The Coordinator will support Hierarchical Condition Category (HCC) coding risk adjustment ... Prepare and manage risk adjustment visit workflows, including maintaining patient lists, diagnosis ...
The Coordinator will support Hierarchical Condition Category (HCC) coding risk adjustment ... Prepare and manage risk adjustment visit workflows, including maintaining patient lists, diagnosis ...
The Coordinator will support Hierarchical Condition Category (HCC) coding risk adjustment ... Prepare and manage risk adjustment visit workflows, including maintaining patient lists, diagnosis ...
The Coordinator will support Hierarchical Condition Category (HCC) coding risk adjustment ... Prepare and manage risk adjustment visit workflows, including maintaining patient lists, diagnosis ...
You'll manage and inspire a skilled CDI team, collaborate directly with physicians and clinical ... HCC/Risk Adjustment, and revenue integrity. Your leadership will influence enterprise-wide ...
You'll manage and inspire a skilled CDI team, collaborate directly with physicians and clinical ... HCC/Risk Adjustment, and revenue integrity. Your leadership will influence enterprise-wide ...
Ambulatory Clinical Documentation Integrity Specialist (Remote)
Livonia, MI · On-site +1
$32.50 - $43.75/hr
Data Management & Analysis : Research & compiles information to support ad-hoc operational projects ... HCC risk adjustment, ensuring compliance with reporting standards for claims submission.
Ambulatory Clinical Documentation Integrity Specialist (Remote)
Livonia, MI · On-site +1
$32.50 - $43.75/hr
Data Management & Analysis : Research & compiles information to support ad-hoc operational projects ... HCC risk adjustment, ensuring compliance with reporting standards for claims submission.
Ambulatory Clinical Documentation Integrity Specialist (Remote)
Livonia, MI · Remote
$32.50 - $43.75/hr
Data Management & Analysis : Research & compiles information to support ad-hoc operational projects ... HCC risk adjustment, ensuring compliance with reporting standards for claims submission.
Ambulatory Clinical Documentation Integrity Specialist (Remote)
Livonia, MI · Remote
$32.50 - $43.75/hr
Data Management & Analysis : Research & compiles information to support ad-hoc operational projects ... HCC risk adjustment, ensuring compliance with reporting standards for claims submission.
Ambulatory Clinical Documentation Integrity Specialist (Remote)
Livonia, MI · Remote
$32.50 - $43.75/hr
Data Management & Analysis : Research & compiles information to support ad-hoc operational projects ... HCC risk adjustment, ensuring compliance with reporting standards for claims submission.
Ambulatory Clinical Documentation Integrity Specialist (Remote)
Livonia, MI · Remote
$32.50 - $43.75/hr
Data Management & Analysis : Research & compiles information to support ad-hoc operational projects ... HCC risk adjustment, ensuring compliance with reporting standards for claims submission.
You'll manage and inspire a skilled CDI team, collaborate directly with physicians and clinical ... HCC/Risk Adjustment, and revenue integrity. Your leadership will influence enterprisewide ...
You'll manage and inspire a skilled CDI team, collaborate directly with physicians and clinical ... HCC/Risk Adjustment, and revenue integrity. Your leadership will influence enterprisewide ...
HCC Coder
Midland, MI · On-site
$16 - $21.50/hr
Travel to provider office location/offices for HCC education as determined by manager * Mandatory ... Risk Adjustment Factor (RAF) scores (25%) Understands risk adjusted payment methodologies, HCC ...
HCC Coder
Midland, MI · On-site
$16 - $21.50/hr
Travel to provider office location/offices for HCC education as determined by manager * Mandatory ... Risk Adjustment Factor (RAF) scores (25%) Understands risk adjusted payment methodologies, HCC ...
Under direction of Department Manager: Principal Duties and Responsibilities: * Coordination of ... MAO-004 loads; estimate risk adjustment premium impact for final reconciliation with CMS ...
Under direction of Department Manager: Principal Duties and Responsibilities: * Coordination of ... MAO-004 loads; estimate risk adjustment premium impact for final reconciliation with CMS ...
Under direction of Department Manager: Principal Duties and Responsibilities: * Coordination of ... MAO-004 loads; estimate risk adjustment premium impact for final reconciliation with CMS ...
New
Under direction of Department Manager: Principal Duties and Responsibilities: * Coordination of ... MAO-004 loads; estimate risk adjustment premium impact for final reconciliation with CMS ...
New
Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ... to manage and meet deadlines 8. Must be willing to travel within a 40 mile radius 9. Business ...
Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ... to manage and meet deadlines 8. Must be willing to travel within a 40 mile radius 9. Business ...
Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ... to manage and meet deadlines 8. Must be willing to travel within a 40 mile radius 9. Business ...
Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ... to manage and meet deadlines 8. Must be willing to travel within a 40 mile radius 9. Business ...
Sr. Business Analyst
Grand Rapids, MI · On-site
$88K - $114K/yr
Risk Management * They develop and implement risk assessment and monitoring review processes to mitigate and/or remediate risk within the risk adjustment space. * They track and manage corrective ...
Quick apply
Sr. Business Analyst
Grand Rapids, MI · On-site
$88K - $114K/yr
Risk Management * They develop and implement risk assessment and monitoring review processes to mitigate and/or remediate risk within the risk adjustment space. * They track and manage corrective ...
Academic, Nurse Practitioner / Physician Assistant - High-Pay In-Home Health Assessments | Flexib...
$100/hr
Educate members on preventive care and chronic disease management * Document visits in the EMR to support value-based care and risk adjustment * Operate within NP or PA scope of practice and state ...
Academic, Nurse Practitioner / Physician Assistant - High-Pay In-Home Health Assessments | Flexib...
$100/hr
Educate members on preventive care and chronic disease management * Document visits in the EMR to support value-based care and risk adjustment * Operate within NP or PA scope of practice and state ...
Academic, Nurse Practitioner / Physician Assistant - High-Pay In-Home Health Assessments | Flexib...
$100/hr
Educate members on preventive care and chronic disease management * Document visits in the EMR to support value-based care and risk adjustment * Operate within NP or PA scope of practice and state ...
Academic, Nurse Practitioner / Physician Assistant - High-Pay In-Home Health Assessments | Flexib...
$100/hr
Educate members on preventive care and chronic disease management * Document visits in the EMR to support value-based care and risk adjustment * Operate within NP or PA scope of practice and state ...
Academic, Nurse Practitioner / Physician Assistant - High-Pay In-Home Health Assessments | Flexib...
$100/hr
Educate members on preventive care and chronic disease management * Document visits in the EMR to support value-based care and risk adjustment * Operate within NP or PA scope of practice and state ...
Academic, Nurse Practitioner / Physician Assistant - High-Pay In-Home Health Assessments | Flexib...
$100/hr
Educate members on preventive care and chronic disease management * Document visits in the EMR to support value-based care and risk adjustment * Operate within NP or PA scope of practice and state ...
Academic, Nurse Practitioner / Physician Assistant - High-Pay In-Home Health Assessments | Flexib...
$100/hr
Educate members on preventive care and chronic disease management * Document visits in the EMR to support value-based care and risk adjustment * Operate within NP or PA scope of practice and state ...
Academic, Nurse Practitioner / Physician Assistant - High-Pay In-Home Health Assessments | Flexib...
$100/hr
Educate members on preventive care and chronic disease management * Document visits in the EMR to support value-based care and risk adjustment * Operate within NP or PA scope of practice and state ...
Academic, Nurse Practitioner / Physician Assistant - High-Pay In-Home Health Assessments | Flexib...
$100/hr
Educate members on preventive care and chronic disease management * Document visits in the EMR to support value-based care and risk adjustment * Operate within NP or PA scope of practice and state ...
Academic, Nurse Practitioner / Physician Assistant - High-Pay In-Home Health Assessments | Flexib...
$100/hr
Educate members on preventive care and chronic disease management * Document visits in the EMR to support value-based care and risk adjustment * Operate within NP or PA scope of practice and state ...
Field Nurse Practitioner / Physician Assistant - St. Clair County, Michigan
Port Huron, MI · On-site
$100/hr
Educate members on preventive care and chronic disease management * Document visits in the EMR to support value-based care and risk adjustment * Operate within NP or PA scope of practice and state ...
Field Nurse Practitioner / Physician Assistant - St. Clair County, Michigan
Port Huron, MI · On-site
$100/hr
Educate members on preventive care and chronic disease management * Document visits in the EMR to support value-based care and risk adjustment * Operate within NP or PA scope of practice and state ...
Educate members on preventive care and chronic disease management * Document visits in the EMR to support value-based care and risk adjustment * Operate within NP or PA scope of practice and state ...
Educate members on preventive care and chronic disease management * Document visits in the EMR to support value-based care and risk adjustment * Operate within NP or PA scope of practice and state ...
Manager Hcc Risk Adjustment information
What is the difference between Manager Hcc Risk Adjustment vs Hcc Risk Adjustment Specialist?
| Aspect | Manager Hcc Risk Adjustment | Hcc Risk Adjustment Specialist |
|---|---|---|
| Credentials | Typically requires a bachelor’s degree, industry certifications (e.g., CPC, CCS), and experience in healthcare or risk adjustment | Often requires similar certifications and experience but may have less managerial responsibility |
| Work Environment | Supervises teams, manages projects, and collaborates with multiple departments | Focuses on data analysis, coding, and risk adjustment tasks, often working independently or in small teams |
| Employer & Industry Usage | Commonly employed by health plans, healthcare providers, and risk adjustment vendors | Found within similar organizations, often as a specialized role supporting risk adjustment processes |
The main difference is that the Manager Hcc Risk Adjustment oversees teams and manages projects, while the Hcc Risk Adjustment Specialist focuses on technical tasks like data analysis and coding. Both roles require relevant certifications and industry experience, but the manager role involves leadership responsibilities.
What are the key skills and qualifications needed to thrive as a Manager HCC Risk Adjustment, and why are they important?
How does a Manager HCC Risk Adjustment typically collaborate with other departments to ensure accurate risk scoring?
What are Manager HCC Risk Adjustment jobs?
Full-time
Posted 16 days ago
Holland Hospital rating
6.6
Based on 32 frontline employees who took The Breakroom Quiz
647th of 1,002 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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