• Hierarchical Condition

    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 (04/25/24)
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  • Associate Hierarchical Condition

    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
    Highmark Health (04/18/24)
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  • Risk Management Specialist

    HCA Healthcare (Campbell, CA)
    …medical conditions to the highest specificity according to Medicare requirements for the Hierarchical Condition Category ( HCC ) risk adjusted payment ... conditions to the highest specificity according to Medicare requirements for the Hierarchical Condition Category ( HCC ) risk adjusted payment model. .… more
    HCA Healthcare (04/28/24)
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  • Risk Adjustment Coding Specialist

    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
    Trinity Health (05/03/24)
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  • Medical Coder/Coding Specialist III- Remote PRN

    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
    Tidelands Health (04/06/24)
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  • Coding Specialist

    Tri-County Health Care (Wadena, MN)
    …records and support of quality metrics adherence, risk adjustment model capture, and hierarchical condition category ( HCC ) coding. This position ... in decisions concerning recruitment, hiring, compensation, benefits, training, termination, promotions, or any other condition of employment or career development. more
    Tri-County Health Care (05/02/24)
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  • Medical Coding Specialist (Remote in MN, WI or FL)

    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
    Bluestone Physician Services (04/06/24)
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  • Hierarchical Condition

    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
    Baystate Health (04/25/24)
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  • HCC Coder

    Bon Secours Mercy Health (Cincinnati, OH)
    …support Bon Secours Mercy Health's Risk Score Accuracy (RSA) initiative and the Hierarchical Condition Categories ( HCC ) coding program. The position performs ... for clinical and operational excellence. **Primary Function/General Purpose of Position** The HCC Coder provides extensive knowledge of documentation and review to… more
    Bon Secours Mercy Health (05/04/24)
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  • Coding Specialist Risk Adjustment

    AdventHealth (Altamonte Springs, FL)
    …and chart retrieval for Health Plan audits and reports. Uses knowledge of Hierarchical Condition Categories ( HCC ) coding to translate, input, extract ... with a focus on diagnostic coding + Experience with Medicare risk adjustment, Hierarchical Condition Categories ( HCC ), coding, billing, auditing and various… more
    AdventHealth (05/09/24)
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  • SHP Coding/Auditing Specialist (Remote-Hybrid)

    Marshfield Clinic (Marshfield, WI)
    …CMS Medicare, HHS, and DHS BadgerCare Plus risk adjustment policy and Hierarchical Condition Category Coding. **JOB QUALIFICATIONS** **EDUCATION** _For ... quality assurance, or auditing related position. Experience with ICD-9, ICD-10, CPT, HCC and HCPCS coding. Knowledge of the different CMS guidelines that affect… more
    Marshfield Clinic (05/08/24)
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  • Coder

    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
    Dignity Health (04/10/24)
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  • Hybrid - Community Advanced Practice Clinician

    Commonwealth Care Alliance (Springfield, 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
    Commonwealth Care Alliance (04/27/24)
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