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Medical Coding Hcc Episource Jobs in Michigan (NOW HIRING)

Saintfrancis

Coding Auditor - Corporate Compliance

Yale, MI · On-site +1

$24.25 - $27.50/hr

... for medical record reviews and audits. Minimum Education: High School Diploma or GED. Bachelor ... Hierarchical Condition Categories (HCC) experience, preferred. Knowledge, Skills and Abilities:

Optimal Care

Population Health Manager

Jackson, MI · On-site

$76K - $91K/yr

Analyze risk through HCC/ICD10 coding and patient assessments to develop performance improvement ... Medical, Dental, and Vision Insurance * HSA and FSA options including Dependent Care * Company paid ...

Optimal Care

Population Health Manager

Jackson, MI · On-site

$76K - $91K/yr

Analyze risk through HCC/ICD10 coding and patient assessments to develop performance improvement ... Medical, Dental, and Vision Insurance * HSA and FSA options including Dependent Care * Company paid ...

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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 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.

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 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.
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Medical Coding Hcc Episource jobs near you

Medical Coding Educator (Provider Education) - Full Time - Hybrid

Henry Ford Health System

Detroit, MI • On-site

$27 - $30.75/hr

Full-time

Re-posted 10 days ago

Henry Ford Health rating

7.0

Company rating: 7.0 out of 10

Based on 562 frontline employees who took The Breakroom Quiz

414th of 885 rated healthcare providers

Job description

Meet the Leader of this position
Are you ready to bridge the gap between Providers clinical knowledge and your Coding Expertise?
Are you ready to revolutionize Healthcare Documentation and Coding?
If your answer is YES, this position could be for you!
The Medical Coding Education Coordinator is 95% remote work, with travel as needed within the Metro Detroit area. There are no weekends required and the working hours have some flexibility.
This position is also a non-classroom setting and utilizes virtual technology to work directly with providers.
About the Role:
As our Medical Coding Education Coordinator, you'll be at the forefront of coordinating, overseeing, and optimizing the flow of provider education and medical record coded information across our hospital and ambulatory sites. Your expertise will be instrumental in ensuring accurate billing, maximizing appropriate reimbursement, and maintaining compliance with regulatory requirements.
What You'll Do:
• Drive Education Excellence: Serve as a beacon of knowledge, guiding our providers and coding staff on best practices for documentation and coding. You'll be the go-to resource for local, state, and federal coding guidelines, sharing insights on NCCI Edits, ICD-10CM, CPT, HCC, and compliance standards.
• Empower through Education: Develop and implement education work plans to elevate the quality, completeness, timeliness, and accuracy of medical record documentation. Through targeted initiatives, you'll empower our team to achieve excellence in professional and hospital services.
What We're Looking For:
• Passion for Precision: Whether it's anatomy, physiology, or coding systems, you possess a deep understanding of the intricacies of healthcare documentation. Your commitment to accuracy is unwavering.
• Experience and Expertise: With a minimum of three years in documentation improvement, coding, or compliance, you bring a wealth of knowledge to the table. Additional certification or extensive experience in specialty coding is a definite plus.
• Tech Savvy: From Microsoft Office to data analytics tools, you're comfortable navigating various applications to extract meaningful insights and drive informed decisions.
QUALIFICATIONS:
• High School Diploma or G.E.D. equivalent required.
• Associates Degree in Healthcare related field, Medical Record Sciences, or Business/Healthcare Administration or four (4) years coding experience may be considered in lieu of education requirement.
• Minimum of three (3) years of experience related to documentation improvement, coding, CDI, compliance, and/or billing for hospital/physician services required.
• Additional specialty coding certification or five to seven (5-7) years coding experience required.
• Prior experience in a healthcare revenue cycle position required.
• Must have a thorough knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems.
• High level of proficiency in Microsoft Office and/or Microsoft Access applications.
• Data analytics experience preferred.
CERTIFICATIONS/LICENSURES REQUIRED:
• At least one of the following certifications is required: CPC, CCS, CCS-P, RHIT or RHIA.
Join Our Team and Make Your Mark in Healthcare

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About Henry Ford Health

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Henry Ford Health provides a full continuum of services from Primary and Preventative care, to Complex and Cpecialty care, Health Insurance, a full suite of home health offerings, Virtual care, Pharmacy, Eye care and other Healthcare retail. It is one of the Nation’s leading Academic Medical Centers, recognized for Clinical excellence in Cancer care, Cardiology and Cardiovascular Surgery, Neurology and Neurosurgery, Orthopedics and Sports medicine, and Multi organ transplants. Consistently ranked among the top five NIH funded institutions in Michigan, Henry Ford Health engages in more than 2,000 research projects annually. Equally committed to educating the next generation of Health Professionals, Henry Ford Health trains more than 4,000 Medical students, Residents and fellows every year across 50+ accredited programs. With more than 33,000 valued team members, Henry Ford Health is also among Michigan’s largest and most Diverse employers, including nearly 6,000 physicians and researchers from the Henry Ford Medical Group, Henry Ford Physician Network and Jackson Health Network.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Detroit, MI, US

Year founded

1915

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