- CareFirst (Baltimore, MD)
- …day-to-day activities and operational processes of the coding operations team - including HCC coding , auditing and data submission to CMS and other ... activities, and drive ongoing professional development on CMS, HHS, HCC , and ICD-10 coding requirements. + Identify...development on CMS, HHS, HCC , and ICD-10 coding requirements. + Identify and resolve process bottlenecks, ensuring… more
- Datavant (Harrisburg, PA)
- …experience, preferred + People Leader experience managing a team of employees. + Familiarity with HCC coding and auditing + A strong knowledge base of ... life experiences to realize our bold vision for healthcare. Auditing Supervisor serves as a working supervisor with oversight...+ Extensive knowledge of ICD -9/10 + 2 years coding experience, required. + 2 years auditing … more
- Datavant (Atlanta, GA)
- …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. ... to ensure coders are receiving timely feedback. Assists with auditing when the coder has not received recent feedback....+ Extensive knowledge of ICD -10 + 2 years' HCC coding experience + 1+ years' Team… more
- Ascension Health (Austin, TX)
- … Coding experience with at least 2 years specific to Medicare Risk Adjustment/ HCC Coding required. + ICD-10 coding experience required. + Experience ... job specific experience required. **Additional Preferences** + This position requires a Coding Certification, will accept one of the following from AAPC and/or… 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...competencies in clinical documentation improvement and ICD, CPT and HCC coding through continuing education. Assists with… more
- Genesis Healthcare (PA)
- …documentation that supports and matches accurate and complete billing + Documentation and coding auditing of credentialed LTC ACO providers to identify gaps in ... will be key in assisting with the LTC ACO HCC program ensuring that claims are coded and documented...the maintenance and monitoring of the PAI Medical Group Coding & Billing Compliance Program, conducting auditing … more
- WelbeHealth (Columbia, SC)
- …+ Work closely with Coding Supervisor in identifying opportunities for HCC coding education **Job Requirements:** + Associates Degree preferred; three (3) ... or a combination of healthcare-related education and experience in coding and auditing + Minimum of two...+ Minimum of two (2) years of Risk Adjustment ( HCC ) coding experience in a managed care… more
- University of Southern California (Los Angeles, CA)
- … Denials Management Specialist, and will assist with escalated issues. Essential Duties: + CODING AUDITING * Performs monthly internal coding audits to ... rate as determined by an annual external review of coding . + ABSTRACTING AUDITING * Performs monthly...HCC assignments based on medical necessity documentation & coding of PDx, SecDx, and CPT/HCPCS in accordance with… more
- Banner Health (AZ)
- … coding (clearly reflected in your attached resume);** + **DRG and PCS Coding , Auditing experience;** + **Bachelors degree or equivalent;** + **Must be ... **Department Name:** Coding -Acute Care Compl & Educ **Work Shift:** Day...HCC , other Heath Risk Adjusted Factors, National Correct Coding Initiative (NCCI) and the effect on Case Mix… more
- Elevance Health (Nashville, TN)
- …Medicaid preferred. + Experience with ICD-10 coding , CPT and CPTII a plus. + HCC coding preferred. + CPC or CRC Certification is needed for this position. + ... of life through homecare and community-based services. The CareBridge Coding Auditor Sr is responsible for auditing ...CareBridge Coding Auditor Sr is responsible for auditing coders that diagnosis data collected from physician and… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Skills and Experience * Bachelor's degree * Experience in provider office medical coding , claims auditing , or specialty clinics. * Certifications such as CPMA, ... ensuring the accuracy, completeness, and compliance of risk adjustment coding across both internal teams and external partners. Your...RHIT, RHIA, CCA, CCS. * Expertise in CMS- HCC , and HHS- HCC Risk Adjustment models. Compensation… more
- WMCHealth (Valhalla, NY)
- …the primary function of the position was inpatient and outpatient medical records coding and/or auditing in a large multispecialty practice setting, including ... Job Details: Job Summary: The Coder is responsible for auditing medical records, including applicable diagnoses and operative/ diagnostic...surgical speacialties is required. HCC Risk adjustment Coding esperience is preferred.… more
- Henry Ford Health System (Troy, MI)
- …facility and the physicians. The Supervisor utilizes knowledge of national coding guidelines (ICD-10), CPT, Hierarchical Condition Categories ( HCC ), standards ... Administration or Healthcare related field) or 5 years medical billing, coding , auditing , compliance, CDI, revenue integrity, healthcare/business financial or… more
- Centene Corporation (Jefferson City, MO)
- …+ 3+ years Audit, risk adjustment and/or compliance required + Risk Adjustment/ HCC coding required + Medicare experience required + Demonstrated understanding ... the Risk Adjustment Compliance program elements, with a focus on the auditing and monitoring functions. Collaborates with business areas to ensure effective… more