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 ...
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 ...
Ambulatory Clinical Documentation Integrity Specialist (Remote)
Livonia, MI · Remote
$32.50 - $43.75/hr
... HCC risk adjustment, ensuring compliance with reporting standards for claims submission. * Identifies patterns & trends impacting documentation & coding & acts as a technical resource related to ...
Ambulatory Clinical Documentation Integrity Specialist (Remote)
Livonia, MI · Remote
$32.50 - $43.75/hr
... HCC risk adjustment, ensuring compliance with reporting standards for claims submission. * Identifies patterns & trends impacting documentation & coding & acts as a technical resource related to ...
Ambulatory Clinical Documentation Integrity Specialist (Remote)
Livonia, MI · On-site +1
$32.50 - $43.75/hr
... HCC risk adjustment, ensuring compliance with reporting standards for claims submission. * Identifies patterns & trends impacting documentation & coding & acts as a technical resource related to ...
Ambulatory Clinical Documentation Integrity Specialist (Remote)
Livonia, MI · On-site +1
$32.50 - $43.75/hr
... HCC risk adjustment, ensuring compliance with reporting standards for claims submission. * Identifies patterns & trends impacting documentation & coding & acts as a technical resource related to ...
Ambulatory Clinical Documentation Integrity Specialist (Remote)
Livonia, MI · Remote
$32.50 - $43.75/hr
... HCC risk adjustment, ensuring compliance with reporting standards for claims submission. * Identifies patterns & trends impacting documentation & coding & acts as a technical resource related to ...
Ambulatory Clinical Documentation Integrity Specialist (Remote)
Livonia, MI · Remote
$32.50 - $43.75/hr
... HCC risk adjustment, ensuring compliance with reporting standards for claims submission. * Identifies patterns & trends impacting documentation & coding & acts as a technical resource related to ...
... standards, coding compliance, HCC/Risk Adjustment, and revenue integrity. Your leadership will influence enterprise-wide initiatives, shape system design, and drive consistent, high-quality ...
... standards, coding compliance, HCC/Risk Adjustment, and revenue integrity. Your leadership will influence enterprise-wide initiatives, shape system design, and drive consistent, high-quality ...
... standards, coding compliance, HCC/Risk Adjustment, and revenue integrity. Your leadership will influence enterprisewide initiatives, shape system design, and drive consistent, highquality ...
... standards, coding compliance, HCC/Risk Adjustment, and revenue integrity. Your leadership will influence enterprisewide initiatives, shape system design, and drive consistent, highquality ...
To assist the Revenue Management and Risk Adjustment department (RMRA) in ensuring the Financial ... Union Code: Not Applicable
To assist the Revenue Management and Risk Adjustment department (RMRA) in ensuring the Financial ... Union Code: Not Applicable
To assist the Revenue Management and Risk Adjustment department (RMRA) in ensuring the Financial ... Union Code: Not Applicable
To assist the Revenue Management and Risk Adjustment department (RMRA) in ensuring the Financial ... Union Code: Not Applicable
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 ...
Monitor quality, cost, utilization, and risk-adjustment metrics tied to APM performance ... Union Code: Not Applicable
Monitor quality, cost, utilization, and risk-adjustment metrics tied to APM performance ... Union Code: Not Applicable
Develops and presents PHO/PO reports related to risk adjustment, quality including HEDIS/Medicare 5 ... Union Code: Not Applicable
Develops and presents PHO/PO reports related to risk adjustment, quality including HEDIS/Medicare 5 ... Union Code: Not Applicable
Develops and presents PHO/PO reports related to risk adjustment, quality including HEDIS/Medicare 5 ... Union Code: Not Applicable
Develops and presents PHO/PO reports related to risk adjustment, quality including HEDIS/Medicare 5 ... Union Code: Not Applicable
... 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 ...
... 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 ...
EverCare Nurse Practitioner
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 ...
EverCare Nurse Practitioner
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 ...
Provider Operations Service Representative (Hybrid/Troy, MI) - Health Alliance Plan
Grand Rapids, MI · On-site
Performance improvement opportunities in the areas of quality, utilization, risk adjustment, and ... Union Code: Not Applicable
Provider Operations Service Representative (Hybrid/Troy, MI) - Health Alliance Plan
Grand Rapids, MI · On-site
Performance improvement opportunities in the areas of quality, utilization, risk adjustment, and ... Union Code: Not Applicable
Senior Consultant - Clinical Documentation Specialist
$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 ...
Senior Consultant - Clinical Documentation Specialist
$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 ...
Auditor and Educator - Professional Services/Remote
Livonia, MI · On-site +1
$25.25 - $28.75/hr
Must possess comprehensive knowledge of ICD-10, HCPCS, CPT, and HCC guidelines, medical terminology ... Certified Professional Medical Auditor (CPMA), Certified Risk Coder (CRC), Clinical Documentation ...
Auditor and Educator - Professional Services/Remote
Livonia, MI · On-site +1
$25.25 - $28.75/hr
Must possess comprehensive knowledge of ICD-10, HCPCS, CPT, and HCC guidelines, medical terminology ... Certified Professional Medical Auditor (CPMA), Certified Risk Coder (CRC), Clinical Documentation ...
Internship Hcc Risk Adjustment Coder information
What is the difference between Internship Hcc Risk Adjustment Coder vs Hcc Risk Adjustment Coder?
| Aspect | Internship Hcc Risk Adjustment Coder | Hcc Risk Adjustment Coder |
|---|---|---|
| Credentials | Typically none or basic certifications | Certifications like CPC, CCS, or RHIT often required |
| Work Environment | Internship setting, training-focused | Full-time professional setting, independent work |
| Employer & Industry | Hospitals, healthcare providers, training programs | Healthcare organizations, insurance companies |
| Search & Comparison Intent | Learning, entry-level roles, training | Professional, experienced roles, career advancement |
The Internship Hcc Risk Adjustment Coder is an entry-level position designed for training and gaining experience, often without requiring certifications. In contrast, the Hcc Risk Adjustment Coder is a full-time professional role that typically requires relevant certifications and experience. Both roles are within the healthcare industry, but they differ significantly in responsibilities, expectations, and career progression.
Full-time
Posted 26 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
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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