- AdventHealth (Daytona Beach, FL)
- …of the HCC risk adjustment methodology gained from HCC documentation, coding , and provider education experience. **The value you'll bring to the ... to CDI leader and will work closely with providers and operations to effectively provide Hierarchical Condition Category ( HCC ) education including but not… more
- WMCHealth (Valhalla, NY)
- …. Maintains current competencies in clinical documentation improvement and ICD, CPT and HCC coding through continuing education . Assists with compliance ... activities. Monitors and reports key performance indicators relative to clinical documentation and HCC coding . . Documents and maintains records of all query,… more
- Datavant (Denver, CO)
- …reflect the complexity and severity of a patient's health stats, **You will:** + Provide education through detailed feedback within audits. + Provide coders' ... by management. **What you will bring to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of HCC Auditing experience + High school… more
- Datavant (Carson City, NV)
- …on a daily basis, including education on time management and best coding practices. + Provide coaching and feedback on achieving production and quality ... standards of the role. + Report trends for education opportunities to management for review and/or action. +...experience managing a team of employees. + Familiarity with HCC coding and auditing + A strong… more
- Henry Ford Health System (Troy, MI)
- …Coding ? If your answer is YES, this position could be for you! The Medical Coding Education Coordinator is 95% remote work, with travel as needed within the ... directly with providers. About the Role: As our Medical Coding Education Coordinator, you'll be at the...forefront of coordinating, overseeing, and optimizing the flow of provider education and medical record coded information… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …ICD-9-CM/ICD-10-CM coding , Medicare Advantage and Commercial Hierarchical Condition Category ( HCC ) coding , and Medicaid Clinical Risk Groups (CRGs) to ensure ... coding validation, monitoring plan specifications, Hierarchical Condition Category ( HCC ) assignment accuracy and Risk Adjustment Validation Audits (RADV). *… more
- University of Colorado (Aurora, CO)
- …regarding billing, coding , and documentation. + Perform follow-up reviews after new provider training and provide additional education as needed. + Work ... - 30%** + Experience in developing QA/QI plans for coding /billing using EPIC, to provide expertise to...Experience with specific primary care medicine and/or sports medicine coding , ie CPT, HCC , ICD-10, HCPCS +… more
- East Boston Neighborhood Health Center (Revere, MA)
- …(eg, CPMA, CCS) EXPERIENCE: + 10+ years of experience in professional and outpatient coding , provider education , or risk adjustment auditing + Experience ... contribute to education and process development efforts that strengthen provider understanding and compliance with professional coding standards and payer… more
- CareFirst (Baltimore, MD)
- …activities and operational processes of the coding operations team - including HCC coding , auditing and data submission to CMS and other regulatory agencies, ... activities, and drive ongoing professional development on CMS, HHS, HCC , and ICD-10 coding requirements. + Identify...with state and regulatory agencies. Conduct audits to review coding accuracy and provide actionable feedback to… more
- Redeemer Health Home Care & Hospice (Huntingdon Valley, PA)
- …programs that set up new team members for long-term success including education assistance, scholarships, and career training. With medical and dental coverage, ... safe environment and a foundation from which you can provide and receive personalized attention. We look forward to...apply today. SUMMARY OF JOB The Certified Risk Adjustment Coding /Audit Reviewer is a physician facing position and must… more
- University of Virginia (Charlottesville, VA)
- …professional coding and health data collection activities to ensure accurate provider documentation and coding as it relates to appropriate, compliant, and ... the subject matter expert on Centers for Medicare and Medicaid Services (CMS) HCC documentation requirements and ICD-10-CM coding guidelines + Ensures key… more
- Evolent (Helena, MT)
- …physiology, and medical terminology. + Experience with developing and delivering provider education specific to the clinical documentation requirements for ... correct coding and clinical documentation requirements. + Develop and provide ongoing training and support to health care providers on clinical documentation… more
- Datavant (Boise, ID)
- …outcomes in both hospitals and alternative care settings. Candidates with Profee and HCC coding experience are strongly encouraged to apply! **What You Will ... experiences to realize our bold vision for healthcare. The Provider Practice Coding Consultant role is an...make a significant impact in the field of medical coding . You will provide essential consulting services… more
- UNC Health Care (Chapel Hill, NC)
- …through and complete the CDS training modules. 3. Provides ongoing documentation and coding education to CDI Physician Advisers and CDS staff. 4. Provides ... auditor provides elbow to elbow support during training and education as well as through webex. This position may...Requirements:** * Strong knowledge of ICD-10-CM, ICD-10-PCS, and CPT coding , MS DRG, hierarchical condition categories ( HCC ),… more
- Banner Health (AR)
- …Collaborates on DRG and coding denials, billing edits/rejections to provide coding expertise to resolve issues and support appropriate reimbursement. ... findings for use as a basis for development of coding education and audit plans. 6. Maintains...limited supervision. Uses an expert level of knowledge to provide coding and billing guidance and oversight… more
- AdventHealth (Altamonte Springs, FL)
- … coding staff. They will review medical records and documentation for coding accuracy, providing feedback, and delivering additional education to correct ... auditors, managers, and directors throughout the organization + Will provide feedback to coding and CDI team...process improvement. + Works with the audit team and coding manager to develop meaningful education and… more
- University of Utah Health (Murray, UT)
- …models. HHS HCC , CMS HCC and MARA. + Demonstrated knowledge of HCC coding and diagnosis capture optimization. + Ability to build, perform, and maintain ... and well-being of people through patient care, research and education . Success in this mission requires a culture of...(eg, SAS, Python, R, Excel). + Familiarity with ICD-10-CM coding , HCC mappings, and risk score calculations.… more
- HCA Healthcare (Campbell, CA)
- …RADV audits) Schedule and participate in provider training as needed. (Eg HCC software, documentation and coding guidelines) + Recommend projects to improve ... processes of chart reviews with a goal of optimizing coding practices and identifying areas of possible provider...urgent care centers. We are HCA Healthcare's graduate medical education leader. We provide direction for over… more
- Elevance Health (Cincinnati, OH)
- …Medical Director** is responsible for providing clinical guidance related to the company's coding guidelines, provider coding audits, and participates in ... medical record documentation. + Provides clinical guidance regarding coding guidelines and develops provider educational material....5 years of clinical experience; or any combination of education and experience, which would provide an… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …improvement, and developing and implementing corrective action plans. * Assess outsourced coding vendors to ensure performance, compliance and provide feedback. ... the US Preferred Skills and Experience * Bachelor's degree * Experience in provider office medical coding , claims auditing, or specialty clinics. *… more