- UNC Health (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
- Emanate Health (Covina, CA)
- …**ob Summary** Responsible for the oversight of HCC Program and STAR measures coding related functions. The coding specialist will work with the IPA ... Director, Health Plan, and MSO personnel on HCC and STAR measures related tasks. Responsible to ensure...and achieves or improves upon 4.0 STAR rating. The coding specialist is responsible for education to… more
- Trinity Health (Albany, NY)
- **Employment Type:** Part time **Shift:** Day Shift **Description:** The Risk Adjustment Coding Specialist works in a team environment and is responsible for ... reviewing clinical documentation and coding using HCC (Hierarchical Condition Category) and...Medicare and Medicaid Services (CMS). **CDPHP contract specific RA Coding Specialist job primary functions:** + Working… more
- University of Southern California (Alhambra, CA)
- …1 - 2 years Lead Experience. Required Licenses/Certifications: + Req AHIMA Certified Coding Specialist (CCS) only; or AAPC Certified Inpatient Coder (CIC) only; ... federal & state coding compliance regulations and guidelines, the HIM Coding Denials Management Specialist " analyze, investigate, mitigate, and resolve all … more
- Genesis Healthcare (PA)
- Overview We are seeking a full time Certified Professional Coding Specialist to join our Advanced Care Organization (ACO) team. This is a remote position. ... experience in the field in required.** The Certified Professional Coding specialist will work as a compliance...will be key in assisting with the LTC ACO HCC program ensuring that claims are coded and documented… more
- Trinity Health (Newtown Square, PA)
- …degree in Medical Field + If RN, Current Registered Nurse License + Certified Coding Specialist (CCS), Certified Clinical Documentation Specialist (CCDS), or ... Mid-Atlantic, is looking for a CIN Ambulatory Clinical Documentation Specialist to join our team! **Employment Type:** Full Time...incomplete or inconsistent documentation in the record which impacts HCC or other risk score coding . +… more
- Providence (Spokane, WA)
- …for planning, organizing, implementing, staffing, and supervising all functions and workflow for HCC coding , coding WQ resolution for managed care line ... in the clinics. Prepares reports associated with RAF score, HCC Coding Accuracy, HCC Recapture...Information Management Association upon hire. OR + National Certified Coding Specialist - American Health Information Management… more
- AdventHealth (Shawnee, KS)
- …degree + Registered Health Information Technician (RHIT) - Cert, OR + Certified Coding Specialist (CCS), OR + Certified Risk Adjustment Coder (CRC), OR ... accurate coding . Additionally, this role provides Hierarchical Condition Category ( HCC ) education, including clinical documentation integrity, coding , HCC… more
- AdventHealth (Greenwood Village, CO)
- …+ Registered Health Information Technician (RHIT) - Cert, OR + Certified Coding Specialist (CCS), OR + Certified Documentation Improvement Practitioner (CDIP) ... education including but not limited to clinical documentation integrity, coding , HCC Risk Adjustment Methodology, and provider...OR + Certified Clinical Documentation Specialist -Outpatient (CCDS-O), OR + Certified Clinical Documentation … 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
- Centene Corporation (Jefferson City, MO)
- …+ LVN, LPN or RN required and + Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) required + NP or PAN preferred + Certified Risk ... reviews and advise on clinical best practices related to risk adjustment coding , HCC capture, and documentation improvement. + Performs other duties as assigned.… 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
- Deloitte (Los Angeles, CA)
- …quality improvement, and value-based payment models + Proven applicable CPT and ICD-10 coding experience; APR-DRG, MS-DRG and HCC assignment + Other revenue ... Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk...for inpatient and outpatient service areas for accuracy of coding and documentation to ensure regulatory compliance + Apply… more
- Datavant (Boise, ID)
- …to realize our bold vision for healthcare. As an **ProFee Audit Specialist ** you will be instrumental in addressing consulting and educational needs related ... to coding quality, compliance assessments, external payer reviews, ...in neurosurgery and orthopedics. Experience in Interventional Radiology and HCC is a plus. **You Will:** + Conduct inpatient… more
- Bluestone Physician Services (Stillwater, MN)
- …in healthcare coding , with a focus on Hierarchical Condition Category ( HCC ) coding and risk adjustment. Knowledge/Skills/Abilities + Proficiency in reviewing ... individual to join our team as a Part-Time Clinical Documentation Improvement (CDI) Specialist . The primary responsibility of this role is to conduct thorough… more
- Corewell Health (Grand Rapids, MI)
- …Demonstrated ability to manage multiple practices and priorities Preferred + Knowledge of HCC coding , risk adjustment, and value-based care model Preferred + ... the Position The Population Health RN - Risk Adjustment Specialist will play a critical role in improving clinical...role in improving clinical documentation for Hierarchical Condition Category ( HCC ) coding accuracy across a portfolio of… more
- Hartford HealthCare (Farmington, CT)
- …experience preferred **Licensure, Certification, Registration** . RN and/or Certified Coding Specialist (CCS) **And** . Certified Clinical Documentation ... will work in collaboration with the clinical documentation specialists (CDS), coding professionals, providers, nursing staff and other patient care givers to… more
- University of Southern California (Alhambra, CA)
- …in hospital and/or outpatient clinic preferred. Required Licenses/Certifications: + Req Certified Coding Specialist - CCS (AHIMA) OR AHIMA Certified Coding ... to billing interface and claims submission. + Works cooperatively with HIM Coding Support and/or Clinical Documentation Improvement Specialist in obtaining… more
- WMCHealth (Valhalla, NY)
- …the required experience. Licenses / Certifications: Current certification as either a Certified Coding Specialist (CCS) or Certified Coding Specialist ... in a large multispecialty practice setting, including surgical speacialties is required. HCC Risk adjustment Coding esperience is preferred. Education: High… more
- Ascension Health (Austin, TX)
- …reporting requirements. **Requirements** Licensure / Certification / Registration: + Certified Coding Specialist (CCS) credentialed from the American Health ... (ICD), Current Procedural Terminology (CPT) or Healthcare Common Procedure Coding System (HCPCS) codes, creating Ambulatory Patient Classification (APC) or… more
