Expertise in CMS Risk Adjustment Data Validation (RADV) for Medicare Advantage Plans, and medical coding, including but not limited to E/M, ICD-10, CPT, and HCC coding preferred. Able to keyboard 40 ...
Expertise in CMS Risk Adjustment Data Validation (RADV) for Medicare Advantage Plans, and medical coding, including but not limited to E/M, ICD-10, CPT, and HCC coding preferred. Able to keyboard 40 ...
SR. HCC Coder
West Hills, CA · On-site
$30 - $33/hr
Risk Adjustment Auditors collaborate with the Manager to provide expertise in the use and application of coding classifications, such as ICD-9-CM and/or ICD-10-CM. Auditors also record documentation ...
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SR. HCC Coder
West Hills, CA · On-site
$30 - $33/hr
Risk Adjustment Auditors collaborate with the Manager to provide expertise in the use and application of coding classifications, such as ICD-9-CM and/or ICD-10-CM. Auditors also record documentation ...
Certified Risk Adjustment Coder (CRC), Senior Associate
Los Angeles, CA · Hybrid
$85K - $200K/yr
Certified in Risk Adjustment Coding (CRC) with at least five (5) recent years of experience in HCC/Risk Adjustment and/or RADV Audit Methodology * Associate's or Bachelor's degree preferred, but not ...
Certified Risk Adjustment Coder (CRC), Senior Associate
Los Angeles, CA · Hybrid
$85K - $200K/yr
Certified in Risk Adjustment Coding (CRC) with at least five (5) recent years of experience in HCC/Risk Adjustment and/or RADV Audit Methodology * Associate's or Bachelor's degree preferred, but not ...
The Hierarchical Condition Categories (HCC) Coding Analyst will effectively interface with provider ... Maintain records of training. 9. Suggests new Physician Group Risk Adjustment coding initiatives.
The Hierarchical Condition Categories (HCC) Coding Analyst will effectively interface with provider ... Maintain records of training. 9. Suggests new Physician Group Risk Adjustment coding initiatives.
National Coding Educator - Remote
Irvine, CA · Remote
$29.25 - $33.25/hr
Supports providers in understanding CMS-HCC Risk Adjustment program as it relates to payment methodology and the importance of proper chart documentation and diagnosis coding to ensure compliance
National Coding Educator - Remote
Irvine, CA · Remote
$29.25 - $33.25/hr
Supports providers in understanding CMS-HCC Risk Adjustment program as it relates to payment methodology and the importance of proper chart documentation and diagnosis coding to ensure compliance
The Hierarchical Condition Categories (HCC) Coding Analyst will effectively interface with provider ... Maintain records of training. 9. Suggests new Physician Group Risk Adjustment coding initiatives.
The Hierarchical Condition Categories (HCC) Coding Analyst will effectively interface with provider ... Maintain records of training. 9. Suggests new Physician Group Risk Adjustment coding initiatives.
National Coding Educator - Remote
Irvine, CA · On-site +1
$29.25 - $33.25/hr
Supports providers in understanding CMS-HCC Risk Adjustment program as it relates to payment methodology and the importance of proper chart documentation and diagnosis coding to ensure compliance
National Coding Educator - Remote
Irvine, CA · On-site +1
$29.25 - $33.25/hr
Supports providers in understanding CMS-HCC Risk Adjustment program as it relates to payment methodology and the importance of proper chart documentation and diagnosis coding to ensure compliance
Strong knowledge of Medicare Advantage, HCC coding, and risk adjustment * Proficient in EMR documentation and medical coding best practices * Excellent communication and patient engagement skills ...
Strong knowledge of Medicare Advantage, HCC coding, and risk adjustment * Proficient in EMR documentation and medical coding best practices * Excellent communication and patient engagement skills ...
Strong knowledge of Medicare Advantage, HCC coding, and risk adjustment * Proficient in EMR documentation and medical coding best practices * Excellent communication and patient engagement skills ...
Strong knowledge of Medicare Advantage, HCC coding, and risk adjustment * Proficient in EMR documentation and medical coding best practices * Excellent communication and patient engagement skills ...
Certified Coder (Risk Adjustment Experience Required) - REMOTE
Long Beach, CA · Remote
$24.50 - $33.50/hr
Certified Coding Specialist - Physician Based (CCS-P). Familiar with HCC (Hierarchical Condition Categories) Risk Adjustment Model. Background in supporting risk adjustment management activities and ...
Certified Coder (Risk Adjustment Experience Required) - REMOTE
Long Beach, CA · Remote
$24.50 - $33.50/hr
Certified Coding Specialist - Physician Based (CCS-P). Familiar with HCC (Hierarchical Condition Categories) Risk Adjustment Model. Background in supporting risk adjustment management activities and ...
Certified Coder (Risk Adjustment Experience Required) - REMOTE
Long Beach, CA · On-site +1
$19.84 - $38.69/hr
... Coding Specialist - Physician Based (CCS-P). • Familiar with HCC (Hierarchical Condition Categories) Risk Adjustment Model. • Background in supporting risk adjustment management activities and ...
Certified Coder (Risk Adjustment Experience Required) - REMOTE
Long Beach, CA · On-site +1
$19.84 - $38.69/hr
... Coding Specialist - Physician Based (CCS-P). • Familiar with HCC (Hierarchical Condition Categories) Risk Adjustment Model. • Background in supporting risk adjustment management activities and ...
Certified Coder (Risk Adjustment Experience Required) - REMOTE
Long Beach, CA · Remote
$19.84 - $38.69/hr
Certified Coding Specialist - Physician Based (CCS-P). Familiar with HCC (Hierarchical Condition Categories) Risk Adjustment Model. Background in supporting risk adjustment management activities and ...
Certified Coder (Risk Adjustment Experience Required) - REMOTE
Long Beach, CA · Remote
$19.84 - $38.69/hr
Certified Coding Specialist - Physician Based (CCS-P). Familiar with HCC (Hierarchical Condition Categories) Risk Adjustment Model. Background in supporting risk adjustment management activities and ...
Manager, Clinical Operations - Risk Adjustment & Quality
La Crescenta, CA · On-site
$100K - $140K/yr
Key Responsibilities Risk Adjustment & Coding Support * Support the implementation and ongoing management of risk adjustment programs across business lines to promote accurate and compliant coding ...
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Manager, Clinical Operations - Risk Adjustment & Quality
La Crescenta, CA · On-site
$100K - $140K/yr
Key Responsibilities Risk Adjustment & Coding Support * Support the implementation and ongoing management of risk adjustment programs across business lines to promote accurate and compliant coding ...
Strong knowledge of Medicare Advantage, HCC coding, and risk adjustment * Proficient in EMR documentation and medical coding best practices * Excellent communication and patient engagement skills ...
Strong knowledge of Medicare Advantage, HCC coding, and risk adjustment * Proficient in EMR documentation and medical coding best practices * Excellent communication and patient engagement skills ...
Analyze Hierarchical Condition Category (HCC) coding and Risk Adjustment Factor (RAF) scores to identify documentation gaps and ensure alignment with CMS risk adjustment models. * Support provider ...
Analyze Hierarchical Condition Category (HCC) coding and Risk Adjustment Factor (RAF) scores to identify documentation gaps and ensure alignment with CMS risk adjustment models. * Support provider ...
MSO PHYSICIAN REVIEWER
Burlingame, CA · On-site
$285K - $332K/yr
Analyze Hierarchical Condition Category (HCC) coding and Risk Adjustment Factor (RAF) scores to identify documentation gaps and ensure alignment with CMS risk adjustment models. * Support provider ...
MSO PHYSICIAN REVIEWER
Burlingame, CA · On-site
$285K - $332K/yr
Analyze Hierarchical Condition Category (HCC) coding and Risk Adjustment Factor (RAF) scores to identify documentation gaps and ensure alignment with CMS risk adjustment models. * Support provider ...
Requires an in-depth understanding of risk adjustment models (CMS-HCC, HHS-HCC), Official Coding Guidelines, payer policies, and regulatory requirements (CMS, HHS, OIG, DHCS) * Requires exceptional ...
Requires an in-depth understanding of risk adjustment models (CMS-HCC, HHS-HCC), Official Coding Guidelines, payer policies, and regulatory requirements (CMS, HHS, OIG, DHCS) * Requires exceptional ...
Analyze Hierarchical Condition Category (HCC) coding and Risk Adjustment Factor (RAF) scores to identify documentation gaps and ensure alignment with CMS risk adjustment models. * Support provider ...
Analyze Hierarchical Condition Category (HCC) coding and Risk Adjustment Factor (RAF) scores to identify documentation gaps and ensure alignment with CMS risk adjustment models. * Support provider ...
... coding, medical terminology, human anatomy and physiology, clinical indicators associated with disease processes and pharmacology is required * Subject matter expertise on the CMS HCC Risk Adjustment ...
... coding, medical terminology, human anatomy and physiology, clinical indicators associated with disease processes and pharmacology is required * Subject matter expertise on the CMS HCC Risk Adjustment ...
... coding, medical terminology, human anatomy and physiology, clinical indicators associated with disease processes and pharmacology is required * Subject matter expertise on the CMS HCC Risk Adjustment ...
... coding, medical terminology, human anatomy and physiology, clinical indicators associated with disease processes and pharmacology is required * Subject matter expertise on the CMS HCC Risk Adjustment ...
Trainee Hcc Risk Adjustment Coding information
What are some common challenges faced by Trainee HCC Risk Adjustment Coders, and how can they be overcome?
Trainee HCC Risk Adjustment Coders often encounter challenges such as interpreting complex medical documentation, staying up-to-date with changing coding guidelines, and accurately assigning codes that reflect patients' true risk profiles. Overcoming these challenges involves continuous learning, seeking mentorship from experienced coders, and utilizing resources like coding manuals and online forums. Collaborating with clinical staff and participating in regular training sessions can also enhance accuracy and confidence in the coding process.
What is the difference between Trainee Hcc Risk Adjustment Coding vs Hcc Risk Adjustment Coder?
| Aspect | Trainee Hcc Risk Adjustment Coding | Hcc Risk Adjustment Coder |
|---|---|---|
| Certifications | None or entry-level certifications | Certified Professional Coder (CPC) or equivalent |
| Work Environment | Training programs, supervised settings | Independent coding in healthcare facilities |
| Job Responsibilities | Learning coding processes, assisting with documentation | Accurate coding, claim submission, compliance |
The main difference is that Trainee Hcc Risk Adjustment Coders are in training or entry-level roles, focusing on learning and assisting, while Hcc Risk Adjustment Coders are experienced professionals responsible for independent coding and compliance tasks.
What is a Trainee HCC Risk Adjustment Coder?
A Trainee HCC Risk Adjustment Coder is an entry-level professional who is learning how to review and assign medical codes for diagnoses in patient records, specifically for the Hierarchical Condition Category (HCC) risk adjustment model. This role involves training in medical coding standards, healthcare regulations, and compliance requirements to ensure accurate coding for insurance and Medicare/Medicaid reimbursement. Trainees typically work under supervision and are expected to develop a strong understanding of ICD-10-CM coding, clinical documentation improvement, and the principles of risk adjustment. The position is ideal for those starting a career in medical coding and offers a pathway to becoming a certified HCC coder.
What are the key skills and qualifications needed to thrive as a Trainee HCC Risk Adjustment Coder, and why are they important?
To thrive as a Trainee HCC Risk Adjustment Coder, you need a foundational understanding of medical coding, anatomy, and healthcare terminology, often supported by a relevant certification or coursework. Familiarity with ICD-10-CM coding systems, electronic health records (EHRs), and risk adjustment software is typically required. Strong attention to detail, analytical thinking, and effective communication are important soft skills in this role. These skills ensure accurate coding, which directly impacts proper reimbursement, compliance, and the quality of patient care data.
What are the most commonly searched types of Hcc Risk Adjustment Coding jobs in California? The most popular types of Hcc Risk Adjustment Coding jobs in California are:
What are popular job titles related to Trainee Hcc Risk Adjustment Coding jobs in California? For Trainee Hcc Risk Adjustment Coding jobs in California, the most frequently searched job titles are:
What job categories do people searching Trainee Hcc Risk Adjustment Coding jobs in California look for? The top searched job categories for Trainee Hcc Risk Adjustment Coding jobs in California are:
What cities in California are hiring for Trainee Hcc Risk Adjustment Coding jobs? Cities in California with the most Trainee Hcc Risk Adjustment Coding job openings:
Loma Linda University Health rating
8.1
Based on 86 frontline employees who took The Breakroom Quiz
109th of 997 rated hospitals
Job description
Please Note: This is a hybrid position; however, applicants must reside in California and live within a 2-hour radius of Redlands, CA to be considered.
Department: UHC: Managed Care
Job Summary: The Coder 1 Risk Adjustment is responsible for concurrent, prospective, and retrospective clinical documentation review as it pertains to Risk Adjustment Data Validation (RADV) timelines, with an emphasis on completeness and accuracy of provider documentation related to severity of illness and supporting clinical care plan(s) for the validation of Hierarchical Condition Category (HCC) diagnoses. Initiates communication, verbal and written, with providers to facilitate clarification of need for greater specificity, clinical support, and/or completeness of the progress notes. Provides compliant education related to documentation integrity, completeness, and consistency. Keeps providers up to date on CMS, ICD-10-CM, AHA Coding, health plan etc. guidelines as it pertains to Risk Adjustment for the purpose of, documentation trends and opportunities for improvement related to documentation integrity. Performs other duties as needed.
Education and Experience: Bachelor's degree in Health Information Management or other clinical/healthcare degree preferred; however, an equivalent combination of education and experience that provides proficiency in the areas of responsibility, may be substituted for the stated education and experience requirements.2+ years overall combined clinical/medical experience with at least 1+ year of Risk Adjustment coding specific experience or Clinical Documentation Improvement/Specialist equivalent.
Knowledge and Skills: Comprehensive understanding of the contents of a typical electronic medical record, medical terminology, abbreviations, ICD-10-CM coding conventions. Expertise in CMS Risk Adjustment Data Validation (RADV) for Medicare Advantage Plans, and medical coding, including but not limited to E/M, ICD-10, CPT, and HCC coding preferred. Able to keyboard 40 wpm. Able to read; write legibly; speak in English with professional quality; use computer, printer and software programs necessary to the position; operate/troubleshoot basic office equipment require for the position. Able to relate and communicate positively, effectively, and professionally with others; be assertive and consistent in following or enforcing policies; work calmly and respond courteously when under pressure; collaborate; and accept direction. Able to communicate effectively in English in person, in writing, and on the telephone; think critically; work independently with minimal supervision; performs basic math functions; manage multiple assignments effectively; work well under pressure; problem solve; organize and prioritize workload; recall information with accuracy; pay close attention to detail. Able to distinguish colors as necessary; hear sufficiently for general conversation in person and on the telephone; identify and distinguish various sounds associated with the workplace; see adequately to read computer screens, medical records, and written documents necessary to position.
Licensures and Certifications: Certified Risk Adjustment Coder (CRC) required; Certified Clinical Documentation Specialist (CCDS) preferred. An equivalent combination of Risk Adjustment Coding work experience and other relevant American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA) certification may be substituted for the stated certification requirements.
Loma Linda University Health is a Seventh-day Adventist, faith and values based Christian institution. Candidates must understand and embrace the mission, purpose, and identity of Loma Linda and its affiliated entities.
We are an equal opportunity employer committed to the principles of diversity. We provide equal opportunities in all aspects of the employment process to every individual, regardless of gender, race, color, age, national origin, ancestry, physical or mental disability, marital or veteran status, genetic information or any other characteristic protected by law. In addition, we will provide reasonable accommodations for otherwise qualified individuals requesting an accommodation due to a disability. If you need accommodation assistance with accessing our job listings or completing an application, or during any other phase of employment with us, please contact Human Resources Management at (909) 651-4001.
Loma Linda University Health Care is a religiously-qualified Equal Opportunity Employer under Title VII of Civil Rights Act of 1964. No question on this application is asked for the purpose of unlawfully limiting or excluding any applicant's consideration for employment because of race, color, religion, gender, age, national origin, disability, genetic information, or any other status protected by applicable law. If you need a reasonable accommodation in the hiring process, please notify Human Resource Management.
We appreciate your interest in Loma Linda and wish you success in your job search!
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About Loma Linda University Health
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Loma Linda University Health (LLUH) is an esteemed healthcare organization situated in Loma Linda, California, US. Established in 1905, it was initially known as the College of Medical Evangelists, and it operated as the official medical institution of the Seventh-day Adventist Church until the name was changed to LLUH in 1961. LLUH is very much active in the healthcare and education sectors, providing a vast range of services such as medical treatment, research, and health education. The organization’s core mission is "to continue the teaching and healing ministry of Jesus Christ", which underlines its binding values of compassion, integrity, excellence, freedom, and justice.
Industry
Health care and social assistance and hospitality services
Company size
10,000+ Employees
Headquarters location
Loma Linda, CA, US