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Per Diem Hcc Risk Adjustment Coder Jobs in Texas

Value Based Coder II

Houston, TX · On-site +1

$25.30 - $35.74/hr

The Value Based Coder II acts as a valuable resource in identifying clinically appropriate risk ... as it pertains to risk adjustment and HCC. Validate the accuracy and completeness of HCC ...

Risk Adjustment Coding Oversight Specialist (Risk Analyst) This role focuses on retrospective chart review and coding oversight for highly regulated Medicare Advantage risk adjustment programs. You ...

New

Administrative- Certified Coder

Dallas, TX · On-site

$22.50 - $30/hr

Knowledgeable in ICD-9/ICD-10-CM/PCS, CPT-4/HCPCS, HCC and HEDIS CAT II, Risk Adjustment - REQUIRED ... Ability to assign CPT codes - REQUIRED * Knowledge & proficiency of EPIC EHR and 3M 360 coding is ...

... coder with a minimum of 5 year's coding experience in risk adjustment both ACA and MA. * Expert ... Paid time off (PTO) plan, offering X days per year, plus holidays * Retirement savings plan

Showing results 41-60

Per Diem Hcc Risk Adjustment Coder information

Is Per Diem Hcc Risk Adjustment Coder coding a good career?

Per Diem Hcc Risk Adjustment Coder is a specialized role focused on accurately coding health conditions for risk adjustment purposes, often requiring knowledge of medical terminology and coding systems like ICD-10. It can offer steady employment, especially in healthcare settings, with opportunities for certification and career advancement. The role typically involves part-time or flexible schedules and is valued in the healthcare industry for improving reimbursement and quality reporting.

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Value Based Coder II

Houston, TX • On-site, Remote

St. Luke's Health
1 - 5K employees

$25.30 - $35.74/hr

Other

Re-posted 24 days ago


St. Luke's Health (Texas) rating

7.2

Company rating: 7.2 out of 10

Based on 41 frontline employees who took The Breakroom Quiz


Job description

Where You'll Work
Baylor St. Luke's Medical Center is an 881-bed quaternary care academic medical center that is a joint venture between Baylor College of Medicine and CHI St. Luke's Health. Located in the Texas Medical Center, the hospital is the home of the Texas Heart® Institute, a cardiovascular research and education institution founded in 1962 by Denton A. Cooley, MD. The hospital was the first facility in Texas and the Southwest designated a Magnet® hospital for Nursing Excellence by the American Nurses Credentialing Center, receiving the award five consecutive times. Baylor St. Luke's also has three community emergency centers offering adult and pediatric care for the Greater Houston area.
Job Summary and Responsibilities
The Value Based Coder II is an experienced professional within the Quality Management/Risk team, responsible for independently reviewing patient medical records to identify, assess, monitor, and review coding opportunities, with a growing emphasis on Hierarchical Condition Categories (HCC). This role focuses on developing and delivering provider education and contributing to process improvement initiatives. The Value Based Coder II acts as a valuable resource in identifying clinically appropriate risk-adjusting conditions and supporting provider documentation improvement.
1. Comprehensive Record Review & HCC Expertise: Independently review patient medical record information via population health tools on both a retroactive and prospective basis to identify, assess, monitor, and review network coding opportunities as it pertains to risk adjustment and HCC. Validate the accuracy and completeness of HCC documentation and coding.
2. Advanced Documentation Improvement & Education: Analyze clinical documentation across the network to identify patterns, trends, and opportunities for improvement related to HCC capture. Develop and deliver effective education materials and tools to help network providers improve clinical documentation and support Hierarchical Condition Category coding capture. Provide targeted provider 1:1 education on documentation best practices, HCC guidelines, and risk adjustment principles.
3. Compliance & Regulatory Insight: Continuously monitor and interpret evolving HCC coding guidelines, CMS regulations, and compliance trends within the risk adjustment landscape, applying this knowledge to daily coding and education efforts. Champion a culture of compliance by advocating for best practices and providing robust provider support to ensure CommonSpirit adheres to all federal and coding guidelines pertaining to HCC and risk adjustment. Safeguard medical records and preserve the confidentiality of personal health information through adherence to all relevant policies (release of medical record information, record retention, HIPAA privacy and security).
4. Process Improvement & Collaboration: Actively participate in network performance improvement initiatives, offering insights and solutions based on coding expertise. Collaborate with providers and office staff to address documentation deficiencies and coding gaps.
Job Requirements
• 2+ years of experience in outpatient coding
• 2+ years focused on risk adjustment and HCC principles.
• Advanced knowledge of CPT and ICD-10 coding, with significant expertise in HCC codingguidelines and risk adjustment models.
• Strong understanding of federal and state guidelines on all coding systems and sponsored programs.
• Proficiency in developing and delivering educational content.
• Effective interpersonal, communication, and presentation skills (both verbal and written).
• Ability to manage multiple priorities and work independently.
• Computer literacy in medical information systems, records management software, and encoder software.
Preferred/Desired Experience
• 4+ years of experience in outpatient coding,
• 3+ years focused on risk adjustment and HCC principles

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