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Seasonal Hcc Risk Adjustment Coding Jobs in Wisconsin

UW Health

Supervisor - Inpatient Coding

Middleton, WI · On-site

$73.93K - $110.90K/yr

HCC-specific Supv: Certified Risk Adjustment Coder (CRC) Upon Hire Required or * Registered Health Information Technician (RHIT) Upon Hire Required or * Registered Health Information Administrator ...

UW Health

Supervisor - Inpatient Coding

Middleton, WI · On-site +1

$22.25 - $27/hr

HCC-specific Supv: Certified Risk Adjustment Coder (CRC) Upon Hire Required or * Registered Health Information Technician (RHIT) Upon Hire Required or * Registered Health Information Administrator ...

UWHealth

Supervisor - Inpatient Coding

Middleton, WI · On-site +1

$22.25 - $27/hr

HCC-specific Supv: Certified Risk Adjustment Coder (CRC) Upon Hire Required or * Registered Health Information Technician (RHIT) Upon Hire Required or * Registered Health Information Administrator ...

Medica

Risk Adjustment Healthcare Analyst

Madison, WI

$90.50K - $155.20K/yr

Risk Adjustment Analytics & Reporting Independently develop, maintain, and enhance complex risk adjustment reporting and analytic solutions, including HCC coding accuracy, RAF score performance, and ...

Imedica

Risk Adjustment Healthcare Analyst

Madison, WI · On-site

$90.50K - $155.20K/yr

Risk Adjustment Analytics & Reporting Independently develop, maintain, and enhance complex risk adjustment reporting and analytic solutions, including HCC coding accuracy, RAF score performance, and ...

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Seasonal Hcc Risk Adjustment Coding information

What are the key skills and qualifications needed to thrive as a Seasonal HCC Risk Adjustment Coder, and why are they important?

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 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 most commonly searched types of Hcc Risk Adjustment Coding jobs in Wisconsin? The most popular types of Hcc Risk Adjustment Coding jobs in Wisconsin are:
What are popular job titles related to Seasonal Hcc Risk Adjustment Coding jobs in Wisconsin? For Seasonal Hcc Risk Adjustment Coding jobs in Wisconsin, the most frequently searched job titles are:
What job categories do people searching Seasonal Hcc Risk Adjustment Coding jobs in Wisconsin look for? The top searched job categories for Seasonal Hcc Risk Adjustment Coding jobs in Wisconsin are:
What cities in Wisconsin are hiring for Seasonal Hcc Risk Adjustment Coding jobs? Cities in Wisconsin with the most Seasonal Hcc Risk Adjustment Coding job openings:
Seasonal Hcc Risk Adjustment Coding jobs near you
Medical Coding Specialist II - Radiology

Medical Coding Specialist II - Radiology

UW Health

Middleton, WI • On-site

$28.21 - $42.32/hr

Other

Medical, Dental, Retirement, PTO

Posted 14 days ago

UW Health rating

7.9

Company rating: 7.9 out of 10

Based on 212 frontline employees who took The Breakroom Quiz

101st of 864 rated healthcare providers

Job description

Job Description
Work Schedule:
This is a full-time, 1.0 FTE position that is 100% remote. Hours may vary based on the operational needs of the department. Applicants hired into this position can work from most states. This will be discussed during the interview process.
To be eligible to work remotely, you must be in an approved remote work state for UW Health. We've included a link below to view the full list of approved remote work states.
Approved Remote Work States Listing
Be part of something remarkable
Join the #1 hospital in Wisconsin!
We are seeking a Medical Coding Specialist II to
  • Utilize available encoder, grouper software, and other coding resources to determine the appropriate ICD-10-CM, CPT, and/or HCPCS including specialty specific codes and Evaluation and Management (E&M) codes.
  • Maintain an understanding and apply knowledge of National Correct Coding Initiatives (NCCI), Local Coverage Documents and National Coverage Documents (LCD/NCD) directives, Medically Unlikely Edits (MUEs), and Medicare Teaching Physician Guidelines, applying knowledge of applicable regulatory requirements and institutional guidelines to select appropriate codes and modifiers.

At UW Health, you will have:
  • An excellent benefits package, including health and dental insurance, paid time off, retirement plans, two-week paid parental leave and adoption assistance.
  • Options for a variety of schedules and shifts that offer flexibility and allow for work-life balance.
  • Access to great resources through the UW Health Employee Wellbeing Department that supports your emotional, financial, and physical well-being.
  • Tuition benefits eligibility - UW Health invests in your professional growth by helping pay for coursework associated with career advancement.

Qualifications
  • High School Diploma or equivalent and medical coding education Required or
  • In lieu of a medical coding education, an active coding certification Required
  • Associate's Degree in a healthcare related field Preferred

Work Experience
  • 1 year of progressive coding experience (For HCC-specific roles, experience must be specific to HCC) Required
  • 2 years progressive coding experience in multiple specialties, HCC Risk adjustment Coding Preferred

Licenses & Certifications
  • Certified Professional Coder (CPC) Upon Hire Required or
  • Certified Outpatient Coder (COC) Upon Hire Required or
  • Certified Inpatient Coder (CIC) Upon Hire Required or
  • Certified Coding Specialist (CCS) Upon Hire Required or
  • Certified Coding Specialist Physician-Based (CCS-P) Upon Hire Required or
  • Certified Coding Associate (CCA) Upon Hire Required or
  • Certified Risk Adjustment Coder (CRC) Upon Hire Required or
  • Registered Health Information Technician (RHIT) Upon Hire Required or
  • Registered Health Information Administrator (RHIA) Upon Hire Required
  • Registered Health Information Technician (RHIT) Preferred or
  • Registered Health Information Administrator (RHIA) Preferred

Our Commitment to Social Impact and Belonging
UW Health is committed to fostering a workplace that creates belonging for everyone and is an Equal Employment Opportunity (EEO) employer. Our respect for people shines through patient care interactions and our daily work practices as we work to embrace the knowledge, unique perspectives and qualities each employee and faculty member brings to work each day. It is the policy of UW Health to provide equal opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.
Job Description
UW Medical Foundation benefits

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About UW Health

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UW Health Clinics - our physicians and staff are dedicated to providing an exceptional patient and family experience by delivering the highest quality of care in a compassionate environment. With more than 80 primary and specialty care clinics located throughout Dane County and the surrounding areas, we are proud to have the opportunity to impact the communities we serve.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Madison, WI, US

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