- AdventHealth (Altamonte Springs, FL)
- … Senior demonstrates strong clinical knowledge and understanding of coding/ Hierarchical Condition Categories (HCC)/Risk Adjustment Factor (RAF) requirements ... basis, using a multi-disciplinary team process. The Specialist Ambulatory CDI Senior works collaboratively with physicians, other healthcare professionals and coding… more
- UPMC (Pittsburgh, PA)
- …that all codes are documented for the assignment of a valid and accurate Hierarchical Condition Category (HCC). Monitor the assignment of the principal ... **UPMC Health Plan is looking for a Senior Manager, Clinical and Coding Review to join...& Grievances staff as needed.This position functions in a senior management role, with primary responsibility for overall operation… more
- CDPHP (Albany, NY)
- …required. + Provider office relations and communication experience strongly preferred. + Hierarchical Condition Category (HCC) knowledge preferred. + ... years in a coding supervisory role, or other project management, team lead, or senior level related experience required. + Knowledge of ICD-9 / ICD-10 diagnosis and… more
- Commonwealth Care Alliance (Boston, MA)
- …and strategically and operationally leads various quality reviews of claims, Hierarchical Condition Categories (HCC) and clinical coding, call monitoring, ... planning and management, performance review, professional development, and all other senior -level managerial functions for all Quality & Controls Assurance Programs,… more