- Molina Healthcare (Miami, FL)
- …on how to improve their risk adjustment knowledge as well as provide coding updates related to Risk Adjustment + Builds positive relationships between providers and ... Molina by providing coding assistance when necessary + Responsible for administrative duties...Degree in related field **Preferred Experience** + Familiar with HCC (Hierarchical Condition Categories) Risk Adjustment Model + Background… more
- CVS Health (Tallahassee, FL)
- …regulations and internal policies and procedures. + Proven ability to support coding judgment and decisions using industry standard evidence and tools. + Proficient ... providers in the office and/or facility setting. + Sound knowledge of coding guidelines and regulations to meet compliance requirements, such as establishing medical… more
- CVS Health (Tallahassee, FL)
- …highlighting findings, recommendations, and areas of concern to be delivered to coding resources. + Adhere to stringent timelines consistent with project deadlines ... to vendors, providers and other team members for questions regarding ICD coding and documentation requirements. + Comprehensive knowledge of coding guidelines… more
- Datavant (Tallahassee, FL)
- …healthcare technology solutions. + Solid understanding of clinical suspecting, concurrent coding workflows, risk adjustment models (eg, CMS- HCC , HHS- HCC ... and acting on undiagnosed conditions (prospective suspecting) and ensuring risk adjustment coding accuracy in near real-time (concurrent review). You will manage a… more
- Florida Health Care Plans, Inc. (Daytona Beach, FL)
- …pertinent information to capture appropriate ICD-10, CPT, HCPCS and modifiers to complete coding portion of the process. The POMB will prepare the encounters so that ... will support the physician and mid-level providers to capture HCC codes within the clinical visit. The POMB will...be addressed. The POMB will strive to complete all coding for the day's encounters by the close of… more
- AdventHealth (Sebring, FL)
- …and assist with risk adjustment factor (RAF) and Hierarchical Condition Categories ( HCC ) AF/ HCC proposals, medication adherence, and wellness visits. The PCR ... or equivalent Healthcare environment experience or education + Billing and coding experience required + Insurance verification experience required + Knowledge of… more
- Elevance Health (Tampa, FL)
- …to 5:00 pm** The **Clinical Quality Consultant NP** is responsible for quality documentation, coding and value capture. **How you will make an impact:** + Focus on ... supplying clinical expertise to ensure full accurate and appropriate diagnosis, documentation, coding and care. will review all provider visit medical encounters and… more
- Fujifilm (Tallahassee, FL)
- …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
- Datavant (Tallahassee, FL)
- …aligned with departmental needs and organizational goals. + Partner with the coding operations, coding quality, data integration, product, and engineering teams ... strategic mindset and a focus on continuous improvement. + Familiarity with CMS HCC risk adjustment processes preferred \#LI-BC1 We are committed to building a… more