- Oxford Global Resources (Albuquerque, NM)
- Summary: The CDI Coding Specialist uses clinical knowledge to serve as an advisor to providers and staff regarding complete and accurate documentation supporting ... concurrently to guide and educate. This position collaborates with providers and coding teams to deliver education on documentation best practices that result in… more
- Pyramid Consulting, Inc. (Addison, TX)
- …Key Requirements and Technology Experience: Skills- Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) 2 years of medical coding ... using International Classification of Diseases, Tenth Revision (ICD-10). Always coding to the highest level of specificity. Follows the...Understands the impact of ICD-10 codes on the CMS HCC risk adjustment model. Ability to meet productivity and… more
- Trinity Health (Albany, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** Risk Adjustment Coding Specialist -St. Peter's Health Partners - Full-time - Remote ... **POSITION PURPOSE:** The Risk Adjustment Coding Specialist works in a team environment...environment and is responsible for reviewing clinical documentation and coding using HCC (Hierarchical Condition Category) and… more
- UNC Health Care (Chapel Hill, NC)
- …Abilities Requirements:** * Strong knowledge of ICD-10-CM, ICD-10-PCS, and CPT coding , MS DRG, hierarchical condition categories ( HCC ), and CDI ... that have opted into shared services. This position reports to the HCS Supervisor Coding and CDI Quality and Training. This position may travel from entity to entity… more
- BlueCross BlueShield of North Carolina (NC)
- **Job Description** The incumbent will use clinical and coding expertise to analyze medical records and charts in relation to provider coding . The Coding ... + Analyzes necessary documentation, including medical records/charts, and applies clinical coding expertise to evaluate appropriateness of provider coding and… more
- Sutter Health (Sacramento, CA)
- …field **CERTIFICATION & LICENSURE:** + CPC-Certified Professional Coder OR CCSP-Certified Coding Specialist -Professional OR CCS-Certified Coding ... knowledge of Quality Coding requirements such as the Medicare Advantage Coding Program/Hierarchial Condition Category + ( HCC ), as well as medical terminology… more
- Banner Health (OH)
- …current and progressively responsible coding experience required. Requires Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC) or Certified ... HCC , other Heath Risk Adjusted Factors, National Correct Coding Initiative (NCCI) and the effect on Case Mix...Coder (CPC) or Certified Outpatient Coder (COC) or Certified Coding Specialist -Physician (CCS-P) or Registered Health Information… more
- WMCHealth (Valhalla, NY)
- …activities. Monitors and reports key performance indicators relative to clinical documentation and HCC coding . . Documents and maintains records of all query, ... Compliance Auditing Specialist - Remote/Hybrid available Company: NorthEast Provider Solutions Inc....competencies in clinical documentation improvement and ICD, CPT and HCC coding through continuing education. Assists with… more
- Henry Ford Health System (Grand Blanc, MI)
- …to work remotely. + Proficient in medical terminology. + Proficient in ICD-10 CM, CPT, HCC and HCPCS coding . + Able to recognize patterns and trends and escalate ... OP Audit Analysts and Coordinators will utilize documentation and coding expertise to facilitate audits of the quality and...medical record, the OP Audit - outpatient complex audit specialist will be responsible for utilizing knowledge of Local,… more
- UCLA Health (Los Angeles, CA)
- …individual with: + A Certified Professional Coder (CPC) certification or Certified Coding Specialist (CCS) certification, required + A Certified Risk Adjustment ... Description As the Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment, you will...Adjustment, you will be an expert in risk adjustment coding and documentation, working closely with physicians, IPA coders,… more
- Fujifilm (Providence, RI)
- **Position Overview** The Sales Specialist , Diagnostic Oncology, in the Invitro Diagnostics Division, is responsible for identifying, prioritizing, and establishing ... community. Manage specific assigned geographic areas and successfully drive the FUJIFILM HCC Risk Biomarkers sales through that community. As assigned interface with… more
- Hartford HealthCare (Hartford, CT)
- …Registration Medical Coding Certification, Certified Professional Coder (CPC), Certified Coding Specialist - Physician (CCS-P) or Certified Coding ... the development of complex and advanced ICD-10 and Hierarchical Condition Category ( HCC ) coding and documentation training programs including defining training… more
- Trinity Health (Syracuse, NY)
- … Specialist -Outpatient (CCDS-O) preferred. **EXCELLUS CONTRACT SPECIFIC Risk Adjustment Coding , Auditing and Education primary functions:** + Working and managing ... A Risk Adjustment Auditor Educator is responsible for ensuring accurate coding and documentation in alignment with risk adjustment models, conducting audits… more
- Dignity Health (Phoenix, AZ)
- …value based contracts (CMS ACO, HEDIS, NCQA, etc.) and Medicare Advantage programs ( HCC /RAF). In addition these positions also support our clinicians and their teams ... needs of their supported medical practices. - Understanding of coding and billing workflows to improve performance on VBA...performance on VBA quality measures, and importance of accurate HCC recapture and RAF scoring. - Assistance in the… more
- Spira Care, LLC (Kansas City, KS)
- … coding and documentation for Medical Advantage and Hierarchical Condition Category ( HCC ) coding . Spira Care is an equal opportunity employer. All qualified ... care gap closures, release of records, and overall care through patient and specialist outreach + May be required to travel between Care Centers Minimum… more
