JOB SUMMARY The Risk Adjustment Quality Specialist plays a vital role in coordinating and ... Educate staff on coding practices and HCC assignments. * Maintain compliance with policies ...
JOB SUMMARY The Risk Adjustment Quality Specialist plays a vital role in coordinating and ... Educate staff on coding practices and HCC assignments. * Maintain compliance with policies ...
Risk Adjustment Quality Specialist
Lawrence, KS ยท On-site +1
JOB SUMMARY The Risk Adjustment Quality Specialist plays a vital role in coordinating and ... Educate staff on coding practices and HCC assignments. * Maintain compliance with policies ...
Risk Adjustment Quality Specialist
Lawrence, KS ยท On-site +1
JOB SUMMARY The Risk Adjustment Quality Specialist plays a vital role in coordinating and ... Educate staff on coding practices and HCC assignments. * Maintain compliance with policies ...
Risk Adjustment Quality Specialist
Lawrence, KS ยท On-site +1
JOB SUMMARY The Risk Adjustment Quality Specialist plays a vital role in coordinating and ... Educate staff on coding practices and HCC assignments. * Maintain compliance with policies ...
Risk Adjustment Quality Specialist
Lawrence, KS ยท On-site +1
JOB SUMMARY The Risk Adjustment Quality Specialist plays a vital role in coordinating and ... Educate staff on coding practices and HCC assignments. * Maintain compliance with policies ...
Vice President, Project Operations
Topeka, KS ยท On-site +1
VP of Project Operations About the Role The VP of Project Operations leads the end-to-end execution ... Clear visibility into performance and proactive risk management * Strong accountability and ...
Vice President, Project Operations
Topeka, KS ยท On-site +1
VP of Project Operations About the Role The VP of Project Operations leads the end-to-end execution ... Clear visibility into performance and proactive risk management * Strong accountability and ...
Market President - Topeka, KS
Topeka, KS ยท On-site
Accurate risk code ratings Drive deposit growth * Work with loan officers and branches to achieve ... Attend EVP meetings and complete assigned tasks * Voting member of Bank's Directors Loan Committee
Market President - Topeka, KS
Topeka, KS ยท On-site
Accurate risk code ratings Drive deposit growth * Work with loan officers and branches to achieve ... Attend EVP meetings and complete assigned tasks * Voting member of Bank's Directors Loan Committee
This position reports to the Vice President of Risk and Planning and is based out of our home office in Topeka or Overland Park, Kansas. SB associates work in a hybrid environment with both remote ...
This position reports to the Vice President of Risk and Planning and is based out of our home office in Topeka or Overland Park, Kansas. SB associates work in a hybrid environment with both remote ...
Accurate risk code ratings Drive deposit growth * Work with loan officers and branches to achieve ... Attend EVP meetings and complete assigned tasks * Voting member of Bank's Directors Loan Committee
Accurate risk code ratings Drive deposit growth * Work with loan officers and branches to achieve ... Attend EVP meetings and complete assigned tasks * Voting member of Bank's Directors Loan Committee
Actuarial Associate - Risk and Planning
Leawood, KS ยท On-site +1
This position reports to the Vice President of Risk and Planning and is based out of our home office in Topeka or Overland Park, Kansas. SB associates work in a hybrid environment with both remote ...
Actuarial Associate - Risk and Planning
Leawood, KS ยท On-site +1
This position reports to the Vice President of Risk and Planning and is based out of our home office in Topeka or Overland Park, Kansas. SB associates work in a hybrid environment with both remote ...
This position reports to the VP of Service Operationsand takes direction from and provides support ... Responsible for completing Risk Analysis of assigned contracts, reviewing and negotiating contracts ...
This position reports to the VP of Service Operationsand takes direction from and provides support ... Responsible for completing Risk Analysis of assigned contracts, reviewing and negotiating contracts ...
Insurance Underwriter Med-Mal
Topeka, KS ยท On-site
$150K - $200K/yr
MedMal Allied Healthcare Insurance Underwriter - Topeka, KS Underwriting Underwriter VP AVP Medical ... Nursing Homes Risk Management Specialty Coverage Professional Liability General Liability GL
Insurance Underwriter Med-Mal
Topeka, KS ยท On-site
$150K - $200K/yr
MedMal Allied Healthcare Insurance Underwriter - Topeka, KS Underwriting Underwriter VP AVP Medical ... Nursing Homes Risk Management Specialty Coverage Professional Liability General Liability GL
Insurance Underwriter Med-Mal
Olathe, KS ยท On-site
$150K - $200K/yr
Insurance Underwriter - Medical Malpractice - Olathe, KS Underwriting Underwriter VP AVP Medical ... Nursing Homes Risk Management Specialty Coverage Professional Liability General Liability GL
Insurance Underwriter Med-Mal
Olathe, KS ยท On-site
$150K - $200K/yr
Insurance Underwriter - Medical Malpractice - Olathe, KS Underwriting Underwriter VP AVP Medical ... Nursing Homes Risk Management Specialty Coverage Professional Liability General Liability GL
... supervision of the VP of Data Services. Supervisory Responsibilities: * None Duties ... Writes specified software code as required by development plans and blueprints. * Creates test ...
... supervision of the VP of Data Services. Supervisory Responsibilities: * None Duties ... Writes specified software code as required by development plans and blueprints. * Creates test ...
This position reports to our Vice President of Electrical Service A BMS (Building Management System ... Risk & Quality Management : Identify potential project risks and implement mitigation plans. Ensure ...
This position reports to our Vice President of Electrical Service A BMS (Building Management System ... Risk & Quality Management : Identify potential project risks and implement mitigation plans. Ensure ...
BMS/EPMS Project Manager
Tonganoxie, KS ยท On-site
This position reports to our Vice President of Electrical Service A BMS (Building Management System ... Risk & Quality Management : Identify potential project risks and implement mitigation plans. Ensure ...
BMS/EPMS Project Manager
Tonganoxie, KS ยท On-site
This position reports to our Vice President of Electrical Service A BMS (Building Management System ... Risk & Quality Management : Identify potential project risks and implement mitigation plans. Ensure ...
Operations Director
Olathe, KS ยท On-site
None Zip Code: 66061 Travel Percentage: Up to 25% COMPENSATION INFORMATION: The pay range provided ... The expressed purpose of this role is to prepare the incumbent for future Vice President of ...
Operations Director
Olathe, KS ยท On-site
None Zip Code: 66061 Travel Percentage: Up to 25% COMPENSATION INFORMATION: The pay range provided ... The expressed purpose of this role is to prepare the incumbent for future Vice President of ...
Market President (44808)
Lawrence, KS ยท On-site
Responsible for the profitability, growth and risk management of a loan portfolio. Works closely with team, other bank divisions, and bank leadership to develop, monitor, and achieve branch and ...
Market President (44808)
Lawrence, KS ยท On-site
Responsible for the profitability, growth and risk management of a loan portfolio. Works closely with team, other bank divisions, and bank leadership to develop, monitor, and achieve branch and ...
Zip Code: 66061 Travel Percentage: COMPENSATION INFORMATION: The pay range provided is not ... May participate in the credit committee, and other initiatives. * Assist Region Vice President ...
Zip Code: 66061 Travel Percentage: COMPENSATION INFORMATION: The pay range provided is not ... May participate in the credit committee, and other initiatives. * Assist Region Vice President ...
Project Manager - Highway
Topeka, KS ยท On-site
... risk management with clients and project teams * Lead project teams through forecasting estimates to complete and assessing work progress * Communicate effectively with the project team, Market VP, ...
Quick apply
Project Manager - Highway
Topeka, KS ยท On-site
... risk management with clients and project teams * Lead project teams through forecasting estimates to complete and assessing work progress * Communicate effectively with the project team, Market VP, ...
Mid-Level Developer (On-Site)
Topeka, KS ยท On-site
... supervision of the VP of Data Services. Supervisory Responsibilities: * None Duties ... Writes specified software code as required by development plans and blueprints. * Creates test ...
Mid-Level Developer (On-Site)
Topeka, KS ยท On-site
... supervision of the VP of Data Services. Supervisory Responsibilities: * None Duties ... Writes specified software code as required by development plans and blueprints. * Creates test ...
... risk management with clients and project teams * Lead project teams through forecasting estimates to complete and assessing work progress * Communicate effectively with the project team, Market VP, ...
Quick apply
... risk management with clients and project teams * Lead project teams through forecasting estimates to complete and assessing work progress * Communicate effectively with the project team, Market VP, ...
Vice President Hcc Risk Adjustment Coder information
See Overbrook, KS salary details
$81.6K - $97.1K
5% of jobs
$97.1K - $112.6K
5% of jobs
$112.6K - $128.1K
13% of jobs
$130.3K is the 25th percentile. Wages below this are outliers.
$128.1K - $143.6K
13% of jobs
$143.6K - $159K
8% of jobs
The median wage is $166.1K / yr.
$159K - $174.5K
13% of jobs
$174.5K - $190K
14% of jobs
$195.1K is the 75th percentile. Wages above this are outliers.
$190K - $205.5K
14% of jobs
$205.5K - $221K
6% of jobs
$221K - $236.5K
6% of jobs
$236.5K - $252K
3% of jobs
$81.6K
$168.6K
$252K
How much do vice president hcc risk adjustment coder jobs pay per year?
What is the difference between Vice President Hcc Risk Adjustment Coder vs Hcc Risk Adjustment Coder?
| Aspect | Vice President Hcc Risk Adjustment Coder | Hcc Risk Adjustment Coder |
|---|---|---|
| Credentials | Advanced certifications, leadership experience | Certifications like CPC, CCS, or RHIT |
| Work Environment | Executive-level, strategic planning | Operational, coding departments |
| Industry Usage | Used in large healthcare organizations, insurers | Common in hospitals, clinics, coding firms |
The Vice President Hcc Risk Adjustment Coder focuses on strategic leadership and oversight of risk adjustment coding programs, often requiring advanced certifications and leadership skills. In contrast, the Hcc Risk Adjustment Coder handles day-to-day coding tasks, ensuring accurate HCC coding based on medical records. Both roles are vital in healthcare risk management but differ mainly in scope, responsibilities, and experience level.
What are some common challenges faced by a Vice President HCC Risk Adjustment Coder, and how can they be managed?
What are Vice President HCC Risk Adjustment Coders?
What are the key skills and qualifications needed to thrive as a Vice President HCC Risk Adjustment Coder, and why are they important?
Job description
You can't define it, but you know it when you see it: the difference between an average life and the good life. When your cup is full - with joy, purpose and lifelong health - it shows. At LMH Health, we are all about healthy people, healthy communities and healthy futures, and that makes us your destination for an exceptional career. From flexible, work-life harmony to competitive pay and great advancement potential, find everything you're looking for at LMH Health.
You'll find everything you're looking for at LMH Health:
- Join a team that cares about the community
- Tuition reimbursement to support continuing education
- Professional development and recognition
- Excellent benefits
We're looking for you.
Job Description
I. JOB SUMMARY
The Risk Adjustment Quality Specialist plays a vital role in coordinating and supporting prospective, concurrent, and retrospective reviews to assist with patient care management. The position provides education and facilitates chart retrieval for Health Plan audits and reports. This position requires a comprehensive understanding of Hierarchical Condition Categories (HCC) coding to accurately translate, input, extract, and validate medical record data.
This role assists with monitoring quality program performance, including tracking, reporting, and implementation of best practices and program requirements.
II. ESSENTIAL JOB RESPONSIBILITIES
- Perform comprehensive reviews of patient medical records for documentation consistency and adequacy to identify all appropriate coding based on Centers for Medicare & Medicaid Services (CMS) HCC categories.
- Monitor revenue opportunities related to value-based care.
- Manage the provider query process to clarify documentation and ensure the completeness and accuracy of patient diagnoses, particularly related to chronic conditions.
- Utilize evidence based practices to provide providers with targeted feedback and education on improving documentation and coding accuracy, specifically related to HCC.
- Demonstrate analytical and problem-solving ability with regard to barriers in receiving and validating accurate HCC information.
- Analyze performance data to identify trends, gaps, and opportunities for improvement.
- Maintains intermediate to advanced understanding of claims processing procedures, state and federal regulations, and Medicare Part D requirements.
- Utilize coding software to ensure compliance with Medicare, Medicaid, and other payer requirements.
- Collaborate with medical staff to clarify documentation and support accurate coding and reimbursement.
- Participate in audits, quality reviews, and continuous improvement initiatives.
- Educate staff on coding practices and HCC assignments.
- Maintain compliance with policies, procedures, and continuing education requirements.
- Performs other duties as needed or assigned.
III. JOB QUALIFICATIONS
Required:
- Minimum of 3 years of experience in medical coding or risk adjustment with a focus on Hierarchical Care Conditions, value based care contracts, and accountable care organizations.
- Strong knowledge of CMS risk adjustment and quality initiatives, including Hierarchical Condition Categories (HCCs).
- Completion of one of the following through AHIMA accredited programs: Certificate Coding Associate, Certificate Coding Specialist, Certified Professional Coder, Registered Health Information Technician, Registered Health Information Administrator
OR - Credentialed through AAPC
Preferred:
- Registered Nurse
- Associates or Bachelor's Degree in Health Information Management
- 3M Coding Solution Knowledge
Remote Work/Work-from-Home:
This position has hybrid work flexibility. This person must live within Kansas or Missouri, and will be required attend on-site meetings, as scheduled.
Our Cultural Beliefs
- People First
- Integrity Matters
- Better Together
At LMH Health, we value inclusion and diversity. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.
About LMH Health
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
Lawrence, KS, US
Year founded
1921