Computer proficiency including experience with Microsoft Office...and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories ( HCC ) preferred. **Anticipated Weekly Hours** 40 **Time Type** Full… more
- Datavant (Boise, ID)
- …with strong expertise in neurosurgery and orthopedics. Experience in Interventional Radiology and HCC is a plus. **You Will:** + Conduct inpatient coding audits on ... Scrutinizes all HCPCS and CPT codes influencing APC assignment. + Provide coder education through the auditing process. + Prepare preliminary results for review… more
- Trinity Health (Livonia, MI)
- …of education & experience + Experience with compliant healthcare documentation, HCC coding requirements, alternate payment models in a multi-facility, integrated ... coding, healthcare quality or equivalent + Certified Risk Adjustment Coder (CRC), Certified Clinical Documentation Integrity (CDI), Certified Clinical Documentation… more
- Genesis Healthcare (PA)
- …Moreover, this position will be key in assisting with the LTC ACO HCC program ensuring that claims are coded and documented accurately and completely, helping ... Requirements: + High School diploma or GED completion required + Certified Professional Coder with a minimum of 3 years' experience with CPT and ICD coding… more
- University of Southern California (Alhambra, CA)
- …coding laws, regulations, rules, guidelines, and conventions. * Ability to improve APC/ HCC assignments based on medical necessity documentation & coding of PDx, ... + Req AHIMA Certified Coding Specialist (CCS) only; or AAPC Certified Inpatient Coder (CIC) only; or either the CCS or CIC in conjunction with any… more
- Mount Sinai Health System (New York, NY)
- …in a multi-entity or academic health system. - Familiarity with risk adjustment, HCC coding, and value-based care models. - Proven success in implementing CAC and ... response, and corrective action planning. - Manage performance metrics including DNFB, coder productivity, and denial rates. Compliance & Quality - Ensure adherence… more