- University of Michigan (Ann Arbor, MI)
- …to society. **Responsibilities **Core Responsibilities and Expectations:** + Responsible for outpatient Hierarchical Condition Category ( HCC ) pre-visit ... as assigned **Department Specific Responsibilities and Expectations:** + Responsible for outpatient Hierarchical Condition Category ( HCC ) pre-visit and… more
- 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 (Daytona Beach, FL)
- …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 (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
- 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
- Fallon Health (Worcester, MA)
- …Massachusetts Medicaid, and New York State MLTC. + Design and oversight of Hierarchical Condition Category ( HCC )/clinical documentation operations, ... quality oversight, education, and analytics. + Provide feedback on revenue projections and forecasting for all risk adjustment lines of business. + Comprehensive program integration to align with corporate initiatives to drive quality improvement and medical… more
- CareFirst (Baltimore, MD)
- …required in addition to the required work experience. **Experience:** 3 years risk adjustment/ hierarchical condition category ( HCC ) coding experience. ... **Knowledge, Skills and Abilities (KSAs)** + Adobe Acrobat Professional. + Microsoft Word, Excel, Outlook, Claims Processing Facets. + Ability to adapt to various coding technology platforms, such as Electronic Medical Record (EMR) or Electronic Health Record… 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