- Emanate Health (Covina, CA)
- …#19 ranked company in the country. **J** **ob Summary** Responsible for the oversight of HCC Program and STAR measures coding related functions. The coding ... 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 external physician… more
- BJC HealthCare (St. Louis, MO)
- …setting. Background to be successful in the role: + **Hierarchical Condition Category ( HCC )** ** coding and risk adjustment** + **Bachelors degree** + **2 years ... Requirements** **Licenses & Certifications** + Cert Clinical Documentation + Certified Coding Spec + Cert Doc Improve Practitioner **Benefits and Legal Statement**… more
- Datavant (Indianapolis, IN)
- …tasks required by management. **What you will bring to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of HCC Auditing experience + ... credentials (CPC, CPC-H, COC, CIC or CRC). + Proficient in ICD-10 coding . + Experienced in HCC coding across Medicare, commercial, and Medicaid sectors. +… 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. ... (CPC, CPC-H, COC, CIC, CRC) + Extensive knowledge of ICD -10 + 2 years' HCC coding experience + 1+ years' Team Lead experience a plus + A strong knowledge base… more
- Datavant (Boise, ID)
- …required. + People Leader experience managing a team of employees. + Familiarity with HCC coding . + A strong knowledge base of medical terminology, medical ... educational and life experiences to realize our bold vision for healthcare. The Coding Supervisor serves as a working supervisor with oversight and management of… more
- Datavant (Indianapolis, IN)
- …outcomes in both hospitals and alternative care settings. Candidates with Profee and HCC coding experience with annual wellness visits are strongly encouraged to ... realize our bold vision for healthcare. The Provider Practice Coding Consultant role is an opportunity to make a...make a significant impact in the field of medical coding . You will provide essential consulting services and educational… more
- Datavant (Topeka, KS)
- …credentials (CPC, CPC-H, COC, CIC, or CRC). + A minimum of 2 years HCC coding experience, while certified. + Full understanding and knowledge of ICD-10, ... to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical...guidelines. + Coders must meet and maintain a 95% coding accuracy rate. + Any other task requested by… more
- Trinity Health (Columbus, OH)
- …, and subsequent ICD versions. + Expanded knowledge of Risk Adjustment and HCC coding . + Knowledge of payer contracts and reimbursement. **Position Highlights ... Monitoring, Plan, Evaluation, Referral) principles to support Hierarchical Condition Category ( HCC ) coding . The coder also ensures accurate capture of… more
- CareFirst (Baltimore, MD)
- …activities and operational processes of the coding operations team - including HCC coding , auditing and data submission to CMS and other regulatory agencies, ... 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
- Mount Sinai Health System (New York, NY)
- …in a multi-entity or academic health system. - Familiarity with risk adjustment, HCC coding , and value-based care models. - Proven success in implementing ... **Job Description** The Senior Director of Coding is a strategic and operational leader responsible...responsible for overseeing all aspects of professional and hospital coding across the health system. This role ensures … more
- CareFirst (Baltimore, MD)
- …work experience. **Experience:** 3 years risk adjustment/hierarchical condition category ( HCC ) coding experience. **Knowledge, Skills and Abilities (KSAs)** ... **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Specialist supports the retrospective risk adjustment supplemental filing, Risk Adjustment Data… more
- AdventHealth (Shawnee, KS)
- …accurate coding . Additionally, this role provides Hierarchical Condition Category ( HCC ) education, including clinical documentation integrity, coding , HCC ... advanced understanding of the HCC risk adjustment methodology gained from HCC documentation, coding , and provider education experience. This role contributes… more
- AdventHealth (Greenwood Village, CO)
- …( HCC ) education including but not limited to clinical documentation integrity, coding , HCC Risk Adjustment Methodology, and provider performance metrics. The ... advanced understanding of the HCC risk adjustment methodology gained from HCC documentation, coding , and provider education experience. **The value you'll… more
- Albany Medical Center (Albany, NY)
- …and training to providers and coding staff. Act as an expert for the HCC /Risk adjustment coding . This position is remote but does require onsite education to ... Guideline for Coding and Reporting. Code chronic disease that meets HCC and Risk Adjustment criteria. Validate missed coding opportunities. + Conducts… more
- Sutter Health (Burlingame, CA)
- …relevant experience. **SKILLS AND KNOWLEDGE:** + Advanced knowledge of ICD-10 diagnosis coding conventions and requirements. + Knowledge of HCC /Risk Adjustment ... document, and report quality care and disease burden. Trains and educates coding quality staff, physicians other clinicians, and operations leaders on documentation… more
- UNC Health Care (Chapel Hill, NC)
- …sheets and tools for providers and other clinical and OP CDI staff such as the HCC /RAF Pocket Guide, HCC Coding Tip Sheets by clinical conditions, and ... responsible for working the EPIC WQ to reorder the Hierarchical Condition Categories ( HCC ) conditions in the top 12 for claim generation. The Risk Adjustment… more
- Centene Corporation (Jefferson City, MO)
- …chart reviews and advise on clinical best practices related to risk adjustment coding , HCC capture, and documentation improvement. + Performs other duties as ... proper extraction of medical diagnoses and ensure accurate and complete diagnosis coding in alignment with HCCs and other risk adjustment models. Identifies and… more
- University of Michigan (Ann Arbor, MI)
- …degree in health information management or other healthcare related fields. + Knowledge of HCC coding and Risk Adjustment Credential from AHIMA or AAPC + ... + Prepare reports to provide feedback on provider performance including HCC documentation and coding . Including specialty specific documentation examples… more
- Highmark Health (Pittsburgh, PA)
- …detailed data analysis, process analysis, report generation, medical record documentation, and HCC Coding . + Conduct, collect and analyze information and data ... communicate results. Conduct continuing education to providers on STARS, HEDIS, and HCC Coding . Conduct re-audits as needed. + Other duties as assigned 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, ... Maintains current competencies in clinical documentation improvement and ICD, CPT and HCC coding through continuing education. Assists with compliance audits and… more
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