- Apex Health Solutions (Houston, TX)
- …duties may be assigned. * Provide operational and managerial support to HCC physicians, including but not limited to: Provider Contracting (professional, ancillary ... the primary liaison for physicians and their practices participating with the HCC in value-based care initiatives. Establish and maintain a supportive, collegial… more
- Catholic Health Services (Melville, NY)
- …potential chronic diagnoses + "Clinical detective" mindset to look for new HCC diagnosis capture opportunities based on appropriate clinical indicators + Validation ... clinical documentation to support diagnoses These reviews are in contrast to coding /compliance reviews, which evaluates what is written in the encounter note… more
- Apex Health Solutions (Houston, TX)
- …Certified Medical Coder role is responsible for reviewing, abstracting, and coding inpatient and/or outpatient medical records to ensure proper ICD-10-CM, HCPCS, ... and CPT coding and compliance with Risk Adjustment requirements. EDUCATION: ....Administrator (RHIA) EXPERIENCE: . Minimum of three (3) years HCC experience performing retrospective risk adjustment chart review required… more
- Covenant Health Inc. (Knoxville, TN)
- …that affect financial performance: all unbilled accounts receivable claims for all coding deficiencies including those claims that have failed edits and are in ... need of correction. Instills an equal appreciation in Coding personnel for complete and accurate information and the financial and clinical ramifications of all work… more
- Henry Ford Health System (Detroit, MI)
- …Education Coordinator serves as a subject matter expert for documentation and coding and utilizes expertise to analyze revenue cycle metrics to identify ... Serves as an educational resource and subject matter expert to providers and/or coding staff related to coding and documentation including, but not limited… more
- J&J Family of Companies (Gaithersburg, MD)
- …authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local payers, government payers, ... regional, local, and account market dynamics including coverage and coding requirements. + Grow the knowledge of hub and...departments such as marketing, sales, medical science, SCG, IBG, HCC , and PECS. Serve as subject matter expert regarding… more
- J&J Family of Companies (Columbus, OH)
- …authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local payers, government payers, ... regional, local, and account market dynamics including coverage and coding requirements. + Grow the knowledge of hub and...departments such as marketing, sales, medical science, SCG, IBG, HCC , and PECS. Serve as subject matter expert regarding… more
- J&J Family of Companies (Nashville, TN)
- …authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local payers, government payers, ... regional, local, and account market dynamics including coverage and coding requirements. + Grow the knowledge of hub and...departments such as marketing, sales, medical science, SCG, IBG, HCC , and PECS. Serve as subject matter expert regarding… more
- J&J Family of Companies (San Francisco, CA)
- …authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local payers, government payers, ... regional, local, and account market dynamics including coverage and coding requirements. . Grow the knowledge of hub and...departments such as marketing, sales, medical science, SCG, IBG, HCC , and PECS. Serve as subject matter expert regarding… more
- J&J Family of Companies (Sacramento, CA)
- …+ Educate HCPs on reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local payers, government payers, etc.) for ... regional, local, and account market dynamics including coverage and coding requirements + Grow the knowledge of hub and...departments such as marketing, sales, medical science, SCG, IBG, HCC , and PECS. Serve as subject matter expert regarding… more