- Insight Global (Tampa, FL)
- …all progress notes for one patient in a one-to-two-year period. All our retro projects are HCC coding only. DAY TO DAY/EXPLANATION OF ROLE: Will be coding ... Job Description Insight Global is hiring HCC /Risk Adjustment Medical coders to support...in a one-to-two-year period. All our retro projects are HCC coding only. We have opportunities to… more
- Geisinger (Danville, PA)
- …and accurate coding . + Assists in decision making relevant to physician coding education and HCC targeting purposes. + Provides encoder software and EMR ... procedures. Job Duties + Reviews the content of the medical records from multiple EHR's and on-site for both...individuals to apply. Position Details Minimum one of these coding certifications is required:CPC - Certified Professional Coder… more
- Albany Medical Center (Albany, NY)
- …Day (United States of America) Salary Range: $60,367.47 - $90,551.20 The Senior Professional Coder will apply an advanced professional coding skill set to act as ... coding staff. Act as an expert for the HCC /Risk adjustment coding . This position is remote...professional fee billing integrity reviews/audits for AMHS, including reviewing medical record documentation and coding to assess… more
- Hartford HealthCare (Hartford, CT)
- …working in an educational/training role preferred. Licensure, Certification, Registration Medical Coding Certification, Certified Professional Coder ... with CMS risk adjustment program requirements and ICD 10 coding guidelines. The Risk Adjustment Coder Educator...of complex and advanced ICD-10 and Hierarchical Condition Category ( HCC ) coding and documentation training programs including… more
- Florida Health Care Plans, Inc. (Daytona Beach, FL)
- POSITION SUMMARY: The Physician Office Medical Coder /Biller (POMB) conducts a documentation review of electronic records that are prepared by clinicians to ... will support the physician and mid-level providers to capture HCC codes within the clinical visit. The POMB will...Medical Biller, POMB, test prior to employment. + Must keep current with coding changes related to the… more
- Sutter Health (Sacramento, CA)
- …knowledge of Quality Coding Program requirements such as the Medicare Advantage Coding Program/ HCC , as well as medical terminology and abbreviations of ... System Office-Bay **Position Overview:** This position conducts review of outpatient medical records using International Classification of Disease Coding … more
- Molina Healthcare (Scottsdale, AZ)
- …education and experience **Required License, Certification, Association** + Certified Professional Coder (CPC) + Certified Coding Specialist (CCS) **Preferred ... improve their risk adjustment knowledge as well as provide coding updates related to Risk Adjustment + Builds positive...such as planning, scheduling of chart reviews, obtaining of medical records, and provider training and education + Assists… more
- UPMC (Pittsburgh, PA)
- **UPMC Health Plan has an exciting opportunity for a Certified Coding Specialist I position in the Medicare HCC department. This is a full time position working ... Review appropriate documents to accurately assign a Risk Adjustment HCC diagnosis. + Review coding for accuracy...coding accuracy standards of 95% as well as coding productivity standards. + Complete coder productivity… more
- Trinity Health (Albany, NY)
- …payers. . Demonstrate a solid understanding of ICD-10-CM coding and medical terminology, Hierarchical Condition Category ( HCC ), and MEAT standards. . ... a team environment and is responsible for reviewing clinical documentation and coding using HCC (Hierarchical Condition Category) and MEAT (Monitored,… more
- Banner Health (OH)
- …you. **Requirements:** + **5 years recent experience in acute-care Inpatient facility-based medical coding (clearly reflected in your attached resume);** + **DRG ... HCC , other Heath Risk Adjusted Factors, National Correct Coding Initiative (NCCI) and the effect on Case Mix...progressively responsible coding experience required. Requires Certified Coding Specialist (CCS) or Certified Inpatient Coder … more
- Trinity Health (Boise, ID)
- …with provider and coder education. Conducts ongoing reviews of patient medical record documentation and procedural and diagnosis coding by each practitioner. ... **Employment Type:** Full time **Shift:** Day Shift **Description:** The Coding Auditor & Educator performs medical record audits including analysis of … more
- AdventHealth (Altamonte Springs, FL)
- …This will include compliant documentation to support Hierarchical Conditions Categories ( HCC ), ICD-10, medical necessity, and the appropriate Risk Adjustment ... patients is accurately depicted. This includes compliant documentation supporting HCC or capturing them, ICD-10, and medical ...and treatment + Knowledge of value-based care + Certified Coder -AHIMA or AAPC or Certified Medical Assistant… more
- BlueCross BlueShield of North Carolina (NC)
- **Job Description** The incumbent will use clinical and coding expertise to analyze medical records and charts in relation to provider coding . The Coding ... Services (CMS). **What You'll Do** + Analyzes necessary documentation, including medical records/charts, and applies clinical coding expertise to evaluate… more
- AdventHealth (Altamonte Springs, FL)
- …and Hierarchical Condition Categories ( HCC ). + Expert level knowledge of medical terminology, coding guidelines and methodologies. + Understanding of HIPAA ... The QA is responsible for initial audits during the coder onboarding process for assigned staff, as well as...as well as supporting on-going quality assurance needs for coding staff. They will review medical records… more
- Cleveland Clinic (Cleveland, OH)
- …certification (RHIA), Registered Health Information Technician certification (RHIT), Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) ... one of the most respected healthcare organizations in the world. The Technical Coding Services Director for Cleveland Clinic is responsible for directing the vision,… 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
- Tufts Medicine (Burlington, MA)
- …ICD-10-CM coding standards, as well as lead efforts to evaluate the HCC /DxCG coding practices and provide analyses and recommendations to improve overall ... provider documentation as it pertains to coding and risk adjustment guidelines. Reviews medical ...on a regular basis in regard to Risk Adjustment Coding guidelines ( HCC /DxCG), as well as ICD-10-CM… 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
- The Cigna Group (Bloomfield, CT)
- …to documentation and coding , both with Inpatient and Outpatient documentation + HCC coding experience preferred + Computer competency with excel, MS Word, ... execute daily RA program operations, as identified. Participates in coding reviews of medical documentation for RA...in one of the following certifications: + Certified Professional Coder (CPC) + Certified Coding Specialist for… more
- UCLA Health (Los Angeles, CA)
- …coding accuracy of ICD-10 CM codes related to chronic conditions + Analyze coding patterns within medical groups. + Provide customized education and updating ... associated with the health plan. You will: + Conduct medical record audits for physicians (MD, DO, or NP)...highly organized, detail-oriented individual with: + A Certified Professional Coder (CPC) certification or Certified Coding Specialist… more