- LA Care Health Plan (Los Angeles, CA)
- Risk Adjustment Coding Auditor ...standards to ensure maximum capture/re-capture of risk adjustment diagnosis codes for improvements in HCC ... net required to achieve that purpose. Job Summary The Risk Adjustment Coding Auditor II...clinical documentation, coding, and auditing. Understanding of the various risk adjustment models (CMS/ HCC HHS/… 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 ... - $90,551.20 This position has remote opportunity Professional Coding Auditor will apply an advanced professional coding skill set...for Coding and Reporting. Code chronic disease that meets HCC and Risk Adjustment criteria.… more
- CVS Health (Springfield, IL)
- …auditing. + Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories ( HCC ) required. + CPC ... the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical… more
- Elevance Health (Atlanta, GA)
- …hospital medical records to ensure proper ICD-9 coding and compliance with risk adjustment requirements. **Location:** Virtual: This role enables associates to ... **JR171732 Coding Auditor Sr** CareBridge Health is a proud member...project and RADV. + Assists with National and Targeted Risk Adjustment Data Validation audits. + Participates… more
- WMCHealth (Valhalla, NY)
- …in a large multispecialty practice setting, including surgical speacialties is required. HCC Risk adjustment Coding esperience is preferred. Education: ... Network Practice Coder/ Auditor Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support Department: Health Info… more
- CVS Health (Springfield, IL)
- …+ Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories ( HCC ) preferred. **Anticipated ... for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in… more
- Catholic Health Initiatives (Little Rock, AR)
- …quality and risk for the value hub. + Through Risk Management/ Auditor Manager, implements a risk adjustment coding department in appropriate Arkansas ... these new processes. + Support the Risk Auditor Manager of closely working with the HCC...Health Management experience required + Must have experience with risk adjustment coding and value based reimbursement… 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 ... Monitors and reports key performance indicators relative to clinical documentation and HCC coding. . Documents and maintains records of all query, audit, and… more