• HCC Risk Adjustment Coder PRN PPC

    Datavant (Sacramento, CA)
    …certified credentials (CPC, CPC-H, COC, CIC, or CRC). + A minimum of 2 years HCC coding experience, while certified + Full understanding and knowledge of ICD-10, ... to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical...guidelines. + Coders must meet and maintain a 95% coding accuracy rate. + Any other task requested by… more
    Datavant (03/27/25)
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  • Coding Auditor & Educator

    WelbeHealth (CA)
    …guidelines + Work closely with Coding Supervisor in identifying opportunities for HCC coding education **Job Requirements:** + Must have Strong knowledge of ... 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
    WelbeHealth (05/02/25)
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  • Quality Improvement Specialist

    HCA Healthcare (Campbell, CA)
    …CMS RADV audits) Schedule and participate in provider training as needed. (Eg HCC software, documentation and coding guidelines) + Recommend projects to improve ... meetings and/or assistance with completing program requirements. + Medicare Reimbursement: HCC (50%) Review and process/document all supplemental data (Eg Ascender… more
    HCA Healthcare (04/16/25)
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  • Professional Coding Department Manager

    UCLA Health (Los Angeles, CA)
    Description UCLA Health is seeking a highly experienced Professional Coding Department Manager to oversee daily operations for a multi-specialty coding team ... the Patient Billing Office. Reporting to the Director of Coding , this role manages coding workflows, supervises...with: + CPC certification and at least one specialty ( HCC , CPMA or CHC) certification required + A minimum… more
    UCLA Health (05/01/25)
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  • Coding Department Supervisor

    UCLA Health (Los Angeles, CA)
    Description UCLA Health is seeking a dynamic and experienced Coding Department Supervisor to oversee a team of certified professional coders within the Physician's ... Billing Office (PBO). Under the direction of the PBO Coding Director, this role is responsible for ensuring daily...as assigned. Salary Range: $63,800 - $127,000/AnnuallyQualifications + CPC, HCC , CPMA, or CHC certifications preferred + At least… more
    UCLA Health (04/26/25)
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  • Facility Coding Inpatient CQA Acute

    Banner Health (CA)
    …DRG (MS/APR-DRG), APC, HCC , other Heath Risk Adjusted Factors, National Correct Coding Initiative (NCCI) and the effect on Case Mix Index by use of specialized ... you bring your **5 years of acute care inpatient coding background, required CCS or CPC or CCS-P, and/or...CCS or CPC or CCS-P, and/or RHIT or RHIA Coding Certification, and make a difference!** **This is a… more
    Banner Health (04/13/25)
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  • Coding Auditor SAMF Admin CBO Full Time

    Trinity Health (Fresno, CA)
    …procedures; and ensuring proper assignment of diagnosis and procedure codes using coding guidelines established by the Centers for Medicare and Medicaid Services ... (CMS). Monitor's accuracy of centralized coder's charge capture and coding with proper International Classification of Diseases 10th Revision (ICD-10), Current… more
    Trinity Health (05/03/25)
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  • Manager of Quality - Risk Adjustment Programs

    HCA Healthcare (Campbell, CA)
    …dashboard to track progress on Annual Wellness Visits, Members Without Visits, HCC recapture, RAF score trend and other critical program elements. + Develops ... stakeholders and physicians + Working knowledge of risk adjustment documentation and coding requirements + Ability to research Pay for Performance and HCC… more
    HCA Healthcare (02/22/25)
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  • Clinical Documentation Integrity Specialist…

    UCLA Health (Los Angeles, CA)
    …Advantage Risk Adjustment, you will be an expert in risk adjustment coding and documentation, working closely with physicians, IPA coders, and risk adjustment ... physicians (MD, DO, or NP) to ensure documentation and coding accuracy of ICD-10 CM codes related to chronic...+ Three or more years of recent experience in CMS- HCC Risk Adjustment models V24 and V28, required +… more
    UCLA Health (02/19/25)
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  • Sales Specialist, Diagnostic Oncology

    Fujifilm (Sacramento, CA)
    …community. Manage specific assigned geographic areas and successfully drive the FUJIFILM HCC Risk Biomarkers sales through that community. As assigned interface with ... and laboratory staff to provide reimbursement support and test coding . + Development of business plans aligned to strategic...Volume of business (eg, OLT per year, number of HCC cases diagnosed per year, number of hepatologists). +… more
    Fujifilm (05/04/25)
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