HIM Coder - Professional
Portsmouth, OH · On-site
Must apply HCC/risk coding concepts to ensure the appropriate risk score is assigned to each patient. Must understand the basic ICD-10 diagnosis and CPT procedure coding rules and guidelines.
Portsmouth, OH · On-site
Must apply HCC/risk coding concepts to ensure the appropriate risk score is assigned to each patient. Must understand the basic ICD-10 diagnosis and CPT procedure coding rules and guidelines.
Portsmouth, OH · On-site
Must apply HCC/risk coding concepts to ensure the appropriate risk score is assigned to each patient. Must understand the basic ICD-10 diagnosis and CPT procedure coding rules and guidelines.
Keeps informed of HCC coding regulations and manages the HCC workflow within the department alongside the Care Transformation team. * Successfully leads and mentors the team, provides coding ...
Keeps informed of HCC coding regulations and manages the HCC workflow within the department alongside the Care Transformation team. * Successfully leads and mentors the team, provides coding ...
Anaheim, CA · Hybrid
$183K - $217K/yr
Joseph Heritage Medical Group is seeking a full-time Administrative Family Medicine nurse practitioner to join the Risk Adjustment and HCC Coding Department in Anaheim, California. In addition ...
New
Anaheim, CA · Hybrid
$183K - $217K/yr
Joseph Heritage Medical Group is seeking a full-time Administrative Family Medicine nurse practitioner to join the Risk Adjustment and HCC Coding Department in Anaheim, California. In addition ...
New
$18 - $23.75/hr
Validate the accuracy and completeness of HCC documentation and coding. 2. Advanced Documentation Improvement & Education: Analyze clinical documentation across the network to identify patterns ...
$18 - $23.75/hr
Validate the accuracy and completeness of HCC documentation and coding. 2. Advanced Documentation Improvement & Education: Analyze clinical documentation across the network to identify patterns ...
Anaheim, CA · Hybrid
$183K - $217K/yr
Joseph Heritage Medical Group is seeking a full-time Administrative Family Medicine nurse practitioner to join the Risk Adjustment and HCC Coding Department in Anaheim, California. In addition ...
New
Anaheim, CA · Hybrid
$183K - $217K/yr
Joseph Heritage Medical Group is seeking a full-time Administrative Family Medicine nurse practitioner to join the Risk Adjustment and HCC Coding Department in Anaheim, California. In addition ...
New
Alhambra, CA · Hybrid
$22 - $26/hr
Additional experience with HCC coding preferred * Our organization follows a hybrid work structure where the expectation is to work both in office and at home on a weekly basis. The office is located ...
Alhambra, CA · Hybrid
$22 - $26/hr
Additional experience with HCC coding preferred * Our organization follows a hybrid work structure where the expectation is to work both in office and at home on a weekly basis. The office is located ...
Houston, TX · On-site +1
$25.30 - $35.74/hr
Validate the accuracy and completeness of HCC documentation and coding. 2. Advanced Documentation Improvement & Education: Analyze clinical documentation across the network to identify patterns ...
Houston, TX · On-site +1
$25.30 - $35.74/hr
Validate the accuracy and completeness of HCC documentation and coding. 2. Advanced Documentation Improvement & Education: Analyze clinical documentation across the network to identify patterns ...
Anaheim, CA · On-site
$183K - $217K/yr
Joseph Heritage Medical Group is seeking a full-time Administrative Family Medicine nurse practitioner to join the Risk Adjustment and HCC Coding Department in Anaheim, California. In addition ...
New
Anaheim, CA · On-site
$183K - $217K/yr
Joseph Heritage Medical Group is seeking a full-time Administrative Family Medicine nurse practitioner to join the Risk Adjustment and HCC Coding Department in Anaheim, California. In addition ...
New
$25.30 - $35.74/hr
Validate the accuracy and completeness of HCC documentation and coding. 2. Advanced Documentation Improvement & Education: Analyze clinical documentation across the network to identify patterns ...
$25.30 - $35.74/hr
Validate the accuracy and completeness of HCC documentation and coding. 2. Advanced Documentation Improvement & Education: Analyze clinical documentation across the network to identify patterns ...
$15.50 - $20.50/hr
Risk adjustment, HCC coding experience, awareness and/or demonstrated knowledge. * Experienced with CMS Medicare Advantage Risk Adjustment Data Validation * Prior medical chart auditing and quality ...
Quick apply
$15.50 - $20.50/hr
Risk adjustment, HCC coding experience, awareness and/or demonstrated knowledge. * Experienced with CMS Medicare Advantage Risk Adjustment Data Validation * Prior medical chart auditing and quality ...
$25.30 - $35.74/hr
Validate the accuracy and completeness of HCC documentation and coding. 2. Advanced Documentation Improvement & Education: Analyze clinical documentation across the network to identify patterns ...
$25.30 - $35.74/hr
Validate the accuracy and completeness of HCC documentation and coding. 2. Advanced Documentation Improvement & Education: Analyze clinical documentation across the network to identify patterns ...
New Haven, CT · On-site
$35 - $47/hr
The HCC Documentation Lead will serve as a partner and subject matter expert on HCC coding and documentation for clinicians who are a part of our Clinically Integrated Network (CIN), Yale New Haven ...
New Haven, CT · On-site
$35 - $47/hr
The HCC Documentation Lead will serve as a partner and subject matter expert on HCC coding and documentation for clinicians who are a part of our Clinically Integrated Network (CIN), Yale New Haven ...
Los Angeles, CA · On-site
$71K - $105K/yr
Collaborate with physicians and interdisciplinary teams to clarify documentation and support accurate diagnosis coding (HCC coding). * Educate healthcare providers on clinical documentation best ...
New
Quick apply
Los Angeles, CA · On-site
$71K - $105K/yr
Collaborate with physicians and interdisciplinary teams to clarify documentation and support accurate diagnosis coding (HCC coding). * Educate healthcare providers on clinical documentation best ...
New
They will become experts in HCC-based risk adjustment (prior experience preferred, but not ... risk coding and adjustment. What are the categories of diseases that matter, and what are the ...
They will become experts in HCC-based risk adjustment (prior experience preferred, but not ... risk coding and adjustment. What are the categories of diseases that matter, and what are the ...
New Haven, CT · On-site
$35 - $47/hr
The HCC Documentation Lead will serve as a partner and subject matter expert on HCC coding and documentation for clinicians who are a part of our Clinically Integrated Network (CIN), Yale New Haven ...
New Haven, CT · On-site
$35 - $47/hr
The HCC Documentation Lead will serve as a partner and subject matter expert on HCC coding and documentation for clinicians who are a part of our Clinically Integrated Network (CIN), Yale New Haven ...
Nashville, TN · On-site
Keeps informed of HCC coding regulations and manages the HCC workflow within the department alongside the Care Transformation team. * Successfully leads and mentors the team, provides coding ...
Nashville, TN · On-site
Keeps informed of HCC coding regulations and manages the HCC workflow within the department alongside the Care Transformation team. * Successfully leads and mentors the team, provides coding ...
$25.30 - $35.74/hr
Validate the accuracy and completeness of HCC documentation and coding. 2. Advanced Documentation Improvement & Education: Analyze clinical documentation across the network to identify patterns ...
$25.30 - $35.74/hr
Validate the accuracy and completeness of HCC documentation and coding. 2. Advanced Documentation Improvement & Education: Analyze clinical documentation across the network to identify patterns ...
Job Summary The risk coding specialist will help providers to implement coding guidelines and ... They will become experts in HCC-based risk adjustment (prior experience preferred, but not ...
Job Summary The risk coding specialist will help providers to implement coding guidelines and ... They will become experts in HCC-based risk adjustment (prior experience preferred, but not ...
Monterey Park, CA · Hybrid
$22 - $26/hr
Additional experience with HCC coding preferred Environmental Job Requirements and Working Conditions * Our organization follows a hybrid work structure where the expectation is to work both in ...
Quick apply
Monterey Park, CA · Hybrid
$22 - $26/hr
Additional experience with HCC coding preferred Environmental Job Requirements and Working Conditions * Our organization follows a hybrid work structure where the expectation is to work both in ...
Knoxville, TN · On-site
$15.50 - $20.50/hr
Risk adjustment, HCC coding experience, awareness and/or demonstrated knowledge. * Experienced with CMS Medicare Advantage Risk Adjustment Data Validation * Prior medical chart auditing and quality ...
Knoxville, TN · On-site
$15.50 - $20.50/hr
Risk adjustment, HCC coding experience, awareness and/or demonstrated knowledge. * Experienced with CMS Medicare Advantage Risk Adjustment Data Validation * Prior medical chart auditing and quality ...
$18.33 is the 25th percentile. Wages below this are outliers.
$15.87 - $18.38
26% of jobs
$18.38 - $20.89
9% of jobs
$20.89 - $23.40
12% of jobs
The median wage is $24.66 / hr.
$23.40 - $25.92
9% of jobs
$25.92 - $28.43
11% of jobs
$28.43 - $30.94
5% of jobs
$32.83 is the 75th percentile. Wages above this are outliers.
$30.94 - $33.46
6% of jobs
$33.46 - $35.97
5% of jobs
$35.97 - $38.48
5% of jobs
$38.48 - $41
3% of jobs
$41 - $43.51
10% of jobs
$15
$27
$43
| Aspect | Hcc Coding | Medical Coding |
|---|---|---|
| Required Credentials | Certification (e.g., CPC, CCS), specialized training in HCC | Certification (e.g., CPC, CCS), general medical coding training |
| Work Environment | Healthcare facilities, insurance companies, risk adjustment teams | Hospitals, clinics, physician offices, insurance companies |
| Industry Usage | Risk adjustment, Medicare Advantage, Medicaid | Billing, reimbursement, medical record management |
| Search & Comparison Intent | Hcc Coding vs Medical Coding | Medical Coding |
Hcc Coding focuses on risk adjustment and insurance reimbursement, requiring specialized knowledge of Hierarchical Condition Categories. Medical Coding covers a broader range of medical billing and record-keeping tasks. While both roles involve coding, Hcc Coding is more specialized for insurance and risk management, whereas Medical Coding is essential for general healthcare billing and documentation.

Full-time
Re-posted 9 days ago
Current Employees: If you are currently employed at SOMC please log into UKG Pro to use the internal application process.
Department: Health Information Management
Shift/schedule: Full Time (40 hrs/wk)
GENERAL SUMMARY
Works under the supervision of the HIM Manager (Operations & Auditing). The primary function of the HIM Coder - Professional is to code and charge medical office visits for professional claims. Must be able to review and edit charges in Meditech as well as review leveling criteria for E/M charging accuracy, charge for procedures and other billable services provided in the clinic/office setting. Must be able to code ICD-10 diagnoses and CPT codes while ensuring they are assigned correctly and sequenced appropriately. Must apply HCC/risk coding concepts to ensure the appropriate risk score is assigned to each patient. Must understand the basic ICD-10 diagnosis and CPT procedure coding rules and guidelines. Performs other duties as assigned.
QUALIFICATIONS
Education:
Licensure:
Experience:
JOB SPECIFIC DUTIES AND PERFORMANCE EXPECTATIONS
The following is a summary of the major job duties of this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time.
1. Confirms, verifies and adds charges as necessary for reimbursable high dollar supplies and ensures that documentation supports the charges captured on professional claims.
2. Determines sequence of diagnoses according to set guidelines for professional coding, including HCC coding guidelines and determines E/M level based on published criteria, accuracy of CPT procedure codes and other services provided in the professional office.
3. Understands the human anatomy, physiology, pharmacology and medical terminology to assure coding and charging accuracy on professional claims.
4. Assigns and abstracts codes from outpatient orders and electronic records to HDM after confirming the validity of the code in the code finder as well as reviewing confirmed test results for the most accurate code assignment.
5. Assists with denial management of professional denial that are coding or charging related.
6. Maintains productivity and quality standards as set per work type comparable to national averages and benchmarks.
7. Maintains a passing score on the annual HIM 'professional' coding competency test at 80% or higher that includes HCC coding rules and guidelines.
8. Assists in Meditech ambulatory registrations.
9. Performs other duties as assigned.
Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions of the position in accordance with applicable law. A full job description is available upon request.
Thank you for your interest in Southern Ohio Medical Center. Once you have applied, the most updated information on the status of your application can be found by visiting the candidate Home section of this site. Please view your submitted applications by logging in and reviewing your status
Southern Ohio Medical Center is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to age, ancestry, color, disability, ethnicity, gender identity, or expression, genetic information, military status, national origin, race, religion, sex, gender, sexual orientation, pregnancy, protected veteran status or any other basis under the law.
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Health care and social assistance
1,001 - 5,000 Employees
Portsmouth, OH, US
1954