- Emanate Health (Covina, CA)
- …**ob Summary** Responsible for the oversight of HCC Program and STAR measures coding related functions. The coding specialist will work with the IPA ... Director, Health Plan, and MSO personnel on HCC and STAR measures related tasks. Responsible to ensure...and achieves or improves upon 4.0 STAR rating. The coding specialist is responsible for education to… more
- Sutter Health (Burlingame, CA)
- …Risk Adjustment Coder + OR CPC-Certified Professional Coder + OR CCS-Certified Coding Specialist + CRC-Certified Risk Adjustment Coder (required within 1 ... **SKILLS AND KNOWLEDGE:** + Advanced knowledge of ICD-10 diagnosis coding conventions and requirements. + Knowledge of HCC... coding conventions and requirements. + Knowledge of HCC /Risk Adjustment coding . + Knowledge of CPT… more
- University of Southern California (Alhambra, CA)
- …1 - 2 years Lead Experience. Required Licenses/Certifications: + Req AHIMA Certified Coding Specialist (CCS) only; or AAPC Certified Inpatient Coder (CIC) only; ... federal & state coding compliance regulations and guidelines, the HIM Coding Denials Management Specialist " analyze, investigate, mitigate, and resolve all … more
- LA Care Health Plan (Los Angeles, CA)
- …Risk Adjustment Coder (CRC) Certified Professional Coder (CPC) OR Certified Coding Specialist -Physician (CCS-P) Licenses/Certifications Preferred And/Or any of ... facilitation and presentation skills. Extensive knowledge of ICD-10-CM, CPT and HCPC coding guidelines, CMS Hierarchical Condition Categories ( HCC ), and Health… more
- Deloitte (Los Angeles, CA)
- …quality improvement, and value-based payment models + Proven applicable CPT and ICD-10 coding experience; APR-DRG, MS-DRG and HCC assignment + Other revenue ... Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk...for inpatient and outpatient service areas for accuracy of coding and documentation to ensure regulatory compliance + Apply… more
- Datavant (Sacramento, CA)
- …to realize our bold vision for healthcare. As an **ProFee Audit Specialist ** you will be instrumental in addressing consulting and educational needs related ... to coding quality, compliance assessments, external payer reviews, ...in neurosurgery and orthopedics. Experience in Interventional Radiology and HCC is a plus. **You Will:** + Conduct inpatient… more
- University of Southern California (Alhambra, CA)
- …in hospital and/or outpatient clinic preferred. Required Licenses/Certifications: + Req Certified Coding Specialist - CCS (AHIMA) OR AHIMA Certified Coding ... to billing interface and claims submission. + Works cooperatively with HIM Coding Support and/or Clinical Documentation Improvement Specialist in obtaining… more
- Scripps Health (San Diego, CA)
- …Administrator) o RHIT (Registered Health Information Technician) o CCS (Certified Coding Specialist ) o CPC (Certified Professional Coder) * Comprehensive ... understanding of ICD, CPT, and HCPCS coding systems, MS-DRG/APR-DRG methodologies, and risk adjustment/ HCC principles. * Strong technical proficiency and… more