Medical Coder CPC / CCS
$18 - $24.25/hr
... with Risk Adjustment. Provide overall coding expertise as well as administrative and technical ... Monitor HCC Coding Accuracy at various levels of detail (e.g., by state, by product, by demographic ...
$18 - $24.25/hr
... with Risk Adjustment. Provide overall coding expertise as well as administrative and technical ... Monitor HCC Coding Accuracy at various levels of detail (e.g., by state, by product, by demographic ...
$18 - $24.25/hr
... with Risk Adjustment. Provide overall coding expertise as well as administrative and technical ... Monitor HCC Coding Accuracy at various levels of detail (e.g., by state, by product, by demographic ...
Columbus, OH · On-site +1
Lead IP Coding Quality Analyst Department: Health System Shared Services | MIM CDI and Coding ... The role plays a critical part in supporting denial prevention, risk adjustment accuracy, and ...
Columbus, OH · On-site +1
Lead IP Coding Quality Analyst Department: Health System Shared Services | MIM CDI and Coding ... The role plays a critical part in supporting denial prevention, risk adjustment accuracy, and ...
$19 - $26/hr
The Medical Billing Specialist ensures accurate coding, timely claim submission, and efficient ... Knowledge of risk adjustment (HCC), HEDIS-quality documentation, and prior auth workflows.
$19 - $26/hr
The Medical Billing Specialist ensures accurate coding, timely claim submission, and efficient ... Knowledge of risk adjustment (HCC), HEDIS-quality documentation, and prior auth workflows.
Columbus, OH · On-site
$19 - $26/hr
The Medical Billing Specialist ensures accurate coding, timely claim submission, and efficient ... Knowledge of risk adjustment (HCC), HEDIS-quality documentation, and prior auth workflows.
Columbus, OH · On-site
$19 - $26/hr
The Medical Billing Specialist ensures accurate coding, timely claim submission, and efficient ... Knowledge of risk adjustment (HCC), HEDIS-quality documentation, and prior auth workflows.
Columbus, OH · On-site
Certified Risk Adjustment Coder (CRC) or Certified Documentation Integrity Practitioner (CDIP), preferred. Skills: * Proficiency with LMS platforms and virtual training tools. * Proficiency with EPIC ...
Columbus, OH · On-site
Certified Risk Adjustment Coder (CRC) or Certified Documentation Integrity Practitioner (CDIP), preferred. Skills: * Proficiency with LMS platforms and virtual training tools. * Proficiency with EPIC ...
Columbus, OH · Hybrid
Certified Risk Adjustment Coder (CRC) or Certified Documentation Integrity Practitioner (CDIP), preferred. Skills: * Proficiency with LMS platforms and virtual training tools. * Proficiency with EPIC ...
Columbus, OH · Hybrid
Certified Risk Adjustment Coder (CRC) or Certified Documentation Integrity Practitioner (CDIP), preferred. Skills: * Proficiency with LMS platforms and virtual training tools. * Proficiency with EPIC ...
Columbus, OH · On-site
$60K - $90K/yr
Protects OSUP from compliance risk by ensuring accurate code application and audit defensibility ... Employment Type: FULL_TIME
Columbus, OH · On-site
$60K - $90K/yr
Protects OSUP from compliance risk by ensuring accurate code application and audit defensibility ... Employment Type: FULL_TIME
Completes adjustment entry and credits reconciliation in a timely and accurate manner including ... Maintains professional knowledge regarding medical billing and coding procedures, insurance ...
Completes adjustment entry and credits reconciliation in a timely and accurate manner including ... Maintains professional knowledge regarding medical billing and coding procedures, insurance ...
Completes adjustment entry and credits reconciliation in a timely and accurate manner including ... Maintains professional knowledge regarding medical billing and coding procedures, insurance ...
Completes adjustment entry and credits reconciliation in a timely and accurate manner including ... Maintains professional knowledge regarding medical billing and coding procedures, insurance ...
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 ...
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 ...
$87K - $187K/yr
... 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 ...
$87K - $187K/yr
... 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 ...
$87K - $187K/yr
... 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 ...
$87K - $187K/yr
... 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 ...
$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 ...
$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 ...
Understands HCC (Hierarchical Condition Categories) documentation, ICD-10 (International ... Coding, and Health Risk Assessments (HRAs). * Passion for teamwork and the opportunity to ...
Understands HCC (Hierarchical Condition Categories) documentation, ICD-10 (International ... Coding, and Health Risk Assessments (HRAs). * Passion for teamwork and the opportunity to ...
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 ...
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 ...
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 ...
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 ...
Davies Risk Services is looking for independent contractors to perform insurance property surveys ... This is a great opportunity for full-time or part-time work. Our contractors survey both ...
Quick apply
Davies Risk Services is looking for independent contractors to perform insurance property surveys ... This is a great opportunity for full-time or part-time work. Our contractors survey both ...
Delaware, OH · On-site
Davies Risk Services is looking for independent contractors to perform insurance property Surveys ... This is a great opportunity for full-time or part-time work. Our contractors survey both ...
Quick apply
Delaware, OH · On-site
Davies Risk Services is looking for independent contractors to perform insurance property Surveys ... This is a great opportunity for full-time or part-time work. Our contractors survey both ...
OSHA Coding - Evaluate assigned WC Incidents for OSHA Recordability and Reportability, update the ... IND1 Employment Type: FULL_TIME
OSHA Coding - Evaluate assigned WC Incidents for OSHA Recordability and Reportability, update the ... IND1 Employment Type: FULL_TIME
Facilities II Schedule: Full time Hours: 40 Job Details: The Technician 1 position demonstrates ... risk of human injury according to established codes, policies and procedures. This position ...
Facilities II Schedule: Full time Hours: 40 Job Details: The Technician 1 position demonstrates ... risk of human injury according to established codes, policies and procedures. This position ...

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!
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.Â
Develop an understanding of current billing practices in provider offices to ensure that diagnoses codes are submitted accordingly.Â
Documents results/findings from chart reviews and provides feedback to management, providers, and office staff.Â
Responsible for administrative duties such as planning, scheduling of chart reviews, obtaining of medical records, and provider training and education.Â
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.Â
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.Â
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.Â
Determine coding quality as it relates to CMS standards; selects physicians or vendors that require an audit.Â
Minimum Education/Qualifications/Licensures:
Coding Certification - Active CCS, CCS-P, or CPC credentialing
Coding guidelines knowledge
Travel required (with mileage)
Claims experience
Employment Type: Contract 6 months. With possibility of going perm.
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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.
Recruiting and staffing services
201 - 500 Employees
Maitland, FL, US
2003