- AdventHealth (Lees Summit, MO)
- …of the HCC risk adjustment methodology gained from HCC documentation, coding , and provider education experience. **The value you'll bring to the ... to CDI leader and will work closely with providers and operations to effectively provide Hierarchical Condition Category ( HCC ) education including but not… 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
- Geisinger (Danville, PA)
- …complete and accurate coding . + Assists in decision making relevant to physician coding education and HCC targeting purposes. + Provides encoder software ... Job Summary Health information coding is the transformation of verbal descriptions of...payers for reimbursement. A joint effort between the healthcare provider and the coder is essential to achieve complete… more
- Henry Ford Health System (Troy, MI)
- …Coding ? If your answer is YES, this position could be for you! The Medical Coding Education Coordinator is 95% remote work, with travel as needed within the ... directly with providers. About the Role: As our Medical Coding Education Coordinator, you'll be at the...forefront of coordinating, overseeing, and optimizing the flow of provider education and medical record coded information… more
- Trinity Health (Albany, NY)
- …a team environment and is responsible for reviewing clinical documentation and coding using HCC (Hierarchical Condition Category) and MEAT (Monitored, ... reports opportunities for documentation improvement to the Supervisor of Risk Adjustment Coding & Audit to develop and implement provider documentation… more
- UPMC (Pittsburgh, PA)
- **UPMC Health Plan has an exciting opportunity for a Certified Coding Specialist I position in the Medicare HCC department. This is a full time position working ... / or procedure. + Review appropriate documents to accurately assign a Risk Adjustment HCC diagnosis. + Review coding for accuracy and completeness prior to… more
- AdventHealth (Altamonte Springs, FL)
- …position must understand the clinical Care Gaps for different populations and use provider education and a multi-disciplinary team approach to aid practices and ... **Quality Coding &** **Documentation** **Specialist AdventHealth PHSO Resources** **All...closing them. They will participate in select committees and provide education as needed. This position will… more
- University of Virginia (Charlottesville, VA)
- …professional coding and health data collection activities to ensure accurate provider documentation and coding as it relates to appropriate, compliant, and ... the subject matter expert on Centers for Medicare and Medicaid Services (CMS) HCC documentation requirements and ICD-10-CM coding guidelines + Ensures key… more
- BlueCross BlueShield of North Carolina (NC)
- …and coding expertise to analyze medical records and charts in relation to provider coding . The Coding Analyst identifies physician practices with complex ... records/charts, and applies clinical coding expertise to evaluate appropriateness of provider coding and reports relevant data to the Centers for Medicare… more
- Trinity Health (Silver Spring, MD)
- …+ Partners with leadership to improve HCC , high risk scoring, with provider and coder education . + Conducts ongoing reviews of patient medical record ... coding by each practitioner. + Responsible for practitioner education in areas related to coding , documentation,...accuracy and regulatory compliance. + Reports to the Manager, Provider Revenue Operations **What you will need:** + High… more
- Cleveland Clinic (Cleveland, OH)
- …for the ideal future caregiver include: + Master's Degree + Inpatient/Hospital (Technical) Coding + Provider Health System experience *Complexity of Work + ... one of the most respected healthcare organizations in the world. The Technical Coding Services Director for Cleveland Clinic is responsible for directing the vision,… 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
- Banner Health (OH)
- …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
- AdventHealth (Altamonte Springs, FL)
- … coding staff. They will review medical records and documentation for coding accuracy, providing feedback, and delivering additional education to correct ... coders, auditors, managers, and directors throughout the organization Will provide feedback to coding and CDI team...on process improvement. Works with the audit team and coding manager to develop meaningful education and… more
- Trinity Health (Boise, ID)
- …with leadership to improve HCC and other Risk Adjustment capture with provider and coder education . Conducts ongoing reviews of patient medical record ... and diagnosis coding by each practitioner. Educates practitioners on coding , documentation, and compliance matters. **SKILLS, KNOWLEDGE, EDUCATION AND… more
- Albany Medical Center (Albany, NY)
- …with federal and state regulations and insurance carrier guidelines. Provide education , instruction 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...specialties. - preferred + Working knowledge and experience with provider professional fee coding and charge processing.… more
- Tufts Medicine (Burlington, MA)
- …lead efforts to evaluate the HCC /DxCG coding practices and provide analyses and recommendations to improve overall provider documentation as it pertains ... Summarizes findings for internal and external parties and will provide provider education when necessary....on a regular basis in regard to Risk Adjustment Coding guidelines ( HCC /DxCG), as well as ICD-10-CM… more
- The Cigna Group (Bloomfield, CT)
- …and coding compliance, with both Inpatient and Outpatient documentation * HCC coding experience preferred * Computer competency with excel, MS Word, ... and coordinate with team members and matrix partners to facilitate various aspects of coding and Risk Adjustment education with internal and external partners. *… more
- Henry Ford Health System (Grand Blanc, MI)
- …of an OP CDI Education database, which supports the Documentation & Coding Provider Education Program, data-driven resourcing, monthly provider ... dashboards, and administrative decision making related to Revenue Cycle. EDUCATION AND EXPERIENCE: + High school diploma or GED...in medical terminology. + Proficient in ICD-10 CM, CPT, HCC and HCPCS coding . + Able to… more
- UPMC (Pittsburgh, PA)
- …management. Identify sites within the network to offer public education on coding and documentation and provide classes on a regular basis. + Identify ... of strategic plans and coordination of all aspects of provider and practice education , including but not...the UPMC Health Plan Network. + Coordinate and present education of providers/practices related to risk adjustment, coding… more