- Hartford HealthCare (Farmington, CT)
- …observed to expected ratio (O:E), capture of appropriate severity of illness (SOI) and risk of mortality (ROM), risk adjustment and hierarchal condition ... capture (HCC) codes, risk adjustment , and other high quality documentation outcome measures. ....experience preferred **Licensure, Certification, Registration** . RN and/or Certified Coding Specialist (CCS) **And** . Certified Clinical… more
- University of Washington (Seattle, WA)
- …**UW Medicine Enterprise Records and Health Information** has an outstanding opportunity for a ** Coding Specialist 1 - Edits Coder** **WORK SCHEDULE** + 100% FTE ... in Epic work queues (WQ) and/or Hierarchical Condition Category (HCC)/ Risk Adjustment Factor (RAF) and/or Care Gap...perform the work of lower level classifications of the Coding Specialist series. **REQUIRED POSITION QUALIFICATIONS** High… more
- Henry Ford Health System (Troy, MI)
- …billing and third-party payer regulations. + Knowledge of CMS programs, processes, risk adjustment payment methodology, and payment principles. + Knowledge of ... REQUIRED: + Certified Professional Coder (CPC) required but Certified Coding Specialist (CCS) and/or Certified Coding Specialist -Physician… more
- WMCHealth (Valhalla, NY)
- …in a large multispecialty practice setting, including surgical speacialties is required. HCC Risk adjustment Coding esperience is preferred. Education: High ... experience. Licenses / Certifications: Current certification as either a Certified Coding Specialist (CCS) or Certified Coding Specialist -Physician Based… more
- Scripps Health (San Diego, CA)
- …of ICD, CPT, and HCPCS coding systems, MS-DRG/APR-DRG methodologies, and risk adjustment /HCC principles. * Strong technical proficiency and experience in ... Administrator) o RHIT (Registered Health Information Technician) o CCS (Certified Coding Specialist ) o CPC (Certified Professional Coder) * Comprehensive… more
- Centene Corporation (Lansing, MI)
- …Collaborates with Provider Relations to improve provider performance in areas of Quality, Risk Adjustment and Operations (claims and encounters). + Assists in ... **A license in one of the following is preferred:** Certified Coding Specialist (CCS), Licensed Practical Nurse (LPN), Licensed Master Social Work (LMSW),… more
- UCLA Health (Los Angeles, CA)
- …and Prescription Drug (Part D) programs. In this vital role, you will conduct Risk Adjustment Data Validation (RADV) audits, compliance risk -based audits, ... contribute to the organization's audit work plan, assess operational risk areas, and prepare audit findings that help guide...equivalent experience. + Certified Professional Coder (CPC) or Certified Coding Specialist (CCS), highly desired. + 5… more
- AIG (Atlanta, GA)
- …is part of the UW support career progression and may report to a Senior Specialist , UW Support, Team Leader, or to an Team Manager, Underwriting Support. The Senior ... of the unit's field operations. This role assists the underwriters by screening risk offerings and with pre and post-binding processes. The role also performs… more