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Internship Hcc Risk Adjustment Coder Jobs in Texas

Knowledgeable in ICD-9/ICD-10-CM/PCS, CPT-4/HCPCS, HCC and HEDIS CAT II, Risk Adjustment - REQUIRED ... Ability to assign CPT codes - REQUIRED * Knowledge & proficiency of EPIC EHR and 3M 360 coding is ...

Bachelor's degree in relevant field of study preferred or 3-5 years related work experience coder with a minimum of 5 year's coding experience in risk adjustment both ACA and MA. * Expert knowledge ...

AAPC Certified Risk Adjustment Coder (CRC) is highly preferred. * Knowledge of medical terminology and anatomy strongly preferred. Please be advised that Elevance Health only accepts resumes for ...

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Internship Hcc Risk Adjustment Coder information

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

AspectInternship Hcc Risk Adjustment CoderHcc Risk Adjustment Coder
CredentialsTypically none or basic certificationsCertifications like CPC, CCS, or RHIT often required
Work EnvironmentInternship setting, training-focusedFull-time professional setting, independent work
Employer & IndustryHospitals, healthcare providers, training programsHealthcare organizations, insurance companies
Search & Comparison IntentLearning, entry-level roles, trainingProfessional, 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.

What are the most commonly searched types of Hcc Risk Adjustment Coder jobs in Texas?

The most popular types of Hcc Risk Adjustment Coder jobs in Texas are:

What are popular job titles related to Internship Hcc Risk Adjustment Coder jobs in Texas?

For Internship Hcc Risk Adjustment Coder jobs in Texas, the most frequently searched job titles are:

What job categories do people searching Internship Hcc Risk Adjustment Coder jobs in Texas look for?

The top searched job categories for Internship Hcc Risk Adjustment Coder jobs in Texas are:

What cities in Texas are hiring for Internship Hcc Risk Adjustment Coder jobs?

Cities in Texas with the most Internship Hcc Risk Adjustment Coder job openings:

Risk Adjustment Data Analyst - CFHP

San Antonio, TX • On-site

$22.10 - $38.25/hr

Full-time

Posted 15 days ago


University Health System (San Antonio) rating

8.0

Company rating: 8.0 out of 10

Based on 64 frontline employees who took The Breakroom Quiz

90th of 898 rated healthcare providers


Job description

POSITION SUMMARY/RESPONSIBILITIES
The Risk Adjustment Data Analyst supports Community First Health Plans' Risk Adjustment program through data analysis, reporting, medical record retrieval, and performance monitoring activities. Coordinates with internal departments, provider networks, and external vendors to ensure accurate and timely collection, analysis, and reporting of risk adjustment data. Utilize health informatics and analytics tools to identify trends, monitor key performance indicators, support Hierarchical Condition Category (HCC) capture, and improve risk adjustment outcomes. Assists with medical record retrieval initiatives, data validation, provider performance analysis, and regulatory reporting to ensure compliance with CMS requirements and organizational goals.
EDUCATION/EXPERIENCE
Bachelor's degree in a related field preferred. Two (2) years of experience in healthcare data analysis and medical record retrieval required. Experience in Risk Adjustment, managed care, health plan operations, or healthcare analytics preferred. Knowledge of healthcare data, electronic health records (EHRs), and medical record retrieval processes preferred. Proficiency in Microsoft Excel and strong analytical, organizational, and communication skills required. Ability to work effectively with providers, vendors, and cross-functional teams.
CERTIFICATION
Coding certification within 2 years of employment (e.g., Certified Professional Coder - CPC, Certified Coding Specialist - CCS and/or data analytics certification (e.g., CHDA, Microsoft Power BI Data Analyst Associate) within two (2) years of employment, based on the requirements of their role.

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