- Bon Secours Mercy Health (Cincinnati, OH)
- …for clinical and operational excellence. **Primary Function/General Purpose of Position** The HCC Coder provides extensive knowledge of documentation and review ... Risk Score Accuracy (RSA) initiative and the Hierarchical Condition Categories ( HCC ) coding program. The position performs prospective, concurrent, and retrospective… more
- Insight Global (Tampa, FL)
- …. Skills and Requirements Active CPC (Certified Professional Coder ) 4-5 years HCC /Risk Adjustment Coding experience ... Job Description Insight Global is hiring HCC /Risk Adjustment Medical coders (100% REMOTE) to support...of the markets are strictly risk adjustment focusing on HCC ICD-10 codes only. We do code from the… more
- The Cigna Group (Bloomfield, CT)
- …Some type of coding certification, which may include Certified Professional Coder (CPC), Certified Coding Specialist for Providers (CCS-P), Certified Coding ... Specialist for Hospitals (CCS-H), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA), or nursing medical background. + Extensive knowledge of ICD-10-CM and CMS coding principles and guidelines. + Familiarity… more
- MedKoder (Mandeville, LA)
- Position Location: 100% Remote Qualifications The Medical Coder provides coding and coding auditing services directly to providers. This includes the analysis and ... medical record charts for the appropriate coding compliance + Coder is responsible for meeting daily production goal and...specialized experience in Medicare Risk Adjustment disciplines- such as HCC , CCC HEDIS + Auditing experience a PLUS. ICD-10… more
- Highmark Health (Columbus, OH)
- …using skills including but not limited to Hierarchical Condition Category ( HCC ) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for ... requirements by analyzing physician documentation and interpreting into ICD10 diagnoses and HCC disease categories. Supports other key objectives to drive capture of… more
- Baylor Scott & White Health (Lakeway, TX)
- **JOB SUMMARY** + Coder I is proficient in one or two types of outpatient or profee coding. + Coder I may code one time ancillary/series, emergency department, ... include evaluation and management (E/M) coding, profee surgery, hierarchical condition category ( HCC ) Risk Adjusted coding (diagnosis only with 1 year lookback) or… more
- Highmark Health (Columbus, OH)
- …(MA) and Affordable Care Act (ACA) through Hierarchical Condition Category ( HCC ) coding, medical coding, clinical terminology and anatomy/physiology, Centers for ... by analyzing physician documentation and interpreting into ICD-10 diagnoses and HCC disease categories. Supports other key objectives to drive capture of… more
- Baystate Health (Springfield, MA)
- The Prospective Outpatient Risk Adjustment Coder supports risk adjustment optimization activities that improve value-based care and population health by facilitating ... practices, and identifying opportunities to close care gaps. Working with the HCC Nurse Educator, the Ambulatory HCC Coordinator conducts prospective chart… more
- US Tech Solutions (Newark, NJ)
- Summary: The Senior Professional Coder provides services to perform code abstraction using the Official Coding Guidelines for ICD-9-CM/ICD-10-CM, AHA Coding Clinic ... with all state regulations, federal regulations, internal policies, and internal procedures. HCC Risk Adjustment Coders will be involved with activities of code… more
- Methodist Health System (Dallas, TX)
- …**or** one year of professional coding experience with two years of HCC experience; demonstrated experience in procedural/surgical coding Strong knowledge of CMS ... units to the source document for claim submission. The coder will be responsive to provider questions by performing...educate the provider in correct coding and documentation. The coder will be assigned specialty specific work queue(s) to… more
- Apex Health Solutions (Houston, TX)
- SUMMARY: Risk Adjustment Coder is responsible for reviewing, abstracting, and coding inpatient and/or outpatient medical records to ensure proper ICD-10 coding and ... A certification in one of the following is required: * Certified Risk Adjustment Coder (CRC) * Certified Professional Coder (CPC) * Certified Coding Specialist… more
- Banner Health (AZ)
- …make a life and career here! In this **Inpatient Facility/HIMS Certified Medical CODER QUALITY ASSOCIATE -Remote** position, you bring your **3-5+ years of acute ... the operational group. Monitors and evaluates trends in DRG (MS-DRG), APC, ACG, DCG, HCC and other Health Risk Adjusted Factors appropriate to the assigned area, and… more
- Insight Global (Fort Myers, FL)
- Job Description Insight Global Health is seeking a dedicated risk adjustment coder for a health care client located in the Fort Myers, FL area to join their team. ... The risk adjustment coder will be responsible for: -Performing medical record audits...patient histories, symptoms, diagnoses and treatments into codes using HCC coding -Providing guidance and advice for reporting policies… more
- The Cigna Group (Bloomfield, CT)
- …partners of Cigna Medicare's programs specific to CMS Risk Adjustment and HCC Coding Processes. It will require expertise in ICD-10-CM/outpatient and CPT coding ... (at least one of the below): + Certified Professional Coder (CPC) + Certified Risk Adjustment Coder ...guidelines. + Working Knowledge of CMS Risk Adjustment and HCC Coding Process. + Strong computer skills (ie MS… more
- The Cigna Group (Baltimore, MD)
- …partners of Cigna Medicare's programs specific to CMS Risk Adjustment and HCC Coding Processes. It will require expertise in ICD-10-CM/outpatient and CPT coding ... (at least one of the below): + Certified Professional Coder (CPC) + Certified Risk Adjustment Coder ...guidelines. + Working Knowledge of CMS Risk Adjustment and HCC Coding Process. + Strong computer skills (ie, MS… more
- Providence (Milwaukie, OR)
- **Description** The Coder 1 performs coding audits and review of outpatient provider services to support coding optimization and compliance for the medical group. ... In addition to the audit and review work, the Coder 1 will work side by side with outpatient...with the code entry process, documentation, ICD-9, ICD-10, and HCC coding in alignment with current medical group reimbursement… more
- Robert Half Accountemps (Daly City, CA)
- …for a direct hire or temp-to-hire, interviewing asap. Apply today! The Medical Coder will primarily be responsible for conducting chart reviews and coding audits. ... recover reimbursements. Other duties include conducting pre-appointment chart audits for HCC or risk adjustment, managing appeals for denied claims, and providing… more
- Sutter Health (Sacramento, CA)
- …or equivalent education/experience **CERTIFICATION & LICENSURE** + CRC-Certified Risk Adjustment Coder OR CPC-Certified Professional Coder OR AHMA OR AAPC ... of Quality Coding Program requirements such as the Medicare Advantage Coding Program/ HCC , as well as medical terminology and abbreviations of disease, illness and… more
- Tidelands Health (Murrells Inlet, SC)
- …with the CDI team to validate the DRG, SOI/ROM, and Hierarchical Condition Category ( HCC ). Forward queries created by the CDI Team to obtain the most accurate DRG. ... and Hospital Work Environment or Works in a private office space in the coder 's home in compliance with Tideland Health's Remote/Telecommuter Policy. + Must be able… more
- Point32Health (SC)
- …guidelines. The Coding Specialist II will lead efforts to evaluate the HCC coding practices and provide analyses and recommendations to improve overall provider ... job** Completion of a formal coding certification program required. Certified Professional Coder (CPC-A, CPC, CPC-H, COC, CIC, or CRC) certification or Certified… more