Detroit, MI · On-site
COE's, P4P, Utilization Review, System Registries, Risk Adjustment, NHSN Infection control, Hospital Acquired Conditions, CMS Core Measures, CMS HCC and Coding validation. * Provides coding ...
New
Detroit, MI · On-site
COE's, P4P, Utilization Review, System Registries, Risk Adjustment, NHSN Infection control, Hospital Acquired Conditions, CMS Core Measures, CMS HCC and Coding validation. * Provides coding ...
New
Detroit, MI · On-site
COE's, P4P, Utilization Review, System Registries, Risk Adjustment, NHSN Infection control, Hospital Acquired Conditions, CMS Core Measures, CMS HCC and Coding validation. * Provides coding ...
New
Detroit, MI · On-site
COE's, P4P, Utilization Review, System Registries, Risk Adjustment, NHSN Infection control, Hospital Acquired Conditions, CMS Core Measures, CMS HCC and Coding validation. * Provides coding ...
New
Livonia, MI · Remote
$17.50 - $20/hr
Must possess extensive knowledge of ICD-10, HCPCS, CPT, and HCC guidelines, medical terminology ... Certified Professional Medical Auditor (CPMA), Certified Risk Coder (CRC), Clinical Documentation ...
Livonia, MI · Remote
$17.50 - $20/hr
Must possess extensive knowledge of ICD-10, HCPCS, CPT, and HCC guidelines, medical terminology ... Certified Professional Medical Auditor (CPMA), Certified Risk Coder (CRC), Clinical Documentation ...
Livonia, MI · On-site +1
$17.50 - $20/hr
Must possess extensive knowledge of ICD-10, HCPCS, CPT, and HCC guidelines, medical terminology ... Certified Professional Medical Auditor (CPMA), Certified Risk Coder (CRC), Clinical Documentation ...
Livonia, MI · On-site +1
$17.50 - $20/hr
Must possess extensive knowledge of ICD-10, HCPCS, CPT, and HCC guidelines, medical terminology ... Certified Professional Medical Auditor (CPMA), Certified Risk Coder (CRC), Clinical Documentation ...
Livonia, MI · Remote
$17.50 - $20/hr
Must possess extensive knowledge of ICD-10, HCPCS, CPT, and HCC guidelines, medical terminology ... Certified Professional Medical Auditor (CPMA), Certified Risk Coder (CRC), Clinical Documentation ...
Livonia, MI · Remote
$17.50 - $20/hr
Must possess extensive knowledge of ICD-10, HCPCS, CPT, and HCC guidelines, medical terminology ... Certified Professional Medical Auditor (CPMA), Certified Risk Coder (CRC), Clinical Documentation ...
Kalamazoo, MI · On-site
Completes timely and accurate documentation of all encounters in the electronic medical record (EMR) to support medical necessity, coordination of care, quality and coding standards, risk adjustment ...
Kalamazoo, MI · On-site
Completes timely and accurate documentation of all encounters in the electronic medical record (EMR) to support medical necessity, coordination of care, quality and coding standards, risk adjustment ...
... or risk adjustment department that support of the Health Plans operations which monitors and ... Code of Conduct, and leading to the Lifetime Way values and beliefs. * Maintains high regard for ...
... or risk adjustment department that support of the Health Plans operations which monitors and ... Code of Conduct, and leading to the Lifetime Way values and beliefs. * Maintains high regard for ...
... or risk adjustment department that support of the Health Plans operations which monitors and ... Code of Conduct, and leading to the Lifetime Way values and beliefs. * Maintains high regard for ...
... or risk adjustment department that support of the Health Plans operations which monitors and ... Code of Conduct, and leading to the Lifetime Way values and beliefs. * Maintains high regard for ...
... or risk adjustment department that support of the Health Plans operations which monitors and ... Code of Conduct, and leading to the Lifetime Way values and beliefs. * Maintains high regard for ...
... or risk adjustment department that support of the Health Plans operations which monitors and ... Code of Conduct, and leading to the Lifetime Way values and beliefs. * Maintains high regard for ...
Kalamazoo, MI · On-site
... and coding standards, risk adjustment accuracy, and practice metrics. • Participates in the on-call schedule per on-call policy, providing telephone management and visits as needed. Essential ...
Kalamazoo, MI · On-site
... and coding standards, risk adjustment accuracy, and practice metrics. • Participates in the on-call schedule per on-call policy, providing telephone management and visits as needed. Essential ...
Kalamazoo, MI · On-site
... and coding standards, risk adjustment accuracy, and practice metrics. • Participates in the on-call schedule per on-call policy, providing telephone management and visits as needed. Essential ...
Kalamazoo, MI · On-site
... and coding standards, risk adjustment accuracy, and practice metrics. • Participates in the on-call schedule per on-call policy, providing telephone management and visits as needed. Essential ...
Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and address care gaps related to HEDIS and preventative care. * Presents patient cases and provides ...
Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and address care gaps related to HEDIS and preventative care. * Presents patient cases and provides ...
Kalamazoo, MI · On-site
... and coding standards, risk adjustment accuracy, and practice metrics. • Participates in the on-call schedule per on-call policy, providing telephone management and visits as needed. Essential ...
Kalamazoo, MI · On-site
... and coding standards, risk adjustment accuracy, and practice metrics. • Participates in the on-call schedule per on-call policy, providing telephone management and visits as needed. Essential ...
Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and address care gaps related to HEDIS and preventative care. * Presents patient cases and provides ...
Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and address care gaps related to HEDIS and preventative care. * Presents patient cases and provides ...
Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and address care gaps related to HEDIS and preventative care. * Presents patient cases and provides ...
Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and address care gaps related to HEDIS and preventative care. * Presents patient cases and provides ...
Jackson, MI · On-site
Analyze risk through HCC/ICD10 coding and patient assessments to develop performance improvement strategies * Collaborate with coding specialists and healthcare providers to improve documentation ...
Jackson, MI · On-site
Analyze risk through HCC/ICD10 coding and patient assessments to develop performance improvement strategies * Collaborate with coding specialists and healthcare providers to improve documentation ...
$34.50 - $46.25/hr
Proven applicable CPT and ICD-10 coding experience; APR-DRG, MS-DRG and HCC assignment * Other ... risk adjustment * Has strong interpersonal skills to collaborate with clinicians, physicians, NP ...
$34.50 - $46.25/hr
Proven applicable CPT and ICD-10 coding experience; APR-DRG, MS-DRG and HCC assignment * Other ... risk adjustment * Has strong interpersonal skills to collaborate with clinicians, physicians, NP ...
Kalamazoo, MI · On-site
... codes (e.g., CPT 99490, 99439, 99487, 99489, 99424-99427). • Develops, implements, and ... quality reporting, risk adjustment data integrity, and compliant billing of care management ...
Kalamazoo, MI · On-site
... codes (e.g., CPT 99490, 99439, 99487, 99489, 99424-99427). • Develops, implements, and ... quality reporting, risk adjustment data integrity, and compliant billing of care management ...
Kalamazoo, MI · On-site
... codes (e.g., CPT 99490, 99439, 99487, 99489, 99424-99427). • Develops, implements, and ... quality reporting, risk adjustment data integrity, and compliant billing of care management ...
Kalamazoo, MI · On-site
... codes (e.g., CPT 99490, 99439, 99487, 99489, 99424-99427). • Develops, implements, and ... quality reporting, risk adjustment data integrity, and compliant billing of care management ...
Kalamazoo, MI · On-site
... codes (e.g., CPT 99490, 99439, 99487, 99489, 99424-99427). • Develops, implements, and ... quality reporting, risk adjustment data integrity, and compliant billing of care management ...
Kalamazoo, MI · On-site
... codes (e.g., CPT 99490, 99439, 99487, 99489, 99424-99427). • Develops, implements, and ... quality reporting, risk adjustment data integrity, and compliant billing of care management ...
To thrive as an HCC Risk Adjustment Coder, you need a strong understanding of medical coding guidelines, ICD-10-CM codes, and risk adjustment principles, typically supported by a certification such as CPC, CRC, or CCS-P. Familiarity with electronic health record systems and risk adjustment software is essential for accurate coding and data analysis. Attention to detail, critical thinking, and effective communication skills are important soft skills for ensuring documentation integrity and collaborating with healthcare providers. These competencies are crucial to accurately capture patient complexity, optimize reimbursement, and support compliance in healthcare organizations.
HCC Risk Adjustment Coders often face challenges such as interpreting complex medical records, staying up-to-date with evolving coding guidelines, and ensuring thorough documentation to support accurate risk scoring. To overcome these challenges, coders should engage in continuous education, collaborate closely with healthcare providers for clarification, and utilize available coding resources and team support. Staying organized and maintaining a detail-oriented approach will also help ensure that codes are assigned correctly and all relevant conditions are captured. Working as part of a supportive team can further ease the process, providing opportunities for knowledge sharing and professional development.
An HCC Risk Adjustment Coding job involves reviewing medical records to assign Hierarchical Condition Category (HCC) codes based on documented diagnoses. Coders ensure accurate risk adjustment by following ICD-10-CM coding guidelines, which impact reimbursement for healthcare providers and insurance plans. This role requires knowledge of medical terminology, compliance regulations, and risk adjustment models used in Medicare Advantage and other programs.
The most popular types of Hcc Risk Adjustment Coding jobs in Michigan are:
For Hcc Risk Adjustment Coding jobs in Michigan, the most frequently searched job titles are:
The top searched job categories for Hcc Risk Adjustment Coding jobs in Michigan are:
Detroit, MI • On-site
Full-time
Posted 2 days ago
New
7.0
Based on 565 frontline employees who took The Breakroom Quiz
414th of 887 rated healthcare providers
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Henry Ford Health provides a full continuum of services from Primary and Preventative care, to Complex and Cpecialty care, Health Insurance, a full suite of home health offerings, Virtual care, Pharmacy, Eye care and other Healthcare retail. It is one of the Nation’s leading Academic Medical Centers, recognized for Clinical excellence in Cancer care, Cardiology and Cardiovascular Surgery, Neurology and Neurosurgery, Orthopedics and Sports medicine, and Multi organ transplants. Consistently ranked among the top five NIH funded institutions in Michigan, Henry Ford Health engages in more than 2,000 research projects annually. Equally committed to educating the next generation of Health Professionals, Henry Ford Health trains more than 4,000 Medical students, Residents and fellows every year across 50+ accredited programs. With more than 33,000 valued team members, Henry Ford Health is also among Michigan’s largest and most Diverse employers, including nearly 6,000 physicians and researchers from the Henry Ford Medical Group, Henry Ford Physician Network and Jackson Health Network.
Health care and social assistance
10,000+ Employees
Detroit, MI, US
1915
