- Datavant (Topeka, KS)
- …educational and life experiences to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to ... on client specific guidelines for the project. + The coder will ensure compliance with established ICD-10 CM, third...CIC, or CRC). + A minimum of 2 years HCC coding experience, while certified. + Full understanding and… more
- Datavant (Hagatna, GU)
- …and life experiences to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder , you will review medical records to identify and ... you will bring to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of HCC Auditing experience + High school diploma or GED equivalent +… more
- Datavant (Madison, WI)
- …to realize our bold vision for healthcare. We're looking for experienced and credentialed HCC Coding Team Leads to become an integral part of our team. The ideal ... Reviews rebuttals submitted by coders. Provides education to the coder if the error is correct or sends the...+ Extensive knowledge of ICD -10 + 2 years' HCC coding experience + 1+ years' Team Lead experience… more
- Intermountain Health (Montpelier, VT)
- …evaluation no later than one year of hire + Certified Risk Adjustment Coder (CRC) through AAPC obtained within 1 year of hire **Preferred Qualifications** + ... CRC certification already obtained + ICD-CM diagnosis coding experience **Physical Requirements:** _Physical Requirements_ To see the physical requirements needed to perform the essential functions of this job, please click here. + Interact with others +… more
- University of Washington (Seattle, WA)
- …Health Information** has an outstanding opportunity for a **Coding Specialist 1 - Edits Coder ** **WORK SCHEDULE** + 100% FTE + Mondays - Fridays + 100% Remote ... **POSITION HIGHLIGHTS** The Edits Coder position reports to the Outpatient Coding Supervisor within...in Epic work queues (WQ) and/or Hierarchical Condition Category ( HCC )/Risk Adjustment Factor (RAF) and/or Care Gap review to… more
- Amazon (IL)
- …member of the Amazon One Medical Senior Health Revenue Cycle team, the Medical Coder I will be responsible for supporting Amazon One Medical Clinical and Revenue ... outcomes. Basic Qualifications * 2+ years as a Profee Coder in an office setting inclusive of risk adjustment...perform accurate and complete chart reviews for Profee and HCC Risk Adjustment * Possesses advanced knowledge and understanding… more
- WMCHealth (Valhalla, NY)
- Network Practice Coder /Auditor Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support Department: Health Info ... (https://pm.healthcaresource.com/cs/wmc1/#/preApply/30982) Internal Applicant link Job Details: Job Summary: The Coder is responsible for auditing medical records, including applicable… more
- University of Southern California (Alhambra, CA)
- …coding laws, regulations, rules, guidelines, and conventions. + Ability to improve APC/ HCC assignments specific to medical necessity documentation & coding of PDx, ... OR AHIMA Certified Coding Specialist - Physician (CCS-P); OR AAPC Certified Professional Coder (CPC); OR AAPC Certified Outpatient Coding (COC) If there is the… more
- Cedars-Sinai (Los Angeles, CA)
- …Working under the general direction of a coding supervisor, the Facility Inpatient Coder is responsible for the assignment of ICD-10-CM and ICD-10-PCS codes by ... purposes such as Social Determinants of Health (SDOH), Hierarchical Conditions ( HCC ), and severity impacting conditions. Abstracts data elements to satisfy… more
- Ascension Health (Elk Grove Village, IL)
- …obtained prior to hire date or job transfer date.* Certified Professional Coder (CPC) credentialed from the American Academy of Professional Coders(AAPC) obtained ... the following certification thru AAPC (credentialing board): **Certified Risk Adjustment Coder (CRC) - STRONGLY PREFERRED** + **Hybrid position** - Flexible with… more
- Ascension Health (Austin, TX)
- …Health Information Management Association (AHIMA) preferred. + Certified Professional Coder (CPC) credentialed from the American Academy of Professional Coders ... (Medicare Advantage, ACO, ACA HHS, or Medicaid). + Strong understanding of HCC models and MEAT documentation requirements. + Proficient in EHR systems (Athena… 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
- Humana (Salt Lake City, UT)
- …successful candidate will possess extensive, in-depth and broad knowledge of the HCC risk adjustment methodology gained from actual experience of chronic condition ... and report on progress regularly. + Assist providers in understanding the CMS - HCC Risk Adjustment program as a payment methodology and the importance of proper… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …focus on Medicare Advantage and ACA risk adjustment. * Certified Risk Adjustment Coder (CRC) certification * In-depth knowledge of ACA & Medicare Advantage risk ... Certifications such as CPMA, RHIT, RHIA, CCA, CCS. * Expertise in CMS- HCC , and HHS- HCC Risk Adjustment models. Compensation and Benefits: Pay Range: $88,600.00 -… more
- Elevance Health (Atlanta, GA)
- …a HS diploma or equivalent and minimum of 3 years of experience as coder of medical records in physician office, hospital, or insurance/coding office setting; or any ... equivalent background. **Preferred Skills, Capabilities, and Experiences:** + Medical Coder certification from accredited source (eg American Health Information… more
- Datavant (Boise, ID)
- …with strong expertise in neurosurgery and orthopedics. Experience in Interventional Radiology and HCC is a plus. **You Will:** + Conduct inpatient coding audits on ... Scrutinizes all HCPCS and CPT codes influencing APC assignment. + Provide coder education through the auditing process. + Prepare preliminary results for review… more
- Genesis Healthcare (PA)
- …Moreover, this position will be key in assisting with the LTC ACO HCC program ensuring that claims are coded and documented accurately and completely, helping ... Requirements: + High School diploma or GED completion required + Certified Professional Coder with a minimum of 3 years' experience with CPT and ICD coding… more
- University of Southern California (Alhambra, CA)
- …coding laws, regulations, rules, guidelines, and conventions. * Ability to improve APC/ HCC assignments based on medical necessity documentation & coding of PDx, ... + Req AHIMA Certified Coding Specialist (CCS) only; or AAPC Certified Inpatient Coder (CIC) only; or either the CCS or CIC in conjunction with any… more
- Mount Sinai Health System (New York, NY)
- …in a multi-entity or academic health system. - Familiarity with risk adjustment, HCC coding, and value-based care models. - Proven success in implementing CAC and ... response, and corrective action planning. - Manage performance metrics including DNFB, coder productivity, and denial rates. Compliance & Quality - Ensure adherence… more
- Centene Corporation (Jefferson City, MO)
- …reviews and advise on clinical best practices related to risk adjustment coding, HCC capture, and documentation improvement. + Performs other duties as assigned. + ... preferred **Licenses/Certifications:** + LVN, LPN or RN required and + Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) required + NP or PAN… more