- CVS Health (Annapolis, MD)
- …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
- Datavant (Annapolis, MD)
- …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
- Harford Community College (Bel Air, MD)
- …lab credit hour **Classification Title** **About Harford Community College** Harford Community College ( HCC ) has been a vital part of Harford County since 1957. As a ... an ever-evolving world. As an Achieving the Dream institution, HCC is part of a national network dedicated to...of two years of experience in medical billing and coding , including EHR. **Required Knowledge, Skills, & Abilities** +… more
- J&J Family of Companies (Baltimore, MD)
- …authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local payers, government payers, ... regional, local, and account market dynamics including coverage and coding requirements. + Grow the knowledge of hub and...departments such as marketing, sales, medical science, SCG, IBG, HCC , and PECS. Serve as subject matter expert regarding… 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 HHS- HCC (Hierarchical Condition Code) model. Perform data mining of claims and data to… more
- Datavant (Annapolis, MD)
- …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