- Highmark Health (Hartford, CT)
- …(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
- PeaceHealth (Longview, WA)
- …CCO metrics, quality management/improvement). + Performs chart reviews to ensure all suspect Hierarchical Condition Category ( HCC ) conditions from payers ... plans and benefits structures) + Preferred: Experience and/or training in ICD-10 and Hierarchical Condition Category ( HCC ) conditions + Proficient use of… more
- Catholic Health Initiatives (Chattanooga, TN)
- …The position will support risk adjustment improvement efforts across the medical group. The Hierarchical Condition Category ( HCC ) Quality program was ... of chronic conditions for the purpose of accurately reporting HCC 's. Prospective and concurrent reviews will account for 70%...complete and compliant to facilitate the accurate reporting of HCC diagnoses via claims. + Works to resolve claims… more
- ZoomCare (Portland, OR)
- …across ZoomCare's primary care operations, driving performance in key clinical quality metrics, Hierarchical Condition Category ( HCC ) coding recapture, ... COVID-19 as a condition of employment. Medical and religious exemptions or reasonable accommodations may apply._** **Job Category :** Healthcare Provider Team more
- Tidelands Health (Myrtle Beach, 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
- Spira Care, LLC (Kansas City, MO)
- …Preferred Qualifications: + Experience with coding and documentation for Medical Advantage and Hierarchical Condition Category ( HCC ) coding. Spira Care ... + Spira Care has specific vaccinations requirements as a condition of employment. You must be able to comply...employment. You must be able to comply with this condition of employment with or without a reasonable accommodation… more
- VNS Health (Manhattan, NY)
- …is accurate, precise, and adherent to CMS guidelines pertinent to Risk Adjustment Hierarchical Condition Category ( HCC ) methodology. + Assigns ... appropriate ICD10-CD, HCPCS and CPT codes as well as other codes necessary to process claims based on claim information submitted. + Utilizes administrative policies, regulatory codes, legislative directives, and guidelines to inform decisions and appropriate… more
- Community Health Systems (Franklin, TN)
- …and reimbursement issues for physician office's and clinics + Possess basic knowledge on Hierarchical Condition Category ( HCC ) coding and compliant ... physician queries. + Strong knowledge of current AMA and CMS Evaluation and Management Documentation guidelines + Excellent understanding and comprehension of medical terminology **Certificates and Licenses:** CPC, CCS-P, or CBCS **Physical Demands:** In order… more
- University of Miami (Miami, FL)
- …Knowledge of HEDIS Quality Care Gaps - review and closure preferred + Knowledge of Hierarchical Condition Category ( HCC ) - review and recertification ... preferred + Physical presence required at all GIM sites + Conducts or participates in multidisciplinary rounds and ensures appropriate and quality care for patients. + Serves as a liaison and advocate between the APP and hospital leadership, department heads,… more
- Dignity Health (Bakersfield, CA)
- …materials and tools to help network providers improve clinical documentation and support Hierarchical Condition Category coding capture. - Participate in ... the diagnosis codes for each chronic or major medical condition have been captured and work to educate providers...equivalent work experience. - Familiarity and understanding of CMS HCC Risk Adjustment coding and data validation requirements. -… more