- Bon Secours Mercy Health (Cincinnati, OH)
- …for clinical and operational excellence. **Primary Function/General Purpose of Position** The HCC Coder provides extensive knowledge of documentation and review ... Risk Score Accuracy (RSA) initiative and the Hierarchical Condition Categories ( HCC ) coding program. The position performs prospective, concurrent, and retrospective… more
- Insight Global (Tampa, FL)
- …. Skills and Requirements Active CPC (Certified Professional Coder ) 4-5 years HCC /Risk Adjustment Coding experience ... Job Description Insight Global is hiring HCC /Risk Adjustment Medical coders (100% REMOTE) to support...of the markets are strictly risk adjustment focusing on HCC ICD-10 codes only. We do code from the… more
- MedKoder (Mandeville, LA)
- Position Location: 100% Remote Qualifications The Medical Coder provides coding and coding auditing services directly to providers. This includes the analysis and ... medical record charts for the appropriate coding compliance + Coder is responsible for meeting daily production goal and...specialized experience in Medicare Risk Adjustment disciplines- such as HCC , CCC HEDIS + Auditing experience a PLUS. ICD-10… more
- Insight Global (Campbell, CA)
- Job Description As an HCC Medical Coder , your primary responsibilities will revolve around ensuring accurate and compliant coding practices. You'll need to ... . Skills and Requirements -5+ years of experience as a risk adjustment coder , CRC, or CMC -Must have active CRC certification -Experience being provider facing,… more
- Highmark Health (Columbus, OH)
- …using skills including but not limited to Hierarchical Condition Category ( HCC ) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for ... requirements by analyzing physician documentation and interpreting into ICD10 diagnoses and HCC disease categories. Supports other key objectives to drive capture of… more
- Baystate Health (Springfield, MA)
- The Prospective Outpatient Risk Adjustment Coder supports risk adjustment optimization activities that improve value-based care and population health by facilitating ... practices, and identifying opportunities to close care gaps. Working with the HCC Nurse Educator, the Ambulatory HCC Coordinator conducts prospective chart… more
- US Tech Solutions (Newark, NJ)
- Summary: The Senior Professional Coder provides services to perform code abstraction using the Official Coding Guidelines for ICD-9-CM/ICD-10-CM, AHA Coding Clinic ... with all state regulations, federal regulations, internal policies, and internal procedures. HCC Risk Adjustment Coders will be involved with activities of code… more
- Methodist Health System (Dallas, TX)
- …**or** one year of professional coding experience with two years of HCC experience; demonstrated experience in procedural/surgical coding Strong knowledge of CMS ... units to the source document for claim submission. The coder will be responsive to provider questions by performing...educate the provider in correct coding and documentation. The coder will be assigned specialty specific work queue(s) to… more
- Apex Health Solutions (Houston, TX)
- SUMMARY: Risk Adjustment Coder is responsible for reviewing, abstracting, and coding inpatient and/or outpatient medical records to ensure proper ICD-10 coding and ... A certification in one of the following is required: * Certified Risk Adjustment Coder (CRC) * Certified Professional Coder (CPC) * Certified Coding Specialist… more
- The Cigna Group (Baltimore, MD)
- …partners of Cigna Medicare's programs specific to CMS Risk Adjustment and HCC Coding Processes. It will require expertise in ICD-10-CM/outpatient and CPT coding ... (at least one of the below): + Certified Professional Coder (CPC) + Certified Risk Adjustment Coder ...guidelines. + Working Knowledge of CMS Risk Adjustment and HCC Coding Process. + Strong computer skills (ie, MS… more
- Providence (Milwaukie, OR)
- **Description** The Coder 1 performs coding audits and review of outpatient provider services to support coding optimization and compliance for the medical group. ... In addition to the audit and review work, the Coder 1 will work side by side with outpatient...with the code entry process, documentation, ICD-9, ICD-10, and HCC coding in alignment with current medical group reimbursement… more
- Providence (Portland, OR)
- **Description** The Coder II performs coding audits and review of outpatient provider services to support coding optimization and compliance for the medical group. ... In addition to the audit and review work, the Coder II will work side by side with outpatient...with the code entry process, documentation, ICD-9, ICD-10, and HCC coding in alignment with current medical group reimbursement… more
- Tidelands Health (Murrells Inlet, SC)
- …with the CDI team to validate the DRG, SOI/ROM, and Hierarchical Condition Category ( HCC ). Forward queries created by the CDI Team to obtain the most accurate DRG. ... and Hospital Work Environment or Works in a private office space in the coder 's home in compliance with Tideland Health's Remote/Telecommuter Policy. + Must be able… more
- Sutter Health (Sacramento, CA)
- …General Education Diploma (GED) **CERTIFICATION & LICENSURE:** + CRC-Certified Risk Adjustment Coder OR CPC-Certified Professional Coder OR AHMA or AAPC Coding ... of Quality Coding Program requirements such as the Medicare Advantage Coding Program/ HCC , as well as medical terminology and abbreviations of disease, illness and… more
- Centene Corporation (Tallahassee, FL)
- …of these guidelines. + Understands the impact of ICD-10 codes on the CMS HCC risk adjustment model. + Ability to meet productivity and accuracy standards + Ability ... A license in one of the following is required: Required Certified Professional Coder (CPC): Preferred Certified Coding Specialist (CCS): Pay Range: $22.36 - $38.07… more
- Intermountain Health (Columbus, OH)
- …complexity. Scope 1. This position assigns ICD-10, Hierarchical Condition Coding ( HCC ), CPT, and Healthcare Common Procedural Coding System (HCPCS) coding ... classifications based on clinical documentation and/or physician orders. Utilizes appropriate tools, resources, and coding guidelines to determine codes and assigns first listed diagnosis and secondary diagnoses codes in addition to CPT codes when appropriate.… more
- AdventHealth (Altamonte Springs, FL)
- …three years of healthcare experience + Minimum of 3 years' experience in HCC coding + CPC (Certified Professional Coder ) **_EDUCATION AND EXPERIENCE ... audits and reports. Uses knowledge of Hierarchical Condition Categories ( HCC ) coding to translate, input, extract and validate medical...for Health Plan reports + Inputs data collected from HCC programs + Coordinates audits of Provider coding data… more
- CVS Health (Tallahassee, FL)
- …and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories ( HCC ) required. + CPC (Certified Professional Coder ) or CCS-P ... (Certified Coding Specialist-Physician) and CRC (Certified Risk Adjustment Coder ) required and maintain CEU's. Preferred Qualifications + Excellent analytical and… more
- CVS Health (Albany, NY)
- …and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories ( HCC ) preferred. * CPC (Certified Professional Coder ) or CCS-P ... (Certified Coding Specialist-Physician) required. * CRC (Certified Risk Adjustment Coder ) preferred or certified within 6 months of employment. Excellent analytical… more
- Centene Corporation (Columbia, SC)
- …in a hospital, a physician setting or a Managed Care Organization as a medical coder 2+ years of experience in coding with knowledge of Medicare risk adjustment ( ... HCC Coding) Required Other experience in teaching, training or...setting, or a Managed Care Organization as a medical coder is required. 1+ years of experience in medical… more