- Highmark Health (Charleston, WV)
- …programs such as Medicare Advantage (MA) and Affordable Care Act (ACA) through Hierarchical Condition Category (HCC) coding, medical coding, clinical ... and documentation is comprehensive; applies CMS coding guidelines to validate audited condition (s); assists with review and ranking of charts for submission.10% +… more
- Highmark Health (Charleston, WV)
- …and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology ... **EDUCATION** **Required** + None **Substitutions** + None **Preferred** + Associate degree in medical billing/coding, health insurance, healthcare or related… more
- Evolent Health (Charleston, WV)
- …+ Experience in claims-based healthcare analytics to drive decision making and with Hierarchical Condition Category Risk Adjustment- **Preferred** . + ... (eg actuarial science, statistics, mathematics, economics, data science) - **Required.** + Associate or Fellow of the Society of Actuaries - **Required** **.** +… more