related issues; makes coding and documentation recommendations for adherence to risk adjustment models. Reviews medical... to CMS guidelines pertinent to Risk Adjustment Hierarchical Condition Category (HCC) methodology. Assigns appropriate ICD10...
), or Certified Coding Specialist Physician-Based (CCS-P), or a Certified Coding Associate (CCA) required, Certified Risk Adjustment... progressive coding experience in multiple specialties, HCC Risk adjustment Coding. Preferred Minimum of one-year of progressive...
for appropriate risk-adjustment, including accurate severity and risk of mortality assignment. Responsible for coding participation... education for hospital coding team. Licensure, Registration, and/or Certification Required: Coding Specialist (CCS...
as identified by coding leadership. Perform review of coded encounter for appropriate risk-adjustment, including accurate severity... and risk of mortality assignment. Responsible for coding participation in the Clinical Documentation Improvement and Hospital...
for appropriate risk-adjustment, including accurate severity and risk of mortality assignment. Responsible for coding participation... education for hospital coding team. Licensure, Registration, and/or Certification Required: Coding Specialist (CCS...
); CRC (Certified Risk Adjustment Coder); CPC-P (Certified Professional Coder - Payer); any of the 23+ specialty coding... Specialist performs medical coding functions relative to ICD, CPT, HCPCS coding methodologies. JOB DETAILS AND REQUIREMENTS...
Specialist performs medical coding functions relative to ICD, CPT, HCPCS coding methodologies. JOB DETAILS AND REQUIREMENTS... Outpatient Coder); CRC (Certified Risk Adjustment Coder); CPC-P (Certified Professional Coder - Payer); any of the 23+ specialty...
for appropriate risk-adjustment, including accurate severity and risk of mortality assignment. Responsible for coding participation... education for hospital coding team. Licensure, Registration, and/or Certification Required: Coding Specialist (CCS...
and/or facility fee setting. Experience with outpatient (HOPD, freestanding) and inpatient coding, risk adjustment auditing...University of Colorado Anschutz Medical Campus Department: Neurosurgery Job Title Billing and Coding Specialist...
Improvement programs and clinical validation, preferred. Working knowledge of quality metrics and risk adjustment coding impacts.... Working knowledge of quality metrics and risk adjustment coding impacts, preferred....
and Certifications (RHIA) REGD HEALTH INFO ADMINIST or (RHIT) REGD HEALTH INFO TECHNOLO or (CCS) CERT CODING SPECIALIST or (CPC-H... (in collaboration with the Denials Team), Focused second level reviews; DRGs, POA, risk adjustment, Vizient variables, PSI...
, etc.. Ensure accurate assignment of all risk adjustment variables. The Coding/Quality Analyst will assist the Supervisor... Ensure Vizient risk adjustment variables have been assigned in final code set Make corrections as appropriate Ensure coding...
) or CCS-P (Certified Coding Specialist-Physician) and CRC (Certified Risk Adjustment Coder) required Preferred... for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported...
specific to clinical documentation improvement and risk adjustment coding initiatives. Manages the day to day operations... related to Risk Adjustment Coding. Provides oversight to the coding team. Coordinates work with Clinical Quality Coding...
) education including but not limited to clinical documentation integrity, coding, HCC Risk Adjustment Methodology, and provider... and Documentation Educator assists with Clinical Documentation Integrity (CDI) as it relates to Risk Adjustment with documentation...
coding, preventive services, incident-to coding and HCC risk adjustment. Provide direct feedback and education to providers...The Auditor, Billing & Coding is a certified coding professional responsible for reviewing clinical documentation...
), ICD-10-CM, HCPCS, Risk Adjustment, payer requirements, and rejection resolutions. Lead onboarding and compliance training... across departments—including CMOs, Clinical Informatics, Risk Adjustment, and Population Health—to enhance documentation practices...
, covering CPT (E&M, modifiers), ICD-10-CM, HCPCS, Risk Adjustment, payer requirements, and rejection resolutions. Lead... denials. Collaborate across departments—including CMOs, Clinical Informatics, Risk Adjustment, and Population Health...
and clinicians. Collaborates with the coding team to support the needs of the organization. The position will support risk adjustment... as appropriate. Reports areas of risk directly to the Coding Integrity Manager/Supervisor. Maintains a high level of competency...
, covering CPT (E&M, modifiers), ICD-10-CM, HCPCS, Risk Adjustment, payer requirements, and rejection resolutions. Lead... denials. Collaborate across departments—including CMOs, Clinical Informatics, Risk Adjustment, and Population Health...