- Emanate Health (Covina, CA)
- …**ob Summary** Responsible for the oversight of HCC Program and STAR measures coding related functions. The coding specialist will work with the IPA ... Director, Health Plan, and MSO personnel on HCC and STAR measures related tasks. Responsible to ensure...and achieves or improves upon 4.0 STAR rating. The coding specialist is responsible for education to… more
- HCA Healthcare (Campbell, CA)
- …all data submission deadlines Required + Experience using Cozeva Required + Certified HCC Coding Specialist Required + Certified Professional Coder Required ... of a compliant documentation education program for network physicians + Ensure internal HCC coders meet minimum coding performance guidelines + Evaluate and… 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 ... Monitoring, Plan, Evaluation, Referral) principles to support Hierarchical Condition Category ( HCC ) coding . The coder also ensures accurate capture of… more
- Redeemer Health Home Care & Hospice (Huntingdon Valley, PA)
- …terminology necessary to correctly code diagnoses. The Certified Risk Adjustment Coding /Audit Specialist analyzes and translates concurrent, prospective and ... We invite you to apply today. SUMMARY OF JOB The Certified Risk Adjustment Coding /Audit Reviewer is a physician facing position and must have extensive knowledge in… more
- Sutter Health (Burlingame, CA)
- …Risk Adjustment Coder + OR CPC-Certified Professional Coder + OR CCS-Certified Coding Specialist + CRC-Certified Risk Adjustment Coder (required within 1 ... **SKILLS AND KNOWLEDGE:** + Advanced knowledge of ICD-10 diagnosis coding conventions and requirements. + Knowledge of HCC... coding conventions and requirements. + Knowledge of HCC /Risk Adjustment coding . + Knowledge of CPT… more
- University of Southern California (Alhambra, CA)
- …1 - 2 years Lead Experience. Required Licenses/Certifications: + Req AHIMA Certified Coding Specialist (CCS) only; or AAPC Certified Inpatient Coder (CIC) only; ... federal & state coding compliance regulations and guidelines, the HIM Coding Denials Management Specialist " analyze, investigate, mitigate, and resolve all … more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Specialist supports the retrospective risk adjustment supplemental filing, Risk Adjustment Data ... customers who may be demanding or otherwise challenging. **Licenses/Certifications** : CCS-Certified Coding Specialist or CPS, CCS-P, CRC Upon Hire Required or… more
- The Iowa Clinic (West Des Moines, IA)
- Coding /Documentation Specialist (Full-Time) Quality/Care Management West Des Moines, Iowa Apply Description Performs reviews of coded encounters to ensure that ... 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 , and PCMH… 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
- AdventHealth (Shawnee, KS)
- …degree + Registered Health Information Technician (RHIT) - Cert, OR + Certified Coding Specialist (CCS), OR + Certified Risk Adjustment Coder (CRC), OR ... accurate coding . Additionally, this role provides Hierarchical Condition Category ( HCC ) education, including clinical documentation integrity, coding , HCC… more
- AdventHealth (Greenwood Village, CO)
- …+ Registered Health Information Technician (RHIT) - Cert, OR + Certified Coding Specialist (CCS), OR + Certified Documentation Improvement Practitioner (CDIP) ... education including but not limited to clinical documentation integrity, coding , HCC Risk Adjustment Methodology, and provider...OR + Certified Clinical Documentation Specialist -Outpatient (CCDS-O), OR + Certified Clinical Documentation … more
- University of Michigan (Ann Arbor, MI)
- …degree in health information management or other healthcare related fields. + Knowledge of HCC coding and Risk Adjustment Credential from AHIMA or AAPC + ... Clinical Documentation Specialist Apply Now **Job Summary** The Clinical Documentation...Prepare reports to provide feedback on provider performance including HCC documentation and coding . Including specialty specific… more
- Centene Corporation (Jefferson City, MO)
- …+ LVN, LPN or RN required and + Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) required + NP or PAN preferred + Certified Risk ... reviews and advise on clinical best practices related to risk adjustment coding , HCC capture, and documentation improvement. + Performs other duties as assigned.… more
- CVS Health (Springfield, IL)
- …1-2 years for CPC. + CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist -Physician) required. + CRC (Certified Risk Adjustment Coder). + ... regulations and internal policies and procedures. + Proven ability to support coding judgment and decisions using industry standard evidence and tools. + Proficient… 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
- Henry Ford Health System (Grand Blanc, 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
- Deloitte (Chicago, IL)
- …quality improvement, and value-based payment models + Proven applicable CPT and ICD-10 coding experience; APR-DRG, MS-DRG and HCC assignment + Other revenue ... Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk...for inpatient and outpatient service areas for accuracy of coding and documentation to ensure regulatory compliance + Apply… more
- Catholic Health Services (Melville, NY)
- …Island's Top Workplace! Job Details The Professional Fee (ProFee) Clinical Documentation Specialist (CDS) will serve as an advisor and expert resource for providers ... potential chronic diagnoses + "Clinical detective" mindset to look for new HCC diagnosis capture opportunities based on appropriate clinical indicators + Validation… more
- Datavant (Boise, ID)
- …to realize our bold vision for healthcare. As an **ProFee Audit Specialist ** you will be instrumental in addressing consulting and educational needs related ... to coding quality, compliance assessments, external payer reviews, ...in neurosurgery and orthopedics. Experience in Interventional Radiology and HCC is a plus. **You Will:** + Conduct inpatient… more
- Bluestone Physician Services (Stillwater, MN)
- …in healthcare coding , with a focus on Hierarchical Condition Category ( HCC ) coding and risk adjustment. Knowledge/Skills/Abilities + Proficiency in reviewing ... individual to join our team as a Part-Time Clinical Documentation Improvement (CDI) Specialist . The primary responsibility of this role is to conduct thorough… more
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