- Harford Community College (Bel Air, MD)
- …**Faculty Position (if applicable)** **About Harford Community College** Harford Community College ( HCC ) has been a vital part of Harford County since 1957. As ... an ever-evolving world. As an Achieving the Dream institution, HCC is part of a national network dedicated to...protected by law with regard to any employment practices. HCC is an EEO and ADA/ADAA employer, including disability… more
- Harford Community College (Bel Air, MD)
- …year **Faculty Position (if applicable)** **About Harford Community College** Harford Community College ( HCC ) has been a vital part of Harford County since 1957. As ... an ever-evolving world. As an Achieving the Dream institution, HCC is part of a national network dedicated to...protected by law with regard to any employment practices. HCC is an EEO and ADA/ADAA employer, including disability… more
- CareFirst (Baltimore, MD)
- …CMS guidelines, monitoring and determining the impact of any changes to the HCC model and supporting actuarial in the calculation risk adjustment revenue. + Assists ... goals are met and propose opportunities in accurate reimbursement based on the CMS- HCC (Hierarchical Condition Code) model. Perform data mining of claims and data to… more
- Datavant (Annapolis, MD)
- …(MA, ACA and MD) business analytics with knowledge of different risk models including HCC , RxHCC, HHS- HCC and CDPS + **_Intermediate proficiency in SQL (advanced ... analytic queries), Python (data manipulation and automation, streamlit, etc.), spreadsheets and BI tools_** + Experience analyzing risk adjustment data for trends, disease/diagnosis prevalence and hierarchy + Experience managing data flows for chart retrieval,… more
- CareFirst (Baltimore, MD)
- …activities and operational processes of the coding operations team - including HCC coding, auditing and data submission to CMS and other regulatory agencies, ... prioritize activities, and drive ongoing professional development on CMS, HHS, HCC , and ICD-10 coding requirements. + Identify and resolve process bottlenecks,… more
- CareFirst (Baltimore, MD)
- …work experience. **Experience:** 3 years risk adjustment/hierarchical condition category ( HCC ) coding experience. **Knowledge, Skills and Abilities (KSAs)** + Adobe ... Acrobat Professional. + Microsoft Word, Excel, Outlook, Claims Processing Facets. + Ability to adapt to various coding technology platforms, such as Electronic Medical Record (EMR) or Electronic Health Record (EHR) systems and coding documentation platforms. +… more
- Deloitte (Baltimore, MD)
- …+ Proven applicable CPT and ICD-10 coding experience; APR-DRG, MS-DRG and HCC assignment + Other revenue cycle experience including conducting charge capture and ... coding reviews for compliance with billing and coding regulatory requirements + Experience in program and/or project management for technology implementations using third party software + Knowledge of process excellence (Six Sigma, LEAN, Design Excellence),… more
- Datavant (Annapolis, MD)
- …with strong expertise in neurosurgery and orthopedics. Experience in Interventional Radiology and HCC is a plus. **You Will:** + Conduct inpatient coding audits on ... medical records, utilizing ICD-10-CM, CPT, and appropriate coding references for accurate DRG and APC assignment. + Review non-CC/MCC records to assess proper coding or identify the need for additional documentation. Scrutinizes all HCPCS and CPT codes… more