- Datavant (Washington, DC)
- …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... experiences to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code… more
- Datavant (Denver, CO)
- …educational and life experiences to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder , you will review medical records ... standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will...bring to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of … more
- Dignity Health (Phoenix, AZ)
- …and security. **Qualifications** **Minimum Qualifications:** - Familiarity and understanding of CMS HCC Risk Adjustment coding and data validation ... Qualifications:** - 2-3 years of experience in outpatient and/or HCC / risk adjustment coding preferred. -...risk adjustment coding preferred. - Certified Risk Adjustment Coder (CRC) or… more
- Insight Global (Tampa, FL)
- Job Description JOB DESCRIPTION Insight Global is hiring HCC / Risk Adjustment Medical coders to support a backlog for inpatient and outpatient Medicare ... more risk adjustment vs profee. Most of the markets are strictly risk adjustment focusing on HCC ICD-10 codes only. We do code from the problem list… more
- Datavant (Hartford, CT)
- …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. The ideal ... Reviews rebuttals submitted by coders. Provides education to the coder if the error is correct or sends the...+ Extensive knowledge of ICD -10 + 2 years' HCC coding experience + 1+ years' Team Lead experience… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …at BCBST is looking to add a Risk Adjustment Medical Record Coder to our team\.** Expertise in HCC coding, with a background in Medicare Advantage ... pass reviews of medical records and physician assessment forms \( HCC coding\)\. + Assist with the intake and quality...\(CPC, CCS, RHIT, RHIA\)\. + Must acquire the Certified Risk Adjustment Coder \(CRC\) certificate… more
- Ankura (Los Angeles, CA)
- …Adjustment Coding (CRC) with at least five (5) recent years of experience in HCC / Risk Adjustment and/or RADV Audit Methodology + Associate's or Bachelor's ... deliver work and seeks to gain additional opportunities for development in a variety of risk adjustment related areas. Qualifications: + Certified in Risk … more
- Hartford HealthCare (Hartford, CT)
- …recognition programs and other common practices across the system. *JOB SUMMARY:* The Risk Adjustment Coder Educator develops and implements an ... program requirements and ICD 10 coding guidelines. The Risk Adjustment Coder Educator will...of complex and advanced ICD-10 and Hierarchical Condition Category ( HCC ) coding and documentation training programs including defining training… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …and guidelines (eg ICD-9-CM, ICD-10, CPT, HCPC) * Familiarity and understanding of CMS HCC Risk Adjustment coding, Medicaid CRG coding, and data validation ... / ICD-10-CM coding validation, monitoring plan specifications, Hierarchical Condition Category ( HCC ) assignment accuracy and Risk Adjustment Validation… more
- Redeemer Health Home Care & Hospice (Huntingdon Valley, PA)
- …work experience + AAPC or AHIMA Certification (CPC, CRC, CCS) REQUIRED + Certified Risk Adjustment Coder - PREFERRED Knowledge + Knowledgeable of medical ... services we provide. RECRUITMENT REQUIREMENTS High School Graduate. Certified coder CPC or CCS-P, and AAPC CRC certification. 2+...a wide variety of clinical cases and services for risk adjustment models (eg, HCC ,… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …a focus on Medicare Advantage and ACA risk adjustment . * Certified Risk Adjustment Coder (CRC) certification * In-depth knowledge of ACA & Medicare ... as CPMA, RHIT, RHIA, CCA, CCS. * Expertise in CMS- HCC , and HHS- HCC Risk Adjustment models. Compensation and Benefits: Pay Range: $88,600.00 - $117,400.00… more
- Evolent (Helena, MT)
- …or equivelent years of work experience. + **Certification in medical coding (CRC- Certified Risk Adjustment Coder ) or demonstrated ability.** + 5+ years of ... knowledge, understanding industry standards and regulations in healthcare coding, specifically Risk Adjustment and all HCC models to ensure compliance with… more
- Bluestone Physician Services (Stillwater, MN)
- …+ Bachelor's degree in Health Information Management, Nursing, or related field. + Certified Risk Adjustment Coder (CRC) certification, Risk ... healthcare coding, with a focus on Hierarchical Condition Category ( HCC ) coding and risk adjustment ....on Hierarchical Condition Category ( HCC ) coding and risk adjustment . Knowledge/Skills/Abilities + Proficiency in reviewing… more
- Sharp HealthCare (San Diego, CA)
- …working as a certified coder . + 2 years' experience working as an HCC risk adjustment coding auditor. + Experience with medical billing, medical ... - The American Health Information Management Association (AHIMA); Certified Risk Adjustment Coder (CRC) -...activities.Compiles findings for clinician education on specific coding issues, HCC / Risk Adjustment coding guidelines, and… more
- AdventHealth (Daytona Beach, FL)
- …HCC ) education including but not limited to clinical documentation integrity, coding, HCC Risk Adjustment Methodology, and provider performance metrics. ... successful candidate will have an advanced understanding of the HCC risk adjustment methodology gained...Practitioner (CDIP) **Preferred qualifications:** + Bachelor's degree + Certified Risk Adjustment Coder (CRC) This… more
- WMCHealth (Valhalla, NY)
- …Details: Job Summary: Serves as an internal expert on Risk Adjustment and Hierarchical Conditions Categories ( HCC ) coding. Specific duties include performing ... reports key performance indicators relative to clinical documentation and HCC coding. . Documents and maintains records of all...with one or more of the following credentials: Certified Risk Coder (CRC), Certified Professional Coder… more
- The Cigna Group (Bloomfield, CT)
- …Information Technician (RHIT)** **o Registered Health Information Administrator (RHIA)** **o Certified Risk Adjustment Coder (CRC) certification** or ability ... The Risk Adjustment Quality & Review Analyst... Model to confirm accuracy of Hierarchical Condition Categories ( HCC ) identified from abstracted ICD-10-CM diagnosis codes for the… more
- The Cigna Group (Bloomfield, CT)
- …Information Technician (RHIT)** + **Registered Health Information Administrator (RHIA)** + **Certified Risk Adjustment Coder (CRC) certification required** + ... for day-to-day oversight of a team of Coding Analysts specializing in HHS Risk Adjustment medical record diagnostic coding and quality audit review for… more
- Elevance Health (Cincinnati, OH)
- …Skills, Capabilities and Experiences:** + Deep understanding of CMS- HCC and/or HHS- HCC risk adjustment methodologies strongly preferred. + Experience ... MA plans in regulatory, compliance, and legal matters strongly preferred. + Certified Risk Adjustment Coder (CRC) or similar credential strongly preferred.… more
- East Boston Neighborhood Health Center (Revere, MA)
- …improvement Certifications: + Required: Certified Professional Coder (CPC) and/or Certified Risk Adjustment Coder (CRC) + Preferred: Additional auditing ... specialties + Extensive knowledge of cpt, revenue codes, ICD-10-CM coding and HCC / risk adjustment methodologies + Experience with Medicare Advantage risk… more
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