- AdventHealth (Altamonte Springs, FL)
- …department. Provides suggestions on process improvement. Works with the audit team and coding manager to develop meaningful education and may conduct educational ... Categories ( HCC ). + Expert level knowledge of medical terminology, coding guidelines and methodologies. + Understanding of HIPAA privacy rules and ability… more
- UNC Health Care (Chapel Hill, NC)
- …Abilities Requirements:** * Strong knowledge of ICD-10-CM, ICD-10-PCS, and CPT coding , MS DRG, hierarchical condition categories ( HCC ), and CDI ... shared services. This position reports to the HCS Supervisor Coding and CDI Quality and Training. This position may...hiring and selection of new CDS with the hiring manager as requested. 6. Analyzes and audits medical records… more
- Datavant (Lincoln, NE)
- …to realize our bold vision for healthcare. **Role Overview** As a Product Manager , Risk Adjustment Analytics Products, you will contribute to the strategy and ... the development of robust, scalable, and actionable analytics that improve coding outcomes, measure product impact, and support value-based client delivery across… more
- Albany Medical Center (Albany, NY)
- …and training to providers and coding staff. Act as an expert for the HCC /Risk adjustment coding . This position is remote but does require onsite education to ... interview process to fill personnel vacancies. + Perform System Manager tasks for specified applications in his/her absence to...Coding and Reporting. Code chronic disease that meets HCC and Risk Adjustment criteria. Validate missed coding… more
- J&J Family of Companies (Columbia, SC)
- …Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position that will include the Greenville ... help overcome challenges to fulfillment, on-boarding, and adherence. The Field Reimbursement Manager (FRM) is responsible for serving as the primary field-based lead… 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
- Huron Consulting Group (Van Buren, AR)
- …rewarding path forward. Create your future at Huron. As the Healthcare Consulting Manager in CDI, you will: + Manage complex multi-workstream projects and oversee ... organizational change + Perform E&M and CPT procedure and HCC reviews + Collaborate with team members and clients...required + A minimum of 5 years of outpatient coding experience, including professional and facility, E&M, and procedure… 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
- UPMC (Pittsburgh, PA)
- …Plan has an exciting opportunity for a Physician Educator position in the HCC Risk Adjustment Department. This is a full-time position working Monday through Friday ... to address issues, questions and learning needs related to coding and documentation in the medical record and the...care and maximize risk adjustment revenue. + Assist Senior Manager in development of education objectives and programs. +… more
- Dignity Health (Phoenix, AZ)
- …teams within Arizona Care Network (ACN). ACN CPLs report to the Manager of Practice Transformation within the Clinical Performance Department, and are responsible ... value based contracts (CMS ACO, HEDIS, NCQA, etc.) and Medicare Advantage programs ( HCC /RAF). In addition these positions also support our clinicians and their teams… more
- Providence (Portland, OR)
- …compliance is met. The Clinical Documentation Specialist works closely with the Manager of Quality Improvement and Home Health leadership to promote regulatory ... an Electronic Medical Record (EMR) system. **Preferred Qualifications:** + Home Care Coding Specialist - Diagnosis, Hospice, or OASIS. + OASIS certification **Why… more
- Elevance Health (Richmond, VA)
- …and a minimum of 5 years of related experience, including 3 years of hands-on HCC coding , chart review, and RAF calculations; or any combination of education and ... systems within a healthcare payer or RCM organization and associated coding / claim integrity certifications strongly preferred. + Experience working with Medicare/… more
- Dana-Farber Cancer Institute (Boston, MA)
- …Dana-Farber and Dana-Farber/Harvard Cancer Center:** Independently represents the department on DF/ HCC and DFCI committees, including but not limited to Scientific ... investigators on all aspects of grant submissions. Work with grants manager on all administrative aspects, including budget. **Research Portfolio Management:**… more