- MedKoder (Mandeville, LA)
- …offers a flexible schedule. Description: MedKoder, LLC is seeking a remote Professional HCC Risk Adjustment Coder who will apply both technical and specialized ... with government regulations while identifying opportunities for increased financial success. The HCC Risk Adjustment Coder provides coding services to health… more
- Kelsey-Seybold Clinic (Pearland, TX)
- **Responsibilities** To ensure the accurate coding of diagnoses which fall into the HCC model as required by CMS for Medicare Advantage plans. To ensure ... Official ICD-10-CM Guidelines for Coding and Reporting. **Job Title: HCC Coding Compliance Assistant** **Location: Pearland Administrative Office** **Department:**… more
- Geisinger (Danville, PA)
- …for reimbursement. A joint effort between the healthcare provider and the coder is essential to achieve complete and accurate documentation, code assignment, and ... in decision making relevant to physician coding education and HCC targeting purposes. + Provides encoder software and EMR...year relevant experience). This posting reflects an opening for Coder III and we are seeking candidates for that… 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
- Sutter Health (Sacramento, CA)
- …General Education Diploma (GED) **CERTIFICATION & LICENSURE:** + CRC-Certified Risk Adjustment Coder OR CPC-Certified Professional Coder OR AHMA or AAPC Coding ... of Quality Coding Program requirements such as the Medicare Advantage Coding Program/ HCC , as well as medical terminology and abbreviations of disease, illness and… more
- Sutter Health (Sacramento, CA)
- …or equivalent education/experience **CERTIFICATION & LICENSURE** + CRC-Certified Risk Adjustment Coder OR CPC-Certified Professional Coder OR AHMA OR AAPC ... of Quality Coding Program requirements such as the Medicare Advantage Coding Program/ HCC , as well as medical terminology and abbreviations of disease, illness and… more
- CenterLight Health System (NY)
- …data submission processes, presenting performance results to leadership, and supporting HCC /RAF optimization strategies. The role will also oversee the training of ... financial reports submitted by Medicare related to diagnostic data. + Present HCC /RAF performance results and findings regularly to key internal leadership. +… 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
- Trinity Health (Syracuse, NY)
- …responsible for reviewing clinical documentation and coding using HCC (Hierarchical Condition Category) and MEAT (Monitored, Evaluated/Assessed/Addressed, Treated) ... to the PCP prior to their next visit. . HCC education and training will be conducted per Excellus...SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE: . Certified Risk Adjustment Coder (CRC) required . Excellent verbal and written communication… more
- Excellus BlueCross BlueShield (Buffalo, 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
- Banner Health (TN)
- …different teams with different focuses.) In this **Inpatient Facility/HIMS Certified Medical Coder , Quality Associate** position, you bring your **5 years of acute ... the above requirements? Check out some of our other Coder positions!_ Within Banner Health Corporate, you will have...monitoring and evaluation of trends in DRG (MS/APR-DRG), APC, HCC , other Heath Risk Adjusted Factors, National Correct Coding… more
- Marshfield Clinic (Marshfield, WI)
- …Terminology (CPT), and ICD‐9, ICD-10 and Hierarchical Condition Category ( HCC ) coding. **Preferred/Optional:** Bachelor of Science in Nursing. **EXPERIENCE** ... ICD‐9 and ICD‐10 codes, Healthcare Common Procedure Coding System (HCPCS) codes, HCC coding, use of modifiers, documentation guidelines, CMS Policy requirements, and… more
- Commonwealth Care Alliance (Boston, MA)
- …correct ICD-10-CM and CPT codes and identify all appropriate codes based on CMS HCC categories + Provides technical guidance to primary care site in identifying and ... designation (CCS, CCS-P, CCA from AHIMA) or Certified Professional Coder (CPC), and Certified Risk Adjustment Coder ...Professional Coder (CPC), and Certified Risk Adjustment Coder (CRC) from the American Association of Professional Coders… more
- Datavant (Washington, DC)
- …helping a talented team grow and succeed. **What You Will Do:** + Oversee coder performance by verifying schedule entry and hours worked + Merge and track quality ... scores and feedback across assigned coders + Monitor coder productivity by analyzing charts-per-hour metrics + Deliver daily...the Table** + Strong working knowledge of ICD-9/10 and HCC coding + At least 2 years of hands-on… more
- Trinity Health (Boise, ID)
- …the Centers for Medicare and Medicaid Services (CMS). Monitor's accuracy of centralized coder 's charge capture and coding with proper ICD-10, CPTs, HCPCs, as well as ... Trinity practices and policies. Partners with leadership to improve HCC and other Risk Adjustment capture with provider and... and other Risk Adjustment capture with provider and coder education. Conducts ongoing reviews of patient medical record… more
- UCLA Health (Los Angeles, CA)
- …highly organized, detail-oriented individual with: + A Certified Professional Coder (CPC) certification or Certified Coding Specialist (CCS) certification, required ... + A Certified Risk Adjustment Coder (CRC), required + Reliable transportation to conduct ongoing...+ Three or more years of recent experience in CMS- HCC Risk Adjustment models V24 and V28, required +… more
- UCLA Health (Los Angeles, CA)
- …and support on coding questions, system operations, and administrative tasks. + Lead coder training initiatives and performance evaluations. + Oversee coder work ... or operational duties as assigned. Salary Range: $63,800 - $127,000/AnnuallyQualifications + CPC, HCC , CPMA, or CHC certifications preferred + At least 5 years of… more
- Trinity Health (Fort Lauderdale, FL)
- …to improve HCC , high risk scoring, along with provider and coder education. Responsible for practitioner education in areas related to coding, documentation, and ... compliance.** **ESSENTIAL FUNCTIONS** **Responsibilities, including but not limited to** : Educate providers on documentation guidelines, in annual sessions and individually as required. Determine if organizational policies are current and effective. Ensure… more
- CenterLight Health System (NY)
- …opportunities. + Validate DRG grouping and pricing outcomes; possess basic knowledge of HCC and ICD-10. + Review, validate, and reconcile claim and encounter data ... degree is required, quantitative discipline is strongly preferred. Certified Professional Coder a plus. Experience: + 3-5 years of healthcare experience, managed… more
- UCLA Health (Los Angeles, CA)
- …Develop and deliver training programs for new and existing staff + Prepare coder performance evaluations and manage corrective actions as needed + Collaborate with ... are seeking a leader with: + CPC certification and at least one specialty ( HCC , CPMA or CHC) certification required + A minimum of five years in Coding… more
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