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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 14 days ago - UpvoteDownvoteShare Job
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To those questions, Tokio Marine HCC has a Surety Underwriting Trainee opportunity that can launch your career in an exciting direction. Surety Trainees will be part of the Tokio Marine HCC Accelerate early career - talent development program.
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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.
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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). Adheres to CMS Guidelines for Coding and Highmark’s Policy and Procedures to guide HCC coding decision making.
Full-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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This position will be the leading facilitator for Christus Health Plan HHS ACA and CMS HCC RADV audits and will work closely with the Risk Adjustment Manager of Coding Operations for Risk Adjustment vendor implementation and oversight.
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Delivers value to Strive and its beneficiaries enrolled in Risk Adjusted government programs (MA, ACO, ACA, CKCC), using skills including but not limited to: HCC (Hierarchical Condition Category) Coding, medical coding, clinical terminology and anatomy/physiology, CMS coding guidelines, and RADV Audits.
$66,000 - $77,000 a yearFull-timeExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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To those questions, Tokio Marine HCC - Surety Group has an exciting Underwriting Trainee opportunity that can launch your career in a new direction. Tokio Marine HCC – Surety Group. Tokio Marine HCC is a leading specialty insurance company with offices in the United States, the United Kingdom, Europe, and other locations.
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A. The Police Officer reports directly and is responsible to the HCC Police Lieutenant and Chief of Police. The Police Officer is responsible for enforcing college policies, procedures, and directives related to campus security, safety, and traffic control, in compliance with the HCC Police Policies and Procedure Manual.
$24 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The Staff Registered Nurse position at the University of Denver Health and Counseling Center is a fully benefited nursing position at the University of Denver Health and Counseling Center (HCC.
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Additional responsibilities include supporting pre-or post-payment coding audit for benchmark and/or reimbursement recovery, and other coding-related activities such as pre-appointment chart audits for HCC or risk adjustment, appeals of denied claims, providing information or education to providers for specificity of documentation to align with the coding guidelines to comply with federal, state, and regulatory requirements.
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Develop new procedures related to HCC coding and assist with implementation of systems that impact coding, such as 3M’s Ambulatory Module Research payer guidelines or regulatory guidelines that impact coding (ICD10 or CPT) and provide education for Ambulatory Coding Department related to those issues, understanding of claim edits, and denials by payers for coding reasons, to help prevent future denials.
Full-timeExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Description : JOB SUMMARYThis 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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The Clinical Documentation Specialist ensures the accurate and complete assessment of chronic conditions which fall into the HCC model as required by CMS for Medicare Advantage plans or other risk-adjusted methodologies through chart review.
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Knowledge & understanding of risk adjustment in healthcare including common risk adjustment models (e.g. CMS-HCC, HHS-HCC, CDPS) 2 years of experience using various statistical software and computer programming (e.g., SAS, R, Python, SQL, Visual Basic, DB2, Oracle, etc.
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POSITION ACCOUNTABILITIES AND ESSENTIAL FUNCTIONS: Postdoctoral fellow will conduct a data warehouse (DW) for cancer and HCC by utilizing publicly available data sources and data extracted from the electronic health record (EHRs) at MSM and Establish the clinical significance of HCC-related genes.
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