Overview of the role: To effectively interface with provider partners, to successfully, monitor and implement HCC... as well as administrative oversight to ensure successful integration of AHC's HCC initiatives. Responsibilities: Monitors coding...
Alignment Healthcareor patterns identified in provider office diagnosis coding. Implement provider office education, where necessary, and provide... achieving accurate and complete coding documentation. Provider Data Lead Analysts will be responsible for the most complex...
Cignafor performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD-10 codes... ability to support coding judgment and decisions using industry standard evidence and tools. Proficient in abstraction and assignment...
CVS Healthqueries and education regarding appropriate HCC diagnoses documentation and capture. The Certified Coding Specialist Sr... provider documentation for coding appropriateness, and analyze medical records to complete accurate code selection. Maintain...
Integris Health). This role will be actively engaged with provider coding and billing education including coding accuracy and documentation.... · Assists in developing and implementing coding education for all new hire providers. Works with Compliance to ensure timely...
Women's Healthcare Associates, LLCand documentation education with providers, the clinic care team and coding/billing staff The Risk Adjustment Coding Specialist may... methodologies as applicable (HCC/RAF, HHS, MARA, Johns Hopkins, etc.). The Risk Adjustment Coding Specialist will provide insights...
Trinity Health). This role will be actively engaged with provider coding and billing education including coding accuracy and documentation.... · Assists in developing and implementing coding education for all new hire providers. Works with Compliance to ensure timely...
Wome's Healthcare Associatesto appointment to determine Gaps in Care, then communicates Gaps to provider. Educates and assists Coding Specialists to accurately... of Risk Adjustment and HCC coding. Knowledge of payer contracts and reimbursement. Thorough working knowledge of Federal...
Trinity Health. Supervises the daily operational activities for the Risk Adjustment Coding team and provides education and support on risk... and feedback Identifies provider education opportunities to improve documentation and helps implement and disseminate information...
Steward Health Carequality of BHMG coding and the constant improvement thereof. Minimum Education, Training, and Experience...-CM coding principles and procedures, HCPCS, CPT and modifier coding, HCC coding and risk adjustment assignment as it...
Baptist HealthRatio, and HCC Percent Covered. The Sr. Clinical Coding Nurse Consultant will drive Risk Adjustment improvement initiatives... Summaries, HCC Ratio, Disagree and Resolution rates, and FaxBack reporting to plan and provider groups Subject Matter Expert...
UnitedHealth GroupRatio, and HCC Percent Covered. The Sr. Clinical Coding Nurse Consultant will drive Risk Adjustment improvement initiatives... Summaries, HCC Ratio, Disagree and Resolution rates, and FaxBack reporting to plan and provider groups Subject Matter Expert...
UnitedHealth Groupand increase productivity while maintaining high-quality standards. Coding Education: Oversee a comprehensive training program... Coding Specialist (CCS) required. Experience working in Payer HCC Risk and Quality Program. Experience with HEDIS Measures...
Reveleerand increase productivity while maintaining high-quality standards. Coding Education: Oversee a comprehensive training program... Coding Specialist (CCS) required. Experience working in Payer HCC Risk and Quality Program. Experience with HEDIS Measures...
Reveleercoding reviews independently on all provider documentation to assign the correct ICD-10 codes and ensure all documentation... knowledge of medical terminology, provider reimbursement, ICD-10, HCPCS and CPT-4 coding required Must be PC literate...
VNS Healthis to conduct coding education programs for Reimbursement Charge Specialists to ensure correct coding, legal compliance and complete... charge capture. Provides provider feedback initial and ongoing education, training and technical support in regard to proper...
Southern Ohio Medical Centerachievement of goals set for HCC Ratio, HCC Covered Ratio, and HCC Percent Covered. The Sr. Clinical Coding Nurse Consultant... delivery for Mega Groups via Provider education sessions and Physician Business Meetings / JOCs Lead Weekly, Monthly, Bi...
UnitedHealth Group