. Measure capture rate of Hierarchical Condition Categories (HCC)s and diagnosis codes related to Risk Adjustment programs...Professional, Risk Adjustment Analyst Headquarters Office, 625 State Street, Schenectady, New York, United States...
Overview: CMS-HCC Risk Adjustment GeBBS Healthcare Solutions, an industry leader in Health Information Management... that are valid but not reported Qualifications: Active certification through AAPC or AHIMA is required 2 years risk adjustment...
Overview CMS-HCC Risk Adjustment GeBBS Healthcare Solutions, an industry leader in Health Information Management... that are valid but not reported Qualifications Active certification through AAPC or AHIMA is required 2 years risk adjustment...
pertains to CMS Hierarchical Condition Categories (HCC). Participates in and supports the Medicare Risk Adjustment team-based... is accurate, precise, and adherent to CMS guidelines pertinent to Risk Adjustment Hierarchical Condition Category (HCC...
development of risk adjustment operational and strategic planning processes · Subject matter expert in CMS HCC Risk Adjustment..., and/or reimbursement · Experience in developing cost-benefit and ROI analyses · Expertise in CMS HCC Risk Adjustment Required License...
activities focused on risk adjustment in accordance with Centers for Medicare & Medicaid Services (CMS) and U.S. Department... of Health & Human Services (HHS). Performs prospective/retrospective medical record reviews (MMR) & CMS/HHS Risk Adjustment Data...
CMS-HCC (Hierarchical Condition Category) model required. Experience in risk adjustment and health plans strongly... adjustment outcomes for Medicare members. Ensures member medical records comply with CMS's Risk Adjustment Data Validation...
. 5. Experience with the Medicare risk model, knowledge of CMS guidelines and Risk Adjustment processing preferred... us forward every day. Job Overview The Data Analyst, Risk Adjustment position is responsible for managing data used to support...
understanding of these guidelines. Understands the impact of ICD-10 codes on the CMS HCC risk adjustment model... and Reporting and has a complete understanding of these guidelines. Follows CMS risk adjustment guidelines and has a complete...
. Educates providers about the CMS - HCC Risk Adjustment driven payment methodology and the importance of proper chart...Risk Adjustment Coder and Educator Job Summary: The RAF Coder and Educator is responsible for providing expertise...
of recent experience in CMS-HCC Risk Adjustment models V24 and V28, required Three or more years of experience in providing...Description As the Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment...
: Other: Job Specific and Unique Knowledge, Skills and Abilities Strong knowledge of ICD-10-CM Coding Guidelines, E/M, CPT/HCPCS, CMS-HCC... risk adjustment model, medical record review project management, encounter data management Demonstrated ability to work...
). Requirements 2-3 years of risk adjustment coding in Primary Care/Family Medicine. CRC Certification (or 5+ years of HCC coding... Position Job Title: HCC Coder / Risk Management Coding Manager Location: Scottsdale, AZ (In Person) Hours & Schedule...
and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation... diagnoses and HCC disease categories. Supports other key objectives to drive capture of correct Risk Adjustment coding including...
of CMS HCC coding guidelines and regulations. Previous leadership or management experience including communication... the patient experience. As our Manager of HCC Coding and Audit, you will be responsible for overseeing the HCC...
of Medicare Advantage risk adjustment payment methodology preferred. Knowledge of CMS programs, processes, and payment principles...GENERAL SUMMARY: RMRA (Revenue Management Risk Adjustment) Health Risk Coding and Education Specialist - Level II...
with CMS/HHS guidelines and regulations for Risk Adjustment (RA) in the PPACA marketplace, meeting deadlines successfully... and team objectives Ability to adhere to CMS and Cigna compliance requirements for Risk Adjustment coding Demonstrates clear...
and two years of coding experience CRC: Certified Risk Adjustment Coder and two years of HCC coding experience RHIT...-10 and CPT codes following appropriate guidelines and ascertains that the above are compliant with CMS, state...
with CMS/HHS guidelines and regulations for Risk Adjustment (RA) in the PPACA marketplace, meeting deadlines successfully... and team objectives Ability to adhere to CMS and Cigna compliance requirements for Risk Adjustment coding Demonstrates clear...
with CMS/HHS guidelines and regulations for Risk Adjustment (RA) in the PPACA marketplace, meeting deadlines successfully... and team objectives Ability to adhere to CMS and Cigna compliance requirements for Risk Adjustment coding Demonstrates clear...