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Seasonal Hcc Risk Adjustment Coding Jobs in Minnesota

Allmed Staffing Inc

Medical Coder

Minneapolis, MN · On-site

$21/hr

Experience with the CMS HCC Risk Adjustment Model and Medical Record Review/Provider Documentation Validation is preferred. What You'll Do * Apply understanding of relevant medical coding subject ...

Jobtailor

Senior Risk Adjustment Analyst

Virginia, MN · On-site

$110 - $160/hr

Familiarity with Risk Adjustment Documentation, Coding practices and NCQA quality metric experience preferred * Bachelor's degree in Mathematics, Statistics, Health Informatics or similar research ...

Adecco

Sr Med Coder/25/MCO401

Minneapolis, MN · Remote

$20/hr

Preferably with experience in CMS HCC Risk Adjustment Model; Medical Record Review Provider Documentation Validation * Apply understanding of relevant medical coding subject areas (e.g., diagnosis ...

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Seasonal Hcc Risk Adjustment Coding information

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 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 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 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 most commonly searched types of Hcc Risk Adjustment Coding jobs in Minnesota?

The most popular types of Hcc Risk Adjustment Coding jobs in Minnesota are:

What are popular job titles related to Seasonal Hcc Risk Adjustment Coding jobs in Minnesota?

For Seasonal Hcc Risk Adjustment Coding jobs in Minnesota, the most frequently searched job titles are:

What job categories do people searching Seasonal Hcc Risk Adjustment Coding jobs in Minnesota look for?

The top searched job categories for Seasonal Hcc Risk Adjustment Coding jobs in Minnesota are:

Seasonal Hcc Risk Adjustment Coding jobs near you

Risk Adjustment Coding Analyst Senior

HealthPartners

Bloomington, MN • On-site

$32.31 - $48.47/hr

Full-time

Posted 13 days ago

HealthPartners rating

7.5

Company rating: 7.5 out of 10

Based on 138 frontline employees who took The Breakroom Quiz

233rd of 895 rated healthcare providers

Job description


HealthPartners is hiring a Risk Adjustment Coding Analyst Senior.
This position is responsible for diagnosis coding review and vendor coding quality assurance; working to ensure that plan performance and plan revenue is based on an accurate representation of our population's care needs and risks.
ACCOUNTABILITIES:
  1. Performs retrospective chart review for diagnosis coding accuracy.
  2. Identifies, analyzes, and reports coding error trends to inform risk adjustment analytics and deliver provider education.
  3. Reviews vendor coding and provide recurring feedback and education to vendor team.
  4. Participates in internal and CMS-mandated risk adjustment data validation review.
  5. Identifies, documents, and messages process improvements, clinical documentation improvements and/or other educational opportunities.
  6. Develops and performs training and educational seminars to physicians and advanced practice providers on risk adjustment topics.
  7. Increases collaborative efforts between HealthPartners Health Plan and HealthPartners Medical Group as it relates to optimization of diagnosis coding.
  8. Analyzes and organizes complex information for effective reporting to leadership.
  9. Conducts daily work consistent with HealthPartners core values and comply with all federal and state regulations.
  10. Maintains confidentiality of protected health information.
  11. Increases organizational efficiency in daily operations.
  12. Responsible for other duties as assigned.

REQUIRED QUALIFICATIONS:
  • High School Diploma or GED or Associate's degree in a related field
  • One of the following credentials required: RHIA, RHIT, CPC, CCS, CCS-P
  • Certified Risk Adjustment Coder (CRC) credential
  • Minimum of five years experience with diagnosis coding review as a certified coder
  • Demonstrated working knowledge of the revenue cycle process, claims processing, retrospective chart review process, compliance and federal/state regulations, CPT, ICD-9, and ICD-10 coding
  • Identify issues and formulate solutions relating to retrospective chart review process improvement initiatives
  • Understand and communicate clinical documentation requirements for correct coding and to ensure integrity of the medical record
  • Skill and experience in effectively collaborating with team members & others using oral, written and interpersonal communications
  • PC skills in Microsoft Word and Excel
  • Organize and prioritize multiple assignments
  • Ability to deal with change and ambiguity
  • Able to work, both, as a team member or independently

PREFERRED QUALIFICATIONS:
  • Four year college degree
  • Experience working with Epic

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