• Hierarchical Condition

    Highmark Health (Bismarck, ND)
    …(MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category ( HCC ) Coding, medical coding, clinical ... requirements by analyzing physician documentation and interpreting into ICD10 diagnoses and HCC disease categories. Supports other key objectives to drive capture of… more
    Highmark Health (06/08/24)
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  • Senior Hierarchical Condition

    Highmark Health (Concord, NH)
    …government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA) through Hierarchical Condition Category ( HCC ) coding, medical coding, ... by analyzing physician documentation and interpreting into ICD-10 diagnoses and HCC disease categories. Supports other key objectives to drive capture of… more
    Highmark Health (05/31/24)
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  • HCC Risk Management Specialist

    HCA Healthcare (Campbell, CA)
    …medical conditions to the highest specificity according to Medicare requirements for the Hierarchical Condition Category ( HCC ) risk adjusted payment ... conditions to the highest specificity according to Medicare requirements for the Hierarchical Condition Category ( HCC ) risk adjusted payment model. .… more
    HCA Healthcare (05/16/24)
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  • Payer Program Specialist - Care Mgmt

    PeaceHealth (Longview, WA)
    …CCO metrics, quality management/improvement). + Performs chart reviews to ensure all suspect Hierarchical Condition Category ( HCC ) conditions from payers ... benefits structures). + Preferred: Experience and/or training in ICD-10 and Hierarchical Condition Category ( HCC ) conditions. **Credentials** +… more
    PeaceHealth (05/31/24)
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  • Coding & Documentation Educator

    AdventHealth (Altamonte Springs, 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
    AdventHealth (06/06/24)
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  • Population Health Manager, MGMG Case Management

    LifePoint Health (Marquette, MI)
    …payor 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 in the evaluation of data collected to assure accuracy and… more
    LifePoint Health (06/02/24)
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  • Medical Coder/Coding Specialist III- Remote PRN

    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 ... of this job, the employee is frequently (activity or condition exists from 1/3 to 2/3 of the time)...up to 15 pounds of force occasionally (activity or condition exists up to 1/3 of the time), and/or… more
    Tidelands Health (04/06/24)
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  • Coding Specialist

    ManpowerGroup (Durham, NC)
    …(CMS).** Uses all resources to ensure compliance and understanding of the CMS Hierarchical Condition Category ( HCC ) payment methodology.** Develops ... and maintains professional working relationships with Medical Providers and their staff necessary to facilitate onsite review of medical records.** Maintains documents for tracking audit results, status of reviews, etc.** **Hiring Requirements** High school… more
    ManpowerGroup (06/07/24)
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  • Coding Specialist

    Robert Half Accountemps (Durham, NC)
    …Services CMS. + Uses all resources to ensure compliance and understanding of the CMS Hierarchical Condition Category HCC payment methodology. + Develops ... and maintains professional working relationships with Medical Providers and their staff necessary to facilitate onsite review of medical records. + Maintains documents for tracking audit results status of reviews etc. + Researches all department requests, set… more
    Robert Half Accountemps (06/07/24)
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  • Coding Specialist

    Motion Recruitment Partners (Durham, NC)
    …(CMS). + Uses all resources to ensure compliance and understanding of the CMS Hierarchical Condition Category ( HCC ) payment methodology. + Develops ... and maintains professional working relationships with Medical Providers and their staff necessary to facilitate onsite review of medical records. + Maintains documents for tracking audit results, status of reviews etc To be eligible to contract at this client… more
    Motion Recruitment Partners (06/05/24)
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