- Highmark Health (Columbus, OH)
- …(MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category ( HCC ) Coding, medical coding, clinical ... requirements by analyzing physician documentation and interpreting into ICD10 diagnoses and HCC disease categories. Supports other key objectives to drive capture of… more
- Highmark Health (Columbus, OH)
- …government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA) through Hierarchical Condition Category ( HCC ) coding, medical coding, ... by analyzing physician documentation and interpreting into ICD-10 diagnoses and HCC disease categories. Supports other key objectives to drive capture of… more
- Highmark Health (Columbus, OH)
- …(MA) and/or Affordable Care Act (ACA) using skills including but not limited to Hierarchical Condition Category ( HCC ) Coding, medical coding, clinical ... by analyzing physician documentation and interpreting into ICD-10 diagnoses and HCC disease categories. **ESSENTIAL RESPONSIBILITIES** + Performs HCC coding… more
- Trinity Health (Syracuse, NY)
- …a team environment and is responsible for reviewing clinical documentation and coding using HCC ( Hierarchical Condition Category ) and MEAT (Monitored, ... + Demonstrate a solid understanding of ICD-10-CM coding and medical terminology, Hierarchical Condition Category ( HCC ), and MEAT standards. + Exercise… more
- Memorial Sloan-Kettering Cancer Center (New York, NY)
- …reflect patient acuity primarily for quality reporting, Diagnosis-Related Group (DRG) assignment and Hierarchical Condition Category ( HCC ) coding. You ... accurate medical records for patient acuity, quality reporting, DRG assignment, and HCC coding. + Support the prevention, detection, and resolution of non-compliance… more
- Tidelands Health (Murrells Inlet, SC)
- …and complete diagnoses. Works with the CDI team to validate the DRG, SOI/ROM, and Hierarchical Condition Category ( HCC ). Forward queries created by the ... of this job, the employee is frequently (activity or condition exists from 1/3 to 2/3 of the time)...up to 15 pounds of force occasionally (activity or condition exists up to 1/3 of the time), and/or… more
- Bluestone Physician Services (Stillwater, MN)
- …+ Current Medical Coding Certification required + Strong E/M coding experience preferred + Hierarchical Condition Category ( HCC ) experience preferred + ... Medical billing experience a plus Knowledge/Skills/Abilities + Knowledge of: + Medical terminology and understanding of patient care notes + ICD-10-CM, CPT, and HCPCS Coding systems + Health information and medical record documentation, data integrity and… more
- CareOregon (Portland, OR)
- …+ Develop automated processes to calculate Centers for Medicaid and Medicare Services (CMS) Hierarchical Condition Category ( HCC ) Risk Adjustment Factor ... (RAF) models (v24 and v28) and accurately calculate RAF scores for each member. + Maintain and update RAF calculation processes to account for CMS changes and updates to the model, including evaluation of new proposed RAF models and changes to submission… more
- Baystate Health (Springfield, MA)
- …time Physical Therapist to join our team in Springfield, MA. **Position** + Hierarchical Condition Category Registered Nurse Educator **SCHEDULE:** + Monday ... the following: + Chronic illness diagnoses Coding + Knowledge of CMS HCC guidelines and application relevant to improved documentation and favorable reimbursement +… more
- Dignity Health (Bakersfield, CA)
- …and tools to help network providers improve clinical documentation and support Hierarchical Condition Category coding capture. - Participate network ... the diagnosis codes for each chronic or major medical condition have been captured and work to educate providers...equivalent work experience. - Familiarity and understanding of CMS HCC Risk Adjustment coding and data validation requirements. -… more
- Commonwealth Care Alliance (Boston, MA)
- …gaps in clinical practice and in collaboration with member's external providers. + Evaluate Hierarchical Condition Categories ( HCC ) and work to recapture. + ... religion, sex, national origin, age, physical or mental disability, genetic information or any other category protected by applicable federal, state or local laws. more
- AdventHealth (Altamonte Springs, FL)
- …level knowledge of Hospital Acquired Conditions (HAC), Patient Safety Indicators (PSI), and Hierarchical Condition Categories ( HCC ) . Expert level knowledge ... for each position may vary based on geographical location. ** Category :** Health Information Management **Organization:** AdventHealth Corporate **Schedule:** Full-time… more