• HCC Coding Quality Analyst

    Independent Health (Buffalo, NY)
    …and a culture that fosters growth, innovation and collaboration. **Overview** The HCC Coding Quality Analyst is responsible for delivering educational seminars ... and CRG coding that is needed. The HCC Coding Quality Analyst is also responsible...auditing , with a focus on ICD-9 and ICD-10 coding verification required. + Experience in provider education preferred.… more
    Independent Health (06/03/25)
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  • HCC Risk Adjustment Coder

    MedKoder (Mandeville, LA)
    …with government regulations while identifying opportunities for increased financial success. The HCC Risk Adjustment Coder provides coding services to health ... primary function of this position is to perform ICD-10-CM coding for risk adjustment-eligible encounters. The HCC ...Experience working remotely is preferred but not required. + Auditing experience a PLUS. About MedKoder, LLC: + Privately… more
    MedKoder (04/15/25)
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  • Compliance Auditing Specialist-…

    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
    WMCHealth (04/09/25)
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  • Risk Adjustment Coding Specialist-Excellus…

    Trinity Health (Syracuse, NY)
    …if needed. Auditing Experience Posting POSITION PURPOSE: 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...Additional Department specific job functions: . Participation in Quality Auditing of St. Josephs Health providers and department RA… more
    Trinity Health (05/29/25)
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  • Risk Adjustment Coding Coordinator I/II

    Excellus BlueCross BlueShield (Buffalo, NY)
    …ICD-9-CM/ICD-10-CM coding , Medicare Advantage and Commercial Hierarchical Condition Category ( HCC ) coding , and Medicaid Clinical Risk Groups (CRGs) to ensure ... coding validation, monitoring plan specifications, Hierarchical Condition Category ( HCC ) assignment accuracy and Risk Adjustment Validation Audits (RADV). *… more
    Excellus BlueCross BlueShield (05/20/25)
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  • Facility Coding Inpatient DRG Quality

    Banner Health (TN)
    coding (clearly reflected in your attached resume);** + **DRG and PCS** ** Coding & Auditing ** **experience** **;** + **Bachelors** **degree in HIMS or ... **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
    Banner Health (06/15/25)
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  • Director Enterprise Hospital Coding

    University of Virginia (Charlottesville, VA)
    …the subject matter expert on Centers for Medicare and Medicaid Services (CMS) HCC documentation requirements and ICD-10-CM coding guidelines + Ensures key ... The Director of Enterprise Coding is an integral member of the Revenue Cycle division, working closely with the financial and clinical operations to provide… more
    University of Virginia (04/03/25)
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  • Auditor- Coding

    Ascension Health (Jacksonville, FL)
    …educational programs related to coding . + Assist in the management of the coding and billing auditing and monitoring program to address high risk compliance ... Ste 210 Jacksonville, Florida 32216-0968 United States + **CPC Certificate and HCC knowledge Required** **Benefits** Paid time off (PTO) Various health insurance… more
    Ascension Health (03/31/25)
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  • Individual & Family Plans (IFP) Quality Review…

    The Cigna Group (Bloomfield, CT)
    …to documentation and coding , both with Inpatient and Outpatient documentation + HCC coding experience preferred + Computer competency with excel, MS Word, ... accurately assigning ICD-10-CM diagnostic codes based on medical record documentation and auditing medical charts for Hierarchical Condition Categories ( HCC ), as… more
    The Cigna Group (06/17/25)
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  • Document Review Specialist

    Community Health Systems (Franklin, TN)
    …Audits medical records to validate the accuracy of CPT, HCPCS, ICD-10, and HCC coding for professional services, including evaluation and management, procedural, ... field preferred + 3-5 years of experience in professional coding , auditing , or clinical documentation review required...Abilities** + Knowledge of current CPT, HCPCS, ICD-10, and HCC coding guidelines and billing regulations. +… more
    Community Health Systems (06/17/25)
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  • Revenue Management Educator (Remote Option within…

    Marshfield Clinic (Marshfield, WI)
    …of CPT coding rules, ICD‐9 and ICD‐10 codes, Healthcare Common Procedure Coding System (HCPCS) codes, HCC coding , use of modifiers, documentation ... Procedural Terminology (CPT), and ICD‐9, ICD-10 and Hierarchical Condition Category ( HCC ) coding . **Preferred/Optional:** Bachelor of Science in Nursing.… more
    Marshfield Clinic (03/31/25)
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  • Professional Services Auditor and Educator

    Trinity Health (Fort Lauderdale, FL)
    …of centralized coders charge capture and coding . Partners with centralized coding and operational leadership to improve HCC , high risk scoring, along ... payer policies with three (3) to five (5) years of professional coding or auditing experience. **Required** : CPC, CRC, RHIT, CDEO, or equivalent certification… more
    Trinity Health (06/13/25)
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  • Revenue Integrity Analyst

    AnMed Health (Anderson, SC)
    …integrity preferred. Five (5) years' experience in the hospital setting, healthcare industry or coding with a focus in one or more of the following areas: charge ... integrity; charge reconciliation; charge compliance; charge auditing ; CDM management. EPIC HB/PB experience preferred. + Certification : Applicable professional… more
    AnMed Health (04/05/25)
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