- Highmark Health (Columbus, OH)
- …(MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category ( HCC ) Coding, medical coding, clinical ... 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 (Columbus, OH)
- …(MA) and/or Affordable Care Act (ACA) using skills including but not limited to Hierarchical Condition Category ( HCC ) Coding, medical coding, clinical ... by analyzing physician documentation and interpreting into ICD-10 diagnoses and HCC disease categories. **ESSENTIAL RESPONSIBILITIES** + Performs HCC coding… more
- HCA Healthcare (Campbell, CA)
- …medical conditions to the highest specificity according to Medicare requirements for the Hierarchical Condition Category ( HCC ) risk adjusted payment ... conditions to the highest specificity according to Medicare requirements for the Hierarchical Condition Category ( HCC ) risk adjusted payment model. .… more
- Trinity Health (Syracuse, NY)
- …a team environment and is responsible for reviewing clinical documentation and coding using HCC ( Hierarchical Condition Category ) and MEAT (Monitored, ... + Demonstrate a solid understanding of ICD-10-CM coding and medical terminology, Hierarchical Condition Category ( HCC ), and MEAT standards. + Exercise… more
- Spira Care, LLC (Olathe, KS)
- …Preferred Qualifications: + Experience with coding and documentation for Medical Advantage and Hierarchical Condition Category ( HCC ) coding. Spira Care ... + Spira Care has specific vaccinations requirements as a condition of employment. You must be able to comply...employment. You must be able to comply with this condition of employment with or without a reasonable accommodation… more
- Tidelands Health (Murrells Inlet, SC)
- …and complete diagnoses. Works with the CDI team to validate the DRG, SOI/ROM, and Hierarchical Condition Category ( HCC ). Forward queries created by the ... of this job, the employee is frequently (activity or condition exists from 1/3 to 2/3 of the time)...up to 15 pounds of force occasionally (activity or condition exists up to 1/3 of the time), and/or… more
- Tri-County Health Care (Wadena, MN)
- …records and support of quality metrics adherence, risk adjustment model capture, and hierarchical condition category ( HCC ) coding. This position ... in decisions concerning recruitment, hiring, compensation, benefits, training, termination, promotions, or any other condition of employment or career development. more
- Providence (Spokane, WA)
- …and record appropriate ICD-10 diagnosis work. An understanding of risk adjustment models and hierarchical condition category ( HCC ) coding is necessary. ... for advancement. **Requsition ID:** 280147 **Company:** Providence Jobs **Job Category :** Clinical Quality **Job Function:** Quality/Process Improvements **Job Schedule:**… more
- Adecco US, Inc. (Tampa, FL)
- …or illnesses into designated numerical codes. . Correlate coding accuracy w ith correct Hierarchical Condition Category ( HCC ) assignment for Medicare ... Advantage/Risk and/or Current Procedural Terminology (CPT), International Classification of Diseases, 10th Revision (ICD-10), Healthcare Common Procedure Coding System (HCPCS), and Modifiers for Fee-for-Service (FFS). . Ensure compliance with all aspects of… more
- Bluestone Physician Services (Stillwater, MN)
- …+ Current Medical Coding Certification required + Strong E/M coding experience preferred + Hierarchical Condition Category ( HCC ) experience preferred + ... Medical billing experience a plus Knowledge/Skills/Abilities + Knowledge of: + Medical terminology and understanding of patient care notes + ICD-10-CM, CPT, and HCPCS Coding systems + Health information and medical record documentation, data integrity and… more
- Baystate Health (Springfield, MA)
- …time Physical Therapist to join our team in Springfield, MA. **Position** + Hierarchical Condition Category Registered Nurse Educator **SCHEDULE:** + Monday ... the following: + Chronic illness diagnoses Coding + Knowledge of CMS HCC guidelines and application relevant to improved documentation and favorable reimbursement +… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …support Bon Secours Mercy Health's Risk Score Accuracy (RSA) initiative and the Hierarchical Condition Categories ( HCC ) coding program. The position performs ... for clinical and operational excellence. **Primary Function/General Purpose of Position** The HCC Coder provides extensive knowledge of documentation and review to… more
- AdventHealth (Altamonte Springs, FL)
- …and chart retrieval for Health Plan audits and reports. Uses knowledge of Hierarchical Condition Categories ( HCC ) coding to translate, input, extract ... with a focus on diagnostic coding + Experience with Medicare risk adjustment, Hierarchical Condition Categories ( HCC ), coding, billing, auditing and various… more
- Commonwealth Care Alliance (Boston, MA)
- …and is responsible for designing quality and control assurance reviews of claims, Hierarchical Condition Categories ( HCC ) and clinical coding, call ... of relevant quality audit/review results, call monitoring reviews, and evaluation of HCC audits/reviews, among others, to relevant departments. The role also leads… more
- Commonwealth Care Alliance (Boston, MA)
- …leadership, and strategically and operationally leads various quality reviews of claims, Hierarchical Condition Categories ( HCC ) and clinical coding, call ... pre-payment and post-payment claim reviews, call monitoring reviews, and evaluation of HCC audits/reviews, among others, to relevant departments. The role also leads… more
- Marshfield Clinic (Marshfield, WI)
- …CMS Medicare, HHS, and DHS BadgerCare Plus risk adjustment policy and Hierarchical Condition Category Coding. **JOB QUALIFICATIONS** **EDUCATION** _For ... quality assurance, or auditing related position. Experience with ICD-9, ICD-10, CPT, HCC and HCPCS coding. Knowledge of the different CMS guidelines that affect… more
- AdventHealth (Altamonte Springs, FL)
- …level knowledge of Hospital Acquired Conditions (HAC), Patient Safety Indicators (PSI), and Hierarchical Condition Categories ( HCC ) . Expert level knowledge ... for each position may vary based on geographical location. ** Category :** Health Information Management **Organization:** AdventHealth Corporate **Schedule:** Full-time… more
- Commonwealth Care Alliance (Springfield, MA)
- …gaps in clinical practice and in collaboration with member's external providers. + Evaluate Hierarchical Condition Categories ( HCC ) and work to recapture. + ... religion, sex, national origin, age, physical or mental disability, genetic information or any other category protected by applicable federal, state or local laws. more