- AdventHealth (Greenwood Village, CO)
- …with providers and operations to effectively provide Hierarchical Condition Category ( HCC ) education including but not limited to clinical documentation integrity, ... coding, HCC Risk Adjustment Methodology, and provider performance metrics. The...**Preferred qualifications:** + Bachelor's degree + Certified Risk Adjustment Coder (CRC) This facility is an equal opportunity employer… more
- Catholic Health Initiatives (Chattanooga, TN)
- …adjustment improvement efforts across the medical group. The Hierarchical Condition Category ( HCC ) Quality program was developed by CMS to promote quality care for ... comprehensive capture of chronic conditions for the purpose of accurately reporting HCC 's. Prospective and concurrent reviews will account for 70% of the workload… more
- Banner Health (OK)
- …place to work and receive care. In this **Inpatient Facility/HIMS Certified Medical Coder , Quality Associate** position, you bring your **5 years of acute care ... Don't quite meet the above requirements?_ _Check out some of our other Coder positions!_ POSITION SUMMARY This position is responsible for the interpretation of… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …of ICD-9-CM/ICD-10-CM coding, Medicare Advantage and Commercial Hierarchical Condition Category ( HCC ) coding, and Medicaid Clinical Risk Groups (CRGs) to ensure ... to peer guidance through informal discussion and over read assignments. Supports coder training and orientation as requested by leadership. * Maintains accuracy in… more
- The Cigna Group (Bloomfield, CT)
- …Risk Adjustment Model to confirm accuracy of Hierarchical Condition Categories ( HCC ) identified from abstracted ICD-10-CM diagnosis codes for the correct Benefit ... or the American Academy of Professional Coders (AAPC): + Certified Professional Coder (CPC) + Certified Coding Specialist for Providers (CCS-P) + Certified Coding… more
- Humana (Helena, MT)
- …successful candidate will possess extensive, in-depth and broad knowledge of the HCC risk adjustment methodology gained from actual experience of chronic condition ... and report on progress regularly. + Assist providers in understanding the CMS - HCC Risk Adjustment program as a payment methodology and the importance of proper… more
- Redeemer Health Home Care & Hospice (Huntingdon Valley, PA)
- …Risk Adjustment (MRA) ICD - 10 codes and Hierarchical Condition Categories ( HCC 's) Completes assignments with an emphasis on completeness, accuracy, and supporting ... and in the services we provide. RECRUITMENT REQUIREMENTS High School Graduate. Certified coder CPC or CCS-P, and AAPC CRC certification. 2+ years coding, Medicare… 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
- Ascension Health (Elk Grove Village, IL)
- …obtained prior to hire date or job transfer date.* Certified Professional Coder (CPC) credentialed from the American Academy of Professional Coders(AAPC) obtained ... the following certification thru AAPC (credentialing board): **Certified Risk Adjustment Coder (CRC) - STRONGLY PREFERRED** + **Hybrid position** - Flexible with… more
- Sutter Health (Sacramento, CA)
- …other related field **CERTIFICATION & LICENSURE:** CPC-Certified Professional Coder OR CCSP-Certified Coding Specialist-Professional OR CCS-Certified Coding ... such as the Medicare Advantage Coding Program/Hierarchical Condition Category + ( HCC ), as well as medical terminology and abbreviations of disease, illness… more