- Highmark Health (Columbus, OH)
- …skills including but not limited to Hierarchical Condition Category ( HCC ) Coding , medical coding , clinical terminology and anatomy/physiology, Centers ... education, analyzing reports, and identifying process improvements. **ESSENTIAL RESPONSIBILITIES** + Performs HCC coding on projects for MA, ACA, and End Stage… more
- Highmark Health (Columbus, OH)
- …and Affordable Care Act (ACA) through Hierarchical Condition Category ( HCC ) coding , medical coding , clinical terminology and anatomy/physiology, Centers ... projects to comply with CMS requirements by analyzing physician documentation and interpreting into ICD-10 diagnoses and HCC...any questions and additional trainings, as needed.20% + Performs HCC coding on projects for MA, ACA,… more
- Highmark Health (Columbus, OH)
- …skills including but not limited to Hierarchical Condition Category ( HCC ) Coding , medical coding , clinical terminology and anatomy/physiology, and ... to comply with all CMS requirements by analyzing physician documentation and interpreting into ICD-10 diagnoses and HCC... HCC disease categories. **ESSENTIAL RESPONSIBILITIES** + Performs HCC coding on projects for MA, ACA,… more
- Kelsey-Seybold Clinic (Houston, TX)
- …ICD-10-CM Guidelines for Coding and Reporting. **Job Title: HCC Coding Compliance Assistant** **Location: Pearland Administrative Office** **Department:** ... coding of diagnoses which fall into the HCC model as required by CMS for Medicare Advantage...required by CMS for Medicare Advantage plans. To ensure documentation of diagnoses meets the requirements set forth by… more
- MedKoder (Mandeville, LA)
- …medical charts electronically using a computer + Abstract and code diagnosis and documentation information + Research and resolution of coding projects as ... Position Location: 100% Remote Qualifications The Medical Coder provides coding and coding auditing services directly to providers. This includes the analysis… more
- UNC Health Care (Chapel Hill, NC)
- …ICD-10-CM, ICD-10-PCS, and CPT coding , MS DRG, hierarchical condition categories ( HCC ), and CDI documentation processes. Ability to interpret federal and ... Summary: This positon trains and audits Inpatient and Outpatient Clinical Documentation Specialists (CDS) across all HCS...and complete the CDS training modules. 3. Provides ongoing documentation and coding education to CDI Physician… more
- Trinity Health (Syracuse, NY)
- …works in a team environment and is responsible for reviewing clinical documentation and coding using HCC (Hierarchical Condition Category) and MEAT ... appropriate level of specificity. Follows current industry standards of ethical coding . Recognizes and reports opportunities for documentation improvement to… more
- Tidelands Health (Murrells Inlet, SC)
- …to take correct actions to allow for payer processing for payment. + Collaborate with Clinical Documentation Integrity (CDI) team as part of the clinical ... Coding as set forth by AHIMA. Abstracting required clinical information from the medical record. Queries physicians as...and place accounts to the correct status/hold when additional documentation is required for accurate and complete coding… more
- WelbeHealth (CA)
- … Auditor focuses on ensuring coding is accurate and properly supported by clinical documentation within the health records, as well as educating our teams on ... + Work closely with Coding Supervisor in identifying opportunities for HCC coding education **Job Requirements:** + Associates Degree preferred; three (3)… more
- Bluestone Physician Services (Stillwater, MN)
- …ICD-10-CM, CPT and/or HCPCS codes + Document errors and areas for improvement regarding clinical documentation and coding for assigned providers + Review ... Wisconsin or Florida). Responsibilities : + Conduct prospective review of clinical documentation and reimbursement claims for government programs (Medicare… more
- Adecco US, Inc. (Spring, TX)
- …- This requirement is not negotiable. + **Must have a minimum of 2 years of HCC coding reflected on your resume** . + Must have advanced knowledge of ICD-10 ... upon experience, education, geographic location and other factors. Abstracts clinical information from a variety of medical records and...coding experience + minimum of 2 years of HCC coding + excellent knowledge of ICD-10… more
- Trinity Health (Syracuse, NY)
- … documentation , coding and billing preferred. Ability to review clinical documentation to determine accurate ICD10, CPT, HCPCS and modifier assignment. ... of centralized coders charge capture and coding . Partners with centralized coding and operational leadership to improve HCC , high risk scoring, along… more
- The Cigna Group (Philadelphia, PA)
- …relationships with clinical providers and staff + Ability to communicate coding and documentation guidelines and education + Conduct provider training on ... guidelines + Working Knowledge of CMS Risk Adjustment and HCC Coding Process + Strong computer skills...requirements of the Risk Adjustment program to ensure correct coding and documentation + Customize presentations to… more
- CVS Health (Albany, NY)
- …the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations ... setting. * Thorough grasp of anatomy, physiology and medical terminology to comprehend clinical documentation and code descriptions. * Sound knowledge of … more
- AdventHealth (Altamonte Springs, FL)
- …needs for coding staff. They will review medical records and documentation for coding accuracy, providing feedback, and delivering additional education to ... audits, including but not limited to: International Classification of Diseases, Clinical Modification (ICD-10-CM and ICD-10-PCS), CPT, ICD-10-CM/PCS Coding … more
- Providence (Everett, WA)
- …is responsible for detailed diagnostic coding associated with Risk Adjustment and HCC coding . This impacts revenue and CMS compliance with the coordination ... providers. This includes the identification and researching of provider diagnostic coding issues; medical record review, documentation standards and identifying… more
- Memorial Sloan-Kettering Cancer Center (New York, NY)
- …Department (HIM) is seeking an enthusiastic leader to supervise our growing Clinical Documentation Improvement Program. Reporting to the Associate Director of ... HIM Clinical Operations, theManager, Clinical Documentation ...records for patient acuity, quality reporting, DRG assignment, and HCC coding . + Support the prevention, detection,… more
- Kelsey-Seybold Clinic (Houston, TX)
- …in clinical documentation or related field with 3+ years in HCC Coding Preferred: N/A **License(s)** Required: Certified Risk Adjustment Coder (CRC) or ... product lines and health plans. The MCA Risk Adjustment Clinical Documentation Specialist team is a highly-skilled...for severity of illness (SOI) * Maintain knowledge of HCC documentation updates * Communicate with physicians… more
- LaSante Health Center (Brooklyn, NY)
- …also captured accurately . You will serve as a subject matter expert on HCC documentation requirements and ICD-10-CM coding guidelines (Medicaid ... Documentation Integrity program and leverage your clinical , coding , and documentation expertise.... You have 3+ years of CDI-specific experience (outpatient HCC knowledge required) . You perform frequently without supervision… more
- Highmark Health (Dover, DE)
- …providers to include detailed data analysis, process analysis, report generation, medical record documentation , and HCC Coding . + Conduct, collect and ... documentation of these services for appropriate ICD 10-CM coding . Serves as a resource and educator regarding provider...Conduct continuing education to providers on STARS, HEDIS, and HCC Coding . Conduct re-audits as needed. +… more