- Kelsey-Seybold Clinic (Pearland, TX)
- …ICD-10-CM Guidelines for Coding and Reporting. **Job Title: HCC Coding Compliance Assistant** **Location: Pearland Administrative Office** **Department:** ... Assessment certificate. Preferred: HEDIS experience **License(s)** Required: CCS-P (Certified Coding Specialist -Physician) or CPC (Certified Professional Coder)… more
- Trinity Health (Syracuse, NY)
- …conduct Education 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...Medicare and Medicaid Services (CMS). Excellus contract specific RA Coding Specialist job primary functions: . Working… more
- UNC Health Care (Chapel Hill, NC)
- …Abilities Requirements:** * Strong knowledge of ICD-10-CM, ICD-10-PCS, and CPT coding , MS DRG, hierarchical condition categories ( HCC ), and CDI ... that have opted into shared services. This position reports to the HCS Supervisor Coding and CDI Quality and Training. This position may travel from entity to entity… more
- Banner Health (TN)
- …current and progressively responsible coding experience required. Requires Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC) or Certified ... HCC , other Heath Risk Adjusted Factors, National Correct Coding Initiative (NCCI) and the effect on Case Mix...Coder (CPC) or Certified Outpatient Coder (COC) or Certified Coding Specialist -Physician (CCS-P) or Registered Health Information… 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 Inc....competencies in clinical documentation improvement and ICD, CPT and HCC coding through continuing education. Assists with… more
- 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, ... Abilities** + Knowledge of current CPT, HCPCS, ICD-10, and HCC coding guidelines and billing regulations. +...**Licenses and Certifications** + Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent coding… more
- Henry Ford Health System (Detroit, MI)
- …to work remotely. + Proficient in medical terminology. + Proficient in ICD-10 CM, CPT, HCC and HCPCS coding . + Able to recognize patterns and trends and escalate ... OP Audit Analysts and Coordinators will utilize documentation and coding expertise to facilitate audits of the quality and...medical record, the OP Audit - outpatient complex audit specialist will be responsible for utilizing knowledge of Local,… more
- Highmark Health (Harrisburg, PA)
- …Integrity (CDI) + Experience in Coding + Knowledge of ICD 10 and HCC coding guidelines + Knowledge of Electronic Medical Record (Epic) + Knowledge of ... + Excellent communication skills + Critical thinking skills + Certified Coding Specialist (CCS) + Certified Outpatient Clinical Documentation Improvement… more
- Commonwealth Care Alliance (Boston, MA)
- …Education:** + Associate's Degree or equivalent experience + Possession of Certified Coding Specialist designation (CCS, CCS-P, CCA from AHIMA) or Certified ... Management **Position Summary:** Under the guidance of the Manager for Billing, Coding , & Provider Documentation this position will support internal & external… more
- UCLA Health (Los Angeles, CA)
- …individual with: + A Certified Professional Coder (CPC) certification or Certified Coding Specialist (CCS) certification, required + A Certified Risk Adjustment ... Description As the Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment, you will...Adjustment, you will be an expert in risk adjustment coding and documentation, working closely with physicians, IPA coders,… more
- Fujifilm (Carson City, NV)
- **Position Overview** The Sales Specialist , Diagnostic Oncology, in the Invitro Diagnostics Division, is responsible for identifying, prioritizing, and establishing ... community. Manage specific assigned geographic areas and successfully drive the FUJIFILM HCC Risk Biomarkers sales through that community. As assigned interface with… more
- CareOregon (Portland, OR)
- …transformation or to the Medicare Advantage performance measures such as Stars, CAHPS, HCC coding and Risk re-capture. This position spends time designing and ... Job Title Innovation Specialist - Primary Care/Medicare Exemption Status Exempt Department...+ Medicare focus - Medicare Stars, CAHPS, and Risk coding , data systems, access, clinic support structures, and care… more
- The Cigna Group (Bloomfield, CT)
- …one of the following certifications:** + **Certified Professional Coder (CPC)** + **Certified Coding Specialist for Providers (CCS-P)** + **Certified Coding ... and coding , both with Inpatient and Outpatient documentation + HCC coding experience preferred + Computer competency with excel, MS Word, Adobe Acrobat… more
- The Cigna Group (Bloomfield, CT)
- …in one of the following:** *Certified Professional Coder (CPC) *Certified Coding Specialist for Providers (CCS-P) *Certified Professional Compliance Officer ... as a key subject matter expert in HHS risk adjustment regulations and coding policy for both Cigna's internal teams as well as value-based provider partnerships… more
- Hartford HealthCare (Hartford, CT)
- …Registration Medical Coding Certification, Certified Professional Coder (CPC), Certified Coding Specialist - Physician (CCS-P) or Certified Coding ... the development of complex and advanced ICD-10 and Hierarchical Condition Category ( HCC ) coding and documentation training programs including defining training… more