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Associate Hierarchical Condition Category (HCC) Coding Specialist. Certified Coding Specialist (CCS) This job will deliver value to the Health Plan and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and/or Affordable Care Act (ACA) using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, and Centers for Medicare and Medicaid Services (CMS) coding guidelines.
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This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits.
ExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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Outpatient or Professional Fee Coding: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Certified Coding Specialist - Professional (CCS-P), Certified Professional Coder - Hospital (CPC-H.
Full-timeExpandApply NowActive JobUpdated 20 days ago - UpvoteDownvoteShare Job
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3 years HCC coding and/or coding and billing. 5 years HCC coding and/or coding and billing. Performs HCC coding on projects for MA, ACA, and End Stage Renal Disease (ESRD.
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Required: Certified Professional Coder (CPC) or Certified Coding Specialist –Physician Based (CCS-P) Certified Coding Associate (CCA) Job Title: Coding and Reimbursement Specialist.
$54,186 - $66,936 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Associate degree in medical billing/coding, health insurance, healthcare or related field preferred. Adheres to CMS Guidelines for Coding and Highmark's Policy and Procedures to guide HCC coding decision making.
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The CDI Specialist must be devoted to ongoing, continuous learning of clinical medicine; practical understanding of International Classification of Disease coding systems and have the ability to education physicians.
Full-timeExpandApply NowActive JobUpdated 23 days ago - UpvoteDownvoteShare Job
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A certification in one of the following is required: Certified Professional Coder (CPC) Certified Risk Adjustment Coder (CRC) Certified Coding Specialist (CCS) A license in one of the following is preferred: Certified Professional in Healthcare Quality (CPHQ) Licensed Vocational Nurse (LVN) Registered Nurse (RN.
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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. Engages in RPM Coding educational meetings and annual coding Summit.
Full-timeExpandApply NowActive JobUpdated 19 days ago - UpvoteDownvoteShare Job
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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.
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The Senior RCM Specialist is responsible for Practice-level RCM operations, including prior authorization, coding, charge entry, billing, patient collections, denials management, and ensuring the Practice receives all payment it is entitled to for the services it provides.
ExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Supports other key objectives to drive capture of correct Risk Adjustment coding including documentation improvement, provider education, analyzing reports, and identifying process improvements.
Full-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Preferred and/or CPC (Certified Professional Coder)PreferredorCOC (Certified Outpatient Coding)PreferredorCPC-P (Certified Professional Coder-Payer)PreferredorCCS (Certified Coding Specialist)Preferredor.
Full-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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The Coding Audit Education and Quality Assurance Manager manages a team of DRG Validation Specialist/Educators, Outpatient Quality Compliance auditors, Clinical Coding Compliance auditors, and Behavioral Health Clinical Coding audit educators.
Full-timeExpandApply NowActive JobUpdated 14 days ago - UpvoteDownvoteShare Job
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Direct care in a long-term care setting, MDS Coordinator, Clinical Reimbursement Specialist or Nurse Assessment Coordinator experience preferred. Ensure the highest level of revenue integrity and compliance to all state and federal regulations for MDS completion and coding conventions.
ExpandApply NowActive JobUpdated 4 days ago
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