The Coordinator will support Hierarchical Condition Category (HCC) coding risk adjustment initiatives across value-based care contracts by preparing medical records, performing documentation review ...
The Coordinator will support Hierarchical Condition Category (HCC) coding risk adjustment initiatives across value-based care contracts by preparing medical records, performing documentation review ...
The Coordinator will support Hierarchical Condition Category (HCC) coding risk adjustment initiatives across value-based care contracts by preparing medical records, performing documentation review ...
The Coordinator will support Hierarchical Condition Category (HCC) coding risk adjustment initiatives across value-based care contracts by preparing medical records, performing documentation review ...
Ambulatory Clinical Documentation Integrity Specialist (Remote)
Livonia, MI · Remote
$32.50 - $43.75/hr
Applies through understanding of payment structures, outpatient reimbursement models, & the impact of provider documentation & HCC risk adjustment, ensuring compliance with reporting standards for ...
Ambulatory Clinical Documentation Integrity Specialist (Remote)
Livonia, MI · Remote
$32.50 - $43.75/hr
Applies through understanding of payment structures, outpatient reimbursement models, & the impact of provider documentation & HCC risk adjustment, ensuring compliance with reporting standards for ...
Ambulatory Clinical Documentation Integrity Specialist (Remote)
Livonia, MI · On-site +1
$32.50 - $43.75/hr
Applies through understanding of payment structures, outpatient reimbursement models, & the impact of provider documentation & HCC risk adjustment, ensuring compliance with reporting standards for ...
Ambulatory Clinical Documentation Integrity Specialist (Remote)
Livonia, MI · On-site +1
$32.50 - $43.75/hr
Applies through understanding of payment structures, outpatient reimbursement models, & the impact of provider documentation & HCC risk adjustment, ensuring compliance with reporting standards for ...
Ambulatory Clinical Documentation Integrity Specialist (Remote)
Livonia, MI · Remote
$32.50 - $43.75/hr
Applies through understanding of payment structures, outpatient reimbursement models, & the impact of provider documentation & HCC risk adjustment, ensuring compliance with reporting standards for ...
Ambulatory Clinical Documentation Integrity Specialist (Remote)
Livonia, MI · Remote
$32.50 - $43.75/hr
Applies through understanding of payment structures, outpatient reimbursement models, & the impact of provider documentation & HCC risk adjustment, ensuring compliance with reporting standards for ...
... HCC/Risk Adjustment, and revenue integrity. Your leadership will influence enterprise-wide initiatives, shape system design, and drive consistent, high-quality documentation across all Henry Ford ...
... HCC/Risk Adjustment, and revenue integrity. Your leadership will influence enterprise-wide initiatives, shape system design, and drive consistent, high-quality documentation across all Henry Ford ...
HCC Coder
Midland, MI · On-site
$16 - $21.50/hr
... Risk Adjustment Factor (RAF) scores (25%) Understands risk adjusted payment methodologies, HCC assignment and payment methodology, professional coding and billing, outpatient facility coding and ...
HCC Coder
Midland, MI · On-site
$16 - $21.50/hr
... Risk Adjustment Factor (RAF) scores (25%) Understands risk adjusted payment methodologies, HCC assignment and payment methodology, professional coding and billing, outpatient facility coding and ...
... HCC/Risk Adjustment, and revenue integrity. Your leadership will influence enterprisewide initiatives, shape system design, and drive consistent, highquality documentation across all Henry Ford ...
... HCC/Risk Adjustment, and revenue integrity. Your leadership will influence enterprisewide initiatives, shape system design, and drive consistent, highquality documentation across all Henry Ford ...
Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more About the Job: We are currently recruiting RNs, LPNs, MA's, Certified Coders ...
Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more About the Job: We are currently recruiting RNs, LPNs, MA's, Certified Coders ...
Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more About the Job: We are currently recruiting RNs, LPNs, MA's, Certified Coders ...
Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more About the Job: We are currently recruiting RNs, LPNs, MA's, Certified Coders ...
Hcc Risk Adjustment information
What are the key skills and qualifications needed to thrive in the Hcc Risk Adjustment position, and why are they important?
To excel in HCC Risk Adjustment, you need a solid understanding of medical coding, clinical documentation, healthcare regulations, and disease management, usually coupled with experience in coding certifications like CPC or CRC. Familiarity with Hierarchical Condition Category (HCC) models, data analytics tools, and electronic health record (EHR) systems is essential. Attention to detail, analytical thinking, and strong communication skills make a candidate stand out in this role. These skills ensure accurate risk adjustment coding and documentation, which are vital for appropriate reimbursement and compliance in the healthcare industry.
What are the main responsibilities of someone working in HCC Risk Adjustment?
Professionals in HCC Risk Adjustment are typically responsible for reviewing medical records, ensuring accurate coding of diagnoses aligned with CMS guidelines, and collaborating with providers to improve documentation. The role often involves analyzing patient data to identify risk gaps and providing education to clinical staff on best practices for compliant coding. Team members regularly coordinate with data analysts, providers, and compliance teams to support accurate reporting and optimal reimbursement. Overall, attention to detail and clear communication are key to meeting the organization's compliance and financial objectives.
What is an HCC Risk Adjustment job?
An HCC Risk Adjustment job involves reviewing medical records to ensure accurate coding of diagnoses under the Hierarchical Condition Category (HCC) model. This role helps determine risk scores for patients, which impact healthcare provider reimbursements in Medicare Advantage and other risk-adjusted programs. Professionals in this field, such as medical coders or auditors, analyze documentation to assign appropriate ICD-10-CM codes that reflect a patient's health status. Strong attention to detail and knowledge of coding guidelines are essential for success in this role.
What are the most commonly searched types of Hcc Risk Adjustment jobs in Michigan? The most popular types of Hcc Risk Adjustment jobs in Michigan are:
What are popular job titles related to Hcc Risk Adjustment jobs in Michigan? For Hcc Risk Adjustment jobs in Michigan, the most frequently searched job titles are:
What job categories do people searching Hcc Risk Adjustment jobs in Michigan look for? The top searched job categories for Hcc Risk Adjustment jobs in Michigan are:
Full-time
Posted 27 days ago
Holland Hospital rating
6.6
Based on 32 frontline employees who took The Breakroom Quiz
650th of 1,004 rated hospitals
Job description
CURRENT HOLLAND HOSPITAL EMPLOYEES- Please apply through Find Jobs from your Workday employee account.
The Coordinator will support Hierarchical Condition Category (HCC) coding risk adjustment initiatives across value-based care contracts by preparing medical records, performing documentation review, ensuring accurate capture of diagnosis codes, and educating providers. This role partners closely with providers, clinical staff, coding teams and operational leadership to optimize HCC capture and improve documentation integrity.
Qualifications:
Professional coding certification; Certified Risk Adjustment Coder (CRC) strongly preferred or required within 12 months of hire
Experience with risk adjustment programs preferred.
Prior provider education or clinical collaboration experience preferred.
Excellent communication skills for provider education and stakeholder collaboration
Employment Type: Full Time
Shift: Mon-Thrs- 8am-4:30pm Fri- 8a-12p
Weekly Scheduled Hours: 36
Weekend Requirements: NA
Requirements:
- High school diploma/GED or higher education
-Certified Professional Coder (C-CPC)
Clinical Documentation Review & Risk Adjustment Coding
Provider Engagement, Education & Clinical Support
Audit, Reporting & Performance Monitoring
Holland Hospital is an Equal Opportunity Employer, please see our EEO policy
The Coordinator will support Hierarchical Condition Category (HCC) coding risk adjustment initiatives across value-based care contracts by preparing medical records, performing documentation review, ensuring accurate capture of diagnosis codes, and educating providers. This role partners closely with providers, clinical staff, coding teams and operational leadership to optimize HCC capture and improve documentation integrity.
Qualifications:
Professional coding certification; Certified Risk Adjustment Coder (CRC) strongly preferred or required within 12 months of hire
Experience with risk adjustment programs preferred.
Prior provider education or clinical collaboration experience preferred.
Excellent communication skills for provider education and stakeholder collaboration
Employment Type: Full Time
Shift: Mon-Thrs- 8am-4:30pm Fri- 8a-12p
Weekly Scheduled Hours: 36
Weekend Requirements: NA
Requirements:
- High school diploma/GED or higher education
-Certified Professional Coder (C-CPC)
Clinical Documentation Review & Risk Adjustment Coding
- Prepare and manage risk adjustment visit workflows, including maintaining patient lists, diagnosis summaries, and assisting with scheduling coordination.
- Conduct comprehensive pre-visit chart reviews to identify and validate ICD-10-CM diagnoses that accurately represent each patient's health status.
- Perform post-visit documentation analysis to ensure proper ICD-10-CM code assignment, diagnosis specificity, and compliance with MEAT (Monitor, Evaluate, Assess, Treat) criteria.
- Maintain up-to-date knowledge of CMS risk adjustment regulations, HCC models, and clinical documentation and coding standards.
- Support organizational value-based care goals by collaborating with Manager, Quality and clinical teams to ensure compliant risk adjustment documentation.
Provider Engagement, Education & Clinical Support
- Serve as a clinical documentation and coding subject matter expert, supporting providers in achieving compliant and accurate risk adjustment practices.
- Deliver ongoing education and feedback to providers and coders regarding documentation standards, diagnosis specificity, and optimal risk adjustment coding principles.
- Identify documentation gaps or inconsistencies and communicate findings through structured, actionable feedback, including formalized documentation queries as needed.
- Promote a culture of documentation excellence that supports quality outcomes, operational performance, and compliant value-based care delivery.
Audit, Reporting & Performance Monitoring
- Conduct routine and targeted chart audits to assess documentation quality, coding accuracy, and HCC recapture performance.
- Track, analyze, and report key risk adjustment performance indicators, including recapture rates, suspect condition closure, documentation accuracy, and provider-level trends.
- Collaborate with operational leaders to integrate risk adjustment best practices into existing clinical workflows and identify opportunities for process improvement.
- Participate in quality assurance initiatives, report findings to leadership, and support the development of corrective action plans or workflow enhancements.
Holland Hospital is an Equal Opportunity Employer, please see our EEO policy
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