coding standards as well as CMS and ACA Risk Adjustment guidelines. The Coding Specialist II will lead efforts to evaluate... of coding rules and CMS guidelines in both inpatient and outpatient settings. Priority for the Risk Adjustment Coding Specialist...
Overview: CMS-HCC Risk Adjustment GeBBS Healthcare Solutions, an industry leader in Health Information Management... in the healthcare industry. Join this exciting team working remotely in a flexible CMS HCC/Risk Validation Audit role...
(including ICD-9-CM) codes to verify that coding meets both established coding standards as well as CMS and ACA Risk Adjustment... and communities. To learn more about who we are at Point32Health, click . Job Summary Under the direction of the Risk Adjustment...
coding standards as well as CMS and ACA Risk Adjustment guidelines. The Coding Specialist II will lead efforts to evaluate... of coding rules and CMS guidelines in both inpatient and outpatient settings. Priority for the Risk Adjustment Coding Specialist...
charts for the purpose of validating regulatory Risk Adjustment scores. The Chart Review Specialist will collect diagnostic... and submit to Manager for provider education efforts Update risk adjustment software with all relevant chart review observations...
and/or CMS RADV audits. This position is reported to the Director of Risk Adjustment/HCC coding. In addition... environment. Knowledge of CMS risk adjustment/HCC model with coding and documentation guidelines. Ability to interpret clinical...
' Risk Adjustment Model to confirm accuracy of Hierarchical Condition Categories (HCC) identified from abstracted ICD-10-CM... and proficiency with ICD-10-CM coding guidelines and conventions Familiarity with CMS regulations for Risk Adjustment programs...
organization. The position will support risk adjustment improvement efforts across the medical group. The Hierarchical Condition... Category (HCC) Quality program was developed by CMS to promote quality care for Medical Advantage members. By focusing...
organization. The position will support risk adjustment improvement efforts across the medical group. The Hierarchical Condition... Category (HCC) Quality program was developed by CMS to promote quality care for Medical Advantage members. By focusing...
, HHS, Rx HCC) coding and risk adjustment assignment as it relates to provider documentation, Proficient experience..., AHIMA or other acceptable professional organization. Two years professional medical group coding experience HCC (CMS...
organization. The position will support risk adjustment improvement efforts across the medical group. The Hierarchical Condition... Category (HCC) Quality program was developed by CMS to promote quality care for Medical Advantage members. By focusing...
organization. The position will support risk adjustment improvement efforts across the medical group. The Hierarchical Condition... Category (HCC) Quality program was developed by CMS to promote quality care for Medical Advantage members. By focusing...
Payment Systems, Hierarchical Conditions Categories (HCC), Risk adjustment methodology, Meaningful Use, and AHIMA Query... and Medicaid Services (CMS) Quality Initiatives, Hospital & physician Value Based Purchasing, Inpatient/Outpatient Perspective...
knowledge of CPT/Evaluation and Management guidelines Working Knowledge of CMS Risk Adjustment and HCC Coding Process... required (at least one of the below): Certified Professional Coder (CPC) Certified Risk Adjustment Coder (CRC) Certified Coding Specialist...
Responsibilities Work with the Director, Coding Services to oversee CMS-HCC and HHS- HCC coding production... as needed. Ability to act as a coding resource or QA resource for Medicare Risk Adjustment, Commercial Risk Adjustment and Medicaid when...
-Physician based (CCS-P) or equivalent certification from AAPC, AHIMA or other acceptable professional organization. HCC (CMS..., HHS, Rx HCC) coding and risk adjustment assignment as it relates to provider documentation, Proficient experience...
, federal regulations, internal policies, and internal procedures. HCC Risk Adjustment Coders will be involved with activities... Risk Adjustment, Commercial IVA (Initial Validation Audit), and Medicare RADV (Risk Adjustment Data Validation). HCC Risk...
Adjustment and HCC Coding Impact revenue and CMS compliance with the coordination of technically detailed coding applications... to provider coding errors Serve in an advisory role in development of Health Plan Payment Rules to risk adjustment Providence...
knowledge of CPT/Evaluation and Management guidelines Working Knowledge of CMS Risk Adjustment and HCC Coding Process... required (at least one of the below): Certified Professional Coder (CPC) Certified Risk Adjustment Coder (CRC) Certified Coding Specialist...
knowledge of CPT/Evaluation and Management guidelines Working Knowledge of CMS Risk Adjustment and HCC Coding Process... required (at least one of the below): Certified Professional Coder (CPC) Certified Risk Adjustment Coder (CRC) Certified Coding Specialist...