- Highmark Health (Columbus, OH)
- …skills including but not limited to Hierarchical Condition Category ( HCC ) Coding , medical coding , clinical terminology and anatomy/physiology, Centers ... education, analyzing reports, and identifying process improvements. **ESSENTIAL RESPONSIBILITIES** + Performs HCC coding on projects for MA, ACA, and End Stage… more
- Highmark Health (Columbus, OH)
- …skills including but not limited to Hierarchical Condition Category ( HCC ) Coding , medical coding , clinical terminology and anatomy/physiology, and ... to comply with all CMS requirements by analyzing physician documentation and interpreting into ICD-10 diagnoses and HCC... HCC disease categories. **ESSENTIAL RESPONSIBILITIES** + Performs HCC coding on projects for MA, ACA,… more
- Kelsey-Seybold Clinic (TX)
- …the Official ICD-10-CM Guidelines for Coding and Reporting. **Job Title: HCC Coding Compliance Assistant** **Location: 100% Remote** **Department:** KS Plan ... coding of diagnoses which fall into the HCC model as required by CMS for Medicare Advantage...required by CMS for Medicare Advantage plans. To ensure documentation of diagnoses meets the requirements set forth by… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …II coding , to ensure compliance with state and federal guidelines. + Assists HCC Coding Supervisor and System Director of Risk Score Accuracy with special ... clinical and operational excellence. **Primary Function/General Purpose of Position** The HCC Coder provides extensive knowledge of documentation and review… more
- MedKoder (Mandeville, LA)
- …medical charts electronically using a computer + Abstract and code diagnosis and documentation information + Research and resolution of coding projects as ... Position Location: 100% Remote Qualifications The Medical Coder provides coding and coding auditing services directly to providers. This includes the analysis… more
- UNC Health Care (Chapel Hill, NC)
- …ICD-10-CM, ICD-10-PCS, and CPT coding , MS DRG, hierarchical condition categories ( HCC ), and CDI documentation processes. Ability to interpret federal and ... Summary: This positon trains and audits Inpatient and Outpatient Clinical Documentation Specialists (CDS) across all HCS...and complete the CDS training modules. 3. Provides ongoing documentation and coding education to CDI Physician… more
- Trinity Health (Syracuse, NY)
- …works in a team environment and is responsible for reviewing clinical documentation and coding using HCC (Hierarchical Condition Category) and MEAT ... appropriate level of specificity. Follows current industry standards of ethical coding . Recognizes and reports opportunities for documentation improvement to… more
- Tidelands Health (Murrells Inlet, SC)
- …to take correct actions to allow for payer processing for payment. + Collaborate with Clinical Documentation Integrity (CDI) team as part of the clinical ... Coding as set forth by AHIMA. Abstracting required clinical information from the medical record. Queries physicians as...and place accounts to the correct status/hold when additional documentation is required for accurate and complete coding… more
- WelbeHealth (Columbus, OH)
- …Educator focuses on ensuring coding is accurate and properly supported by clinical documentation within the health records, as well as educating our teams ... + Work closely with Coding Supervisor in identifying opportunities for HCC coding education **Job Requirements:** + Associates Degree preferred; three (3)… more
- CVS Health (Tallahassee, FL)
- …CRC ( HCC )CPMA (Certified Professional Medical Auditor), CDEO (Certified Documentation Expert Outpatient) or CPC-I (Certified Professional Coding Instructor) ... risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State...in either written or verbal forms including communication with clinical or coding staff, federal regulators and… more
- Bluestone Physician Services (Stillwater, MN)
- …ICD-10-CM, CPT and/or HCPCS codes + Document errors and areas for improvement regarding clinical documentation and coding for assigned providers + Review ... Wisconsin or Florida). Responsibilities : + Conduct prospective review of clinical documentation and reimbursement claims for government programs (Medicare… more
- Trinity Health (Syracuse, NY)
- … documentation , coding and billing preferred. Ability to review clinical documentation to determine accurate ICD10, CPT, HCPCS and modifier assignment. ... of centralized coders charge capture and coding . Partners with centralized coding and operational leadership to improve HCC , high risk scoring, along… more
- The Cigna Group (Philadelphia, PA)
- …relationships with clinical providers and staff + Ability to communicate coding and documentation guidelines and education + Conduct provider training on ... guidelines + Working Knowledge of CMS Risk Adjustment and HCC Coding Process + Strong computer skills...requirements of the Risk Adjustment program to ensure correct coding and documentation + Customize presentations to… more
- University of Virginia (Charlottesville, VA)
- …as the subject matter expert on Centers for Medicare and Medicaid Services (CMS) HCC documentation requirements and ICD-10-CM coding guidelines + Ensures key ... and health data collection activities to ensure accurate provider documentation and coding as it relates to...Provides guidance, communication and education on correct charge capture, coding and billing processes to clinical departments.… more
- CVS Health (Albany, NY)
- …the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations ... setting. * Thorough grasp of anatomy, physiology and medical terminology to comprehend clinical documentation and code descriptions. * Sound knowledge of … more
- AmeriHealth Caritas (Philadelphia, PA)
- … coding practice. + Verifies and validates authorization of services, written clinical documentation of services received through Physical Health Services and ... audits to evaluate the completeness of medical record documentation , identifies aberrant coding and billing patterns,...medical condition coding . + ICD-10 proficiency validation. HCC coding experience is a plus. +… more
- CVS Health (Albany, NY)
- …the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations ... setting. + Thorough grasp of anatomy, physiology and medical terminology to comprehend clinical documentation and code descriptions. + Sound knowledge of … more
- Tri-County Health Care (Wadena, MN)
- …and payer guidelines with attention given to maximizing reimbursement + Stays abreast of coding updates and clinical documentation standards + Provides codes ... role. Primary responsibilities include r eview of medical record documentation for accurate ICD-10 and CPT coding ...adherence, risk adjustment model capture, and hierarchical condition category ( HCC ) coding . This position is 48 hours… more
- Memorial Sloan-Kettering Cancer Center (New York, NY)
- …Department (HIM) is seeking an enthusiastic leader to supervise our growing Clinical Documentation Improvement Program. Reporting to the Associate Director of ... HIM Clinical Operations, theManager, Clinical Documentation ...records for patient acuity, quality reporting, DRG assignment, and HCC coding . + Support the prevention, detection,… more
- Kelsey-Seybold Clinic (Houston, TX)
- …in clinical documentation or related field with 3+ years in HCC Coding Preferred: N/A **License(s)** Required: Certified Risk Adjustment Coder (CRC) or ... product lines and health plans. The MCA Risk Adjustment Clinical Documentation Specialist team is a highly-skilled...for severity of illness (SOI) * Maintain knowledge of HCC documentation updates * Communicate with physicians… more