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Hierarchical Condition Category (HCC) Coding Specialist
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- Works closely with physicians, team members, Quality, Compliance, partners at Enterprise 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 ICD10 diagnoses and HCC disease categories.
- Performs HCC coding on projects for MA, ACA, and End Stage Renal Disease (ESRD).
- Adheres to CMS Guidelines for Coding and Highmark’s Policy and Procedures to guide HCC coding decision making.
- Engages in RPM Coding educational meetings and annual coding Summit.
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