Internship Hcc Risk Adjustment Coder Jobs in Ohio

... HCC Mode; or any combination of education and experience, which would provide an equivalent ... Prefer AAPC Certified Risk Adjustment Coder (CRC) certification. Job Level: Manager Workshift: 1st ...

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 ...

Deep experience with ACA Risk Adjustment , including HHS-HCC model methodology, risk score ... Strong understanding of diagnosis coding (ICD-10-CM) , provider documentation practices, and their ...

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.

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.

Lead the design, development, and productionization of ML and AI models across risk adjustment (HCC ... Code practices. * Hands-on proficiency with Databricks (or comparable lakehouse platform), Delta ...

Lead the design, development, and productionization of ML and AI models across risk adjustment (HCC ... Code practices * Hands-on proficiency with Databricks (or comparable lakehouse platform), Delta ...

Familiarity with HCC coding, risk adjustment, STAR ratings, and HEDIS quality measures * Background in home‑based care, transitional care, or chronic disease management Overview Salary 135k Join ...

... HCC conditions * ICD-10-CM coding principles, including clinical specificity, laterality, condition relationships, and complications * CMS risk-adjustment requirements and organizational ...

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

Your primary objective will be to assess the overall health and well-being of member beneficiaries to ensure accurate and comprehensive risk adjustment coding, leading to greater value-based care.

Certified Risk Adjustment Coder (CRC) or Certified Documentation Integrity Practitioner (CDIP), preferred. Skills: * Proficiency with LMS platforms and virtual training tools. * Proficiency with EPIC ...

Certified Risk Adjustment Coder (CRC) or Certified Documentation Integrity Practitioner (CDIP), preferred. Skills: * Proficiency with LMS platforms and virtual training tools. * Proficiency with EPIC ...

Participate in pre‑claim mortality and risk adjustment reviews, focusing on REM score ... Serve as a clinical resource to the CDI, Coding, and Quality departments on complex documentation ...

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

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

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

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

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 ...