- Datavant (Albany, NY)
- …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... experiences to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code… more
- Datavant (Albany, NY)
- …educational and life experiences to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder , you will review medical records ... standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will...bring to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of … more
- Datavant (Albany, NY)
- …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
- Molina Healthcare (Buffalo, NY)
- … Adjustment Data Validation **Preferred License, Certification, Association** + Certified Risk Adjustment Coder - (CRC) + Certified Professional Payer ... Education** Bachelor's Degree in related field **Preferred Experience** + Familiar with HCC (Hierarchical Condition Categories) Risk Adjustment Model +… more
- Albany Medical Center (Albany, NY)
- …instruction and training to providers and coding staff. Act as an expert for the HCC / Risk adjustment coding. This position is remote but does require onsite ... America) Salary Range: $60,367.47 - $90,551.20 The Senior Professional Coder will apply an advanced professional coding skill set...for Coding and Reporting. Code chronic disease that meets HCC and Risk Adjustment criteria.… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …and guidelines (eg ICD-9-CM, ICD-10, CPT, HCPC) * Familiarity and understanding of CMS HCC Risk Adjustment coding, Medicaid CRG coding, and data validation ... / ICD-10-CM coding validation, monitoring plan specifications, Hierarchical Condition Category ( HCC ) assignment accuracy and Risk Adjustment Validation… more
- Trinity Health (Albany, NY)
- …and Medicaid Services (CMS). **SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:** **. Certified Risk Adjustment Coder (CRC) required** . Excellent verbal ... system work queues and natural language processing (NLP) tools to support addressing HCC codes for Risk Adjustment before a claim is submitted to payers. .… more
- Trinity Health (Syracuse, NY)
- …LICENSURE AND EXPERIENCE INCLUDES:** + Risk Adjustment Coding - Certified Risk Adjustment Coder (CRC) required and + Auditing - Certified Auditor ... Education if needed. Auditing Experience Posting **POSITION PURPOSE:** A Risk Adjustment Auditor Educator is responsible for...to the PCP prior to their next visit. + HCC education and training will be conducted per Excellus… more
- WMCHealth (Valhalla, NY)
- …Details: Job Summary: Serves as an internal expert on Risk Adjustment and Hierarchical Conditions Categories ( HCC ) coding. Specific duties include performing ... reports key performance indicators relative to clinical documentation and HCC coding. . Documents and maintains records of all...with one or more of the following credentials: Certified Risk Coder (CRC), Certified Professional Coder… more
- CVS Health (Albany, NY)
- …+ Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories ( HCC ) preferred. **Education** + ... the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical… more