Non Union Hcc Risk Adjustment Jobs (NOW HIRING)

Expert level knowledge of CMS-HCC models V24 and V28, claims data lifecycle, submission systems, regulation, compliance, and audits related to risk adjustment * Strong understanding of healthcare ...

They will become experts in HCC-based risk adjustment (prior experience preferred, but not ... and non-clinical staff - Team-based orientation with ability to manage and report out KPIs ...

The Risk Adjustment Coding Auditor serves as a subject matter expert in HCC coding, diagnosis validation, provider documentation improvement, and risk adjustment compliance. The position supports ...

The Risk Adjustment Coding Auditor serves as a subject matter expert in HCC coding, diagnosis validation, provider documentation improvement, and risk adjustment compliance. The position supports ...

Additionally, you'll track and report on key performance metrics-such as HCC recapture rates, AWVs ... non-specific documentation * Prepare and/or perform auditing analysis and provide feedback on ...

... HCC) Risk Adjustment Model preferred • HCC diagnosis coding and clinical record(s) review process preferred • Strong knowledge of CPT and ICD-10 coding and medical record documentation • Proven ...

... non-specific documentation * Meets or exceeds productivity targets as established by management ... Have knowledge of Risk Adjustment and Hierarchical Condition Categories (HCC) for Medicare ...

The Coordinator will support Hierarchical Condition Category (HCC) coding risk adjustment initiatives across value-based care contracts by preparing medical records, performing documentation review ...

The HCC Coding Auditor Senior will be involved with activities of quality assurance auditing and ... non-discrimination in all of its policies and practices, including the area of employment.

... non-specific documentation * Meets or exceeds productivity targets as established by management ... Have knowledge of Risk Adjustment and Hierarchical Condition Categories (HCC) for Medicare ...

Deep expertise in CMS-HCC, HHS-HCC, and CDPS risk adjustment models. * Advanced proficiency in Python and/or R for statistical modeling, machine learning, and large-scale data analysis. * Strong ...

Assign ICD-10-CM codes, including Hierarchical Condition Categories (HCC), based on thorough review ... Certified Risk Adjustment Coder (CRC), Certified Professional Coder (CPC), Certified Coding ...

... non-specific documentation * Meets or exceeds productivity targets as established by management ... Have knowledge of Risk Adjustment and Hierarchical Condition Categories (HCC) for Medicare ...

... non-specific documentation * Meets or exceeds productivity targets as established by management ... Have knowledge of Risk Adjustment and Hierarchical Condition Categories (HCC) for Medicare ...

Additionally, you'll track and report on key performance metrics--such as HCC recapture rates, AWVs ... non-specific documentation * Prepare and/or perform auditing analysis and provide feedback on ...

Deep understanding of CMS risk adjustment models, HCC categories, ICD-10-CM coding concepts, clinical documentation standards, and provider query practices. * Expertise in use of Chronic Care ...

Build and deploy predictive models (e.g., HCC suspecting, gap closure prioritization, RAF ... Present risk adjustment performance, trends, and strategic recommendations to C-suite and Board ...

Additionally, you'll track and report on key performance metrics--such as HCC recapture rates, AWVs ... non-specific documentation * Prepare and/or perform auditing analysis and provide feedback on ...

The Coordinator will support Hierarchical Condition Category (HCC) coding risk adjustment initiatives across value-based care contracts by preparing medical records, performing documentation review ...

Bachelor's Degree in a health-related field or equivalent work experience Experience • Minimum: o 5+ years of dedicated Risk Adjustment / HCC coding experience o Strong knowledge of Medicare ...