Yale, MI · On-site +1
$24.25 - $27.50/hr
Current Saint Francis Employees - Please click HERE to login and apply. Full Time Days This ... Hierarchical Condition Categories (HCC) experience, preferred. Knowledge, Skills and Abilities:
Yale, MI · On-site +1
$24.25 - $27.50/hr
Current Saint Francis Employees - Please click HERE to login and apply. Full Time Days This ... Hierarchical Condition Categories (HCC) experience, preferred. Knowledge, Skills and Abilities:
Detroit, MI · On-site
$27 - $30.75/hr
You'll be the go-to resource for local, state, and federal coding guidelines, sharing insights on NCCI Edits, ICD-10CM, CPT, HCC, and compliance standards. • Empower through Education: Develop and ...
Detroit, MI · On-site
$27 - $30.75/hr
You'll be the go-to resource for local, state, and federal coding guidelines, sharing insights on NCCI Edits, ICD-10CM, CPT, HCC, and compliance standards. • Empower through Education: Develop and ...
Livonia, MI · On-site +1
$25.25 - $28.75/hr
... ICD 10, HCPCS, HCC and payer specific-specific guidelines. * Analyze documentation and coding ... FT/PT Benefit eligible Roles: **0.5 FTE (20 hours weekly) up to 1.0 FTE (40 hours weekly) Position ...
Livonia, MI · On-site +1
$25.25 - $28.75/hr
... ICD 10, HCPCS, HCC and payer specific-specific guidelines. * Analyze documentation and coding ... FT/PT Benefit eligible Roles: **0.5 FTE (20 hours weekly) up to 1.0 FTE (40 hours weekly) Position ...
You'll manage and inspire a skilled CDI team, collaborate directly with physicians and clinical leaders, and serve as the organization's expert on documentation standards, coding compliance, HCC/Risk ...
You'll manage and inspire a skilled CDI team, collaborate directly with physicians and clinical leaders, and serve as the organization's expert on documentation standards, coding compliance, HCC/Risk ...
The Supervisor utilizes knowledge of national coding guidelines (ICD-10), CPT, Hierarchical Condition Categories (HCC), standards of compliance, and clinical knowledge to identify opportunities and ...
The Supervisor utilizes knowledge of national coding guidelines (ICD-10), CPT, Hierarchical Condition Categories (HCC), standards of compliance, and clinical knowledge to identify opportunities and ...
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 ...
Quick apply
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 ...
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 ...
Quick apply
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 ...
Three Rivers, MI · On-site
$16 - $18/hr
... HCC). * Restocks medication cart after all medication passes. * Assists in checking medication ... EOE D/V JOB CODE: 1003279
Three Rivers, MI · On-site
$16 - $18/hr
... HCC). * Restocks medication cart after all medication passes. * Assists in checking medication ... EOE D/V JOB CODE: 1003279
Hazel Park, MI · On-site
$126K - $148K/yr
Oak Street Health Location: 1142 E 9 Mile Rd, Hazel Park, MI 48030 Hours: Full-time, Monday-Friday ... Understands HCC (Hierarchical Condition Categories) documentation, ICD-10 (International ...
Hazel Park, MI · On-site
$126K - $148K/yr
Oak Street Health Location: 1142 E 9 Mile Rd, Hazel Park, MI 48030 Hours: Full-time, Monday-Friday ... Understands HCC (Hierarchical Condition Categories) documentation, ICD-10 (International ...
Lansing, MI · On-site
$129K - $148K/yr
Oak Street Health Location: 3022 S Martin Luther King Jr Blvd, Lansing, MI Hours: Full-time, Monday ... Understands HCC (Hierarchical Condition Categories) documentation, ICD-10 (International ...
Lansing, MI · On-site
$129K - $148K/yr
Oak Street Health Location: 3022 S Martin Luther King Jr Blvd, Lansing, MI Hours: Full-time, Monday ... Understands HCC (Hierarchical Condition Categories) documentation, ICD-10 (International ...
Lansing, MI · On-site
$87K - $187K/yr
Oak Street Health Location: 3022 S Martin Luther King Jr Blvd, Lansing, MI Hours: Full-time, Monday ... Understands HCC (Hierarchical Condition Categories) documentation, ICD-10 (International ...
Lansing, MI · On-site
$87K - $187K/yr
Oak Street Health Location: 3022 S Martin Luther King Jr Blvd, Lansing, MI Hours: Full-time, Monday ... Understands HCC (Hierarchical Condition Categories) documentation, ICD-10 (International ...
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 ...
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 ...
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 ...
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 ...
$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 ...
$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 ...
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 ...
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 ...
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 ...
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 ...
$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 ...
$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 ...
$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 ...
$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 ...
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 ...
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 ...
| Aspect | Fulltime Optum Hcc Coding | Fulltime Medical Coder |
|---|---|---|
| Certifications | HCC coding certifications, CPC or CCS | CPC, CCS, or similar coding certifications |
| Work Environment | Healthcare insurance, risk adjustment, and clinical data analysis | Hospitals, clinics, or physician offices |
| Industry Usage | Used mainly in health plans and risk adjustment programs | Used 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.
$24.25 - $27.50/hr
Full-time
Posted 5 days ago
Current Saint Francis Employees - Please click HERE to login and apply.
Full TimeDaysThis position is eligible for remote for qualified candidates.
Job Summary: The Coding Auditor performs coding audits to assure compliance with Corporate Compliance Plan standards. This role develops, coordinates, and implements clinic wide education for coding and billing issues while serving as a resource to physicians, office staff, management and patients for coding and billing issues. Additionally, this role coordinates successful response to regulatory bodies and insurance companies for medical record reviews and audits.
Minimum Education: High School Diploma or GED. Bachelor's degree in Healthcare Administration or Business Administration, preferred.
Licensure, Registration and/or Certification: Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA).
Work Experience: Minimum 3 years of hospital or physician auditing experience with 1 year of hospital or physician coding experience. Hierarchical Condition Categories (HCC) experience, preferred.
Knowledge, Skills and Abilities: Computer skills, including use of Electronic Health Records, auditing, and coding software. Demonstrated ability to audit Current Procedural Terminology (CPT) and Interventional Classification of Diseases, Tenth Revision (ICD-10) coding related to charting and billing utilizing knowledge obtained by coursework with subsequent certification and/or sufficient specialized, related experience to demonstrate advanced knowledge of coding to perform audits.Effective interpersonal, oral and written communication skills. Ability to organize and prioritize work in an efficient and effective manner to achieve goals. Uses good judgment in determining documentation sufficiency and how to best educate physicians and other providers of opportunities for improvement. Demonstrated understanding of complexities of office workflow and billing requirements.Ability to be an engaged team member and to provide value added service to all. Demonstrates flexibility in accomplishing challenging assignments.
Essential Functions and Responsibilities: Conducts coding audits of documentation of physicians and non-physician practitioners to assure compliance with documentation guidelines and the appropriate selection of CPT procedure codes and ICD-10 diagnosis codes. Communicates results of audit findings with manager, physicians, and medical director. Develops and delivers coding education specific to the needs of the requesting physicians and office staff. Collaborates to resolve patient complaints due to coding issues and in assurance of payment for services of denied services due to coding issues. Assists in review and analysis of documentation requests for audits performed by external regulatory bodies and insurance companies.
Decision Making: The carrying out of non-routine procedures under constantly changing conditions, in conformance with general instructions from a supervisor.
Working Relationships: Works with internal and/or external customers via telephone or face to face interaction. Works with other healthcare professionals and staff.
Special Job Dimensions: None.
Supplemental Information: This document generally describes the essential functions of the job and the physical demands required to perform the job.This compilation of essential functions and physical demands is not all inclusive nor does it prohibit the assignment of additional duties.
Corporate Compliance - Yale CampusLocation:
Tulsa, Oklahoma 74136EOE Protected Veterans/Disability
