- 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
- 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 (Santa Fe, NM)
- …experiences to realize our bold vision for healthcare. **What We're Looking For:** As an HCC ( Hierarchical Condition Category ) Auditor you will review ... other tasks asked by quality supervisor **What You Need to Succeed:** + 2 years' HCC Coding experience + 2 years' HCC Auditing experience + Extensive knowledge… more
- Datavant (Washington, DC)
- …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
- NTT DATA North America (Cumberland, RI)
- …Responsibilities:** The Coding Quality Auditor will be responsible for validating and reviewing Hierarchical Condition Category ( HCC ) risk adjustable ... -3+ years experience in ICD-10-CM coding with strong understanding of HCC risk adjustment **Preferred Qualifications:** -Attention to detail and accuracy in… more
- Spira Care, LLC (Overland Park, 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
- Novant Health (NC)
- …and implementing customized education to clinicians, validating payer contract performance around Hierarchical Condition Category ( HCC ) code capture/ ... recapture, and participating in the annual Centers for Medicare & Medicaid Services Quality Payment Program reporting process. Schedule: 8:00AM-5:00PM, Monday - Friday Location: Hybrid Department: PHSO Clinical Documentation Improvement… more
- BJC HealthCare (St. Louis, MO)
- …crucial support in a dynamic setting. Background to be successful in the role: + ** Hierarchical Condition Category ( HCC )** **coding and risk adjustment** ... + **Bachelors degree** + **2 years in a supervisory role** + **5 years of relevant experience** + **Ambulatory care experience** \#LI-TP1 **Overview** **BJC Medical Group** is the multi-specialty physician-led organization of BJC HealthCare and includes over… 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