- Trinity Health (Livonia, MI)
- …is complete and accurate. + Validate the accurate assignment of working HCC diagnosis affecting RAF scores within the ambulatory patient population by collaborating ... outpatient reimbursement models, & the impact of provider documentation & HCC risk adjustment, ensuring compliance with reporting standards for claims submission.… more
- Trinity Health (Albany, NY)
- …responsible for reviewing clinical documentation and coding using HCC (Hierarchical Condition Category) and MEAT (Monitored, Evaluated/Assessed/Addressed, Treated) ... (CMS). **SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:** **. Certified Risk Adjustment Coder (CRC) required** . Excellent verbal and written communication skills. .… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …focus on Medicare Advantage and ACA risk adjustment. * Certified Risk Adjustment Coder (CRC) certification * In-depth knowledge of ACA & Medicare Advantage risk ... Certifications such as CPMA, RHIT, RHIA, CCA, CCS. * Expertise in CMS- HCC , and HHS- HCC Risk Adjustment models. Compensation and Benefits: Pay Range: $88,600.00 -… more
- Elevance Health (Norfolk, VA)
- …a HS diploma or equivalent and minimum of 3 years of experience as coder of medical records in physician office, hospital, or insurance/coding office setting; or any ... equivalent background. **Preferred Skills, Capabilities, and Experiences:** + Medical Coder certification from accredited source (eg American Health Information… more
- Datavant (Boise, ID)
- …with strong expertise in neurosurgery and orthopedics. Experience in Interventional Radiology and HCC is a plus. **You Will:** + Conduct inpatient coding audits on ... Scrutinizes all HCPCS and CPT codes influencing APC assignment. + Provide coder education through the auditing process. + Prepare preliminary results for review… more
- Adecco US, Inc. (Bradenton, FL)
- …patient, current treatment plan, past medical history, quality measures (eg, HEDIS, HCC , etc..), and identify potential gaps in provider documentation . Applies ... sites as needed (with mileage reimbursement) **Preferred Qualifications** * Certified Coder (AAPC or AHIMA preferred) * AHIMA Clinical Documentation Improvement… more
- Trinity Health (Livonia, MI)
- …of education & experience + Experience with compliant healthcare documentation, HCC coding requirements, alternate payment models in a multi-facility, integrated ... coding, healthcare quality or equivalent + Certified Risk Adjustment Coder (CRC), Certified Clinical Documentation Integrity (CDI), Certified Clinical Documentation… more
- Genesis Healthcare (PA)
- …Moreover, this position will be key in assisting with the LTC ACO HCC program ensuring that claims are coded and documented accurately and completely, helping ... Requirements: + High School diploma or GED completion required + Certified Professional Coder with a minimum of 3 years' experience with CPT and ICD coding… more
- Scripps Health (San Diego, CA)
- …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 experience in professional fee/physician services operations,… more
- Bluestone Physician Services (Stillwater, MN)
- …Information Management, Nursing, or related field. + Certified Risk Adjustment Coder (CRC) certification, Risk Adjustment Coding (RAC) or related risk certification ... in healthcare coding, with a focus on Hierarchical Condition Category ( HCC ) coding and risk adjustment. Knowledge/Skills/Abilities + Proficiency in reviewing and… more