- Emanate Health (Covina, CA)
- …**ob Summary** Responsible for the oversight of HCC Program and STAR measures coding related functions. The coding specialist will work with the IPA ... Director, Health Plan, and MSO personnel on HCC and STAR measures related tasks. Responsible to ensure...and achieves or improves upon 4.0 STAR rating. The coding specialist is responsible for education to… more
- University of Southern California (Alhambra, CA)
- …1 - 2 years Lead Experience. Required Licenses/Certifications: + Req AHIMA Certified Coding Specialist (CCS) only; or AAPC Certified Inpatient Coder (CIC) only; ... federal & state coding compliance regulations and guidelines, the HIM Coding Denials Management Specialist " analyze, investigate, mitigate, and resolve all … more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Specialist supports the retrospective risk adjustment supplemental filing, Risk Adjustment Data ... customers who may be demanding or otherwise challenging. **Licenses/Certifications** : CCS-Certified Coding Specialist or CPS, CCS-P, CRC Upon Hire Required or… more
- Genesis Healthcare (PA)
- Overview We are seeking a full time Certified Professional Coding Specialist to join our Advanced Care Organization (ACO) team. This is a remote position. ... experience in the field in required.** The Certified Professional Coding specialist will work as a compliance...will be key in assisting with the LTC ACO HCC program ensuring that claims are coded and documented… more
- Trinity Health (Newtown Square, PA)
- …degree in Medical Field + If RN, Current Registered Nurse License + Certified Coding Specialist (CCS), Certified Clinical Documentation Specialist (CCDS), or ... Mid-Atlantic, is looking for a CIN Ambulatory Clinical Documentation Specialist to join our team! **Employment Type:** Full Time...incomplete or inconsistent documentation in the record which impacts HCC or other risk score coding . +… more
- UNC Health Care (Chapel Hill, NC)
- …Abilities Requirements:** * Strong knowledge of ICD-10-CM, ICD-10-PCS, and CPT coding , MS DRG, hierarchical condition categories ( HCC ), and CDI ... that have opted into shared services. This position reports to the HCS Supervisor Coding and CDI Quality and Training. This position may travel from entity to entity… more
- Providence (Spokane, WA)
- …for planning, organizing, implementing, staffing, and supervising all functions and workflow for HCC coding , coding WQ resolution for managed care line ... in the clinics. Prepares reports associated with RAF score, HCC Coding Accuracy, HCC Recapture...Information Management Association upon hire. OR + National Certified Coding Specialist - American Health Information Management… more
- Centene Corporation (Jefferson City, MO)
- …+ LVN, LPN or RN required and + Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) required + NP or PAN preferred + Certified Risk ... reviews and advise on clinical best practices related to risk adjustment coding , HCC capture, and documentation improvement. + Performs other duties as assigned.… 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 Inc....competencies in clinical documentation improvement and ICD, CPT and HCC coding through continuing education. Assists with… more
- Henry Ford Health System (Grand Blanc, MI)
- …to work remotely. + Proficient in medical terminology. + Proficient in ICD-10 CM, CPT, HCC and HCPCS coding . + Able to recognize patterns and trends and escalate ... OP Audit Analysts and Coordinators will utilize documentation and coding expertise to facilitate audits of the quality and...medical record, the OP Audit - outpatient complex audit specialist will be responsible for utilizing knowledge of Local,… more