- HCA Healthcare (Campbell, CA)
- …patients with purpose and integrity. We care like family! Jump-start your career as a(an) HCC Risk Management Specialist today with HCA Healthcare. ... Eligibility for benefits may vary by location._** Come join our team as a(an) HCC Risk Management Specialist . We care for our community! Just last… more
- Highmark Health (Columbus, OH)
- …degree **Substitutions** + None **Preferred** + None **EXPERIENCE** **Required** + 3 year's in HCC risk adjustment coding experience **Preferred** + 5 year's in ... coding productivity and quality accuracy metrics set by the management team.20% + Contributes to Risk Adjustment...HCC risk adjustment coding experience **LICENSES or… more
- The Cigna Group (Bloomfield, CT)
- …knowledge of CPT/Evaluation and Management guidelines. + Working Knowledge of CMS Risk Adjustment and HCC Coding Process. + Strong computer skills (ie MS ... matrix partners of Cigna Medicare's programs specific to CMS Risk Adjustment and HCC Coding Processes. It...Specialist for Providers (CCS-P) + Registered Health Information Management Technician (RHIT) + At least two (2) years'… more
- The Cigna Group (Baltimore, MD)
- …Certified Coding Specialist for Providers (CCS-P) + Registered Health Information Management Technician (RHIT) + 5+ years of risk adjustment coding ... matrix partners of Cigna Medicare's programs specific to CMS Risk Adjustment and HCC Coding Processes. It... Management guidelines. + Working Knowledge of CMS Risk Adjustment and HCC Coding Process. +… more
- PeaceHealth (Longview, WA)
- **Description** PeaceHealth is seeking a Payer Program Specialist - Care Mgmt for a Full Time, 1.00 FTE, Day position. The salary range for this job opening at ... seniority, etc. **Job Summary** Responsible for the analysis and coordination of risk assessment and population health measures as identified within multiple payer… more
- Loretto Management Corporation (Syracuse, NY)
- …pertains to Clinical Coding Categories to ensure proper Hierarchical Category Conditions ( HCC ) assignment identifying the Risk Factors associated with the ... supervision of the Health Information Director/Designee, the Compliance Reimbursement Specialist is responsible for analyzing documented clinical data to identify… more
- US Tech Solutions (Newark, NJ)
- …with all state regulations, federal regulations, internal policies, and internal procedures. HCC Risk Adjustment Coders will be involved with activities of ... Adjustment, Commercial IVA (Initial Validation Audit), and Medicare RADV ( Risk Adjustment Data Validation). HCC Risk...Specialist , P from the American Health Information Management (AHIMA) * Requires 5+ years of Medical Coding… more
- Baystate Health (Springfield, MA)
- …of 3 years in payor or healthcare coding position + with exposure to risk adjustment/ HCC coding, or combination of clinical experience in medical practice and ... The Prospective Outpatient Risk Adjustment Coder supports risk adjustment...Associate of Arts: Medical Terminology (Required) **Certifications:** Certified Coding Specialist - American Health Information Management Association… more
- The Cigna Group (Bloomfield, CT)
- …knowledge of CPT/Evaluation and Management guidelines. + Working Knowledge of CMS Risk Adjustment and HCC Coding Process. + Strong computer skills (ie, MS ... matrix partners of Cigna Medicare's programs specific to CMS Risk Adjustment and HCC Coding Processes. It...Specialist for Providers (CCS-P) + Registered Health Information Management Technician (RHIT) + At least two (2) years… more
- Point32Health (SC)
- …Medicare Advantage, Commercial and Medicaid HCCs through medical record reviews. The Risk Adjustment Coding Specialist II reviews provider documentation of ... established coding standards as well as CMS and ACA Risk Adjustment guidelines. The Coding Specialist II...Specialist II will lead efforts to evaluate the HCC coding practices and provide analyses and recommendations to… more
- The Cigna Group (Philadelphia, PA)
- …knowledge of CPT/Evaluation and Management guidelines + Working Knowledge of CMS Risk Adjustment and HCC Coding Process + Strong computer skills (ie MS ... (at least one of the below):** Certified Professional Coder (CPC) Certified Risk Adjustment Coder (CRC) Certified Coding Specialist for Providers (CCS-P)… more
- UNC Health Care (Chapel Hill, NC)
- …record that reflects the most accurate severity of illness, expected risk of mortality, hospital acquired conditions, patient safety indicators, hierarchical ... of medical record documentation for reimbursement, severity of illness, and risk of mortality. Assures accurate assignment of Working MS-DRG, ICD-10-CM/PCS codes… more
- Tidelands Health (Murrells Inlet, SC)
- …Data Set (UHDDS), based on the American Health Information Management Association (AHIMA) and organization-specific guidelines for reimbursement, statistical ... captured correctly for reimbursement, statistical research, Severity of Illness (SOI) and Risk of Mortality (ROM), best Diagnostic Related Group (DRG) outcome, and… more
- Apex Health Solutions (Houston, TX)
- …Coding Specialist (CCS) EXPERIENCE: * Minimum of three (3) years HCC experience performing retrospective risk adjustment chart review required. * Minimum ... SUMMARY: Risk Adjustment Coder is responsible for reviewing, abstracting,...environment. * Demonstrated written communication skills. * Demonstrated time management and priority setting skills. * Demonstrated problem solving… more
- Banner Health (AZ)
- …experience required. Experience normally obtained with 2-3 year experience in CMS HCC Risk Adjustment payment methodology and coding and documentation ... and billing codes. Works with medical staff and quality management staff to correctly align diagnosis documentation and billing...and evaluates trends in DRG (MS-DRG), APC, ACG, DCG, HCC and other Health Risk Adjusted Factors… more
- CVS Health (Tallahassee, FL)
- …Required Qualifications CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist -Physician).) ( CRC (Certified Risk Adjustment Coder must be ... Risk Adjustment process and Hierarchical Condition Categories CRC ( HCC )CPMA (Certified Professional Medical Auditor), CDEO (Certified Documentation Expert… more
- CVS Health (Jefferson City, MO)
- …and/or auditing. + Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories ( HCC ) required. ... + CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist -Physician) and CRC (Certified Risk Adjustment Coder) required Preferred Qualifications… more
- Banner Health (AZ)
- …**This position will be the Associate Manager over coders and include concurrent HCC audits and education to fellow coders.** **This is a fully remote position ... compliance with federal, state and local regulatory guidelines to minimize risk for the organization. Supports coding infrastructure to ensure regulatory compliance… more
- CenterWell (Las Vegas, NV)
- …and capture of HCC codes, improve medication adherence, and identify high risk and emerging risk patients to enhance patient outcomes. + Working with ... advanced practice professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist , Quality based Coder, Referral Coordinator and more. Our approach allows… more
- Mondelez International (Aurora, CO)
- …hours, etc.) + KPIs: Driver Safety incidents/accidents, DUPH, OT%, Driver review and management of high- risk drivers across the branch. + Secondary KPIs: ePOD ... work processes for IDSD Delivery Pillar, while optimizing service and ensuring cost management . The Supervisor, DSD Delivery will act as the Driver Methods Lead… more