Hcc Risk Adjustment Coding Jobs in Florida (NOW HIRING)

... Risk Adjustment Specialist. ESSENTIAL JOB FUNCTIONS: * Reviews medical record and claims ... HCC & HHS-HCC) models * Abstract all risk adjusted diagnosis codes from acceptable provider ...

The Associate, Risk Adjustment Auditor conducts internal and external quality audits ... Quality audits are specific to ICD-10 code abstraction relative to accuracy, completeness, and ...

... HCC risk adjustment model Ability to meet productivity and accuracy standards Ability to defend coding decisions to both internal and external audits Qualifications A High School or GED Required 2+ ...

... and HCC (Hierarchical Condition Category) and ICD-10 coding practices. * As a subject matter expert and preceptor, provides on-going supervision, education and training of risk adjustment team ...

... HCC/risk adjustment, CMI and the impact of clinical documentation/coding in relation to these metrics. - Excellent computer skills with prior exposure to use of Microsoft Office suite Position ...

... coding, medical terminology, human anatomy and physiology, clinical indicators associated with disease processes and pharmacology is required * Subject matter expertise on the CMS HCC Risk Adjustment ...

Centrum Health's Sr. Manager of Risk Adjustment and Quality will be responsible for managing a team of Risk Adjustment Coders, HEDIS specialists, Billers, and Auditors to maintain daily billing and ...

Centrum Health's Sr. Manager of Risk Adjustment and Quality will be responsible for managing a team of Risk Adjustment Coders, HEDIS specialists, Billers, and Auditors to maintain daily billing and ...

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 ...

Utilize EMR systems for precise clinical documentation and coding to ensure compliance with risk ... Familiarity with HCC risk adjustment and quality reporting. * Strong interpersonal skills and a ...

Monitor the performance of the Risk Adjustment Operations both internally and with coding vendors. * Provides expertise as it relates to coding compliance for new and existing services, while ...

... Medicare Risk Adjustment, Medical Coding and Billing compliance, Healthcare auditing of ... Special Training: Hierarchical Condition Category (HCC), Medical Loss Ratio (MLR), Risk ...

... Medicare Risk Adjustment, Medical Coding and Billing compliance, Healthcare auditing of ... Special Training: Hierarchical Condition Category (HCC), Medical Loss Ratio (MLR), Risk ...

As the Director of Medical Risk Adjustment (MRA) and Clinical Documentation , you will play a key leadership role in shaping and executing Valora's coding and documentation strategy. This is a hands ...

As the Director of Medical Risk Adjustment (MRA) and Clinical Documentation , you will play a key leadership role in shaping and executing Valora's coding and documentation strategy. This is a hands ...

Certified Risk Adjustment Coder (HCC coding) * Experience with practice transformation or process improvement * Familiarity with Patient-Centered Medical Home models * Knowledge of MIPS, Promoting ...

Certified Risk Adjustment Coder (HCC coding) * Experience with practice transformation or process improvement * Familiarity with Patient-Centered Medical Home models * Knowledge of MIPS, Promoting ...

Certified Risk Adjustment Coder (HCC coding) * Experience with practice transformation or process improvement * Familiarity with Patient-Centered Medical Home models * Knowledge of MIPS, Promoting ...

Certified Risk Adjustment Coder (HCC coding) * Experience with practice transformation or process improvement * Familiarity with Patient-Centered Medical Home models * Knowledge of MIPS, Promoting ...

Ongoing training in risk adjustment coding and Medicare quality programs (e.g., STARS) * Light call schedule (approximately 1 week every 6 weeks) Key Responsibilities * Provide comprehensive primary ...