Serves as a subject matter expert in all areas of Risk Adjustment methodologies and HCC coding and provide expertise to all areas across the health system. Maintains thorough knowledge of CMS and ...
Serves as a subject matter expert in all areas of Risk Adjustment methodologies and HCC coding and provide expertise to all areas across the health system. Maintains thorough knowledge of CMS and ...
Ambulatory Clinical Documentation Integrity Specialist (Remote)
Livonia, MI · Remote
$32.50 - $43.75/hr
... HCC risk adjustment, ensuring compliance with reporting standards for claims submission. * Identifies patterns & trends impacting documentation & coding & acts as a technical resource related to ...
Ambulatory Clinical Documentation Integrity Specialist (Remote)
Livonia, MI · Remote
$32.50 - $43.75/hr
... HCC risk adjustment, ensuring compliance with reporting standards for claims submission. * Identifies patterns & trends impacting documentation & coding & acts as a technical resource related to ...
Ambulatory Clinical Documentation Integrity Specialist (Remote)
Livonia, MI · On-site +1
$32.50 - $43.75/hr
... HCC risk adjustment, ensuring compliance with reporting standards for claims submission. * Identifies patterns & trends impacting documentation & coding & acts as a technical resource related to ...
Ambulatory Clinical Documentation Integrity Specialist (Remote)
Livonia, MI · On-site +1
$32.50 - $43.75/hr
... HCC risk adjustment, ensuring compliance with reporting standards for claims submission. * Identifies patterns & trends impacting documentation & coding & acts as a technical resource related to ...
Ambulatory Clinical Documentation Integrity Specialist (Remote)
Livonia, MI · Remote
$32.50 - $43.75/hr
... HCC risk adjustment, ensuring compliance with reporting standards for claims submission. * Identifies patterns & trends impacting documentation & coding & acts as a technical resource related to ...
Ambulatory Clinical Documentation Integrity Specialist (Remote)
Livonia, MI · Remote
$32.50 - $43.75/hr
... HCC risk adjustment, ensuring compliance with reporting standards for claims submission. * Identifies patterns & trends impacting documentation & coding & acts as a technical resource related to ...
Consulting Actuary - ACA Risk Adjustment
Detroit, MI · On-site
$143K - $229K/yr
Deep experience with ACA Risk Adjustment , including HHS-HCC model methodology, risk score ... Strong understanding of diagnosis coding (ICD-10-CM) , provider documentation practices, and their ...
Consulting Actuary - ACA Risk Adjustment
Detroit, MI · On-site
$143K - $229K/yr
Deep experience with ACA Risk Adjustment , including HHS-HCC model methodology, risk score ... Strong understanding of diagnosis coding (ICD-10-CM) , provider documentation practices, and their ...
Research Abstract Analyst III- Full time- Central Abstractor Office- One Ford Place
Detroit, MI · On-site
COE's, P4P, Utilization Review, System Registries, Risk Adjustment, NHSN Infection control, Hospital Acquired Conditions, CMS Core Measures, CMS HCC and Coding validation. * Provides coding ...
Research Abstract Analyst III- Full time- Central Abstractor Office- One Ford Place
Detroit, MI · On-site
COE's, P4P, Utilization Review, System Registries, Risk Adjustment, NHSN Infection control, Hospital Acquired Conditions, CMS Core Measures, CMS HCC and Coding validation. * Provides coding ...
Research Abstract Analyst III- Full time- Central Abstractor Office- One Ford Place
Detroit, MI · On-site
COE's, P4P, Utilization Review, System Registries, Risk Adjustment, NHSN Infection control, Hospital Acquired Conditions, CMS Core Measures, CMS HCC and Coding validation. * Provides coding ...
Research Abstract Analyst III- Full time- Central Abstractor Office- One Ford Place
Detroit, MI · On-site
COE's, P4P, Utilization Review, System Registries, Risk Adjustment, NHSN Infection control, Hospital Acquired Conditions, CMS Core Measures, CMS HCC and Coding validation. * Provides coding ...
... HCC Coding and Risk Adjustment analysis and reimbursement guidelines. Actively works with organizational leadership to plan, design, test, implement, and evaluate integrated revenue cycle systems and ...
... HCC Coding and Risk Adjustment analysis and reimbursement guidelines. Actively works with organizational leadership to plan, design, test, implement, and evaluate integrated revenue cycle systems and ...
... HCC Coding and Risk Adjustment analysis and reimbursement guidelines. Actively works with organizational leadership to plan, design, test, implement, and evaluate integrated revenue cycle systems and ...
... HCC Coding and Risk Adjustment analysis and reimbursement guidelines. Actively works with organizational leadership to plan, design, test, implement, and evaluate integrated revenue cycle systems and ...
Senior Healthcare Data Analyst: ACA + EDGE
$78K - $99K/yr
This role will serve as a key liaison between business stakeholders, risk adjustment operations ... Support and manage complex applications systems on many platforms and manage code migrations and ...
Senior Healthcare Data Analyst: ACA + EDGE
$78K - $99K/yr
This role will serve as a key liaison between business stakeholders, risk adjustment operations ... Support and manage complex applications systems on many platforms and manage code migrations and ...
Monitor quality, cost, utilization, and risk-adjustment metrics tied to APM performance ... Union Code: Not Applicable
Monitor quality, cost, utilization, and risk-adjustment metrics tied to APM performance ... Union Code: Not Applicable
Monitor quality, cost, utilization, and risk-adjustment metrics tied to APM performance ... Coordinate provider education on program requirements, quality measures, risk coding, and ...
Monitor quality, cost, utilization, and risk-adjustment metrics tied to APM performance ... Coordinate provider education on program requirements, quality measures, risk coding, and ...
Develops and presents PHO/PO reports related to risk adjustment, quality including HEDIS/Medicare 5 ... Union Code: Not Applicable
Develops and presents PHO/PO reports related to risk adjustment, quality including HEDIS/Medicare 5 ... Union Code: Not Applicable
Develops and presents PHO/PO reports related to risk adjustment, quality including HEDIS/Medicare 5 ... Union Code: Not Applicable
Develops and presents PHO/PO reports related to risk adjustment, quality including HEDIS/Medicare 5 ... Union Code: Not Applicable
Administration Coordinator
Ann Arbor, MI · On-site
Operating under the Validira division, ACG employs a defense-first approach to risk adjustment, combining its regulatory knowledge with high-quality coding services. By prioritizing compliance and ...
Administration Coordinator
Ann Arbor, MI · On-site
Operating under the Validira division, ACG employs a defense-first approach to risk adjustment, combining its regulatory knowledge with high-quality coding services. By prioritizing compliance and ...
Senior Consultant - Clinical Documentation Specialist
$34.50 - $46.25/hr
Proven applicable CPT and ICD-10 coding experience; APR-DRG, MS-DRG and HCC assignment * Other ... risk adjustment * Has strong interpersonal skills to collaborate with clinicians, physicians, NP ...
Senior Consultant - Clinical Documentation Specialist
$34.50 - $46.25/hr
Proven applicable CPT and ICD-10 coding experience; APR-DRG, MS-DRG and HCC assignment * Other ... risk adjustment * Has strong interpersonal skills to collaborate with clinicians, physicians, NP ...
Provides professional expertise and education in CPT, ICD and HCC coding. The Compliance Auditor ... adjustments to office and department work flows to better comply with the standards. * Monitors ...
Provides professional expertise and education in CPT, ICD and HCC coding. The Compliance Auditor ... adjustments to office and department work flows to better comply with the standards. * Monitors ...
Provides professional expertise and education in CPT, ICD and HCC coding. The Compliance Auditor ... adjustments to office and department work flows to better comply with the standards. * Monitors ...
Provides professional expertise and education in CPT, ICD and HCC coding. The Compliance Auditor ... adjustments to office and department work flows to better comply with the standards. * Monitors ...
This is a newly created leadership role designed to unify clinical, coding, and technical denial ... HCC risk adjustment. • Experience leading large, multi-site teams (30+ FTEs) including remote ...
Quick apply
This is a newly created leadership role designed to unify clinical, coding, and technical denial ... HCC risk adjustment. • Experience leading large, multi-site teams (30+ FTEs) including remote ...
Harvest Market Asst Delicatessen Mgr
Ann Arbor, MI · On-site
$18 - $22/hr
SUMMARY The Assistant Delicatessen Manager/Trainee assists the Delicatessen Manager with ... Follows Health Code guidelines * Promote and support established programs * Follows safety policies ...
Harvest Market Asst Delicatessen Mgr
Ann Arbor, MI · On-site
$18 - $22/hr
SUMMARY The Assistant Delicatessen Manager/Trainee assists the Delicatessen Manager with ... Follows Health Code guidelines * Promote and support established programs * Follows safety policies ...
Trainee Hcc Risk Adjustment Coding information
See Detroit, MI salary details
$15.01 is the 25th percentile. Wages below this are outliers.
$13.80 - $15.81
41% of jobs
The median wage is $16.96 / hr.
$15.81 - $17.83
15% of jobs
$17.83 - $19.84
10% of jobs
$19.84 - $21.85
6% of jobs
$22.48 is the 75th percentile. Wages above this are outliers.
$21.85 - $23.86
9% of jobs
$23.86 - $25.87
6% of jobs
$25.87 - $27.89
3% of jobs
$27.89 - $29.90
9% of jobs
$29.90 - $31.91
1% of jobs
$31.91 - $33.92
0% of jobs
$33.92 - $35.93
0% of jobs
$13
$20
$35
How much do trainee hcc risk adjustment coding jobs pay per hour?
Can I get a job as a medical coder with no experience?
Is HCC coding a good career?
What are some common challenges faced by Trainee HCC Risk Adjustment Coders, and how can they be overcome?
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?
What are the key skills and qualifications needed to thrive as a Trainee HCC Risk Adjustment Coder, and why are they important?
How to become a risk adjustment coder?
How much do HCC coders make in the US?
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Other
Posted 23 days ago
Job description
GENERAL SUMMARY:
Reporting to the Manager, Risk Adjustment and Value Based Payment, the Risk Adjustment Informatics Specialist has an important role in a high-profile group tasked with implementing system-wide improvements and new operational processes to ensure optimal and compliant participation in Risk Adjustment, HCC Coding, and other value based reimbursement models. Is responsible for complex program analytics and process improvement activities and acts with a high degree of autonomy focusing on Risk Adjustment, HCC Coding, and other Value Based Reimbursement programs. Collaborates with internal teams to develop and maintain program dashboards and report on all Risk Adjustment and HCC coding activities and proactively identify areas for improvement. Serves as a subject matter expert in all areas of Risk Adjustment methodologies and HCC coding and provide expertise to all areas across the health system. Maintains thorough knowledge of CMS and other program requirement updates and communicate changes to key technical and operational leaders to ensure continued compliance and optimal performance. This position requires strong interpersonal and communication skills and well-developed analytic and organizational skills. Develops and implements a comprehensive program to collect data and effectively report information from data to a variety of customers including conducting complex statistical analysis and developing new approaches to measurement and analysis. The customers and end users of this support service include physicians, other clinical service and hospital leaders, Revenue Cycle leadership, physician groups, the Board of Trustees, System leadership, and external oversight/regulatory bodies. This position generates reports and supports comparative data base assessment and maintenance regarding strategic and operational performance for performance review, operational effectiveness, and improvement efforts. The Risk Adjustment Informatics Specialist is a highly analytical thinker with talent for scrutinizing diverse data sources to identify areas of improvement in Risk Adjustment and HCC Coding
EDUCATION/EXPERIENCE REQUIRED:
Bachelor's degree with a health care, science or business focus and strong technical computer knowledge or a bachelor's degree in computer science with strong health care experience required.
Master's degree or equivalent experience in health care, science, business, engineering, or computer science preferred. Five (5) years of experience in a healthcare or business setting required.
Seven (7) years of experience in a healthcare or business setting preferred.
Quantitative analysis experience in data science capabilities including data mining, predictive modeling, machine learning, statistical modeling, large scale data acquisition, transformation, and structured and unstructured data analysis.
Extensive experience in Risk Adjustment methodologies, Risk Adjustment Factor Score calculation, governmental programs, and HCC coding.
Knowledge of and access to relevant System data or data gathering techniques.
Expert in the use of Microsoft Office products, particularly Excel, but also Access, PowerPoint, Word, Project, PowerBI.
Extensive knowledge of Medicare, Medicaid, Blue Cross and other third-party payers billing and reimbursement regulations/policies, particularly around Risk Adjustment, HCC Coding, and other value-based reimbursement programs.
Experience in gathering and organizing data and information from disparate sources and presenting findings to leadership in a way that is useful for decision support, benchmarking, and quality performance tracking.
Excellent oral and written communication skills, including the ability to teach complex technical/analytical concepts to System leadership, management, and staff.
Comfortable communicating complex ideas and strategic recommendations to clinicians and executive leadership.
Strong interpersonal skills; ability to communicate effectively with all levels of management and staff across the System.
Project management and/or LEAN, Six Sigma experience a plus.
- Organization: Corporate Services
- Department: HCC Administration
- Shift: Day Job
- Union Code: Not Applicable