- Kelsey-Seybold Clinic (Pearland, TX)
- …ICD-10-CM Guidelines for Coding and Reporting. **Job Title: HCC Coding Compliance Assistant** **Location: Pearland Administrative Office** **Department:** ... **Responsibilities** To ensure the accurate coding of diagnoses which fall into the HCC model as required by CMS for Medicare Advantage plans. To ensure… more
- Datavant (Columbus, OH)
- …certified 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 (Altamonte Springs, FL)
- …( 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
- UNC Health Care (Chapel Hill, NC)
- …sheets and tools for providers and other clinical and OP CDI staff such as the HCC /RAF Pocket Guide, HCC Coding Tip Sheets by clinical conditions, and ... responsible for working the EPIC WQ to reorder the Hierarchical Condition Categories ( HCC ) conditions in the top 12 for claim generation. The Risk Adjustment… more
- MedKoder (Mandeville, LA)
- …with government regulations while identifying opportunities for increased financial success. The HCC Risk Adjustment Coder provides coding services to health ... primary function of this position is to perform ICD-10-CM coding for risk adjustment-eligible encounters. The HCC ...ICD-10-CM coding for risk adjustment-eligible encounters. The HCC Risk Adjustment Coder ensures compliance with ICD-10-CM … 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 (Syracuse, 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
- Datavant (Columbus, OH)
- …of medical terminology, medical abbreviations, pharmacology and disease processes + 8+ years coding experience in HCC coding + Knowledge and understanding ... the development of complex and advanced ICD-10 and Hierarchical Condition Category ( HCC ) coding and documentation training programs including defining training… more
- ZoomCare (Portland, OR)
- …practice workflows. + Oversee the training and implementation of the process of HCC coding recapture for the primary care population, ensuring accurate ... leadership role preferred. + Demonstrated experience in managing clinical quality metrics, HCC coding , and population health initiatives. + Strong understanding… 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
- VNS Health (Manhattan, NY)
- …+ 5 years' experience in a role that includes subject matter expertise in HCC coding with Inpatient and outpatient medical records, including ICD 10 CM ... of care, HEDIS and STARS measures and accurate ICD coding and accuracy for our members. + Collaborates with...educational resources on best practices for ICD 10 CM Coding , accuracy and Quality measures. + Ensures program content… more
- Dartmouth Health (Lebanon, NH)
- …with 5 years recent coding experience required. * A background in a multi-specialty coding setting preferred. * HCC Risk Coding background a plus. * ... Overview Assumes responsibility for regulatory coding and documentation audit and education activities with...acts as primary resource to clinical sections on regulatory coding and related documentation rules and regulation. * Provides… 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
- CVS Health (Harrisburg, PA)
- …dashboards + Healthcare Experience: Knowledge of healthcare risk adjustment methodologies, including HCC coding , RAF score calculation, and CMS risk adjustment ... will, at the direction of leadership, provide actionable insights that enhance coding accuracy, optimize revenue, and ensure compliance with CMS and HHS regulations.… more
- Spira Care, LLC (Shawnee, KS)
- … coding and documentation for Medical Advantage and Hierarchical Condition Category ( HCC ) coding . Spira Care is an equal opportunity employer. All qualified ... applicants will receive consideration for employment without regard to, among other things, race, color, religion, sex, sexual orientation, gender identity, national origin, age, status as a protected veteran, or disability. Spira Care is an advanced primary… 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
- University of Colorado (Aurora, CO)
- …documentation requirements. + Experience with specific primary care medicine and/or sports medicine coding , ie CPT, HCC , ICD-10, HCPCS + Experience with EHR ... **Billing and Coding Specialist** **Description** **University of Colorado Anschutz Medical...| Department of Family Medicine** **Job Title:** **Billing and Coding Specialist** **Position: #00831412 - Requisition: #36029** **Job Summary:**… more
- CenterWell (Mesa, AZ)
- …forms, and more. *Monitor and manage data analytics, scorecards, cost & utilizations, HCC coding , and NPS Scores, focusing on patient satisfaction and ... performance improvement. *Supervision and management of operational staff and guiding them on performance expectations, managing daily schedules, and supporting organizational change management. *Engage in recruitment, development of internal leaders, and… more
- CenterWell (Olathe, KS)
- …and more. + Monitor and manage data analytics, scorecards, cost & utilizations, HCC coding , and NPS Scores, focusing on patient satisfaction and performance ... improvement. + Supervision and management of operational staff - guiding them on performance expectations, managing daily schedules, and supporting organizational change management. + Engage in recruitment, develop internal leaders, and foster continuous… more
- Lumeris (MA)
- …clinical service line performance.** + Experience with risk adjustment methodologies (eg, HCC coding ) and their application in technology solutions, **as well ... as an understanding of how risk impacts different clinical service lines.** + Excellent strategic thinking, problem-solving, and decision-making skills, with the ability to translate complex market dynamics and customer needs (including the unique needs of… more
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