Works in a team environment with risk adjustment coders, RNs, and analysts to ensure providers are ... HCC risk scores. * Maintains excellent communication skills with patients to promote adherence to ...
Works in a team environment with risk adjustment coders, RNs, and analysts to ensure providers are ... HCC risk scores. * Maintains excellent communication skills with patients to promote adherence to ...
HCC Coding Educator - Physician Education
Fort Myers, FL · On-site +1
$27.57 - $35.84/hr
A dedicated Physician Coder to partner with * Shared resources and collaboration with our partner ... Ongoing training and guidance from the Risk Adjustment team , IT Education team , and the Center ...
HCC Coding Educator - Physician Education
Fort Myers, FL · On-site +1
$27.57 - $35.84/hr
A dedicated Physician Coder to partner with * Shared resources and collaboration with our partner ... Ongoing training and guidance from the Risk Adjustment team , IT Education team , and the Center ...
Works in a team environment with risk adjustment coders, RNs, and analysts to ensure providers are ... HCC risk scores. * Maintains excellent communication skills with patients to promote adherence to ...
Works in a team environment with risk adjustment coders, RNs, and analysts to ensure providers are ... HCC risk scores. * Maintains excellent communication skills with patients to promote adherence to ...
You will help providers transition from traditional fee-for-service models to value-based care ... Certified Risk Adjustment Coder (HCC coding) * Experience with practice transformation or process ...
You will help providers transition from traditional fee-for-service models to value-based care ... Certified Risk Adjustment Coder (HCC coding) * Experience with practice transformation or process ...
You will help providers transition from traditional fee-for-service models to value-based care ... Certified Risk Adjustment Coder (HCC coding) * Experience with practice transformation or process ...
You will help providers transition from traditional fee-for-service models to value-based care ... Certified Risk Adjustment Coder (HCC coding) * Experience with practice transformation or process ...
You will help providers transition from traditional fee-for-service models to value-based care ... Certified Risk Adjustment Coder (HCC coding) * Experience with practice transformation or process ...
You will help providers transition from traditional fee-for-service models to value-based care ... Certified Risk Adjustment Coder (HCC coding) * Experience with practice transformation or process ...
You will help providers transition from traditional fee-for-service models to value-based care ... Certified Risk Adjustment Coder (HCC coding) * Experience with practice transformation or process ...
You will help providers transition from traditional fee-for-service models to value-based care ... Certified Risk Adjustment Coder (HCC coding) * Experience with practice transformation or process ...
... from Milliman now or in the future. Company Overview: Leading with our core values of Quality ... Risk adjustment is one of the highest-stakes and fastest-evolving areas in healthcare, where coding ...
... from Milliman now or in the future. Company Overview: Leading with our core values of Quality ... Risk adjustment is one of the highest-stakes and fastest-evolving areas in healthcare, where coding ...
... CM, HCC guidelines, and CMS risk adjustment methodologies * Oversee quality outcomes from chart ... Certified Professional Coder (CPC) or equivalent certification (RHIA, RHIT, CRC or CCS) Preferred ...
... CM, HCC guidelines, and CMS risk adjustment methodologies * Oversee quality outcomes from chart ... Certified Professional Coder (CPC) or equivalent certification (RHIA, RHIT, CRC or CCS) Preferred ...
... CM, HCC guidelines, and CMS risk adjustment methodologies * Oversee quality outcomes from chart ... Certified Professional Coder (CPC) or equivalent certification (RHIA, RHIT, CRC or CCS) Preferred ...
... CM, HCC guidelines, and CMS risk adjustment methodologies * Oversee quality outcomes from chart ... Certified Professional Coder (CPC) or equivalent certification (RHIA, RHIT, CRC or CCS) Preferred ...
Use your skills to make an impact Required Qualifications: * 3+ years of risk adjustment Medical ... higher. Work at Home Statement To ensure Home or Hybrid Home/Office employees' ability to work ...
Use your skills to make an impact Required Qualifications: * 3+ years of risk adjustment Medical ... higher. Work at Home Statement To ensure Home or Hybrid Home/Office employees' ability to work ...
Use your skills to make an impact Required Qualifications: * 3+ years of risk adjustment Medical ... higher. Work at Home Statement To ensure Home or Hybrid Home/Office employees' ability to work ...
Use your skills to make an impact Required Qualifications: * 3+ years of risk adjustment Medical ... higher. Work at Home Statement To ensure Home or Hybrid Home/Office employees' ability to work ...
Use your skills to make an impact Required Qualifications: * 3+ years of risk adjustment Medical ... higher. Work at Home Statement To ensure Home or Hybrid Home/Office employees' ability to work ...
Use your skills to make an impact Required Qualifications: * 3+ years of risk adjustment Medical ... higher. Work at Home Statement To ensure Home or Hybrid Home/Office employees' ability to work ...
Use your skills to make an impact Required Qualifications: * 3+ years of risk adjustment Medical ... higher. Work at Home Statement To ensure Home or Hybrid Home/Office employees' ability to work ...
Use your skills to make an impact Required Qualifications: * 3+ years of risk adjustment Medical ... higher. Work at Home Statement To ensure Home or Hybrid Home/Office employees' ability to work ...
Use your skills to make an impact Required Qualifications: * 3+ years of risk adjustment Medical ... higher. Work at Home Statement To ensure Home or Hybrid Home/Office employees' ability to work ...
Use your skills to make an impact Required Qualifications: * 3+ years of risk adjustment Medical ... higher. Work at Home Statement To ensure Home or Hybrid Home/Office employees' ability to work ...
Required Qualifications: * 3+ years of risk adjustment Medical Coding or risk adjustment Provider ... higher. Work at Home Statement To ensure Home or Hybrid Home/Office employees' ability to work ...
Required Qualifications: * 3+ years of risk adjustment Medical Coding or risk adjustment Provider ... higher. Work at Home Statement To ensure Home or Hybrid Home/Office employees' ability to work ...
Use your skills to make an impact Required Qualifications: * 3+ years of risk adjustment Medical ... Employees who live and work from Home in the state of California, Illinois, Montana, or South ...
Use your skills to make an impact Required Qualifications: * 3+ years of risk adjustment Medical ... Employees who live and work from Home in the state of California, Illinois, Montana, or South ...
Consulting Actuary - ACA Risk Adjustment
Jacksonville, FL · On-site
$143K - $229K/yr
Deep experience with ACA Risk Adjustment , including HHS-HCC model methodology, risk score ... Strong understanding of diagnosis coding (ICD-10-CM) , provider documentation practices, and their ...
Consulting Actuary - ACA Risk Adjustment
Jacksonville, FL · On-site
$143K - $229K/yr
Deep experience with ACA Risk Adjustment , including HHS-HCC model methodology, risk score ... Strong understanding of diagnosis coding (ICD-10-CM) , provider documentation practices, and their ...
Use your skills to make an impact Required Qualifications: * 3+ years of risk adjustment Medical ... higher. Work at Home Statement To ensure Home or Hybrid Home/Office employees' ability to work ...
Use your skills to make an impact Required Qualifications: * 3+ years of risk adjustment Medical ... higher. Work at Home Statement To ensure Home or Hybrid Home/Office employees' ability to work ...
Use your skills to make an impact Required Qualifications: * 3+ years of risk adjustment Medical ... higher. Work at Home Statement To ensure Home or Hybrid Home/Office employees' ability to work ...
Use your skills to make an impact Required Qualifications: * 3+ years of risk adjustment Medical ... higher. Work at Home Statement To ensure Home or Hybrid Home/Office employees' ability to work ...
From Home Hcc Risk Adjustment Coder information
What is a from home HCC risk adjustment coder?
From Home HCC Risk Adjustment Coders are health information professionals who work remotely to review medical records and assign appropriate codes based on Hierarchical Condition Categories (HCC) for risk adjustment purposes. Their work ensures that healthcare providers receive accurate reimbursement from insurance companies, particularly Medicare Advantage plans. These coders must have a strong understanding of ICD-10-CM coding guidelines, clinical documentation, and risk adjustment models. Working from home allows for flexibility, but still requires strict attention to detail and adherence to privacy regulations.
What are the key skills and qualifications needed to thrive as a from home HCC risk adjustment coder?
To thrive as a From Home HCC Risk Adjustment Coder, you need a thorough understanding of ICD-10-CM coding, risk adjustment models, and medical terminology, usually backed by a coding certification such as CPC, CRC, or CCS. Familiarity with electronic health record (EHR) systems, coding software, and secure remote work platforms is essential. Strong attention to detail, time management, and self-motivation are vital soft skills for ensuring accuracy and productivity while working independently. These skills are crucial for maintaining compliance, optimizing reimbursement, and ensuring data integrity in a remote environment.
What are some common challenges faced by from home HCC risk adjustment coders, and how can they be managed?
From Home HCC Risk Adjustment Coders often face challenges such as interpreting complex medical records, staying updated with evolving coding guidelines, and managing productivity without in-person supervision. To overcome these, coders should prioritize ongoing education, use reliable coding resources, and maintain clear communication with their remote team. Setting a structured daily routine and participating in virtual team check-ins can also help maintain focus and ensure consistent quality in code assignments.
What are the most commonly searched types of Hcc Risk Adjustment Coder jobs in Florida?
The most popular types of Hcc Risk Adjustment Coder jobs in Florida are:
What are popular job titles related to From Home Hcc Risk Adjustment Coder jobs in Florida?
For From Home Hcc Risk Adjustment Coder jobs in Florida, the most frequently searched job titles are:
What job categories do people searching From Home Hcc Risk Adjustment Coder jobs in Florida look for?
The top searched job categories for From Home Hcc Risk Adjustment Coder jobs in Florida are:
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Cities in Florida with the most From Home Hcc Risk Adjustment Coder job openings:
Full-time
Posted 17 days ago
Watson Clinic rating
6.6
Based on 40 frontline employees who took The Breakroom Quiz
570th of 891 rated healthcare providers
Job description
Job Type
Full-time
Description
Summary/Objective
The Clinical Reviewer uses their medical knowledge to identify and address quality gaps and assist with the coordination of care for the Clinic's patients. This role produces, abstracts, and submits data, and works from portals, spreadsheets, and databases to support quality projects and Value Based Services contracts. Clinical Reviewers are responsible for contacting patients telephonically to schedule needed care or perform monitoring.
Essential Functions
Requirements
Required Education and Experience: High school diploma or GED. Completion of an accredited Medical Assistant program. Medical Assistant Certification must be obtained within 90 days of employment. Ability to use filters, attach documents, and work with a variety of Microsoft applications is required.
Preferred Education and Experience: Coding experience or certification, or some college is preferred. Experience and understanding of quality metrics in an outpatient clinic setting is highly preferred.
Additional Eligibility Qualifications: Ability and initiative to become familiar with industry and individual health plan incentive program quality measurement specifications related to group practices, e.g., National Committee for Quality Assurance (NCQA) Health Effectiveness Data Information Set (HEDIS).
Full-time
Description
Summary/Objective
The Clinical Reviewer uses their medical knowledge to identify and address quality gaps and assist with the coordination of care for the Clinic's patients. This role produces, abstracts, and submits data, and works from portals, spreadsheets, and databases to support quality projects and Value Based Services contracts. Clinical Reviewers are responsible for contacting patients telephonically to schedule needed care or perform monitoring.
Essential Functions
- Accurately abstracts data from Watson Clinic's EHR and hospital EHR to support quality initiatives and projects with both internal and external entities.
- Accurately enter clinical data into payer portals, spreadsheets, and/or the database to track status of data abstraction projects and close care gaps.
- Accurately utilizes Watson Clinic protocols, care coordination guidelines, and patient-specific provider treatment plans to: Ensure patients have access to clinic providers and needed appointments. Educate Watson Clinic patients on managing conditions/diseases. Promote patient self-management. Assist with coordinating health care services and site of care concerns, and communicate with physician-lead Care Teams.
- Follow program guidelines to assist physicians with documentation of patient interactions in an electronic platform for risk adjustment coding purposes.
- Works in a team environment with risk adjustment coders, RNs, and analysts to ensure providers are following proven processes to appropriately increase their quality ratings and HCC risk scores.
- Maintains excellent communication skills with patients to promote adherence to each patient's specific provider treatment plan
Requirements
Required Education and Experience: High school diploma or GED. Completion of an accredited Medical Assistant program. Medical Assistant Certification must be obtained within 90 days of employment. Ability to use filters, attach documents, and work with a variety of Microsoft applications is required.
Preferred Education and Experience: Coding experience or certification, or some college is preferred. Experience and understanding of quality metrics in an outpatient clinic setting is highly preferred.
Additional Eligibility Qualifications: Ability and initiative to become familiar with industry and individual health plan incentive program quality measurement specifications related to group practices, e.g., National Committee for Quality Assurance (NCQA) Health Effectiveness Data Information Set (HEDIS).
What Watson Clinic employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Watson Clinic
Sourced by ZipRecruiter
Industry
Outpatient health care
Company size
1,001 - 5,000 Employees
Headquarters location
Lakeland, FL, US
Year founded
1941