- WelbeHealth (Columbia, SC)
- …+ Work closely with Coding Supervisor in identifying opportunities for HCC coding education **Job Requirements:** + Associates Degree preferred; ... post-visit chart reviews + Oversee audits and participate in provider education programs to ensure compliance with...+ Minimum of two (2) years of Risk Adjustment ( HCC ) coding experience in a managed care… more
- WMCHealth (Valhalla, NY)
- …. Maintains current competencies in clinical documentation improvement and ICD, CPT and HCC coding through continuing education . Assists with compliance ... activities. Monitors and reports key performance indicators relative to clinical documentation and HCC coding . . Documents and maintains records of all query,… more
- Highmark Health (Cheyenne, WY)
- …Supports other key objectives to drive capture of correct Risk Adjustment coding including documentation improvement, provider education , analyzing reports, ... and identifying process improvements. **ESSENTIAL RESPONSIBILITIES** + Performs HCC coding on projects for MA, ACA,...in RPM Coding educational meetings and annual coding Summit. + Other duties as assigned. ** EDUCATION… more
- Emanate Health (Covina, CA)
- …in the United States, and the #19 ranked company in the country. Job Summary The HCC Coding Specialist is responsible for the oversight and execution of HCC ... coding compliance, and optimal risk adjustment outcomes. The HCC Coding Specialist ensures the IPA's Risk...or higher. This position plays a critical role in provider education , medical record review, claims validation,… 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 ... experiences to realize our bold vision for healthcare. The Provider Practice Coding Consultant role is an...make a significant impact in the field of medical coding . You will provide essential consulting services… more
- Ascension Health (Austin, TX)
- … Coding experience with at least 2 years specific to Medicare Risk Adjustment/ HCC Coding required. + ICD-10 coding experience required. + Experience ... occasional travel to clinics to meet with clinicians and provide in person training + **Salary:** $62,228.00 - $86,742.00...on factors including, but not limited to, experience, skills, education , performance, location and salary range at the time… more
- Datavant (Jefferson City, MO)
- …on a daily basis, including education on time management and best coding practices. + Provide coaching and feedback on achieving production and quality ... standards of the role. + Report trends for education opportunities to management for review and/or action. +...experience managing a team of employees. + Familiarity with HCC coding . + A strong knowledge base… 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 ... of the department as established by department leadership. **Minimum Requirements** ** Education ** + Bachelor's Degree - Healthcare related field **Experience** +… more
- Corewell Health (Grand Rapids, MI)
- …Epic, Power BI, Tableau, or similar tools. + Provide actionable insights to support coding , CDI, and provider education . + Provider Targeting & ... and deliver recurring and ad-hoc reports on RAF trends, HCC capture rates, provider performance, and suspect...or healthcare data analysis. + Strong understanding of ICD-10-CM, HCC coding , V28 models, and risk-adjustment methodologies.… more
- CenterWell (Orlando, FL)
- …education , clinical documentation, and coding to join our team as a Clinical Coding Education Facilitation Lead - Provider Coding Curriculums. In ... your clinical expertise-especially in Medicare Risk Adjustment (MRA) and HCC coding -with instructional design skills to create...complex coding and compliance concepts into practical education that fits seamlessly into daily provider … 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 ... Plan, Evaluation, Referral) principles to support Hierarchical Condition Category ( HCC ) coding . The coder also ensures accurate...in internal audits and quality assurance processes to ensure coding accuracy. + Provide feedback and training… more
- WMCHealth (Valhalla, NY)
- …office staff to educate on proper coding and documentation. Identifies service-specific/ provider specific trends for education . + Conducts focused audits on ... documentation guidelines. In addition the coder is responsible to provide education and training to providers and...surgical speacialties is required. HCC Risk adjustment Coding esperience is preferred. Education : High school… 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...with state and regulatory agencies. Conduct audits to review coding accuracy and provide actionable feedback to… more
- CenterWell (Tampa, FL)
- …a part of our caring community and help us put health first** The RN Coding Education Facilitator is responsible for delivering clinically relevant coding ... performance, compliance, and effective patient management. **Key Responsibilities** + Deliver coding education and presentations focused on value-based primary… more
- Genesis Healthcare (PA)
- …of the organization by working with the Director of Quality Coding and Provider Compliance in identifying the need for education and training to LTC ACO ... gaps in accuracy and quality related to documentation and coding to identify education needs; and +...Support + Assist as needed in the development of provider education around the importance and applicability… more
- UNC Health Care (Chapel Hill, NC)
- …through and complete the CDS training modules. 3. Provides ongoing documentation and coding education to CDI Physician Advisers and CDS staff. 4. Provides ... auditor provides elbow to elbow support during training and education as well as through webex. This position may...Requirements:** * Strong knowledge of ICD-10-CM, ICD-10-PCS, and CPT coding , MS DRG, hierarchical condition categories ( HCC ),… more
- University of Southern California (Los Angeles, CA)
- …organize, follow directives with accuracy and precision. In addition, this position will provide guidance and training to other HIM Coding Denials Management ... of coding staff to ensure a 95% coding accuracy rate. * Develops monitoring/ education plans... issues. + UNDER GENERAL SUPERVISION, RESPONSIBLE FOR * Provide guidance and training to other HIM Coding… more
- Banner Health (AZ)
- …Collaborates on DRG and coding denials, billing edits/rejections to provide coding expertise to resolve issues and support appropriate reimbursement. ... findings for use as a basis for development of coding education and audit plans. 6. Maintains...limited supervision. Uses an expert level of knowledge to provide coding and billing guidance and oversight… more
- Elevance Health (Nashville, TN)
- …hospital, or insurance/ coding office setting; or any combination of education and experience, which would provide an equivalent background. **Preferred ... coding , CPT and CPTII a plus. + HCC coding preferred. + CPC or CRC...stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …improvement, and developing and implementing corrective action plans. * Assess outsourced coding vendors to ensure performance, compliance and provide feedback. ... the US Preferred Skills and Experience * Bachelor's degree * Experience in provider office medical coding , claims auditing, or specialty clinics. *… more