- UCLA Health (Los Angeles, CA)
- …Advantage Risk Adjustment, you will be an expert in risk adjustment coding and documentation, working closely with physicians, IPA coders, and risk adjustment ... physicians (MD, DO, or NP) to ensure documentation and coding accuracy of ICD-10 CM codes related to chronic...+ Three or more years of recent experience in CMS- HCC Risk Adjustment models V24 and V28, required +… more
- J&J Family of Companies (Houston, TX)
- …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
- Emory Healthcare/Emory University (Atlanta, GA)
- …other stakeholders to ensure accurate and compliant reporting of industry standard billing, coding and documentation standards (ICD10, CPT, E/M, HCPCS, CDI, HCC , ... etc.). + Participate in provider orientation to ensure coding and documentation expectations are clearly communicated. + Collaborates...five years of experience working as a medical coder, coding , auditor, and/or coding educator. + Certified… more
- Fujifilm (Pierre, SD)
- …community. Manage specific assigned geographic areas and successfully drive the FUJIFILM HCC Risk Biomarkers sales through that community. As assigned interface with ... and laboratory staff to provide reimbursement support and test coding . + Development of business plans aligned to strategic...Volume of business (eg, OLT per year, number of HCC cases diagnosed per year, number of hepatologists). +… more
- Dignity Health (Phoenix, AZ)
- …value based contracts (CMS ACO, HEDIS, NCQA, etc.) and Medicare Advantage programs ( HCC /RAF). In addition these positions also support our clinicians and their teams ... needs of their supported medical practices. - Understanding of coding and billing workflows to improve performance on VBA...performance on VBA quality measures, and importance of accurate HCC recapture and RAF scoring. - Assistance in the… more
- Novant Health (NC)
- …to clinicians, validating payer contract performance around Hierarchical Condition Category ( HCC ) code capture/ recapture, and participating in the annual Centers ... skills validation and competence testing. + Ability to complete and obtain professional coding certification (CPC) within 2 years of hire. + Completion of Risk… more
- Datavant (Honolulu, HI)
- …aligned with departmental needs and organizational goals. + Partner with the coding operations, coding quality, data integration, product, and engineering teams ... strategic mindset and a focus on continuous improvement. + Familiarity with CMS HCC risk adjustment processes preferred \#LI-BC1 We are committed to building a… more
- Huron Consulting Group (Van Buren, AR)
- …performance improvement and organizational change + Perform E&M and CPT procedure and HCC reviews + Collaborate with team members and clients to align with business ... CCS-P (AHIMA) certification required + A minimum of 5 years of outpatient coding experience, including professional and facility, E&M, and procedure coding and… more
- Dana-Farber Cancer Institute (Boston, MA)
- …Dana-Farber and Dana-Farber/Harvard Cancer Center:** Independently represents the department on DF/ HCC and DFCI committees, including but not limited to Scientific ... Skills: Expert at statistical methodology, and the use of statistical software, coding , data analysis and effective presentation of results. Comfortable with the… more
- UCLA Health (Los Angeles, CA)
- …key departmental resource for application use related to risk adjustment coding guidelines and gap closure reporting. Salary Range: $78,500 - ... of common healthcare measurement frameworks and definitions, including Risk Adjustment HCC models from CMS, required + Strong analytical and problem-solving… more
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