- CareFirst (Baltimore, MD)
- …day-to-day activities and operational processes of the coding operations team - including HCC coding , auditing and data submission to CMS and other ... 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
- Datavant (Columbia, SC)
- …experience, preferred + People Leader experience managing a team of employees. + Familiarity with HCC coding and auditing + A strong knowledge base of ... life experiences to realize our bold vision for healthcare. Auditing Supervisor serves as a working supervisor with oversight...+ Extensive knowledge of ICD -9/10 + 2 years coding experience, required. + 2 years auditing … 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. ... to ensure coders are receiving timely feedback. Assists with auditing when the coder has not received recent feedback....+ Extensive knowledge of ICD -10 + 2 years' HCC coding experience + 1+ years' Team… more
- Datavant (Indianapolis, IN)
- …3 years of HCC coding experience + Minimum 2 years of HCC Auditing experience + High school diploma or GED equivalent + AHIMA certified credentials ... credentials (CPC, CPC-H, COC, CIC or CRC). + Proficient in ICD-10 coding . + Experienced in HCC coding across Medicare, commercial, and Medicaid sectors. +… 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...competencies in clinical documentation improvement and ICD, CPT and HCC coding through continuing education. Assists with… 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 ... medical record chart reviews (which could include prospective, concurrent & retrospective auditing ) to ensure documentation and selection of HCC diagnosis codes… more
- University of Southern California (Alhambra, CA)
- … Denials Management Specialist, and will assist with escalated issues. Essential Duties: + CODING AUDITING * Performs monthly internal coding audits to ... rate as determined by an annual external review of coding . + ABSTRACTING AUDITING * Performs monthly...HCC assignments based on medical necessity documentation & coding of PDx, SecDx, and CPT/HCPCS in accordance with… more
- The Iowa Clinic (West Des Moines, IA)
- …preferred. What you will do: 1. Develop and maintain a productive and collaborative coding optimization and chart audit process for, HCC , ICD-10, E/M and CPT ... Coding /Documentation Specialist (Full-Time) Quality/Care Management West Des Moines,...Performs reviews of coded encounters to ensure that all HCC , ICD-10, E/M, and CPT codes assigned are accurate,… 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 ... Purpose:** Executes Line 2 oversight of Risk Adjustment activities, including monitoring, auditing , and supports Line 1 oversight. Reviews medical records to assess… more
- CVS Health (Springfield, IL)
- …1 year recent and related experience in medical record documentation review, diagnosis coding , and/or auditing . + AA/AS or equivalent experience. + Completion of ... regulations and internal policies and procedures. + Proven ability to support coding judgment and decisions using industry standard evidence and tools. + Proficient… 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 ... The Risk Adjustment Coordinator will be responsible for analyzing and auditing medical records retrospectively as requested by insurance companies as required… more
- Datavant (Boise, ID)
- …RHIA credentials. + Recent experience in academic/level 1 trauma centers + Experience coding and auditing inpatient and outpatient records for various facilities ... will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education,… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Skills and Experience * Bachelor's degree * Experience in provider office medical coding , claims auditing , or specialty clinics. * Certifications such as CPMA, ... ensuring the accuracy, completeness, and compliance of risk adjustment coding across both internal teams and external partners. Your...RHIT, RHIA, CCA, CCS. * Expertise in CMS- HCC , and HHS- HCC Risk Adjustment models. Compensation… more
- WMCHealth (Valhalla, NY)
- …the primary function of the position was inpatient and outpatient medical records coding and/or auditing in a large multispecialty practice setting, including ... Job Details: Job Summary: The Coder is responsible for auditing medical records, including applicable diagnoses and operative/ diagnostic...surgical speacialties is required. HCC Risk adjustment Coding esperience is preferred.… more
- Centene Corporation (Jefferson City, MO)
- …+ 3+ years Audit, risk adjustment and/or compliance required + Risk Adjustment/ HCC coding required + Medicare experience required + Demonstrated understanding ... the Risk Adjustment Compliance program elements, with a focus on the auditing and monitoring functions. Collaborates with business areas to ensure effective… more