- Datavant (Washington, DC)
- …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
- Insight Global (Tampa, FL)
- Job Description JOB DESCRIPTION Insight Global is hiring HCC /Risk Adjustment Medical coders to support a backlog for inpatient and outpatient Medicare advantage ... of the markets are strictly risk adjustment focusing on HCC ICD-10 codes only. We do code from the...also be responsible to validate the CPT codes and non- HCC codes. These markets are still only reviewing Medicare… more
- Datavant (Denver, CO)
- …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 (Hartford, CT)
- …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
- Dignity Health (Phoenix, AZ)
- …and/or HCC /risk adjustment coding preferred. - Certified Risk Adjustment Coder (CRC) or Certified Professional Coder (CPC) strongly preferred. **Overview** ... a Dignity Health and Abrazo Health (Tenet) physician collaboration. The Value Based Coder is an employee of Inland Health Organization of Southern California, Inc.,… more
- Hartford HealthCare (Hartford, CT)
- …other common practices across the system. *JOB SUMMARY:* The Risk Adjustment Coder Educator develops and implements an enterprise-wide risk adjustment coding and ... adjustment program requirements and ICD 10 coding guidelines. The Risk Adjustment Coder Educator will serve as a training resource for Risk Adjustment department… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …Risk Adjustment division at BCBST is looking to add a Risk Adjustment Medical Record Coder to our team\.** Expertise in HCC coding, with a background in Medicare ... pass reviews of medical records and physician assessment forms \( HCC coding\)\. + Assist with the intake and quality...RHIT, RHIA\)\. + Must acquire the Certified Risk Adjustment Coder \(CRC\) certificate from AAPCwithin one year, after completed… more
- Ankura (Los Angeles, CA)
- …Coding (CRC) with at least five (5) recent years of experience in HCC /Risk Adjustment and/or RADV Audit Methodology + Associate's or Bachelor's degree preferred, but ... not required + Strong understanding of clinical terminology, disease processes, anatomy and pharmacology. + Intermediate to advanced understanding of in claims processing procedures, state and federal regulations, and Medicare Part D requirements. + Excellent… more
- Sharp HealthCare (San Diego, CA)
- …a certified coder . + 2 years' experience working as an HCC risk adjustment coding auditor. + Experience with medical billing, medical terminology, understanding ... **Shift Start Time** **Shift End Time** HS Diploma or Equivalent; Certified Professional Coder (CPC) - AAPC; Certified Coding Specialist (CCS) - The American Health… 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
- AdventHealth (Daytona Beach, FL)
- …with providers and operations to effectively provide Hierarchical Condition Category ( HCC ) education including but not limited to clinical documentation integrity, ... coding, HCC Risk Adjustment Methodology, and provider performance metrics. The...**Preferred qualifications:** + Bachelor's degree + Certified Risk Adjustment Coder (CRC) This facility is an equal opportunity employer… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …of ICD-9-CM/ICD-10-CM coding, Medicare Advantage and Commercial Hierarchical Condition Category ( HCC ) coding, and Medicaid Clinical Risk Groups (CRGs) to ensure ... to peer guidance through informal discussion and over read assignments. Supports coder training and orientation as requested by leadership. * Maintains accuracy in… more
- Redeemer Health Home Care & Hospice (Huntingdon Valley, PA)
- …Risk Adjustment (MRA) ICD - 10 codes and Hierarchical Condition Categories ( HCC 's) Completes assignments with an emphasis on completeness, accuracy, and supporting ... and in the services we provide. RECRUITMENT REQUIREMENTS High School Graduate. Certified coder CPC or CCS-P, and AAPC CRC certification. 2+ years coding, Medicare… more
- Elevance Health (Cincinnati, OH)
- …background. **Preferred Skills, Capabilities and Experiences:** + Deep understanding of CMS- HCC and/or HHS- HCC risk adjustment methodologies strongly preferred. ... compliance, and legal matters strongly preferred. + Certified Risk Adjustment Coder (CRC) or similar credential strongly preferred. + Experience with clinical… more
- Banner Health (AR)
- …to allow for monitoring and evaluation of trends in DRG (MS/APR-DRG), APC, HCC , other Heath Risk Adjusted Factors, National Correct Coding Initiative (NCCI) and the ... required. Requires Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC) or Certified Professional Coder (CPC)...Certified Inpatient Coder (CIC) or Certified Professional Coder (CPC) or Certified Outpatient Coder (COC)… more
- Cleveland Clinic (Cleveland, OH)
- …risk of mortality, MCC/CC capture, appropriate POA assignment, PSI, HAC, APC & HCC coding, risk adjustment analysis and provider queries. + Perform and/or monitor ... (CCS/P) from American Health Information Management Association OR Certified Professional Coder (CPC) from the American Academy of Professional Coders OR Certified… 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
- East Boston Neighborhood Health Center (Revere, MA)
- …regulations, and clinical documentation improvement Certifications: + Required: Certified Professional Coder (CPC) and/or Certified Risk Adjustment Coder (CRC) + ... specialties + Extensive knowledge of cpt, revenue codes, ICD-10-CM coding and HCC /risk adjustment methodologies + Experience with Medicare Advantage risk models and… more
- The Cigna Group (Bloomfield, CT)
- …following certifications, or comparable medical coding specialty: + **Certified Professional Coder (CPC)** + **Certified Coding Specialist for Providers (CCS-P)** + ... **Registered Health Information Administrator (RHIA)** + **Certified Risk Adjustment Coder (CRC) certification required** + Proficiency with ICD-10-CM diagnostic… more
- AdventHealth (Altamonte Springs, FL)
- …leadership. The Corporate QA is responsible for initial audits during the coder onboarding process for assigned staff, as well as supporting on-going quality ... Conditions (HAC), Patient Safety Indicators (PSI), and Hierarchical Condition Categories ( HCC ) + Expert level knowledge of medical terminology, coding guidelines and… more