- Pyramid Consulting, Inc. (Addison, TX)
- Immediate need for a talented Risk Adjustment Coder . This is a 06+ Months Contract opportunity with long-term potential and is located in Candidate must be local to ... of these guidelines. Understands the impact of ICD-10 codes on the CMS HCC risk adjustment model. Ability to meet productivity and accuracy standards Ability to… more
- Cano Health (Jupiter, FL)
- …are seeking healthcare enthusiasts to join us. Job Summary The Risk Adjustment coder will identify, collect, assess, monitor and document claims and encounter coding ... of diagnosis codes based on services rendered. The Risk Adjustment Coder is required to follow procedures and documentation policies regarding claim/encounter… more
- Insight Global (Tampa, FL)
- Job Description Insight Global is hiring HCC /Risk Adjustment Medical coders to support a backlog for inpatient and outpatient Medicare advantage projects . Must ... of the markets are strictly risk adjustment focusing on HCC ICD-10 codes only. We do code from the...also be responsible to validate the CPT codes and non- HCC codes. These markets are still only reviewing Medicare… more
- Geisinger (Danville, PA)
- …for reimbursement. A joint effort between the healthcare provider and the coder is essential to achieve complete and accurate documentation, code assignment, and ... in decision making relevant to physician coding education and HCC targeting purposes. + Provides encoder software and EMR...year relevant experience). This posting reflects an opening for Coder III and we are seeking candidates for that… more
- Hartford HealthCare (Hartford, CT)
- …other common practices across the system. *JOB SUMMARY:* The Risk Adjustment Coder Educator develops and implements an enterprise-wide risk adjustment coding and ... adjustment program requirements and ICD 10 coding guidelines. The Risk Adjustment Coder Educator will serve as a training resource for Risk Adjustment department… more
- Florida Health Care Plans, Inc. (Daytona Beach, FL)
- POSITION SUMMARY: The Physician Office Medical Coder /Biller (POMB) conducts a documentation review of electronic records that are prepared by clinicians to ensure ... will support the physician and mid-level providers to capture HCC codes within the clinical visit. The POMB will...within the clinical visit. The POMB will track the HCC codes that still need to be addressed. The… more
- Sutter Health (Sacramento, CA)
- …General Education Diploma (GED) **CERTIFICATION & LICENSURE:** + CRC-Certified Risk Adjustment Coder OR CPC-Certified Professional Coder OR AHMA or AAPC Coding ... of Quality Coding Program requirements such as the Medicare Advantage Coding Program/ HCC , as well as medical terminology and abbreviations of disease, illness and… more
- WMCHealth (Valhalla, NY)
- …an internal expert on Risk Adjustment and Hierarchical Conditions Categories ( HCC ) coding. Specific duties include performing concurrent and retrospective reviews of ... Monitors and reports key performance indicators relative to clinical documentation and HCC coding. . Documents and maintains records of all query, audit, and… more
- Tufts Medicine (Burlington, MA)
- …ICD-10-CM coding standards, as well as lead efforts to evaluate the HCC /DxCG coding practices and provide analyses and recommendations to improve overall provider ... when necessary. **Job Description** **Minimum Qualifications:** 1. Certified Risk Adjustment Coder (CRC) **OR** Certified Professional Coder (CPC). 2. Two… more
- Marshfield Clinic (Marshfield, WI)
- …Terminology (CPT), and ICD‐9, ICD-10 and Hierarchical Condition Category ( HCC ) coding. **Preferred/Optional:** Bachelor of Science in Nursing. **EXPERIENCE** ... ICD‐9 and ICD‐10 codes, Healthcare Common Procedure Coding System (HCPCS) codes, HCC coding, use of modifiers, documentation guidelines, CMS Policy requirements, and… more
- Trinity Health (Albany, NY)
- …responsible for reviewing clinical documentation and coding using HCC (Hierarchical Condition Category) and MEAT (Monitored, Evaluated/Assessed/Addressed, Treated) ... (CMS). **SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:** **. Certified Risk Adjustment Coder (CRC) required** . Excellent verbal and written communication skills. .… more
- Banner Health (OH)
- …to allow for monitoring and evaluation of trends in DRG (MS/APR-DRG), APC, HCC , other Heath Risk Adjusted Factors, National Correct Coding Initiative (NCCI) and the ... required. Requires Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC) or Certified Professional Coder (CPC)...Certified Inpatient Coder (CIC) or Certified Professional Coder (CPC) or Certified Outpatient Coder (COC)… more
- Datavant (Nashville, TN)
- …helping a talented team grow and succeed. **What You Will Do:** + Oversee coder performance by verifying schedule entry and hours worked + Merge and track quality ... scores and feedback across assigned coders + Monitor coder productivity by analyzing charts-per-hour metrics + Deliver daily...the Table** + Strong working knowledge of ICD-9/10 and HCC coding + At least 2 years of hands-on… more
- Trinity Health (Boise, ID)
- …the Centers for Medicare and Medicaid Services (CMS). Monitor's accuracy of centralized coder 's charge capture and coding with proper ICD-10, CPTs, HCPCs, as well as ... Trinity practices and policies. Partners with leadership to improve HCC and other Risk Adjustment capture with provider and... and other Risk Adjustment capture with provider and coder education. Conducts ongoing reviews of patient medical record… more
- UCLA Health (Los Angeles, CA)
- …highly organized, detail-oriented individual with: + A Certified Professional Coder (CPC) certification or Certified Coding Specialist (CCS) certification, required ... + A Certified Risk Adjustment Coder (CRC), required + Reliable transportation to conduct ongoing...+ Three or more years of recent experience in CMS- HCC Risk Adjustment models V24 and V28, required +… more
- BlueCross BlueShield of North Carolina (NC)
- …ensure compliance and understanding of the CMS Hierarchical Condition Category ( HCC ) payment methodology. + Develops and maintains professional working relationships ... or GED + 3+ years of experience in related field + Certified Professional Coder **Bonus Points** + Medicare coding and auditing experience **What You'll Get** + The… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …standard billing, coding and documentation standards (ICD10, CPT, E/M, HCPCS, CDI, HCC , etc.). + Participate in provider orientation to ensure coding and ... preferred. + A minimum of five years of experience working as a medical coder , coding, auditor, and/or coding educator. + Certified in Healthcare Compliance (CHC or… more
- Trinity Health (Syracuse, NY)
- …AND EXPERIENCE INCLUDES:** + Risk Adjustment Coding - Certified Risk Adjustment Coder (CRC) required and + Auditing - Certified Auditor Certified Professional ... gaps via OPA in the EHR to the PCP prior to their next visit. + HCC education and training will be conducted per Excellus payer risk adjustment coding guidelines and… more
- AdventHealth (Altamonte Springs, FL)
- …leadership. The Corporate QA is responsible for initial audits during the coder onboarding process for assigned staff, as well as supporting on-going quality ... Conditions (HAC), Patient Safety Indicators (PSI), and Hierarchical Condition Categories ( HCC ). Expert level knowledge of medical terminology, coding guidelines and… more
- Sutter Health (Sacramento, CA)
- …related field **CERTIFICATION & LICENSURE:** + CPC-Certified Professional Coder OR CCSP-Certified Coding Specialist-Professional OR CCS-Certified Coding Specialist ... such as the Medicare Advantage Coding Program/Hierarchial Condition Category + ( HCC ), as well as medical terminology and abbreviations of disease, illness… more
