1

Full Time Hcc Risk Adjustment Coding Jobs Near Me

Senior System Administrator

Columbus, OH · On-site

$135K - $145K/yr

OH Job Type: Full-time Department: IT Operations About Reveleer Reveleer delivers a unified platform spanning risk adjustment, quality improvement, clinical intelligence, and member management for ...

... Coding, and Health Risk Assessments (HRAs). * Passion for teamwork and the opportunity to ... This fulltime position is eligible for a comprehensive benefits package designed to support the ...

... Coding, and Health Risk Assessments (HRAs). * Passion for teamwork and the opportunity to ... This full time position is eligible for a comprehensive benefits package designed to support the ...

Understands HCC (Hierarchical Condition Categories) documentation, ICD-10 (International ... Coding, and Health Risk Assessments (HRAs). * Passion for teamwork and the opportunity to ...

Nurse Practitioner

Columbus, OH · On-site

$87K - $187K/yr

Understands HCC (Hierarchical Condition Categories) documentation, ICD-10 (International ... Coding, and Health Risk Assessments (HRAs). * Passion for teamwork and the opportunity to ...

Nurse Practitioner

Columbus, OH · On-site

$87K - $187K/yr

Understands HCC (Hierarchical Condition Categories) documentation, ICD-10 (International ... Coding, and Health Risk Assessments (HRAs). * Passion for teamwork and the opportunity to ...

next page

Showing results 1-20

Full Time Hcc Risk Adjustment Coding information

What are the most commonly searched types of Hcc Risk Adjustment Coding jobs? The most popular types of Hcc Risk Adjustment Coding jobs are:
A map of the United States highlighting the number of Full Time Hcc Risk Adjustment Coding job openings by state according to ZipRecruiter. The image is accompanied by a detailed chart listing the number of Full Time Hcc Risk Adjustment Coding job openings in each state, with California having the most at 2 and Hawaii the least at 0.
Medical Coder CPC / CCS

$18 - $24.25/hr

Other

Posted 4 days ago


Job description

Company Description

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description

Company Job Description/Day to Day Duties:


Job Summary


Directly responsible and accountable for performing chart reviews, physician education, and development of tools to ensure that our provider partners are compliant with Risk Adjustment. Provide overall coding expertise as well as administrative and technical oversight to ensure successful integration of Molina Medicare's Risk Adjustment initiatives. May require some travel to various provider partner locations


Performs on-going chart reviews and abstracts diagnoses codes under the HCC Model. 


Develop an understanding of current billing practices in provider offices to ensure that diagnoses codes are submitted accordingly. 

Documents results/findings from chart reviews and provides feedback to management, providers, and office staff. 


Responsible for administrative duties such as planning, scheduling of chart reviews, obtaining of medical records, and provider training and education. 


Monitor HCC Coding Accuracy at various levels of detail (e.g., by state, by product, by demographic segmentations). Extract information necessary to identify where there are low performing physicians; follow up with plan for education and training. Continue to audit to ensure training is implemented. 

Resolve and track escalated issues. Track any coding issues identified either at the provider level (including Molina sites) or vendor; manage any non-compliance situation or potential fraud or abuse. 

Utilize discretion and autonomy to select provider for further training or audits; coordinate efforts with internal clients such as Coding Manager, RAMP Director, State Medicare Directors and Provider Services. 

Determine coding quality as it relates to CMS standards; selects physicians or vendors that require an audit. 


Qualifications

Minimum Education/Qualifications/Licensures:


Coding Certification - Active CCS, CCS-P, or CPC credentialing

Coding guidelines knowledge

Travel required (with mileage)

Claims experience

Additional Information

Employment Type: Contract 6 months. With possibility of going perm.



Healthcare Support logo

About Healthcare Support

Sourced by ZipRecruiter

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Maitland, FL, US

Year founded

2003

Social media