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
$143K - $229K/yr
Deep experience with ACA Risk Adjustment , including HHS-HCC model methodology, risk score ... Medical, dental, and vision coverage along with numerous health and wellness programs. * Parental ...
Columbus, OH · On-site
$143K - $229K/yr
Deep experience with ACA Risk Adjustment , including HHS-HCC model methodology, risk score ... Medical, dental, and vision coverage along with numerous health and wellness programs. * Parental ...
Columbus, OH · Remote
$94K - $128K/yr
Proficiency with electronic medical records. * Patient-centered, whole-person approach to care delivery Preferred * Experience with risk adjustment, HCC coding, and clinical documentation standards ...
Columbus, OH · Remote
$94K - $128K/yr
Proficiency with electronic medical records. * Patient-centered, whole-person approach to care delivery Preferred * Experience with risk adjustment, HCC coding, and clinical documentation standards ...
Columbus, OH · On-site
$99K - $135K/yr
Proficiency with electronic medical records. * Patient-centered, whole-person approach to care delivery Preferred * Experience with risk adjustment, HCC coding, and clinical documentation standards ...
Columbus, OH · On-site
$99K - $135K/yr
Proficiency with electronic medical records. * Patient-centered, whole-person approach to care delivery Preferred * Experience with risk adjustment, HCC coding, and clinical documentation standards ...
Columbus, OH · On-site +1
$17 - $22.75/hr
Inpatient Medical Coder 3 Department: Health System Shared Services | MIM CDI and Coding Remote ... and risk of mortality (ROM), and the impact of coding on quality outcomes, case mix index (CMI ...
Columbus, OH · On-site +1
$17 - $22.75/hr
Inpatient Medical Coder 3 Department: Health System Shared Services | MIM CDI and Coding Remote ... and risk of mortality (ROM), and the impact of coding on quality outcomes, case mix index (CMI ...
Columbus, OH · On-site +1
$17 - $22.75/hr
Inpatient Medical Coder 3 Department: Health System Shared Services | MIM CDI and Coding Scope of ... risk of mortality (ROM), quality metrics (Vizient, USNWR), and hospital reimbursement. The ...
Columbus, OH · On-site +1
$17 - $22.75/hr
Inpatient Medical Coder 3 Department: Health System Shared Services | MIM CDI and Coding Scope of ... risk of mortality (ROM), quality metrics (Vizient, USNWR), and hospital reimbursement. The ...
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
$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.
... condition category (HCC) coding, operationalize SDOH, assign procedure codes (CPT-4), and ... Minimum 3 years of medical coding and/or revenue management experience required. Previous ...
... condition category (HCC) coding, operationalize SDOH, assign procedure codes (CPT-4), and ... Minimum 3 years of medical coding and/or revenue management experience required. Previous ...
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
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 ...
Dublin, OH · On-site +1
$225K - $235K/yr
Risk adjustment (e.g., HCC) * Care gap identification and closure * Provider performance and benchmarking * PMPM cost analysis Data, Platform & Cross-Functional Alignment * Partner closely with Data ...
Dublin, OH · On-site +1
$225K - $235K/yr
Risk adjustment (e.g., HCC) * Care gap identification and closure * Provider performance and benchmarking * PMPM cost analysis Data, Platform & Cross-Functional Alignment * Partner closely with Data ...
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 ...
... risk adjustment mechanisms, group insurance products, mergers and acquisitions, or health care reform involving individual medical, small group, or state Medicaid markets The wage range for this role ...
... risk adjustment mechanisms, group insurance products, mergers and acquisitions, or health care reform involving individual medical, small group, or state Medicaid markets The wage range for this role ...
$41K - $46K/yr
Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories ... Professional Coder-Payer (CPC-P) certification, Certified Professional Coder (CPC) Additional ...
$41K - $46K/yr
Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories ... Professional Coder-Payer (CPC-P) certification, Certified Professional Coder (CPC) Additional ...
Columbus, OH · On-site +1
Experience reviewing complex inpatient medical records for coding accuracy, compliance, and DRG integrity , including high-severity and high-risk cases. * Working knowledge of CMS IPPS regulations ...
Columbus, OH · On-site +1
Experience reviewing complex inpatient medical records for coding accuracy, compliance, and DRG integrity , including high-severity and high-risk cases. * Working knowledge of CMS IPPS regulations ...
London, OH · On-site
Interface with Risk Evaluation and Mitigation Strategy (REMS) team to optimize risk management of ... Provide guidance with adverse event (MedDRA) and drug (WHO Drug) coding for clinical and ...
London, OH · On-site
Interface with Risk Evaluation and Mitigation Strategy (REMS) team to optimize risk management of ... Provide guidance with adverse event (MedDRA) and drug (WHO Drug) coding for clinical and ...
Electronic Prior Authorization (ePA), Quality Care Gaps, Risk Adjustment (HCCs) HEDIS, FHIR ... Medical, dental, and vision coverage along withnumeroushealth and wellness programs * Parental ...
Electronic Prior Authorization (ePA), Quality Care Gaps, Risk Adjustment (HCCs) HEDIS, FHIR ... Medical, dental, and vision coverage along withnumeroushealth and wellness programs * Parental ...
Columbus, OH · On-site
$87K - $187K/yr
This role reports to the Center Medical Director and works closely with operational leadership ... Coding, and Health Risk Assessments (HRAs). * Passion for teamwork and the opportunity to ...
Columbus, OH · On-site
$87K - $187K/yr
This role reports to the Center Medical Director and works closely with operational leadership ... Coding, and Health Risk Assessments (HRAs). * Passion for teamwork and the opportunity to ...
$15.87 - $17.55
6% of jobs
$18.74 is the 25th percentile. Wages below this are outliers.
$17.55 - $19.23
26% of jobs
The median wage is $20.19 / hr.
$19.23 - $20.91
31% of jobs
$20.91 - $22.60
7% of jobs
$23.31 is the 75th percentile. Wages above this are outliers.
$22.60 - $24.28
11% of jobs
$24.28 - $25.96
6% of jobs
$25.96 - $27.64
5% of jobs
$27.64 - $29.33
3% of jobs
$29.33 - $31.01
2% of jobs
$31.01 - $32.69
1% of jobs
$32.69 - $34.38
1% of jobs
$15
$22
$34

$18 - $24.25/hr
Other
Re-posted 15 days ago
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.
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.
Recruiting and staffing services
201 - 500 Employees
Maitland, FL, US
2003