- Excellus BlueCross BlueShield (Rochester, NY)
- …utilizing knowledge and experience of ICD-9-CM/ICD-10-CM coding, Medicare Advantage and Commercial Hierarchical Condition Category ( HCC ) coding, and ... data element verification, ICD-9-CM / ICD-10-CM coding validation, monitoring plan specifications, Hierarchical Condition Category ( HCC ) assignment… more
- Trinity Health (Albany, NY)
- …a team environment and is responsible for reviewing clinical documentation and coding using HCC ( Hierarchical Condition Category ) and MEAT (Monitored, ... . Demonstrate a solid understanding of ICD-10-CM coding and medical terminology, Hierarchical Condition Category ( HCC ), and MEAT standards. . Exercise… more
- AdventHealth (Lees Summit, MO)
- …CDI leader and will work closely 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 successful candidate will have an… more
- Datavant (Boise, ID)
- …experiences to realize our bold vision for healthcare. **What We're Looking For:** As an HCC ( Hierarchical Condition Category ) Auditor you will review ... by quality supervisor **What You Need to Succeed:** + 2 years' HCC Coding experience + 2 years' HCC Auditing experience + Extensive knowledge of ICD -10 + High… more
- Datavant (St. Paul, MN)
- …educational and life experiences to realize our bold vision for healthcare. As an HCC ( Hierarchical Condition Category ) coder you will review ... credentials (CPC, CPC-H, COC, CIC, or CRC). + A minimum of 2 years HCC coding experience, while certified. + Full understanding and knowledge of ICD-10, medical… more
- Commonwealth Care Alliance (Boston, MA)
- …data systems and tools that support Commonwealth Care Alliance's (CCA) risk adjustment and Hierarchical Condition Category ( HCC ) revenue programs. This ... + Develop and support risk adjustment financial models that align with HCC revenue projections and CMS methodologies. + Maintain and enhance reporting infrastructure… more
- Spira Care, LLC (Kansas City, KS)
- …Preferred Qualifications: + Experience with coding and documentation for Medical Advantage and Hierarchical Condition Category ( HCC ) coding. Spira Care ... + Spira Care has specific vaccinations requirements as a condition of employment. You must be able to comply...employment. You must be able to comply with this condition of employment with or without a reasonable accommodation… more
- University of Miami (Miami, FL)
- …Knowledge of HEDIS Quality Care Gaps - review and closure preferred + Knowledge of Hierarchical Condition Category ( HCC ) - review and recertification ... preferred + Physical presence required at all GIM sites + Conducts or participates in multidisciplinary rounds and ensures appropriate and quality care for patients. + Serves as a liaison and advocate between the APP and hospital leadership, department heads,… more
- Hartford HealthCare (Hartford, CT)
- …*JOB RESPONSIBILITIES* 1. Oversees the development of complex and advanced ICD-10 and Hierarchical Condition Category ( HCC ) coding and documentation ... training programs including defining training objectives, developing training materials and tools 2. Implements documentation and coding training programs for Medicare Advantage contracted providers. Presents coding and documentation education in a variety of… more
- AdventHealth (Sebring, FL)
- …patients to reduce care gaps and assist with risk adjustment factor (RAF) and Hierarchical Condition Categories ( HCC ) AF/ HCC proposals, medication ... verification experience required + Knowledge of quality metrics + Knowledge of HCC + Knowledge of quality initiatives + Understanding of insurance requirements This… more