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Medical Coding Hcc Episource Jobs in Illinois (NOW HIRING)

NorthShore

Medical Coder II

Warrenville, IL · On-site

$24.86 - $37.29/hr

Medical Coder II This position has a deep understanding of disease process, A&P and pharmacology ... coding selections. * Performs provider audits on E/M (evaluation/management) services and HCC ...

Endeavor Health

Medical Coder II

Warrenville, IL

$24.86 - $37.29/hr

Medical Coder II This position has a deep understanding of disease process, A&P and pharmacology ... coding selections. * Performs provider audits on E/M (evaluation/management) services and HCC ...

Msmc

Certified Risk Adjustment Coder Senior

Campus, IL

$22 - $30/hr

Assists IMED physicians in understanding the CMS HCC Risk Adjustment Program as it relates to payment methodology and the importance of proper medical documentation of procedures and diagnosis coding.

Ade Medical Group

Physician or Nurse Practitioner

Moline, IL · On-site

$95K - $129.70K/yr

Ade Medical Group operates at a single clinical location and is owned and operated by Dr. Thomas ... Experience in outpatient care settings Understands HCC (Hierarchical Condition Categories ...

Ade Medical Group

Physician or Nurse Practitioner

Moline, IL · On-site

$92.60K - $126.50K/yr

Ade Medical Group Job Opportunity Ade Medical Group operates at a single clinical location and is ... Experience in outpatient care settings Understands HCC (Hierarchical Condition Categories ...

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Medical Coding Hcc Episource information

What are the key skills and qualifications needed to thrive as a Medical Coding HCC specialist at Episource, and why are they important?

To thrive as a Medical Coding HCC specialist at Episource, you need a strong understanding of ICD-10-CM coding, risk adjustment, and healthcare regulations, often demonstrated by a relevant certification such as CPC, CRC, or CCS. Familiarity with coding software, electronic health record (EHR) systems, and Episource-specific platforms is typically required. Attention to detail, analytical thinking, and effective communication are crucial soft skills for ensuring accurate code assignment and collaborating with clinical teams. These skills are essential to maximize coding accuracy, ensure compliance, and support proper reimbursement in value-based care environments.

What are some common challenges faced by Medical Coding HCC professionals at Episource and how can they be addressed?

Medical Coding HCC professionals at Episource often encounter challenges such as interpreting complex medical records, staying updated with evolving coding guidelines, and ensuring accuracy in risk adjustment documentation. To address these, it's important to engage in ongoing training, utilize company-provided resources, and collaborate closely with quality assurance teams. Regular communication with providers and other coders also helps clarify ambiguities and maintain coding accuracy, contributing to both personal development and overall team success.

What are Medical Coding HCC roles at Episource?

Medical Coding HCC (Hierarchical Condition Category) roles at Episource involve reviewing patient medical records to accurately assign diagnosis codes according to HCC guidelines. Coders play a crucial part in ensuring proper risk adjustment and compliance with healthcare regulations, which helps determine reimbursement rates for healthcare providers. These professionals must have a deep understanding of ICD-10-CM coding, medical terminology, and HCC risk adjustment models. At Episource, coders may work remotely or on-site, collaborating with other clinical and operational teams to maintain high standards of data accuracy and integrity.

What is the difference between Medical Coding Hcc Episource vs Medical Coding Specialist?

AspectMedical Coding Hcc EpisourceMedical Coding Specialist
CertificationsAHIMA or AAPC certifications, HCC coding trainingAHIMA or AAPC certifications, general coding credentials
Work EnvironmentHealthcare organizations, insurance companies, remote optionsHospitals, clinics, physician offices, remote work possible
Industry UsageFocus on risk adjustment, HCC coding for Medicare AdvantageGeneral medical coding across various specialties

Medical Coding Hcc Episource specializes in risk adjustment coding, particularly HCC coding for Medicare Advantage plans, often requiring specific training. Medical Coding Specialist roles cover broader medical coding tasks across multiple healthcare settings. While both roles require coding certifications, Hcc Episource focuses on risk adjustment, making it more specialized compared to the general scope of Medical Coding Specialists.

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Medical Coding Hcc Episource jobs near you
Medical Coder II

Medical Coder II

NorthShore

Warrenville, IL • On-site

$24.86 - $37.29/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 25 days ago

Job description

Hourly Pay Range:
$24.86 - $37.29 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors.
Medical Coder II
This position has a deep understanding of disease process, A&P and pharmacology and acts as a key collaborator with Providers and Clinical areas to ensure the medical record accurately reflects the patient's service.
Position Highlights:
  • Position: Medical Coder II
  • Location: Warrenville, IL
  • Full Time/Part Time: Full Time
  • Hours: Monday-Friday, day shift

What you will do:
  • Assigns diagnostic and procedure codes for compliant physician reimbursement and for both evaluation/ management, preventive (HCC risk adjustment) and surgical services under general supervision.
  • Communicates daily regularly with physicians and staff to resolve discrepancies with patient records and coding selections.
  • Performs provider audits on E/M (evaluation/management) services and HCC review on Medicare/Medicare Advantage preventive services and educates providers as needed.
  • Trains physicians and other staff regarding documentation, billing and coding, and documentation.

What you will need:
  • Education: Bachelor's or associate degree in a Health Information Management program accredited by the Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM)
  • Certification: RHIA, RHIT, CPC, or CCS, required

Benefits (For full time or part time positions):
  • Career Pathways to Promote Professional Growth and Development
  • Various Medical, Dental, Pet and Vision options
  • Tuition Reimbursement
  • Free Parking
  • Wellness Program Savings Plan
  • Health Savings Account Options
  • Retirement Options with Company Match
  • Paid Time Off and Holiday Pay
  • Community Involvement Opportunities

Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals - Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) - all recognized as Magnet hospitals for nursing excellence. For more information, visit www.endeavorhealth.org.
When you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential.
Please explore our website (www.endeavorhealth.org) to better understand how Endeavor Health delivers on its mission to "help everyone in our communities be their best".
Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information.
Diversity, equity and inclusion is at the core of who we are; being there for our patients and each other with compassion, respect and empathy. We believe that our strength resides in our differences and in connecting our best to provide community-connected healthcare for all.
EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.

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