- Datavant (Topeka, KS)
- …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... experiences to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code… more
- Datavant (Hagatna, GU)
- …educational and life experiences to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder , you will review medical records ... standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will...bring to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of … 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
- Ascension Health (Elk Grove Village, IL)
- …Candidates must have the following certification thru AAPC (credentialing board): **Certified Risk Adjustment Coder (CRC) - STRONGLY PREFERRED** + ... to hire date or job transfer date.* Certified Professional Coder (CPC) credentialed from the American Academy of Professional...in the CRC program please apply!** + 1 year ** RISK CODING** experience, preferred (NEW GRADUATES WELCOME) + Experience… more
- Intermountain Health (Montpelier, VT)
- …internal CRC training and competency evaluation no later than one year of hire + Certified Risk Adjustment Coder (CRC) through AAPC obtained within 1 year of ... **Job Description:** This Position is an entry-level role in Risk Adjustment and will learn to demonstrate general proficiency in the areas of Risk … more
- Amazon (IL)
- …* 2+ years as a Profee Coder in an office setting inclusive of risk adjustment coder experience required * 1+ year experience in Medicare/Medicare ... One Medical Senior Health Revenue Cycle team, the Medical Coder I will be responsible for supporting Amazon One...perform accurate and complete chart reviews for Profee and HCC Risk Adjustment * Possesses… more
- University of Washington (Seattle, WA)
- …Coding System (HCPCS) codes in Epic work queues (WQ) and/or Hierarchical Condition Category ( HCC )/ Risk Adjustment Factor (RAF) and/or Care Gap review to ... 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… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …a focus on Medicare Advantage and ACA risk adjustment . * Certified Risk Adjustment Coder (CRC) certification * In-depth knowledge of ACA & Medicare ... as CPMA, RHIT, RHIA, CCA, CCS. * Expertise in CMS- HCC , and HHS- HCC Risk Adjustment models. Compensation and Benefits: Pay Range: $88,600.00 - $117,400.00… more
- Centene Corporation (Jefferson City, MO)
- …+ Perform clinical chart reviews and advise on clinical best practices related to risk adjustment coding, HCC capture, and documentation improvement. + ... the Continental United States. **Position Purpose:** Executes Line 2 oversight of Risk Adjustment activities, including monitoring, auditing, and supports Line 1… more
- WMCHealth (Valhalla, NY)
- …in a large multispecialty practice setting, including surgical speacialties is required. HCC Risk adjustment Coding esperience is preferred. Education: ... Network Practice Coder /Auditor Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support Department: Health Info… more
- Ascension Health (Austin, TX)
- …coding experience, preferably in outpatient or primary care settings. + Experience with risk adjustment programs (Medicare Advantage, ACO, ACA HHS, or Medicaid). ... Health Information Management Association (AHIMA) preferred. + Certified Professional Coder (CPC) credentialed from the American Academy of Professional...+ Strong understanding of HCC models and MEAT documentation requirements. + Proficient in… more
- Humana (Salt Lake City, UT)
- …The successful candidate will possess extensive, in-depth and broad knowledge of the HCC risk adjustment methodology gained from actual experience of ... regularly. + Assist providers in understanding the CMS - HCC Risk Adjustment program as...to change **Preferred Qualifications** + Bachelor's Degree + Certified Risk Adjustment Coder (CRC) +… more
- AdventHealth (Shawnee, KS)
- …Condition Category ( HCC ) education, including clinical documentation integrity, coding, HCC Risk Adjustment Methodology, and provider performance ... this role include maintaining an advanced understanding of the HCC risk adjustment methodology gained...OR + Certified Coding Specialist (CCS), OR + Certified Risk Adjustment Coder (CRC), OR… more
- AdventHealth (Greenwood Village, CO)
- …HCC ) education including but not limited to clinical documentation integrity, coding, HCC Risk Adjustment Methodology, and provider performance metrics. ... successful candidate will have an advanced understanding of the HCC risk adjustment methodology gained...Practitioner (CDIP) **Preferred qualifications:** + Bachelor's degree + Certified Risk Adjustment Coder (CRC) This… more
- WMCHealth (Valhalla, NY)
- …Details: Job Summary: Serves as an internal expert on Risk Adjustment and Hierarchical Conditions Categories ( HCC ) coding. Specific duties include performing ... reports key performance indicators relative to clinical documentation and HCC coding. . Documents and maintains records of all...with one or more of the following credentials: Certified Risk Coder (CRC), Certified Professional Coder… more
- Bluestone Physician Services (Stillwater, MN)
- …+ Bachelor's degree in Health Information Management, Nursing, or related field. + Certified Risk Adjustment Coder (CRC) certification, Risk ... healthcare coding, with a focus on Hierarchical Condition Category ( HCC ) coding and risk adjustment ....on Hierarchical Condition Category ( HCC ) coding and risk adjustment . Knowledge/Skills/Abilities + Proficiency in reviewing… more
- Elevance Health (Atlanta, GA)
- …hospital medical records to ensure proper ICD-9 coding and compliance with risk adjustment requirements. **Location:** Virtual: This role enables associates to ... project and RADV. + Assists with National and Targeted Risk Adjustment Data Validation audits. + Participates...equivalent and minimum of 3 years of experience as coder of medical records in physician office, hospital, or… more
- Mount Sinai Health System (New York, NY)
- …leading coding operations in a multi-entity or academic health system. - Familiarity with risk adjustment , HCC coding, and value-based care models. - Proven ... response, and corrective action planning. - Manage performance metrics including DNFB, coder productivity, and denial rates. Compliance & Quality - Ensure adherence… more
- Scripps Health (San Diego, CA)
- …understanding of ICD, CPT, and HCPCS coding systems, MS-DRG/APR-DRG methodologies, and risk adjustment / HCC principles. * Strong technical proficiency and ... experience in professional fee/physician services operations, analytics, and reporting. **Job:** **Business Office* **Organization:** **Scripps Health Corp* **Title:** *Senior Director, Revenue Cycle - Clinical Documentation Integrity* **Location:** *Central… more