... HCC Risk adjustment Coding Preferred Licenses & Certifications * Certified Professional Coder (CPC) Upon Hire Required or * Certified Outpatient Coder (COC) Upon Hire Required or * Certified ...
... HCC Risk adjustment Coding Preferred Licenses & Certifications * Certified Professional Coder (CPC) Upon Hire Required or * Certified Outpatient Coder (COC) Upon Hire Required or * Certified ...
... HCC Risk adjustment Coding Preferred Licenses & Certifications * Certified Professional Coder (CPC) Upon Hire Required or * Certified Outpatient Coder (COC) Upon Hire Required or * Certified ...
... HCC Risk adjustment Coding Preferred Licenses & Certifications * Certified Professional Coder (CPC) Upon Hire Required or * Certified Outpatient Coder (COC) Upon Hire Required or * Certified ...
... HCC Risk adjustment Coding Preferred Licenses & Certifications * Certified Professional Coder (CPC) Upon Hire Required or * Certified Outpatient Coder (COC) Upon Hire Required or * Certified ...
... HCC Risk adjustment Coding Preferred Licenses & Certifications * Certified Professional Coder (CPC) Upon Hire Required or * Certified Outpatient Coder (COC) Upon Hire Required or * Certified ...
... HCC Risk adjustment Coding Preferred Licenses & Certifications * Certified Professional Coder (CPC) Upon Hire Required or * Certified Outpatient Coder (COC) Upon Hire Required or * Certified ...
... HCC Risk adjustment Coding Preferred Licenses & Certifications * Certified Professional Coder (CPC) Upon Hire Required or * Certified Outpatient Coder (COC) Upon Hire Required or * Certified ...
Medical Coding Specialist II - Ortho/Rehab with Multi Spec
Middleton, WI · On-site
$28.21 - $42.32/hr
... HCC Risk adjustment Coding Preferred Licenses & Certifications * Certified Professional Coder (CPC) Upon Hire Required or * Certified Outpatient Coder (COC) Upon Hire Required or * Certified ...
Medical Coding Specialist II - Ortho/Rehab with Multi Spec
Middleton, WI · On-site
$28.21 - $42.32/hr
... HCC Risk adjustment Coding Preferred Licenses & Certifications * Certified Professional Coder (CPC) Upon Hire Required or * Certified Outpatient Coder (COC) Upon Hire Required or * Certified ...
... HCC Risk adjustment Coding Preferred Licenses & Certifications * Certified Professional Coder (CPC) Upon Hire Required or * Certified Outpatient Coder (COC) Upon Hire Required or * Certified ...
... HCC Risk adjustment Coding Preferred Licenses & Certifications * Certified Professional Coder (CPC) Upon Hire Required or * Certified Outpatient Coder (COC) Upon Hire Required or * Certified ...
Medical Coding Specialist II - Profee Radiology
Middleton, WI · On-site
$28.21 - $42.32/hr
... HCC Risk adjustment Coding Preferred Licenses & Certifications * Certified Professional Coder (CPC) Upon Hire Required or * Certified Outpatient Coder (COC) Upon Hire Required or * Certified ...
Medical Coding Specialist II - Profee Radiology
Middleton, WI · On-site
$28.21 - $42.32/hr
... HCC Risk adjustment Coding Preferred Licenses & Certifications * Certified Professional Coder (CPC) Upon Hire Required or * Certified Outpatient Coder (COC) Upon Hire Required or * Certified ...
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 ...
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 ...
Supervisor Coding - Fiscal Denials
Middleton, WI · On-site
$73K - $110K/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 ...
Supervisor Coding - Fiscal Denials
Middleton, WI · On-site
$73K - $110K/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 ...
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 ...
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 ...
Experience with the risk adjustment and reimbursement landscape (Medicare Advantage, ACA, Medicaid managed care, HCC coding, RAF optimization, RADV, and documentation/compliance) is strongly ...
Experience with the risk adjustment and reimbursement landscape (Medicare Advantage, ACA, Medicaid managed care, HCC coding, RAF optimization, RADV, and documentation/compliance) is strongly ...
Experience with the risk adjustment and reimbursement landscape (Medicare Advantage, ACA, Medicaid managed care, HCC coding, RAF optimization, RADV, and documentation/compliance) is strongly ...
Experience with the risk adjustment and reimbursement landscape (Medicare Advantage, ACA, Medicaid managed care, HCC coding, RAF optimization, RADV, and documentation/compliance) is strongly ...
Telehealth Nurse Practitioner
Madison, WI · Remote
$600 - $720/day
Document risk adjustment (HCC coding) during patient visits * Close HEDIS care gaps during visits * Review medical history, medications, and preventive needs * Document visits using ICD-10 and CPT II ...
Telehealth Nurse Practitioner
Madison, WI · Remote
$600 - $720/day
Document risk adjustment (HCC coding) during patient visits * Close HEDIS care gaps during visits * Review medical history, medications, and preventive needs * Document visits using ICD-10 and CPT II ...
Develops educational materials for providers in relation to diagnostic coding and risk adjustment ... Category (HCC) coding required Will consider years of experience in lieu of bachelor's degree.
Develops educational materials for providers in relation to diagnostic coding and risk adjustment ... Category (HCC) coding required Will consider years of experience in lieu of bachelor's degree.
Develops educational materials for providers in relation to diagnostic coding and risk adjustment ... Category (HCC) coding required Will consider years of experience in lieu of bachelor's degree.
Develops educational materials for providers in relation to diagnostic coding and risk adjustment ... Category (HCC) coding required Will consider years of experience in lieu of bachelor's degree.
... risk adjustment factors, e.g., hierarchical condition categories (HCC). Interprets and translates coding, payment, and reimbursement policies and regulations for the benefit of leaders and staff ...
... risk adjustment factors, e.g., hierarchical condition categories (HCC). Interprets and translates coding, payment, and reimbursement policies and regulations for the benefit of leaders and staff ...
The Risk Adjustment Compliance Project Manager is responsible for leading compliance focused ... Background in provider education, clinical documentation, or coding compliance * Experience ...
New
The Risk Adjustment Compliance Project Manager is responsible for leading compliance focused ... Background in provider education, clinical documentation, or coding compliance * Experience ...
New
The Risk Adjustment Compliance Project Manager is responsible for leading compliance focused ... Background in provider education, clinical documentation, or coding compliance * Experience ...
The Risk Adjustment Compliance Project Manager is responsible for leading compliance focused ... Background in provider education, clinical documentation, or coding compliance * Experience ...
The Risk Adjustment Compliance Project Manager is responsible for leading compliance focused ... Background in provider education, clinical documentation, or coding compliance * Experience ...
The Risk Adjustment Compliance Project Manager is responsible for leading compliance focused ... Background in provider education, clinical documentation, or coding compliance * Experience ...
Coder (Clinic - III)
Neenah, WI · On-site
$19.25 - $25.75/hr
... coding; Urology primarily to start. KEY ACCOUNTABILITIES: * Reviews and/or assigns proper CPT procedures and/or diagnosis codes (ICD-10-CM including HCC risk adjustment diagnosis) for professional ...
Coder (Clinic - III)
Neenah, WI · On-site
$19.25 - $25.75/hr
... coding; Urology primarily to start. KEY ACCOUNTABILITIES: * Reviews and/or assigns proper CPT procedures and/or diagnosis codes (ICD-10-CM including HCC risk adjustment diagnosis) for professional ...
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?
| Aspect | Seasonal Hcc Risk Adjustment Coding | Hcc Risk Adjustment Coding |
|---|---|---|
| Credentials | Certifications in coding and risk adjustment | Certifications in coding and risk adjustment |
| Work Environment | Healthcare facilities, insurance companies, remote | Healthcare facilities, insurance companies, remote |
| Industry Usage | Used seasonally for specific risk adjustments | Used year-round for ongoing risk management |
| Search Intent | Understanding seasonal coding differences | General 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, 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 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:
Full-time
Medical, Dental, Retirement, PTO
Posted 8 days ago
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 - HB Fiscal Coder 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.
- Responsible for resolution of pre-bill claim edits (OCE, CCI, MUE, Medical Necessity, etc.) from all Hospital Billing clinical areas. You will strive to produce the cleanest claim possible before it moves on to Billing or out to the payer.
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 Hospital and Clinics benefits