- Highmark Health (Indianapolis, IN)
- …using skills including but not limited to Hierarchical Condition Category ( HCC ) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for ... requirements by analyzing physician documentation and interpreting into ICD10 diagnoses and HCC disease categories. Supports other key objectives to drive capture of… more
- Highmark Health (Indianapolis, IN)
- …(MA) and Affordable Care Act (ACA) through Hierarchical Condition Category ( HCC ) coding, medical coding, clinical terminology and anatomy/physiology, Centers for ... by analyzing physician documentation and interpreting into ICD-10 diagnoses and HCC disease categories. Supports other key objectives to drive capture of… more
- Highmark Health (Indianapolis, IN)
- …using skills including but not limited to Hierarchical Condition Category ( HCC ) Coding, medical coding, clinical terminology and anatomy/physiology, and Centers for ... by analyzing physician documentation and interpreting into ICD-10 diagnoses and HCC disease categories. **ESSENTIAL RESPONSIBILITIES** + Performs HCC coding… more
- WelbeHealth (Indianapolis, IN)
- …guidelines + Work closely with Coding Supervisor in identifying opportunities for HCC coding education **Job Requirements:** + Associates Degree preferred; three (3) ... in coding and auditing + Minimum of two (2) years of Risk Adjustment ( HCC ) coding experience in a managed care environment + Current CCS, CCS-P, CPC, CPC-H,… more
- State of Indiana (Indianapolis, IN)
- …includes the Healthy Indiana Plan (HIP), Hoosier Healthwise (HHW), Hoosier Care Connect ( HCC ) and managed Long-Term Service and Supports programs. You will serve as ... a subject matter expert on managed care programs and contract compliance within the Indiana Health Coverage Programs (IHCP), establishing and maintaining an extensive knowledge of all assigned contracts. You will enforce compliance provisions as permitted by… more
- CommuniCare Health Services Corporate (Corydon, IN)
- …+ Familiarity with CMS, Medicare Advantage, SNP Rules and Regulations + HCC and Risk Adjusted reimbursement methodology + Inpatient/SNF utilization metrics and bed ... day management + State specific collaborative practice agreements and midlevel practitioner licensing + Knowledge of EMR Benefits As a CommuniCare employee you will enjoy a competitive salary and PTO plans. We offer full time employees a menu of benefit… more
- J&J Family of Companies (Indianapolis, IN)
- …will be carried out with strict adherence to the JJIM Credo and HCC Guidelines, in line with the FRM Rules of Engagement. **Qualifications** **Required ... Qualifications** + Bachelor's Degree is required. MBA or other related graduate level degree preferred + Minimum of 8 years healthcare business related experience required. A concentration in biopharmaceutical market access, field reimbursement or managed… more
- J&J Family of Companies (Indianapolis, IN)
- …the impact on key initiatives. + Maintain complete understanding of ACCME/ HCC /PhRMA Guidelines. **Qualifications** Requirements: + A minimum of a BA/BS Degree ... in a related field is required; MBA, MD, PharmD, PhD or other related graduate degree preferred. + A minimum of 6 years of experience in marketing, medical, key account management, sales, or sales leadership, ideally engaging with KOLs/Influential HCPs and… more
- EasyHealth (IN)
- …+ Board certified, preferably geriatric or adult medicine specialty + Familiarity with HCC model and quality HEDIS and other STAR measures + Effectively communicate ... with elderly and chronically ill members + Proficient in use of computer, tablet, and mobile technology + Willingness to travel within geographic area. Why You Should Join Us: We value people who are bold, ambitious, clever, collaborative and customer centric.… more
- Somatus (Indianapolis, IN)
- …and OSHA. **_Preferred_** + Managed Care/IPA/Health Plan experience. + Knowledge of HCC and recapturing chronic diagnoses. + Nephrology experience is highly desired. ... + Experience conducting annual risk assessment visits or similar comprehensive visits in the home. Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are… more