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Fulltime Optum Hcc Coding Jobs in Michigan (NOW HIRING)

Coding Auditor - Corporate Compliance

Yale, MI · On-site

$24.25 - $27.50/hr

Current Saint Francis Employees - Please click HERE to login and apply. Full Time Days Job Summary ... Hierarchical Condition Categories (HCC) experience, preferred. Knowledge, Skills and Abilities:

New

Medical Biller

Warren, MI · On-site

$23 - $26/hr

This is a high-trust, full-time position for someone who knows their way around insurance billing ... Working knowledge of CPT/ICD-10 coding, modifiers, and payer-specific billing rules; familiarity ...

Registered Nurse

Escanaba, MI · On-site

$36.98 - $81.63/hr

As members of the Optum family of businesses, we are dedicated to helping people feel their best ... data sets, coding requests, and coordination with other clinicians * Communicates timely and ...

Registered Nurse

Escanaba, MI · On-site

$36.98 - $81.63/hr

As members of the Optum family of businesses, we are dedicated to helping people feel their best ... data sets, coding requests, and coordination with other clinicians * Communicates timely and ...

Registered Nurse

Menominee, MI · On-site

$36.98 - $81.63/hr

As members of the Optum family of businesses, we are dedicated to helping people feel their best ... data sets, coding requests, and coordination with other clinicians * Communicates timely and ...

Registered Nurse

Marquette, MI · On-site

$28.27 - $50.48/hr

As members of the Optum family of businesses, we are dedicated to helping people feel their best ... The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time ...

Registered Nurse

Menominee, MI · On-site

$36.98 - $81.63/hr

As members of the Optum family of businesses, we are dedicated to helping people feel their best ... data sets, coding requests, and coordination with other clinicians * Communicates timely and ...

Registered Nurse

Houghton, MI · On-site

$39.18 - $58.76/hr

As members of the Optum family of businesses, we are dedicated to helping people feel their best ... data sets, coding requests, and coordination with other clinicians * Communicates timely and ...

Registered Nurse

Houghton, MI · On-site

$39.18 - $58.76/hr

As members of the Optum family of businesses, we are dedicated to helping people feel their best ... data sets, coding requests, and coordination with other clinicians * Communicates timely and ...

As members of the Optum family of businesses, we are dedicated to helping people feel their best ... The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time ...

Fulltime Optum Hcc Coding information

What is the difference between Fulltime Optum Hcc Coding vs Fulltime Medical Coder?

AspectFulltime Optum Hcc CodingFulltime Medical Coder
CertificationsHCC coding certifications, CPC or CCSCPC, CCS, or similar coding certifications
Work EnvironmentHealthcare insurance, risk adjustment, and clinical data analysisHospitals, clinics, or physician offices
Industry UsageUsed mainly in health plans and risk adjustment programsUsed across various healthcare settings for billing and documentation

Fulltime Optum Hcc Coding specialists focus on risk adjustment and HCC coding within health insurance and managed care environments, often requiring specific risk adjustment certifications. In contrast, Fulltime Medical Coders work across diverse healthcare settings, focusing on accurate billing and documentation using various coding certifications. Both roles require strong coding skills but differ in their primary focus and work environment.

What are popular job titles related to Fulltime Optum Hcc Coding jobs in Michigan? For Fulltime Optum Hcc Coding jobs in Michigan, the most frequently searched job titles are:
What job categories do people searching Fulltime Optum Hcc Coding jobs in Michigan look for? The top searched job categories for Fulltime Optum Hcc Coding jobs in Michigan are:
What cities in Michigan are hiring for Fulltime Optum Hcc Coding jobs? Cities in Michigan with the most Fulltime Optum Hcc Coding job openings:
Risk Adjustment Coding Coordinator (onsite), full time, days

Risk Adjustment Coding Coordinator (onsite), full time, days

Holland Hospital

Holland, MI • On-site

$23.30 - $34.95/hr

Full-time

Posted 15 days ago


Holland Hospital rating

6.5

Company rating: 6.5 out of 10

Based on 33 frontline employees who took The Breakroom Quiz

713th of 1,051 rated hospitals


Job description

CURRENT HOLLAND HOSPITAL EMPLOYEES- Please apply through Find Jobs from your Workday employee account.

The Coordinator will support Hierarchical Condition Category (HCC) coding risk adjustment initiatives across value-based care contracts by preparing medical records, performing documentation review, ensuring accurate capture of diagnosis codes, and educating providers. This role partners closely with providers, clinical staff, coding teams and operational leadership to optimize HCC capture and improve documentation integrity.
Qualifications:
Professional coding certification; Certified Risk Adjustment Coder (CRC) strongly preferred or required within 12 months of hire
Experience with risk adjustment programs preferred.
Prior provider education or clinical collaboration experience preferred.
Excellent communication skills for provider education and stakeholder collaboration

Employment Type: Full Time

Shift: Mon-Thrs- 8am-4:30pm Fri- 8a-12p

Weekly Scheduled Hours: 36

Wage Range: $23.30 - $34.95 per hour

Weekend Requirements: NA
Requirements:

- High school diploma/GED or higher education

-Certified Professional Coder (C-CPC)

Clinical Documentation Review & Risk Adjustment Coding

  • Prepare and manage risk adjustment visit workflows, including maintaining patient lists, diagnosis summaries, and assisting with scheduling coordination.
  • Conduct comprehensive previsit chart reviews to identify and validate ICD10-CM diagnoses that accurately represent each patient's health status.
  • Perform postvisit documentation analysis to ensure proper ICD10-CM code assignment, diagnosis specificity, and compliance with MEAT (Monitor, Evaluate, Assess, Treat) criteria.
  • Maintain uptodate knowledge of CMS risk adjustment regulations, HCC models, and clinical documentation and coding standards.
  • Support organizational value-based care goals by collaborating with Manager, Quality and clinical teams to ensure compliant risk adjustment documentation.

Provider Engagement, Education & Clinical Support

  • Serve as a clinical documentation and coding subject matter expert, supporting providers in achieving compliant and accurate risk adjustment practices.
  • Deliver ongoing education and feedback to providers and coders regarding documentation standards, diagnosis specificity, and optimal risk adjustment coding principles.
  • Identify documentation gaps or inconsistencies and communicate findings through structured, actionable feedback, including formalized documentation queries as needed.
  • Promote a culture of documentation excellence that supports quality outcomes, operational performance, and compliant value-based care delivery.

Audit, Reporting & Performance Monitoring

  • Conduct routine and targeted chart audits to assess documentation quality, coding accuracy, and HCC recapture performance.
  • Track, analyze, and report key risk adjustment performance indicators, including recapture rates, suspect condition closure, documentation accuracy, and provider-level trends.
  • Collaborate with operational leaders to integrate risk adjustment best practices into existing clinical workflows and identify opportunities for process improvement.
  • Participate in quality assurance initiatives, report findings to leadership, and support the development of corrective action plans or workflow enhancements.

Holland Hospital is an Equal Opportunity Employer, please see our EEO policy


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