- CareFirst (Baltimore, MD)
- …day-to-day activities and operational processes of the coding operations team - including HCC coding , auditing and data submission to CMS and other ... activities, and drive ongoing professional development on CMS, HHS, HCC , and ICD-10 coding requirements. + Identify...development on CMS, HHS, HCC , and ICD-10 coding requirements. + Identify and resolve process bottlenecks, ensuring… more
- Datavant (Denver, CO)
- …3 years of HCC coding experience + Minimum 2 years of HCC Auditing experience + High school diploma or GED equivalent + AHIMA certified credentials ... credentials (CPC, CPC-H, COC, CIC or CRC). + Proficient in ICD-10 coding . + Experienced in HCC coding across Medicare, commercial, and Medicaid sectors. +… more
- WMCHealth (Valhalla, NY)
- …activities. Monitors and reports key performance indicators relative to clinical documentation and HCC coding . . Documents and maintains records of all query, ... Compliance Auditing Specialist- Remote/Hybrid available Company: NorthEast Provider Solutions...competencies in clinical documentation improvement and ICD, CPT and HCC coding through continuing education. Assists with… more
- University of Colorado (Aurora, CO)
- …bachelor's degree on a year-for-year basis. + Three (3) years of clinical coding / auditing experience in Neurosurgery or a similar environment. + Active CCS-P, ... Experience with specific primary care medicine and/or sports medicine coding , ie CPT, HCC , ICD-10, HCPCS +...EHR systems. **Preferred Qualifications:** + 5+ years of clinical coding / auditing experience, preferably in Neurosurgery or a… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …ICD-9-CM/ICD-10-CM coding , Medicare Advantage and Commercial Hierarchical Condition Category ( HCC ) coding , and Medicaid Clinical Risk Groups (CRGs) to ensure ... coding validation, monitoring plan specifications, Hierarchical Condition Category ( HCC ) assignment accuracy and Risk Adjustment Validation Audits (RADV). *… more
- WelbeHealth (Charleston, WV)
- …+ Work closely with Coding Supervisor in identifying opportunities for HCC coding education **Job Requirements:** + Associates Degree preferred; three (3) ... or a combination of healthcare-related education and experience in coding and auditing + Minimum of two...+ Minimum of two (2) years of Risk Adjustment ( HCC ) coding experience in a managed care… more
- CVS Health (Topeka, KS)
- …years recent and related experience in medical record documentation review, diagnosis coding , and/or auditing . + Experience with Medicare and/or Commercial ... proficiency in the following: + Proven ability to support coding judgment and decisions using industry standard evidence and...the same through mentoring and instruction. + Medical record auditing skills and abstraction expertise. + Serves as the… more
- AdventHealth (Altamonte Springs, FL)
- …Conditions (HAC), Patient Safety Indicators (PSI), and Hierarchical Condition Categories ( HCC ) Expert level knowledge of medical terminology, coding guidelines ... : Remote **The role you will contribute:** The inpatient or outpatient coding team Corporate Quality Auditor (QA)/Educator is responsible for supporting the… more
- UPMC (Pittsburgh, PA)
- …Review provider coding /billing trends, and government audit outcomes to identified HCC coding improvement and opportunities. + Work in collaboration with ... Risk Adjustment Department and is responsible for reviewing and auditing medical records for Hierarchical Condition Category ( HCC...years of clinical experience. + Two years of either HCC coding , reviews or education, DRG experience,… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Skills and Experience * Bachelor's degree * Experience in provider office medical coding , claims auditing , or specialty clinics. * Certifications such as CPMA, ... ensuring the accuracy, completeness, and compliance of risk adjustment coding across both internal teams and external partners. Your...RHIT, RHIA, CCA, CCS. * Expertise in CMS- HCC , and HHS- HCC Risk Adjustment models. Compensation… more