• Risk Adjustment Coding Specialist-Excellus Fully…

    Trinity Health (Syracuse, NY)
    …a team environment and is responsible for reviewing clinical documentation and coding using HCC ( Hierarchical Condition Category ) and MEAT (Monitored, ... . Demonstrate a solid understanding of ICD-10-CM coding and medical terminology, Hierarchical Condition Category ( HCC ), and MEAT standards. . Exercise… more
    Trinity Health (04/24/25)
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  • Coding and Documentation Educator

    AdventHealth (Altamonte Springs, FL)
    …CDI leader and will work closely with providers and operations to effectively provide Hierarchical Condition Category ( HCC ) education including but not ... limited to clinical documentation integrity, coding, HCC Risk Adjustment Methodology, and provider performance metrics. The successful candidate will have an… more
    AdventHealth (03/18/25)
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  • Sr Coding Compliance Auditor

    Catholic Health Initiatives (Chattanooga, TN)
    …The position will support risk adjustment improvement efforts across the medical group. The Hierarchical Condition Category ( HCC ) Quality program was ... of chronic conditions for the purpose of accurately reporting HCC 's. Prospective and concurrent reviews will account for 70%...complete and compliant to facilitate the accurate reporting of HCC diagnoses via claims. + Works to resolve claims… more
    Catholic Health Initiatives (03/06/25)
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  • HCC Risk Adjustment Coder PRN PPC

    Datavant (Columbus, OH)
    …educational and life experiences to realize our bold vision for healthcare. As an HCC ( Hierarchical Condition Category ) coder you will review ... 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, medical… more
    Datavant (03/27/25)
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  • Medical Director of Primary Care

    ZoomCare (Portland, OR)
    …across ZoomCare's primary care operations, driving performance in key clinical quality metrics, Hierarchical Condition Category ( HCC ) coding recapture, ... COVID-19 as a condition of employment. Medical and religious exemptions or reasonable accommodations may apply._** **Job Category :** Healthcare Provider Team more
    ZoomCare (04/25/25)
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  • Risk Adjustment Trainer

    Datavant (Columbus, OH)
    …staff/external partners + Oversee the development of complex and advanced ICD-10 and Hierarchical Condition Category ( HCC ) coding and documentation ... and disease processes + 8+ years coding experience in HCC coding + Knowledge and understanding of HCC... HCC coding + Knowledge and understanding of HCC mapping and models + Experience with coding Medicare,… more
    Datavant (04/28/25)
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  • Revenue Management Educator (Remote Option within…

    Marshfield Clinic (Marshfield, WI)
    …of courses in Current Procedural Terminology (CPT), and ICD‐9, ICD-10 and Hierarchical Condition Category ( HCC ) coding. **Preferred/Optional:** ... ICD‐9 and ICD‐10 codes, Healthcare Common Procedure Coding System (HCPCS) codes, HCC coding, use of modifiers, documentation guidelines, CMS Policy requirements, and… more
    Marshfield Clinic (03/31/25)
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  • Medical Assistant

    Spira Care, LLC (Shawnee, KS)
    …Preferred Qualifications: + Experience with coding and documentation for Medical Advantage and Hierarchical Condition Category ( HCC ) coding. Spira Care ... + Spira Care has specific vaccinations requirements as a condition of employment. You must be able to comply...employment. You must be able to comply with this condition of employment with or without a reasonable accommodation… more
    Spira Care, LLC (04/12/25)
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  • Medical Coder/Coding Specialist

    Tidelands Health (Myrtle Beach, SC)
    …and complete diagnoses. Works with the CDI team to validate the DRG, SOI/ROM, and Hierarchical Condition Category ( HCC ). Forward queries created by the ... of this job, the employee is frequently (activity or condition exists from 1/3 to 2/3 of the time)...up to 15 pounds of force occasionally (activity or condition exists up to 1/3 of the time), and/or… more
    Tidelands Health (03/09/25)
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  • CRNP, Staff - UPMC Your Care

    UPMC (Pittsburgh, PA)
    …development of patient centered plan of care, including assessment and documentation of Hierarchical Condition Category ( HCC ) diagnoses as appropriate. ... the patients. The CRNP communicates proactively with physicians regarding the clinical condition of their patients. The position will require travel for in-home… more
    UPMC (04/29/25)
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  • Patient Panel Manager, Cambia Praxis Advanced…

    Praxis Health (Eugene, OR)
    …+ Transitional Care Management (TCM) + Annual Wellness Visit (AWV) completion rates + Hierarchical Condition Category ( HCC ) performance 2. Transitional ... opportunities and news Praxis Health. LocationUS-OR-Eugene Job ID 2025-6474 # Positions 1 Category Medical Clinic (MA,RN,LPN,ETC) Schedule Full-time, Monday - Friday more
    Praxis Health (04/23/25)
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  • APP, Supervisor - General Internal Medicine - Full…

    University of Miami (Miami, FL)
    …Knowledge of HEDIS Quality Care Gaps - review and closure preferred + Knowledge of Hierarchical Condition Category ( HCC ) - review and recertification ... preferred + Physical presence required at all GIM sites + Conducts or participates in multidisciplinary rounds and ensures appropriate and quality care for patients. + Serves as a liaison and advocate between the APP and hospital leadership, department heads,… more
    University of Miami (03/17/25)
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  • RN Specialist-Clinical Documentation

    Ascension Health (Baltimore, MD)
    …year of either CDI, Quality, or Care Management and Coding experience. Conversant with HCC ( Hierarchical Condition Category ) coding experience, CCDS, ... CDIP, or CCS certifications. **Benefits** Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans Long-term & short-term disability Employee assistance programs (EAP) Parental leave & adoption… more
    Ascension Health (04/16/25)
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  • RN Population Health Primary Care Clinics

    Banner Health (AZ)
    …BMG and to identify opportunities for optimization of RAF scores and capture of Hierarchical Condition Categories (HCCs). CORE FUNCTIONS 1. Serves as a subject ... **Department Name:** Health Mgmt-Clinic **Work Shift:** Day **Job Category :** Nursing **Estimated Pay Range:** $33.74 - $56.24 / hour, based on location, education,… more
    Banner Health (04/19/25)
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