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Hcc Risk Adjustment Medical Coder Jobs in Colorado

Alpine Physician Partners

Physician

Denver, CO

... risk adjustment coding education, population health management, data and analytics, specialist ... CU Medical students and Regis APP students keep physicians' teaching skills sharp. * We are known ...

Alpine Physician Partners

Anesthesiology Physician

Denver, CO · On-site

$411K/yr

... risk adjustment coding education, population health management, data and analytics, specialist ... CU Medical students and Regis APP students keep physicians' teaching skills sharp. * We are known ...

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Hcc Risk Adjustment Medical Coder information

What are HCC Risk Adjustment Medical Coders?

HCC Risk Adjustment Medical Coders are professionals who review and analyze medical records to assign appropriate ICD-10 codes for diagnoses and procedures. Their primary goal is to ensure accurate documentation for Hierarchical Condition Category (HCC) risk adjustment, which affects healthcare reimbursement and quality reporting for Medicare Advantage and other risk-based programs. These coders play a critical role in helping healthcare organizations receive appropriate payments and in supporting high-quality patient care by ensuring that all relevant health conditions are properly documented.

What is the difference between Hcc Risk Adjustment Medical Coder vs Medical Coder?

AspectHcc Risk Adjustment Medical CoderMedical Coder
CertificationsCertified Professional Coder (CPC), Certified Risk Adjustment Coder (CRC)Certified Professional Coder (CPC), Certified Coding Associate (CCA)
Work EnvironmentHealthcare facilities, insurance companies, risk adjustment teamsHospitals, clinics, physician offices
Industry UsageHealth plans, Medicare Advantage, MedicaidHospitals, outpatient clinics, physician practices

The main difference between an Hcc Risk Adjustment Medical Coder and a Medical Coder lies in their focus. Hcc Risk Adjustment Medical Coders specialize in risk adjustment coding for health plans, requiring knowledge of HCC models and risk scores. Medical Coders generally focus on clinical coding for billing and documentation across various healthcare settings. While both roles require coding certifications, Hcc Risk Adjustment Medical Coders have additional expertise in risk models and insurance industry standards.

What are some common challenges faced by HCC Risk Adjustment Medical Coders, and how can they be addressed?

HCC Risk Adjustment Medical Coders often encounter challenges such as interpreting complex patient records, keeping up with frequent updates to coding guidelines, and ensuring accurate capture of diagnoses for risk adjustment. To address these, coders benefit from strong attention to detail, regular training on ICD-10 and CMS risk adjustment updates, and effective communication with providers to clarify clinical documentation. Many coders also collaborate with auditing teams to resolve discrepancies and ensure compliance with regulatory standards, which helps maintain coding accuracy and data integrity.

What are the key skills and qualifications needed to thrive as an HCC Risk Adjustment Medical Coder, and why are they important?

To thrive as an HCC Risk Adjustment Medical Coder, you need a thorough understanding of ICD-10-CM coding, risk adjustment models, and healthcare regulations, typically supported by a coding certification such as CPC, CRC, or CCS. Proficiency with electronic health record (EHR) systems, coding software, and data analytics tools is essential for accurate documentation and reporting. Attention to detail, analytical thinking, and strong communication skills help coders interpret clinical documentation and collaborate with providers. These skills ensure accurate risk adjustment coding, which directly impacts healthcare reimbursement and compliance.
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Hcc Risk Adjustment Medical Coder jobs near you

Physician

Alpine Physician Partners

Colorado Springs, CO

Full-time

Posted 23 days ago

Job description

Job Description:

Job Description

Colorado Physician Partners, PLLC is looking for a Primary Care Physician to join our clinic in Colorado Springs, Colorado, one of 12 clinics in an independent private practice in the Colorado Springs area.

Our practice is a member of the independent practice association (IPA), PHPprime. PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health management, data and analytics, specialist network management and large group contracting.

Aboutour clinics:

  • Independent, outpatient private practices within the Denver area

  • The team is made up of Providers and support staff, as well as a social worker and an RN/patient educator, who are care coordinators. Most of our practices also have mental health support

  • This practice is an active participant in the largest IPA in Colorado and physicians have clinical faculty appointments with the University of Colorado. CU Medical students and Regis APP students keep physicians' teaching skills sharp.

  • We are known as the "go-to" group in the area for complex patients needing the very best medical care. The physicians' clinical excellence has earned maximum scores/bonuses with CPC+ and the practices look forward to continued high performance.

  • Practice are located off a major commuting/shopping artery in excellent payer-mix zip codes

If interested in relocating to the Colorado Springs area, please apply! We would love to have you
Qualified Candidates:

  • Board eligible/board certified in either Internal Medicine or Family Medicine

  • Supervisory skills and interest in working with advanced practice providers

  • Geriatric fellowship training or medicine subspecialty interests are welcome

About Us: Colorado Physician Partners (CP2) is an exceptional group of independent primary care practices in Colorado focused on offering comprehensive individual and family care to the community. Our providers work collaboratively to share best practices and create innovative solutions for improved quality of care. Join our team and grow your career with the highest performing practice group in the Colorado market!

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