Medical Coder CPC / CCS
$18 - $24.25/hr
Company Description HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national ... with Risk Adjustment. Provide overall coding expertise as well as administrative and technical ...
Medical Coder CPC / CCS
$18 - $24.25/hr
Company Description HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national ... with Risk Adjustment. Provide overall coding expertise as well as administrative and technical ...
Lead IP Coding Quality Analyst
Columbus, OH · On-site +1
Health System Shared Services | MIM CDI and Coding Remote Position Scope of Position The Lead ... The role plays a critical part in supporting denial prevention, risk adjustment accuracy, and ...
Lead IP Coding Quality Analyst
Columbus, OH · On-site +1
Health System Shared Services | MIM CDI and Coding Remote Position Scope of Position The Lead ... The role plays a critical part in supporting denial prevention, risk adjustment accuracy, and ...
Field Nurse Practitioner / Physician Assistant - Franklin County, Ohio
Columbus, OH · On-site
$100/hr
... risk adjustment assessments for diverse patient populations with varying healthcare needs This PRN role offers flexibility with consistent visit availability and strong operational support. It is ...
Field Nurse Practitioner / Physician Assistant - Franklin County, Ohio
Columbus, OH · On-site
$100/hr
... risk adjustment assessments for diverse patient populations with varying healthcare needs This PRN role offers flexibility with consistent visit availability and strong operational support. It is ...
Field Nurse Practitioner / Physician Assistant - Franklin County, Ohio
Columbus, OH · On-site
$100/hr
... risk adjustment assessments for diverse patient populations with varying healthcare needs This PRN role offers flexibility with consistent visit availability and strong operational support. It is ...
Quick apply
Field Nurse Practitioner / Physician Assistant - Franklin County, Ohio
Columbus, OH · On-site
$100/hr
... risk adjustment assessments for diverse patient populations with varying healthcare needs This PRN role offers flexibility with consistent visit availability and strong operational support. It is ...
Field Nurse Practitioner / Physician Assistant - Franklin County, Ohio
Columbus, OH · On-site
$100/hr
... risk adjustment assessments for diverse patient populations with varying healthcare needs This PRN role offers flexibility with consistent visit availability and strong operational support. It is ...
Field Nurse Practitioner / Physician Assistant - Franklin County, Ohio
Columbus, OH · On-site
$100/hr
... risk adjustment assessments for diverse patient populations with varying healthcare needs This PRN role offers flexibility with consistent visit availability and strong operational support. It is ...
Compliance Educator
Columbus, OH · On-site
... Coding Specialist - Physician-based (CCS-P), Registered Health Information Technician (RHIT), or other similar certification, required. * Certified Risk Adjustment Coder (CRC) or Certified ...
Compliance Educator
Columbus, OH · On-site
... Coding Specialist - Physician-based (CCS-P), Registered Health Information Technician (RHIT), or other similar certification, required. * Certified Risk Adjustment Coder (CRC) or Certified ...
Compliance Educator
Columbus, OH · Hybrid
... Coding Specialist - Physician-based (CCS-P), Registered Health Information Technician (RHIT), or other similar certification, required. * Certified Risk Adjustment Coder (CRC) or Certified ...
Compliance Educator
Columbus, OH · Hybrid
... Coding Specialist - Physician-based (CCS-P), Registered Health Information Technician (RHIT), or other similar certification, required. * Certified Risk Adjustment Coder (CRC) or Certified ...
Billing Specialist
Columbus, OH · On-site
$19 - $26/hr
ABOUT LLCHC Lower Lights Christian Health Center (LLCHC) transforms the overall health of Central ... Knowledge of risk adjustment (HCC), HEDIS-quality documentation, and prior auth workflows.
Billing Specialist
Columbus, OH · On-site
$19 - $26/hr
ABOUT LLCHC Lower Lights Christian Health Center (LLCHC) transforms the overall health of Central ... Knowledge of risk adjustment (HCC), HEDIS-quality documentation, and prior auth workflows.
Billing Specialist
Columbus, OH · On-site
$19 - $26/hr
ABOUT LLCHC Lower Lights Christian Health Center (LLCHC) transforms the overall health of Central ... Knowledge of risk adjustment (HCC), HEDIS-quality documentation, and prior auth workflows.
Billing Specialist
Columbus, OH · On-site
$19 - $26/hr
ABOUT LLCHC Lower Lights Christian Health Center (LLCHC) transforms the overall health of Central ... Knowledge of risk adjustment (HCC), HEDIS-quality documentation, and prior auth workflows.
Certified Coding Analyst
$41K - $46K/yr
Company Description HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national ... adjustment and resolution of claims, claims appeals, inquiries, and inaccuracies in payment of ...
Certified Coding Analyst
$41K - $46K/yr
Company Description HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national ... adjustment and resolution of claims, claims appeals, inquiries, and inaccuracies in payment of ...
... regarding the mental health caseload, inmate institutional adjustment and service needs ... Code. Job Skills: Behavioral Health, Professional, Basic Documentation, Programming ...
... regarding the mental health caseload, inmate institutional adjustment and service needs ... Code. Job Skills: Behavioral Health, Professional, Basic Documentation, Programming ...
Inpatient Coding Quality Analyst (Auditor)
Columbus, OH · On-site +1
Health System Shared Services | MIM CDI and Coding Remote Position Scope of Position After ... This role supports proactive identification and mitigation of DRG downgrade risk through targeted ...
Inpatient Coding Quality Analyst (Auditor)
Columbus, OH · On-site +1
Health System Shared Services | MIM CDI and Coding Remote Position Scope of Position After ... This role supports proactive identification and mitigation of DRG downgrade risk through targeted ...
Establish actionable dashboards and key performance indicators (KPIs) for health centers. * Promote accurate documentation and coding practices to optimize risk adjustment, attribution accuracy, and ...
Establish actionable dashboards and key performance indicators (KPIs) for health centers. * Promote accurate documentation and coding practices to optimize risk adjustment, attribution accuracy, and ...
Establish actionable dashboards and key performance indicators (KPIs) for health centers. * Promote accurate documentation and coding practices to optimize risk adjustment, attribution accuracy, and ...
Establish actionable dashboards and key performance indicators (KPIs) for health centers. * Promote accurate documentation and coding practices to optimize risk adjustment, attribution accuracy, and ...
Establish actionable dashboards and key performance indicators (KPIs) for health centers. * Promote accurate documentation and coding practices to optimize risk adjustment, attribution accuracy, and ...
Quick apply
Establish actionable dashboards and key performance indicators (KPIs) for health centers. * Promote accurate documentation and coding practices to optimize risk adjustment, attribution accuracy, and ...
Health System Shared Services | MIM CDI and Coding Scope of Position The Associate Director of ... MIM Student Interns. This job role requires advanced clinical documentation review to educate ...
Health System Shared Services | MIM CDI and Coding Scope of Position The Associate Director of ... MIM Student Interns. This job role requires advanced clinical documentation review to educate ...
Psychologist - 20022405
Orient, OH · On-site
$90K/yr
... regarding the mental health caseload, inmate institutional adjustment and service needs ... Code. Job Skills: Behavioral Health, Professional, Basic Documentation, Programming ...
Psychologist - 20022405
Orient, OH · On-site
$90K/yr
... regarding the mental health caseload, inmate institutional adjustment and service needs ... Code. Job Skills: Behavioral Health, Professional, Basic Documentation, Programming ...
... Optum family of businesses, is creating something new in health care. We are uniting industry ... Monitor the needs of members and families while facilitating any adjustments to the plan of care as ...
... Optum family of businesses, is creating something new in health care. We are uniting industry ... Monitor the needs of members and families while facilitating any adjustments to the plan of care as ...
Telephonic Nurse Practitioner (Part-Time) - OH, MO, WI or IN License Required
Columbus, OH · On-site
$107K - $147K/yr
... Optum family of businesses, is creating something new in health care. We are uniting industry ... Monitor the needs of members and families while facilitating any adjustments to the plan of care as ...
Telephonic Nurse Practitioner (Part-Time) - OH, MO, WI or IN License Required
Columbus, OH · On-site
$107K - $147K/yr
... Optum family of businesses, is creating something new in health care. We are uniting industry ... Monitor the needs of members and families while facilitating any adjustments to the plan of care as ...
Telephonic Nurse Practitioner (Part-Time) - OH, MO, WI or IN License Required
Columbus, OH · On-site
$107K - $147K/yr
... Optum family of businesses, is creating something new in health care. We are uniting industry ... Monitor the needs of members and families while facilitating any adjustments to the plan of care as ...
Telephonic Nurse Practitioner (Part-Time) - OH, MO, WI or IN License Required
Columbus, OH · On-site
$107K - $147K/yr
... Optum family of businesses, is creating something new in health care. We are uniting industry ... Monitor the needs of members and families while facilitating any adjustments to the plan of care as ...
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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.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
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.
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