- Tidelands Health (Murrells Inlet, SC)
- …coding quality issues found via internal or external reviews; implement with accuracy coding quality recommendations. + Work with HIM operations as needed to ... moderate to high complexity using ICD-10-CM and ICD-10-PCS or any other designated coding classification system in accordance with coding rules and regulations.… more
- AdventHealth (Altamonte Springs, FL)
- …Provides suggestions on process improvement. . Works with the audit team and coding manager to develop meaningful education and may conduct educational huddles ... or outpatient coding team Corporate Quality Auditor (QA)/Educator supports the operations of the inpatient or outpatient coding teams across the organization… more
- Trinity Health (Fresno, CA)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** Reporting to the Manager Medical Group Revenue Cycle Site Operations , Fresno, this position ... procedures; and ensuring proper assignment of diagnosis and procedure codes using coding guidelines established by the Centers for Medicare and Medicaid Services… more
- Trinity Health (Silver Spring, MD)
- …list of duties so assigned_ _._ **Reporting Relationship:** Reports to the Manager , Provider Revenue Operations **Our Commitment to Diversity and Inclusion** ... Type:** Full time **Shift:** **Description:** **General Summary:** The Professional Coding Auditor Educator performs medical record audits including but not… more
- UNC Health Care (Chapel Hill, NC)
- …Abilities Requirements:** * Strong knowledge of ICD-10-CM, ICD-10-PCS, and CPT coding , MS DRG, hierarchical condition categories ( HCC ), and CDI ... shared services. This position reports to the HCS Supervisor Coding and CDI Quality and Training. This position may...hiring and selection of new CDS with the hiring manager as requested. 6. Analyzes and audits medical records… more
- ChenMed (Miami, FL)
- …to understand and interpret data to drive performance improvements. + Knowledge of CMS- HCC Risk Adjustment Models , Risk Adjustment Coding and documentation ... great people to join our team. The High Risk Disease Detection (HRDD) Manager will be responsible for supporting the company Risk Adjustment program and ensuring… more
- Memorial Sloan-Kettering Cancer Center (New York, NY)
- …ensure accurate medical records for patient acuity, quality reporting, DRG assignment, and HCC coding . + Support the prevention, detection, and resolution of ... for quality reporting, Diagnosis-Related Group (DRG) assignment and Hierarchical Condition Category ( HCC ) coding . You will: + Assess and enhance the completeness… more
- The Cigna Group (Westerville, OH)
- …key areas of healthcare payer or provider operations , CMS Risk Adjustment and HCC coding process and quality including Medicare Star Ratings and HEDIS + ... Provider Performance Enablement teams, Provider Education, and the Risk Adjustment Operations teams. The Prospective Program Solutions & Performance Advisor works… more
- The Cigna Group (Memphis, TN)
- …matrix 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 ... of Risk Adjustment & Stars Provider Education Supervisor and/or Manager to reach overall operational market goals in conjunction...guidelines. + Working Knowledge of CMS Risk Adjustment and HCC Coding Process. + Strong computer skills… more
- The Cigna Group (UT)
- …matrix 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 ... role will work under the direction of Provider Education Manager to reach overall operational market goals in conjunction...guidelines. + Working Knowledge of CMS Risk Adjustment and HCC Coding Process. + Strong computer skills… more
- LaSante Health Center (Brooklyn, NY)
- …accurately . You will serve as a subject matter expert on HCC documentation requirements and ICD-10-CM coding guidelines (Medicaid documentation requirements ... will also perform assessments of data to improve overall operations and identify opportunities for provider education and optimization...education and training for providers on proper documentation and coding . Assist the Manager , CDI with… more
- CareOregon (Portland, OR)
- Job Title Risk Adjustment Analytics Manager Exemption Status Exempt Department Finance Manager Title Director, Risk Adjustment Direct Reports Risk Adjustment and ... calculate Centers for Medicaid and Medicare Services (CMS) Hierarchical Condition Category ( HCC ) Risk Adjustment Factor (RAF) models (v24 and v28) and accurately… more
- HCA Healthcare (Tallahassee, FL)
- …vast knowledge of Primary Care Clinic Operations to include Quality, Heidis, HCC Coding , Population Health, and Value Based Care** + **Strong Physician ... for a **Primary Care Practice Administrator I** who will lead practice operations in our North Florida Division, where excellence creates excellence. **Benefits**… more
- Commonwealth Care Alliance (Boston, MA)
- …models that improve care coordination, care delivery, metrics, outcomes, and accurate HCC coding for value-based contracts. Identifies cost drivers and works ... high functioning and medically appropriate, including care management, health plan operations , quality improvement, and HEDIS. The incumbent will also contribute to… more