Trainee Hcc Risk Adjustment Coding Jobs in Dallas, TX

Risk Adjustment Coding Auditor Quantity of resources: 2 Duration: 6 months JD: This role will be occupied by a certified risk adjustment coder to support first and second pass auditing for CMS RADV'

Risk Adjustment Coding Auditor Quantity of resources: 2 Duration: 6 months JD: This role will be occupied by a certified risk adjustment coder to support first and second pass auditing for CMS RADV'

Extensive knowledge of ICD-9-CM outpatient diagnosis coding guidelines (with knowledge and demonstrated understanding of CMS HCC Risk Adjustment coding and data validation requirements is preferred)

... Coding Guidelines and Risk Adjustment Guidelines). Responsibilities: • Abstract pertinent information from patient medical records. Assign appropriate ICD-9-CM codes, creating HCC and/or RxHCC ...

This role will provide strategic leadership across client engagements, with a particular focus on coding compliance, revenue cycle operations, and risk adjustment (RADV/HCC). The Director will play a ...

Conduct compliance risk assessments related to coding, documentation, and encounter data ... Medicare Advantage compliance leadership experience supporting RADV, HCC validation, and CMS audits ...

The Associate, Risk Adjustment Auditor conducts internal and external quality audits ... Quality audits are specific to ICD-10 code abstraction relative to accuracy, completeness, and ...

Experience with the risk adjustment and reimbursement landscape (Medicare Advantage, ACA, Medicaid managed care, HCC coding, RAF optimization, RADV, and documentation/compliance) is strongly ...

While Risk Adjustment experience is acceptable, the candidate must also possess clinic coding ... Clinic Coding experience REQUIRED * knowledgeable in ICD-9/ICD-10-CM/PCS, CPT-4/HCPCS, HCC and ...

Serves as the primary resource and subject matter expert on all CMS Risk Adjustment and quality ... HCC Mode; or any combination of education and experience, which would provide an equivalent ...

Serves as the primary resource and subject matter expert on all CMS Risk Adjustment and quality ... HCC Mode; or any combination of education and experience, which would provide an equivalent ...

... HCC and HEDIS CAT II, Risk Adjustment - REQUIRED Must be able to handle HIGH Volume of cases - REQUIRED Evaluation Management experience - REQUIRED Ability to assign CPT codes - REQUIRED Knowledge ...

Strong understanding of payer policies, claims processing, medical necessity guidelines, and risk adjustment methodologies. * Experience in coding audits, denial resolution, and revenue integrity ...

Strong understanding of payer policies, claims processing, medical necessity guidelines, and risk adjustment methodologies. * Experience in coding audits, denial resolution, and revenue integrity ...

Strong understanding of payer policies, claims processing, medical necessity guidelines, and risk adjustment methodologies. * Experience in coding audits, denial resolution, and revenue integrity ...

Strong understanding of payer policies, claims processing, medical necessity guidelines, and risk adjustment methodologies. * Experience in coding audits, denial resolution, and revenue integrity ...

Strong understanding of payer policies, claims processing, medical necessity guidelines, and risk adjustment methodologies. * Experience in coding audits, denial resolution, and revenue integrity ...

Strong understanding of payer policies, claims processing, medical necessity guidelines, and risk adjustment methodologies. * Experience in coding audits, denial resolution, and revenue integrity ...

Strong understanding of payer policies, claims processing, medical necessity guidelines, and risk adjustment methodologies. * Experience in coding audits, denial resolution, and revenue integrity ...

Strong understanding of payer policies, claims processing, medical necessity guidelines, and risk adjustment methodologies. * Experience in coding audits, denial resolution, and revenue integrity ...