- Datavant (Nashville, TN)
- …educational and life experiences to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to ... on client specific guidelines for the project. + The coder will ensure compliance with established ICD-10 CM, third...CIC, or CRC). + A minimum of 2 years HCC coding experience, while certified. + Full understanding and… more
- Datavant (Denver, CO)
- …and life experiences to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder , you will review medical records to identify and ... bring to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of ...+ Strong written and verbal communication skills, adeptness in remote work, and exceptional time management skills. + Working… more
- Datavant (Madison, WI)
- …bold vision for healthcare. We're looking for experienced and credentialed Auditing Team Lead, HCC Risk Adjustment Coding to become an integral part of our team. The ... of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help...Reviews rebuttals submitted by coders. Provides education to the coder if the error is correct or sends the… more
- MVP Health Care (Rochester, NY)
- …thinking and continuous improvement. To achieve this, we're looking for a **Risk Adjustment Coder ** to join #TeamMVP. This is the opportunity for you if you have a ... - Registered Health Information Technologist or CPC-P - Certified Professional Coder (Physician) or CCS-P - Certified Coding Specialist (Physician), and… more
- WMCHealth (Valhalla, NY)
- Compliance Auditing Specialist- Remote /Hybrid available Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support ... an internal expert on Risk Adjustment and Hierarchical Conditions Categories ( HCC ) coding. Specific duties include performing concurrent and retrospective reviews of… more
- UNC Health Care (Chapel Hill, NC)
- …responsible for working the EPIC WQ to reorder the Hierarchical Condition Categories ( HCC ) conditions in the top 12 for claim generation. The Risk Adjustment ... Coordinator will complete Pre-Visit Planning reviews daily to improve HCC capture and HCC Persistency. Responsibilities: Perform the payer audits as required… more
- The Cigna Group (Bloomfield, CT)
- …Risk Adjustment Model to confirm accuracy of Hierarchical Condition Categories ( HCC ) identified from abstracted ICD-10-CM diagnosis codes for the correct Benefit ... or the American Academy of Professional Coders (AAPC): + Certified Professional Coder (CPC) + Certified Coding Specialist for Providers (CCS-P) + Certified Coding… more
- The Cigna Group (Bloomfield, CT)
- …Coders (AAPC) in one of the following certifications: + Certified Professional Coder (CPC) + Certified Coding Specialist for Providers (CCS-P) + Certified Coding ... (RHIT) + Registered Health Information Administrator (RHIA) + Certified Risk Adjustment Coder (CRC) certification (within 12 months of hire) + Experience with… more
- Sutter Health (Burlingame, CA)
- …including by not limited to ICD-10-CM diagnoses codes, Hierarchical Condition Category ( HCC ), HCPC and CPT codes. Reviews internal and external data to inform ... degree or diploma._ Bachelor's **CERTIFICATION & LICENSURE:** + CRC-Certified Risk Adjustment Coder + OR CPC-Certified Professional Coder + OR CCS-Certified… more
- Humana (Helena, MT)
- …successful candidate will possess extensive, in-depth and broad knowledge of the HCC risk adjustment methodology gained from actual experience of chronic condition ... and report on progress regularly. + Assist providers in understanding the CMS - HCC Risk Adjustment program as a payment methodology and the importance of proper… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …focus on Medicare Advantage and ACA risk adjustment. * Certified Risk Adjustment Coder (CRC) certification * In-depth knowledge of ACA & Medicare Advantage risk ... as CPMA, RHIT, RHIA, CCA, CCS. * Expertise in CMS- HCC , and HHS- HCC Risk Adjustment models. Compensation...rest of the week you are empowered to work remote . Equal Employment Opportunity Statement Individuals with a disability… more
- Bluestone Physician Services (Stillwater, MN)
- …disease capture and documentation by Bluestone providers. This part-time position offers remote flexibility and the opportunity to make a meaningful impact on ... business hours, no evenings, weekends or holidays. Location: This remote role MUST be located in one of the...Management, Nursing, or related field. + Certified Risk Adjustment Coder (CRC) certification, Risk Adjustment Coding (RAC) or related… more
- Centene Corporation (Jefferson City, MO)
- …workplace flexibility. Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States. **Position Purpose:** ... on clinical best practices related to risk adjustment coding, HCC capture, and documentation improvement. + Performs other duties...+ LVN, LPN or RN required + Certified Professional Coder (CPC) required + NP or PAN preferred +… more