Hcc Risk Adjustment Coding Jobs in California (NOW HIRING)

Document risk adjustment (HCC coding) during patient visits * Close HEDIS care gaps during visits * Review medical history, medications, and preventive needs * Document visits using ICD-10 and CPT II ...

Knowledge of HCC risk adjustment, RAF methodologies, capitation payment model, DOFR, claim processing, bid design, and CMS regulatory requirements. * Experience analyzing pharmacy adherence metrics ...

Maintain accurate, timely EHR documentation utilizing appropriate HCC risk-adjustment coding guidelines. Ensure compliance with California practice acts, including maintaining standard written ...

Maintain accurate, timely EHR documentation utilizing appropriate HCC risk-adjustment coding guidelines. Ensure compliance with California practice acts, including maintaining standard written ...

Knowledge of HCC risk adjustment, RAF methodologies, capitation payment model, DOFR, claim processing, bid design, and CMS regulatory requirements. * Experience analyzing pharmacy adherence metrics ...

Maintain accurate, timely EHR documentation utilizing appropriate HCC risk-adjustment coding guidelines. Ensure compliance with California practice acts, including maintaining standard written ...

Maintain accurate, timely EHR documentation utilizing appropriate HCC risk-adjustment coding guidelines. Ensure compliance with California practice acts, including maintaining standard written ...

Key Responsibilities Risk Adjustment & Coding Support * Support the implementation and ongoing management of risk adjustment programs across business lines to promote accurate and compliant coding ...

Working knowledge of medical coding (ICD-10, CPT, HCPCS, HCC risk adjustment) and provider enrollment / credentialing processes (CAQH, SB 137, payer revalidation) sufficient to supervise these ...

Working knowledge of medical coding (ICD-10, CPT, HCPCS, HCC risk adjustment) and provider enrollment / credentialing processes (CAQH, SB 137, payer revalidation) sufficient to supervise these ...

Working knowledge of medical coding (ICD-10, CPT, HCPCS, HCC risk adjustment) and provider enrollment / credentialing processes (CAQH, SB 137, payer revalidation) sufficient to supervise these ...

Conduct Risk Adjustment Data Validation (RADV) audits as requested by HCC Manager. * Orient ... Certified Professional Coder (CPC). Must maintain certification * Completion of anatomy course ...

Active Registered Nurse (RN) license. * 3+ years of experience in Clinical Documentation Integrity, Risk Adjustment, HCC Coding, or Documentation Improvement. Preferred: * NP license. Benefits

Certification(s) Certification in Coding, Billing, or Risk Adjustment Coding (e.g., CPC, CRC, CCS or equivalent) preferred. Skills, Knowledge & Abilities Knowledge of Risk Adjustment principles ...

Certification(s) Certification in Coding, Billing, or Risk Adjustment Coding (e.g., CPC, CRC, CCS or equivalent) preferred. Skills, Knowledge & Abilities · Knowledge of Risk Adjustment principles ...

Experience with HCC risk adjustment and outpatient CDI programs. * Background in RN , RHIA , CCS , or similar clinical or coding credential. * Familiarity with AI-assisted CDI tools (e.g., Nuance DAX ...

Certification(s) Certification in Coding, Billing, or Risk Adjustment Coding (e.g., CPC, CRC, CCS or equivalent) preferred. Skills, Knowledge & Abilities • Knowledge of Risk Adjustment principles ...

Support HCC risk adjustment through accurate chronic condition documentation* Perform medication reconciliation and patient health assessments* Develop and manage individualized patient care plans*

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 ...

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 ...