Internship Hcc Risk Adjustment Coding Jobs in California

... Coding Specialist - Physician Based (CCS-P). • Familiar with HCC (Hierarchical Condition Categories) Risk Adjustment Model. • Background in supporting risk adjustment management activities and ...

Drives organizational risk adjustment policy, program standards, and performance, and maintains ... coding results, encounter submission rates, HCC documentation outcomes, and performance against ...

Drives organizational risk adjustment policy, program standards, and performance, and maintains ... coding results, encounter submission rates, HCC documentation outcomes, and performance against ...

CPMA (Certified Professional Medical Auditor), CHC (Certified in Healthcare Compliance), HCC (Risk Adjustment Coding Certification) or Specialty Certification * Familiarity with revenue cycle ...

Strong knowledge of Medicare Advantage, HCC coding, and risk adjustment * Proficient in EMR documentation and medical coding best practices * Excellent communication and patient engagement skills ...

Experience with the risk adjustment and reimbursement landscape (Medicare Advantage, ACA, Medicaid managed care, HCC coding, RAF optimization, RADV, and documentation/compliance) is strongly ...

Experience with the risk adjustment and reimbursement landscape (Medicare Advantage, ACA, Medicaid managed care, HCC coding, RAF optimization, RADV, and documentation/compliance) is strongly ...

Experience with the risk adjustment and reimbursement landscape (Medicare Advantage, ACA, Medicaid managed care, HCC coding, RAF optimization, RADV, and documentation/compliance) is strongly ...

Experience with the risk adjustment and reimbursement landscape (Medicare Advantage, ACA, Medicaid managed care, HCC coding, RAF optimization, RADV, and documentation/compliance) is strongly ...

Experience with the risk adjustment and reimbursement landscape (Medicare Advantage, ACA, Medicaid managed care, HCC coding, RAF optimization, RADV, and documentation/compliance) is strongly ...

Analyze Hierarchical Condition Category (HCC) coding and Risk Adjustment Factor (RAF) scores to identify documentation gaps and ensure alignment with CMS risk adjustment models. * Support provider ...

Analyze Hierarchical Condition Category (HCC) coding and Risk Adjustment Factor (RAF) scores to identify documentation gaps and ensure alignment with CMS risk adjustment models. * Support provider ...

Analyze Hierarchical Condition Category (HCC) coding and Risk Adjustment Factor (RAF) scores to identify documentation gaps and ensure alignment with CMS risk adjustment models. * Support provider ...

Requires an in-depth understanding of risk adjustment models (CMS-HCC, HHS-HCC), Official Coding Guidelines, payer policies, and regulatory requirements (CMS, HHS, OIG, DHCS) * Requires exceptional ...

Familiarity and understanding of CMS HCC models, Risk Adjustment coding and data validation requirements (preferred) * Working knowledge of ICD-10-CM outpatient diagnosis coding guidelines (knowledge ...

Document HCC (risk adjustment) during visits * Close HEDIS (quality measures) care gaps * Review history, meds, preventive needs * Code with ICD-10 and CPT II * Deliver care plans and follow-up * ...

Knowledge of HCC risk adjustment, RAF methodologies, capitation payment model, DOFR, claim processing, bid design, and CMS regulatory requirements. * Experience analyzing pharmacy adherence metrics ...

Knowledge of HCC risk adjustment, RAF methodologies, capitation payment model, DOFR, claim processing, bid design, and CMS regulatory requirements. * Experience analyzing pharmacy adherence metrics ...

Maintain accurate, timely EHR documentation utilizing appropriate HCC risk-adjustment coding guidelines. Ensure compliance with California practice acts, including maintaining standard written ...

Maintain accurate, timely EHR documentation utilizing appropriate HCC risk-adjustment coding guidelines. Ensure compliance with California practice acts, including maintaining standard written ...