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Seasonal Hcc Risk Adjustment Coding Jobs in Canton, MI

Angstrom USA

CNC Mill Setup Technician

Taylor, MI

$24 - $32/hr

Read and interpret part drawings, geometrical specs, and G-code programs * Monitor machine ... Review CMM reports and make real-time adjustments as needed * Perform routine maintenance and ...

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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 popular job titles related to Seasonal Hcc Risk Adjustment Coding jobs in Canton, MI?

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

What cities near Canton, MI are hiring for Seasonal Hcc Risk Adjustment Coding jobs?

Cities near Canton, MI with the most Seasonal Hcc Risk Adjustment Coding job openings:

Seasonal Hcc Risk Adjustment Coding jobs near you

Clinical Documentation Specialist

University of Michigan

Ann Arbor, MI • On-site

$34 - $45.75/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 13 days ago

University Of Michigan rating

8.1

Company rating: 8.1 out of 10

Based on 145 frontline employees who took The Breakroom Quiz

162nd of 618 rated colleges and universities

Job description

Mission Statement
Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.
Job Summary
The Clinical Documentation Specialist (CDS) is responsible for applying their knowledge of medical terminology, risk adjustment, and coding to ensure appropriate capture of diagnoses based on coding guidelines and identify gaps and opportunities within ambulatory settings. They are responsible for planning, coordinating, and providing education to faculty, APPs, and house officers related to Hierarchical Condition Categories (HCC). Develop and implement an education plan to communicate the principles and importance of accurate and complete documentation within the electronic health record (EHR). Serve as a resource of documentation guidelines and regulatory requirements and updates. Partner with and maintain strong collaborative relationships with the Medical Director, Physician Champions, UMMG Department Clinical Documentation Specialists (CDS), and Revenue Quality Liaisons (RQL). Understand and articulate data and analysis clinical documentation and risk adjustment coding trends.
Responsibilities*
Core Responsibilities and Expectations:
  • Responsible for outpatient Hierarchical Condition Category (HCC) pre-visit and post-visit reviews and makes corrections when needed to ensure accurate and specific capture of chronic conditions, comorbidities, and risk-adjusting diagnoses based on coding guidelines.
  • Collaborate with providers to clarify and enhance documentation through compliant queries, education, and feedback.
  • Serves as a source of contact and resource for faculty, APPs, and house officers regarding clinical documentation and medical coding for patient care services.
  • Prepare reports to provide feedback on provider performance including HCC documentation and coding. Including specialty specific documentation examples and power point presentations to be shared at department meetings, as requested.
  • Identifies HCC pre-visit and post-visit documentation trends to be shared with the Physician Champion to allow for clinician education.
  • Educate clinicians on risk adjustment models, disease hierarchies, evaluation and management and documentation standards of excellence through one-on-one sessions, tip sheets, new provider onboarding, and group training.
  • Develop tools (ex. Education materials, learning modules, training videos, etc.) which assist providers with efficient, effective documentation and accurate billing.
  • Serves as a resource for documentation requirements and ensures compliance with applicable laws and regulations.
  • Assist with compliance initiatives related to risk adjustment documentation.
  • Partners with the RQL and follow-up to units within Revenue Cycle and ensure consistent communication between all parties.
  • Maintains current with specialty coding updates, work processes, tools, and clinical and administrative applications necessary to perform job functions.
  • Project a professional and positive image when interacting with patients, faculty, and staff.
  • Performs other duties appropriate to the CDS function, as assigned

Department Specific Responsibilities and Expectations:
  • Responsible for outpatient Hierarchical Condition Category (HCC) pre-visit and post-visit reviews and makes corrections when needed to ensure accurate and specific capture of chronic conditions, comorbidities, and risk-adjusting diagnoses based on coding guidelines.
  • Conduct special review requests to assess compliance risk and identify areas of opportunity for improvement in coding and billing practices. Conduct post-review group and individual training and education.
  • Develop and present issue-specific and general revenue cycle presentations to large groups, including faculty meetings, provider orientation sessions, etc.
  • Onboard new faculty and advance practice providers with compliance training via on-line training tools.
  • Research, interpret and communicate applicable laws and regulations, and third-party payer rules.
  • Keep providers informed of rapidly changing regulatory and third-party payer billing rules; serve as a liaison with the clinical departments in the areas of coding and documentation for their specialties.
  • Perform focused analytical documentation and coding reviews to proactively assess compliance and revenue loss risks for areas of concern identified by the Revenue Cycle Compliance and Education office.
  • Participate in management of the Revenue Cycle compliance work plans, including identifying and assessing issues that create risk for the Health System.
  • Collaboration with the Health Information Management (HIM) team on joint projects related to quality measures and best practices in documentation impacting both facility and professional billing.
  • All other duties as assigned.

Supervision:
  • The Revenue Cycle Compliance Provider Educator will be supervised by the Manager of the Provider Education team in the Revenue Cycle Compliance Division
  • The CDS does not have supervisory responsibilities.

Required Qualifications*
  • Associate degree or equivalent
  • At least five years of medical coding experience
  • Current RHIT, RHIA, CPC, CRC, CCDS certification
  • Demonstrated experience providing clinical documentation and coding education to providers.
  • Excellent communication skills (verbal and written) to enable effective outcomes with the diverse complex clinical care teams.
  • Ability to navigate the EHR to identify documents for review to provide accurate capture of clinical information.
  • Extensive CPT and ICD-10 coding knowledge.
  • Medical terminology and clinical knowledge with the ability to review documentation and determine what documentation is needed to provide accurate medical codes.
  • Ability to work independently, self-motivated and ability to adapt to the changing healthcare environment.
  • Proficiency in organizational skills and planning with an ability to juggle multiple priorities in a fast-changing environment.
  • Proficiency in computer use including Microsoft Office Suite experience.
  • Provide support to clinicians on navigating the EHR to make addendums, create SmartTexts and SmartPhrases and utilize templates.
  • Attention to detail with thoroughness and accuracy when accomplishing a task.
  • Possess proactive, strategic, innovative and out-of-the-box thinking.
  • This is a Hybrid position.

Desired Qualifications*
  • Bachelors degree in health information management or other healthcare related fields.
  • Knowledge of HCC coding and Risk Adjustment Credential from AHIMA or AAPC
  • Demonstrated understanding of Evaluation and Management (E&M), Surgery and Minor procedure coding, billing, and documentation
  • Certification in healthcare compliance through Healthcare Compliance Association (HCCA).
  • Experience performing reviews, analyzing documentation, and identifying areas of risk and potential irregularities across the revenue cycle.
  • Experience interpreting and applying CMS and other third-party payer guidelines and regulations, particularly related to professional services and teaching physician rules.
  • Ability to communicate complex policies and regulations to multiple audiences.

Why Join Michigan Medicine?
Michigan Medicine is one of the largest health care complexes in the world and has been the site of many groundbreaking medical and technological advancements since the opening of the U-M Medical School in 1850. Michigan Medicine is comprised of over 30,000 employees and our vision is to attract, inspire, and develop outstanding people in medicine, sciences, and healthcare to become one of the world's most distinguished academic health systems. In some way, great or small, every person here helps to advance this world-class institution. Work at Michigan Medicine and become a victor for the greater good.
What Benefits can you Look Forward to?
  • Excellent medical, dental and vision coverage effective on your very first day
  • 2:1 Match on retirement savings

Modes of Work
Positions that are eligible for hybrid work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about the work modes here .
Background Screening
Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.
Application Deadline
Job openings are posted for a minimum of seven calendar days. The review and selection process may begin as early as the eighth day after posting. This opening may be removed from posting boards and filled anytime after the minimum posting period has ended.
U-M EEO Statement
The University of Michigan is an Equal Opportunity Employer. We are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants, including protected veterans and individuals with disabilities.
Job Detail
Job Opening ID
281162
Working Title
Clinical Documentation Specialist
Job Title
Clinical Documentation Spec
Work Location
Michigan Medicine - Ann Arbor
Ann Arbor, MI
Modes of Work
Hybrid
Full/Part Time
Full-Time
Regular/Temporary
Regular
FLSA Status
Exempt
Organizational Group
Exec Vp Med Affairs
Department
MM Rev Cycle (PTO)
Posting Begin/End Date
8/04/2026 - 8/16/2026
Career Interest
Healthcare Admin & Support

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About University of Michigan

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The University of Michigan (U-M), based in Ann Arbor, MI, US, is one of America's most esteemed institutions in higher education. Established in 1817, it presides in the industry of education and research, providing a range of services including undergraduate, graduate, and professional education programs. Complementing this is an extensive research activity that has significantly contributed to various fields, from healthcare to engineering, humanities to sports. Upholding its mission "to serve the people of Michigan and the world through preeminence in creating, communicating, preserving and applying knowledge, art, and academic values", U-M consistently ranks among the top universities globally, a testament to its tradition of excellence in learning and research, and a deep commitment to innovation and discovery.

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10,000+ Employees

Headquarters location

Ann Arbor, MI, US

Year founded

1817

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