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Seasonal Hcc Risk Adjustment Coding Jobs in Arizona

PRIORITY ONDEMAND

Nurse Practitioner

Phoenix, AZ · On-site

... high risk or needing follow up. The NP conducts telehealth assessments, manages care plans ... HCC coding, HEDIS measures is a plus (not required) • Telehealth experience preferred (not ...

PRIORITY ONDEMAND

Nurse Practitioner

Phoenix, AZ · Remote

... high risk or needing follow up. The NP conducts telehealth assessments, manages care plans ... HCC coding, HEDIS measures is a plus (not required) • Telehealth experience preferred (not ...

Priority OnDemand

Nurse Practitioner

Phoenix, AZ · On-site

... high risk or needing follow up. The NP conducts telehealth assessments, manages care plans ... HCC coding, HEDIS measures is a plus (not required) • Telehealth experience preferred (not ...

Priority OnDemand

Nurse Practitioner

Phoenix, AZ · On-site

... high risk or needing follow up. The NP conducts telehealth assessments, manages care plans ... HCC coding, HEDIS measures is a plus (not required) • Telehealth experience preferred (not ...

Suvida

Specialist, Quality

Phoenix, AZ · On-site

... Risk Adjustment experience in supplemental data and chart reviews * Knowledge of CMS STARS program * Must have a basic understanding of billing and claims coding * Experience reviewing Electronic ...

CVS Health

Senior Medical Director

Apache Junction, AZ · On-site

... Risk Adjustment Clinical Compliance & Policy Development This includes representing the company to ... Participating in documentation and coding activities, including provider education and review ...

Oak St. Health

Physician Assistant

Glendale, AZ · On-site

$87K - $187K/yr

Understands HCC (Hierarchical Condition Categories) documentation, ICD-10 (International Classification of Diseases-10) Coding, and Health Risk Assessments (HRAs). * Passion for teamwork and the ...

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Seasonal Hcc Risk Adjustment Coding information

What are the most common challenges faced by professionals in seasonal HCC risk adjustment coding roles, and how can they be managed?

Seasonal HCC Risk Adjustment Coders often face the challenge of managing high volumes of medical records within tight deadlines, especially during peak audit or submission periods. Ensuring coding accuracy and compliance with evolving CMS guidelines can also be demanding, as even minor errors may impact reimbursement and risk scores. Staying organized, regularly participating in training updates, and leveraging coding software tools can help manage workloads and maintain accuracy. Collaborating closely with clinical teams and other coders is vital for clarifying documentation and sharing best practices.

What is a seasonal HCC risk adjustment coder?

A Seasonal HCC Risk Adjustment Coder is a healthcare professional who reviews medical records to identify and code diagnoses that impact risk adjustment scores, typically during peak periods such as the Medicare Advantage sweep season. HCC stands for Hierarchical Condition Category, a coding system used by Medicare to predict healthcare costs based on patient diagnoses. These coders ensure accurate documentation, which directly affects insurance reimbursement and compliance. Seasonal roles are common due to the cyclical nature of risk adjustment reporting deadlines.

What is the difference between Seasonal Hcc Risk Adjustment Coding vs Hcc Risk Adjustment Coding?

AspectSeasonal Hcc Risk Adjustment CodingHcc Risk Adjustment Coding
CredentialsCertifications in coding and risk adjustmentCertifications in coding and risk adjustment
Work EnvironmentHealthcare facilities, insurance companies, remoteHealthcare facilities, insurance companies, remote
Industry UsageUsed seasonally for specific risk adjustmentsUsed year-round for ongoing risk management
Search IntentUnderstanding seasonal coding differencesGeneral risk adjustment coding practices

Seasonal Hcc Risk Adjustment Coding focuses on coding practices during specific times of the year, often related to seasonal health trends. In contrast, Hcc Risk Adjustment Coding involves continuous coding to manage patient risk profiles throughout the year. Both roles require similar certifications and work environments but differ mainly in their temporal focus and application.

What are the key skills and qualifications needed to thrive as a seasonal HCC risk adjustment coder?

To thrive as a Seasonal HCC Risk Adjustment Coder, you need a strong understanding of ICD-10-CM coding, risk adjustment methodologies, and a certification such as CPC, CRC, or CCS. Proficiency in coding software, electronic health records (EHRs), and risk adjustment platforms is typically required. Attention to detail, analytical thinking, and strong organizational skills help ensure accuracy and compliance in reviewing medical records. These skills are essential to accurately capture patient risk profiles, support healthcare reimbursement, and maintain regulatory compliance.
What are the most commonly searched types of Hcc Risk Adjustment Coding jobs in Arizona? The most popular types of Hcc Risk Adjustment Coding jobs in Arizona are:
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Seasonal Hcc Risk Adjustment Coding jobs near you

Physician Family Practice-Without OB - Competitive Salary

Inspire Healthcare

Tucson, AZ • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 6 days ago

Job description

- Board Certified Physician Assistant with experience
- Make an impact on seeing the underserved population
- Must speak Spanish
- Full-time permanent Primary Care Outpatient Only position
- Monday " Friday No nights, no weekends
- Small patient panels for consistency and focus (2-15 patients per day)
-Value-based care model
-Provide personalized primary care for older adults on Medicare, with the goal of keeping patients healthy and living life to the fullest
- Administer Annual wellness visits and health risk assessments, which require aholistic view of health and afocus on thoughtful, accurate, and specific documentation.
- Population health leadership, in coordination with the Care Team (e.g., making sure all eligible females get their evidence-based breast cancer screening every 2years)
- Conducting home visits as needed.
- This role reports to the Center Medical Director and works closely with operational leadership.
-Understands HCC (Hierarchical Condition Categories) documentation, ICD-10 (International Classification of Diseases-10) Coding, and Health Risk Assessments (HRAs).
- Location: Tucson, AZ
Benefits:
- Competitive Salary
- Quarterly bonus based on quality metrics
- 6 weeks of PTO, inclusive of vacation, sick time, major holidays, and continuing medical education (CME)
- $5000 CME stipend
- Tuition reimbursement
- Provided Health, Vision, Dental, and Life Insurance
- 401K Investment, up to 4% company match, vested immediately
- Provided Medical Malpractice Insurance
- Dedicated Medical Scribe and Medical Assistant
-Relocation package on acase-by-case basis

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