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Medical Coding Hcc Episource Jobs in Michigan (NOW HIRING)

Population Health Manager

Jackson, MI ยท 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 ...

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 skills and qualifications are needed to thrive as a medical coding HCC specialist at Episource?

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 is a medical coding HCC specialist 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.

Is medical coding worth it in 2026?

Medical coding, including HCC coding roles like those at Episource, remains a valuable career due to ongoing healthcare industry growth and the demand for accurate medical record documentation. Certified coders with knowledge of coding systems and compliance standards are likely to find stable employment opportunities in the coming years.

What are common challenges faced by medical coding HCC specialists 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 popular job titles related to Medical Coding Hcc Episource jobs in Michigan? For Medical Coding Hcc Episource jobs in Michigan, the most frequently searched job titles are:
What cities in Michigan are hiring for Medical Coding Hcc Episource jobs? Cities in Michigan with the most Medical Coding Hcc Episource job openings:

Population Health Manager

Optimal Care

Jackson, MI โ€ข On-site

$76K - $91K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 15 days ago


Job description

Optimal Care is where your dedication meets a rewarding career.
Top Work Places for 12 consecutive years, Great Places to Work certified for 6 consecutive years, and we believe that exceptional care starts with exceptional people. We're committed to supporting your professional growth, valuing your expertise, and creating an environment where you can do your best work every day.
As a clinician-owned and operated organization, we empower our team members to provide personalized, compassionate care to patients and families every day.
We are a leading provider of Physician Services, Home Health, and Hospice that encourages collaboration, innovation, and clinical excellence. From chronic disease management and rehabilitation to end-of-life care, our focus is on improving outcomes and enhancing quality of life.
We live a simple Mission: Serve Together, Provide Value, and Deliver Exceptional Quality Care.
Key Responsibilities
The Physician Services Population Health Manager will be responsible for developing and implementing strategies to enhance care coordination, manage chronic diseases, and improve overall community health. This role requires a strategic thinker with a strong background in success in value-based care arrangement and other advanced payment models, comprehensive knowledge on how to lead a successful clinically integrated network, strong comprehension with payor contracts.
In this role you will be responsible for:
  • Develop and implement a comprehensive population health strategy aligned with the organization's mission and goals
  • Lead the Population Health team, providing direction, support, and professional development opportunities
  • Analyze risk through HCC/ICD10 coding and patient assessments to develop performance improvement strategies
  • Collaborate with coding specialists and healthcare providers to improve documentation practices
  • Design and oversee clinical programs aimed at improving patient outcomes, reducing healthcare costs, and enhancing patient satisfaction
  • Monitor and evaluate the effectiveness of population health initiatives and adjust strategies as needed
  • Utilize data analytics to identify trends, measure program effectiveness, and make data-driven decisions
  • Prepare and present reports on population health metrics to senior leadership and stakeholders
  • Work closely with healthcare providers, community organizations, and other stakeholders to coordinate care and address social determinants of health

Required Qualifications
  • Minimum 5 years experience in healthcare management, with a focus on geriatric population health, care coordination, or chronic disease management
  • Experience with HCC/ICD10 coding and a strong understanding of its impact on healthcare reimbursement and quality metrics
  • Proven track record of developing and implementing successful population health programs
  • Understand levels of care defined through the Medicare benefit (Certified Home Health, Hospice, etc.)
  • Strong leadership and team management skills
  • Excellent analytical and problem-solving abilities
  • Effective communication and interpersonal skills
  • Ability to build and maintain relationships with diverse stakeholders
  • Proficiency in data analysis and the use of population health management software
  • Reliable transportation

Desired Qualifications
  • Bachelor's degree in Healthcare Administration, Public Health, Nursing, or related field preferred

Location
  • Office Location: Jackson, MI

Hours
  • 8:00 am - 5:00 pm, Monday through Friday

Pay Range
$76,000-$91,000 USD
How We Care for You
  • Minimum of 3 Weeks Paid Time Off (PTO)
  • Medical, Dental, and Vision Insurance
  • HSA and FSA options including Dependent Care
  • Company paid Short Term Disability
  • Company paid Life Insurance
  • 401(k) with Employer Match
  • Mileage Reimbursement
  • Company Vehicle Program for field roles
  • Pet Insurance
  • ID and Fraud Protection
  • And more...

Background Screening
Employment is contingent upon the successful completion of a background check. Screening is completed by a third-party administrator, the Michigan Long-Term Care Partnership, and is performed in compliance with the Fair Credit Report Act.
Reasonable Accommodations
We offer reasonable accommodations throughout the application process, interview stages, and during employment to ensure all team members can thrive. Please reach out to us if you would like to request a reasonable accommodation.
Equal Opportunity Employer
We believe an exceptional place to work begins with diverse perspectives. We are proud to be an equal-opportunity workplace that prohibits discrimination and harassment of any kind based on race, color, religion, sex, national origin, age, disability, or any other protected characteristic.