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Seasonal Hcc Risk Adjustment Coding Jobs in Wisconsin

ThedaCare

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 ...

ThedaCare

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 ...

Advocate Aurora Health

Coder Lead - Risk Management

Milwaukee, WI · Remote

$30.70 - $46.05/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Risk Management (HCC Coding) Schedule: * Monday - Friday 1st shift 40 hours a week. Certification required: * Coding Certification issued by one of the following certifying bodies: American Academy ...

Palm Medical Centers

WI · On-site

$200 - $300/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Accurately and on a timely basis document encounters and diagnoses in eCW, ensuring complete and compliant coding for risk adjustment. * Participate in multidisciplinary meetings and quality ...

Great American Insurance Group

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... Risk Management Agency (USDA RMA) to write MPCI policies. With six regional offices throughout the ... Complete field inspections, reviews, and adjustments by reading maps and aerial photos, measuring ...

Great American Insurance Group

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... Risk Management Agency (USDA RMA) to write MPCI policies. With six regional offices throughout the ... Complete field inspections, reviews, and adjustments by reading maps and aerial photos, measuring ...

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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 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

Coder (Clinic - III)

ThedaCare

Neenah, WI • On-site

$19.25 - $25.75/hr

Other

Re-posted 19 days ago

ThedaCare rating

6.6

Company rating: 6.6 out of 10

Based on 128 frontline employees who took The Breakroom Quiz

569th of 887 rated healthcare providers

Job description

Why ThedaCare?
Living A Life Inspired!
Our new vision at ThedaCare is bold, ambitious, and ignited by a shared passion to provide outstanding care. We are inspired to reinvent health care by becoming a proactive partner in health, enriching the lives of all and creating value in everything we do. Each of us are called to take action in delivering higher standards of care, lower costs and a healthier future for our patients, our families, our communities and our world.
At ThedaCare, our team members are empowered to be the catalyst of change through our values of compassion, excellence, leadership, innovation, and agility. A career means much more than excellent compensation and benefits. Our team members are supported by continued opportunities for learning and development, accessible and transparent leadership, and a commitment to work/life balance. If you're interested in joining a health care system that is changing the face of care and well-being in our community, we encourage you to explore a future with ThedaCare.
Benefits, with a whole-person approach to wellness -
  • Lifestyle Engagement
    • e.g. health coaches, relaxation rooms, health focused apps (Wonder, Ripple), mental health support
  • Access & Affordability
    • e.g. minimal or zero copays, team member cost sharing premiums, daycare

About ThedaCare!
Summary :
The Coder (Clinic - III) performs coding review for surgical specialties for ThedaCare Physician Services to accurately reflect services rendered. Reviews and processes charges using industry standard methodologies (CPT, ICD-10-CM, HCPCS), abides by Standards of Ethical Coding (AAPC/AHIMA), and complies with official coding guidelines and other regulatory requirements. Audits medical record documentation and educates providers on documentation improvement opportunities and risks. Educates and trains new team members to department standards. Mentors and observes team members in department responsibilities. Upholds and demonstrates department expectations and accuracy in regards to coding responsibilities including payer denials and claim edits.
Job Description:
SCHEDULE:
  • Full time, benefit eligible
  • 40 hrs/week
  • Business hours (i.e 8:00am-5:00pm)
  • Remote Position
  • Preferred skill set and experience strong in surgical 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 services including specialty medical services, in and outpatient E&M, and surgical procedures (i.e., cardiology, orthopedic, and general surgery) with a high degree of accuracy.
  • Educates providers on documentation improvement opportunities. Conducts and reports internal documentation audits to ensure ThedaCare compliance by providers and team members.
  • Performs internal reviews in response to third party data summaries and/or investigations. Creates mitigation plan to reduce future risk.
  • Manages and maintains coding inventory responsibilities, internal reporting and payer denials, and claim edits to ensure timely reimbursement for services provided. Researches policy and communicates with payers.
  • Mentors and trains team members to skills matrix requirements. Provides orientation training to new team members.
  • Performs world class service to our customers, responding timely and professionally to inquiries.
QUALIFICATIONS:
  • High School diploma or GED preferred
  • Must be 18 years of age
  • Coding certificate or associate's degree in medical business or coding/health information
  • Three years of experience in general medical or specialty coding
  • Dual certifications through AAPC and/or AHIMA
PHYSICAL DEMANDS:
  • Ability to move freely (standing, stooping, walking, bending, pushing, and pulling) and lift up to a maximum of twenty-five (25) pounds without assistance
  • Job classification is not exposed to blood borne pathogens (blood or bodily fluids) while performing job duties
WORK ENVIRONMENT:
  • Normally works in climate controlled office environment
  • Frequent sitting with movement throughout office space
  • Use of computers throughout the work day
  • Frequent use of keyboard with repetitive motion of hands, wrists, and fingers

Scheduled Weekly Hours:
40Scheduled FTE:
1Location:
CIN 3 Neenah Center - Appleton,WisconsinOvertime Exempt:
NoWorker Shift Details:
Days

What ThedaCare employees say

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About ThedaCare

Sourced by ZipRecruiter

We want to make exceptional care effortless for our patients. At ThedaCare, that means going above and beyond treating a particular condition – it means helping you achieve better health for life. You and your family are at the center of everything we do, from prioritizing your schedule when making appointments to designing our facilities for your comfort and convenience. Remaining proactive in your care allows us to better predict and prevent disease before complications arise, and when it comes to making important health-related decisions, we are here to support you. In every interaction, we want you to have full confidence the care you receive is purposeful, cost-effective and will help you continue enjoying life as you’ve planned it. ThedaCare is the third largest healthcare employer in Wisconsin, and the largest employer in Northeast Wisconsin with over 7,000 team members.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Neenah, WI, US

Year founded

1909

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