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Associate Hierarchical Condition Category (HCC) Coding Specialist
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- Works closely with team members, and leadership to identify and deliver high quality and accurate risk adjustment coding.
- Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS requirements by analyzing physician documentation and interpreting into ICD-10 diagnoses and HCC disease categories.
- Performs HCC coding on projects for MA, ACA, or End Stage Renal Disease (ESRD) through the assignment of appropriate ICD-10 diagnosis codes under the direction of management; may flex between coding projects with different MA, ESRD, or ACA HCC Models.
- Adheres to CMS Guidelines for Coding and Highmark’s Policy and Procedures to guide HCC coding decision making.
- 3 years of medical billing/coding, health insurance, and/or healthcare experience
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