- Highmark Health (Concord, NH)
- …programs such as Medicare Advantage (MA) and Affordable Care Act (ACA) through Hierarchical Condition Category (HCC) coding, medical coding, clinical ... and documentation is comprehensive; applies CMS coding guidelines to validate audited condition (s); assists with review and ranking of charts for submission.10% +… more
- Highmark Health (Bismarck, ND)
- …and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology ... **EDUCATION** **Required** + None **Substitutions** + None **Preferred** + Associate degree in medical billing/coding, health insurance, healthcare or related… more
- LifePoint Health (Marquette, MI)
- …registries to identify high risk patients. -Analyze clinical data and identifies Hierarchical Condition Category (HCC) gaps. -Query/communicate with ... provider/care manager to capture accurate Hierarchical Condition Category (HCC). -Assist...reporting to the insurance carriers. Minimum Qualifications: Minimum Education Associate 's Degree in Nursing - Required Drag Edit Delete… more
- Tidelands Health (Murrells Inlet, SC)
- …and complete diagnoses. Works with the CDI team to validate the DRG, SOI/ROM, and Hierarchical Condition Category (HCC). Forward queries created by the CDI ... **Education** : High school graduate or equivalent, is required. Associate or Bachelor's degree in Health Information, Nursing, or...of this job, the employee is frequently (activity or condition exists from 1/3 to 2/3 of the time)… more
- AdventHealth (Altamonte Springs, FL)
- …knowledge of Hospital Acquired Conditions (HAC), Patient Safety Indicators (PSI), and Hierarchical Condition Categories (HCC) . Expert level knowledge of medical ... or Coding Quality Auditor experience . Completion of a coding certificate program or associate degree in HIM field . Will accept candidates with 7 years of inpatient… more
- Evolent Health (Harrisburg, PA)
- …+ Experience in claims-based healthcare analytics to drive decision making and with Hierarchical Condition Category Risk Adjustment- **Preferred** . + ... (eg actuarial science, statistics, mathematics, economics, data science) - **Required.** + Associate or Fellow of the Society of Actuaries - **Required** **.** +… more