- Datavant (Tallahassee, FL)
- …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
- Insight Global (Tampa, FL)
- Job Description Insight Global is hiring HCC /Risk Adjustment Medical coders to support a backlog for inpatient and outpatient Medicare advantage projects . Must ... of the markets are strictly risk adjustment focusing on HCC ICD-10 codes only. We do code from the...also be responsible to validate the CPT codes and non- HCC codes. These markets are still only reviewing Medicare… more
- Datavant (Tallahassee, FL)
- …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 ... you will bring to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of HCC Auditing experience + High school diploma or GED equivalent +… more
- Datavant (Tallahassee, FL)
- …to realize our bold vision for healthcare. We're looking for experienced and credentialed HCC Coding Team Leads to become an integral part of our team. The ideal ... Reviews rebuttals submitted by coders. Provides education to the coder if the error is correct or sends the...+ Extensive knowledge of ICD -10 + 2 years' HCC coding experience + 1+ years' Team Lead experience… more
- Florida Health Care Plans, Inc. (Daytona Beach, FL)
- POSITION SUMMARY: The Physician Office Medical Coder /Biller (POMB) conducts a documentation review of electronic records that are prepared by clinicians to ensure ... will support the physician and mid-level providers to capture HCC codes within the clinical visit. The POMB will...within the clinical visit. The POMB will track the HCC codes that still need to be addressed. The… more
- Molina Healthcare (Miami, FL)
- …and experience **Required License, Certification, Association** + Certified Professional Coder (CPC) + Certified Coding Specialist (CCS) **Preferred Education** ... Bachelor's Degree in related field **Preferred Experience** + Familiar with HCC (Hierarchical Condition Categories) Risk Adjustment Model + Background in supporting… more
- CVS Health (Tallahassee, FL)
- …Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories ( HCC ) required. + Completion of AAPC/AHIMA training program for core ... equal to approximately 5 years for CPC. + CPC (Certified Professional Coder ) **or** CCS-P (Certified Coding Specialist-Physician) and CRC (Certified Risk Adjustment … more
- Banner Health (FL)
- …to allow for monitoring and evaluation of trends in DRG (MS/APR-DRG), APC, HCC , other Heath Risk Adjusted Factors, National Correct Coding Initiative (NCCI) and the ... required. Requires Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC) or Certified Professional Coder (CPC)...Certified Inpatient Coder (CIC) or Certified Professional Coder (CPC) or Certified Outpatient Coder (COC)… more
- Elevance Health (Tampa, FL)
- …and apply most appropriate diagnosis codes. + Overall accountability for the HCC /Risk Adjustment of goals and workflows to support value capture initiatives and ... and **minimum of 3 years' experience in applying appropriate diagnosis in the Medicare HCC model and/or CMS Risk Adjustment Model** ; or any combination of education… more
- AdventHealth (Altamonte Springs, FL)
- …This will include compliant documentation to support Hierarchical Conditions Categories ( HCC ), ICD-10, medical necessity, and the appropriate Risk Adjustment Factor. ... of the patients is accurately depicted. This includes compliant documentation supporting HCC or capturing them, ICD-10, and medical necessity. + Knowledge and deep… more