- The Cigna Group (Baltimore, MD)
- …matrix 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 ... with providers to assist in achieving accurate and complete coding documentation. Provider Data Lead Analysts will...guidelines. + Working Knowledge of CMS Risk Adjustment and HCC Coding Process. + Strong computer skills… more
- HCA Healthcare (Campbell, CA)
- … and/or billing experience. . Minimum 1 year experience with HCC coding and risk adjustment Physician Services Group ... coding reference sheets by specialty. . Update the HCC manual on a yearly basis to reflect any...We are experts in hospitalist integration, and graduate medical education . We lead more than 1,300 physician… more
- Trinity Health (Syracuse, NY)
- …of centralized coders charge capture and coding . Partners with centralized coding and operational leadership to improve HCC , high risk scoring, along ... provider and coder education . Responsible for practitioner education in areas related to coding , documentation,...and perceiving our world and that these differences often lead to innovative solutions. Our dedication to diversity includes… more
- Trinity Health (Silver Spring, MD)
- …to improve HCC , high risk scoring, with provider and coder education . Conducts ongoing reviews of patient medical record documentation and procedural and ... diagnosis coding by each practitioner. Responsible for practitioner ...and perceiving our world and that these differences often lead to innovative solutions. Our dedication to diversity includes… more
- Trinity Health (Fresno, CA)
- …ongoing reviews of patient medical record documentation and procedural and diagnosis coding by each practitioner. Responsible for practitioner education in areas ... procedures; and ensuring proper assignment of diagnosis and procedure codes using coding guidelines established by the Centers for Medicare and Medicaid Services… more
- Tufts Medicine (Burlington, MA)
- …position has extensive knowledge of overall ICD-10-CM coding standards, as well as lead efforts to evaluate the HCC /DxCG coding practices and provide ... Adjustment Operations/NEQCA staff and vendors to identify and submit coding adjustments, as needed. 6. Provides education ...on a regular basis in regards to Risk Adjustment Coding guidelines ( HCC /DxCG), as well as ICD-10-CM… more
- Providence (Spokane, WA)
- …work. An understanding of risk adjustment models and hierarchical condition category ( HCC ) coding is necessary. Assists Population Health leadership in ... Under the supervision of the Revenue Integrity Supervisor and Manager, the Lead Clinical Data Reviewer (RN) improves data quality and appropriately risk stratify… more
- Martin's Point Health Care (Portland, ME)
- …healthcare payment and coding methodologies (ie ICD-9, CPT, DRG and HCC coding ) + Leadership/management experience required + Workflow analysis experience + ... aspects of the decision-making and implementation of medical record coding reviews and coding policies for the...for the organization. The Senior Director is expected to lead the risk adjustment operations and strategy around improvement… more
- Martin's Point Health Care (Portland, ME)
- …of third-party analytical tools and reporting platforms related to risk profile analysis and HCC coding + Recommends tools and methodologies that can be deployed ... adjustment operational and strategic planning processes + Subject matter expert in CMS HCC Risk Adjustment modeling + May lead vendor research, software… more
- The Cigna Group (Westerville, OH)
- …in key areas of healthcare payer or provider operations, CMS Risk Adjustment and HCC coding process and quality including Medicare Star Ratings and HEDIS + ... The role will work under the direction of the Senior Manager - National Lead Provider Education to reach overall operational market goals in conjunction with… more
- HCA Healthcare (Tallahassee, FL)
- …a vast knowledge of Primary Care Clinic Operations to include Quality, Heidis, HCC Coding , Population Health, and Value Based Care** + **Strong Physician ... operations. We are experts in hospitalist integration, and graduate medical education . We lead more than 1,300 physician practices and 170+ urgent care centers.… more
- Commonwealth Care Alliance (Boston, MA)
- …models that improve care coordination, care delivery, metrics, outcomes, and accurate HCC coding for value-based contracts. Identifies cost drivers and works ... care and cost variances. 4) Provides medical leadership, consultation, oversight, and education to clinical teams, including implementing clinical education for… more