Internship Hcc Risk Adjustment Coder Jobs in Ohio

Knowledge of ICD-10 Coding * Knowledge of HCC Risk Adjustment models * Knowledge of CMS regulatory guidelines * Strong analytical and problem-solving skills * Ability to apply AI technologies in ...

Support the development and validation of predictive models for HCC suspecting, risk score ... Mentors others on coding standards and performs code reviews * Supervises others on developing ...

Support the development and validation of predictive models for HCC suspecting, risk score ... Mentors others on coding standards and performs code reviews * Supervises others on developing ...

... 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 ...

Serves as a subject matter expert on coding. * Leads and consults with operations on ad hoc requests/special projects. * Works collaboratively with Enterprise Risk Adjustment team, Business ...

Serves as a subject matter expert on coding. * Leads and consults with operations on ad hoc requests/special projects. * Works collaboratively with Enterprise Risk Adjustment team, Business ...

Must apply HCC/risk coding concepts to ensure the appropriate risk score is assigned to each patient. Must understand the basic ICD-10 diagnosis and CPT procedure coding rules and guidelines.

... Risk Adjustment initiatives. May require some travel to various provider partner locations Performs on-going chart reviews and abstracts diagnoses codes under the HCC Model. Develop an understanding ...

Must apply HCC/risk coding concepts to ensure the appropriate risk score is assigned to each patient. Must understand the basic ICD-10 diagnosis and CPT procedure coding rules and guidelines.

Understand documentation requirements for HCC and risk adjustment coding * Support accurate reporting for quality initiatives and value-based care * Identify documentation gaps that affect population ...

Understand documentation requirements for HCC and risk adjustment coding * Support accurate reporting for quality initiatives and value-based care * Identify documentation gaps that affect population ...

Experience with Medicare Advantage and risk adjustment programs, including HCC coding. * Experience auditing physician, outpatient, and/or hospital medical records. * Experience interpreting and ...

Experience with Medicare Advantage and risk adjustment programs, including HCC coding. * Experience auditing physician, outpatient, and/or hospital medical records. * Experience interpreting and ...

Experience with risk adjustment, HCC coding, and clinical documentation standards (DSP/MEAT criteria)--candidates without this background will receive structured training. * Multi-setting background ...

Experience with risk adjustment, HCC coding, and clinical documentation standards (DSP/MEAT criteria)--candidates without this background will receive structured training. * Multi-setting background ...

Experience with risk adjustment, HCC coding, and clinical documentation standards (DSP/MEAT criteria)-candidates without this background will receive structured training. * Multi-setting background ...

Oversee coding compliance and risk-adjustment capture (HCC) efforts in collaboration with providers and coding staff. * Manage relationships and accountability with third-party billing vendors ...

Oversee coding compliance and risk-adjustment capture (HCC) efforts in collaboration with providers and coding staff. * Manage relationships and accountability with third-party billing vendors ...

The Medical Billing Specialist ensures accurate coding, timely claim submission, and efficient ... Knowledge of risk adjustment (HCC), HEDIS-quality documentation, and prior auth workflows.

Familiarity with value-based care models, risk adjustment, and clinical documentation standards (HCC capture, MEAT/DSP criteria) preferred. * Behavioral health and substance use disorder experience ...