43 hcc coder jobs found

Job Description Insight Global is seeking experienced HCC Risk Adjustment Medical Coders for a high-volume seasonal project supporting Medicare risk adjustment initiatives. Responsible for coding 2 Charts per hour. •Perform accurate HCC risk adjustment coding for Medicare populations •Review and code medical records in accordance with ICD and risk adjustment guidelines •Meet established quality standards and productivity metrics •Complete coding work while maintaining an average throughput of approximately 2 charts per hour Skills and Requirements -Medicare HCC experience is required -18 mo+ as a risk adjustment coder -CCS certified (AHIMA) or CPC certified (AAPC), We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment...

Hcc Risk Adjustment Medical CoderRequired Skills & Experience-Medicare HCC experience is required -18 mo+ as a risk adjustment coder -CCS certified (AHIMA) or CPC certified (AAPC),Job DescriptionInsight Global is seeking experienced HCC Risk Adjustment Medical Coders for a high-volume seasonal project supporting Medicare risk adjustment initiatives. Responsible for coding 2 Charts per hour.•Perform accurate HCC risk adjustment coding for Medicare populations •Review and code medical records in accordance with ICD and risk adjustment guidelines •Meet established quality standards and productivity metrics •Complete coding work while maintaining an average throughput of approximately 2 charts per hour

Hcc Risk Adjustment Medical Coder Required Skills & Experience-Medicare HCC experience is required -18 mo+ as a risk adjustment coder -CCS certified (AHIMA) or CPC certified (AAPC),Job DescriptionInsight Global is seeking experienced HCC Risk Adjustment Medical Coders for a high-volume seasonal project supporting Medicare risk adjustment initiatives. Responsible for coding 2 Charts per hour. Perform accurate HCC risk adjustment coding for Medicare populations Review and code medical records in accordance with ICD and risk adjustment guidelines Meet established quality standards and productivity metrics Complete coding work while maintaining an average throughput of approximately 2 charts per hour

Job Description Job Description Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health.  By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role...

Gonzaba Medical Group is seeking a skilled Risk Adjustment Coder to document and validate acuity diagnoses for the Medicare Advantage population. You will review medical records, code ICD-10-CM, CPT, and HCPCS, and ensure documentation supports reported HCC codes under capitated contracts. The role requires AHIMA or AAPC certification and 3+ years of Risk Adjustment experience, with HIPAA compliance and strong attention to detail. #J-18808-Ljbffr

Hcc Risk Adjustment Medical CoderRequired Skills & Experience-Medicare HCC experience is required -ICD 10 experience -2 years experience as a risk adjustment coder -CCS or CPC certified through AAPC or AHIMANice to Have Skills & ExperienceMedicaid Coding ExperienceJob DescriptionInsight Global is seeking experienced HCC Risk Adjustment Medical Coders for a high-volume seasonal project supporting Medicare risk adjustment initiatives. Responsible for coding 2 Charts per hour.Perform accurate HCC risk adjustment coding for Medicare populations Review and code medical records in accordance with ICD and risk adjustment guidelines Meet established quality standards and productivity metrics Complete coding work while maintaining an average throughput of approximately 2 charts per hourCompensation: $20.00-$24.00/hr. Exact compensation may vary based on several factors, including skills, experience, and education.

Hcc Risk Adjustment Medical Coder Required Skills & Experience-Medicare HCC experience is required Full Capture Code -ICD-10 experience -2 years experience as a risk adjustment coder -CCS or CPC certified through AAPC or AHIMA Nice to Have Skills & ExperienceMedicaid Coding Experience Job DescriptionInsight Global is seeking experienced HCC Risk Adjustment Medical Coders for a high-volume seasonal project supporting Medicare risk adjustment initiatives. Responsible for coding 2 Charts per hour. Perform accurate HCC risk adjustment coding for Medicare populations Review and code medical records in accordance with ICD and risk adjustment guidelines Meet established quality standards and productivity metrics Complete coding work while maintaining an average throughput of approximately 2 charts per hour Compensation: $20.00-$24.00/hr. Exact compensation may vary based on several factors, including skills, experience, and education.

A leading healthcare coding company is seeking a professional to handle outpatient coding responsibilities, including assigning ICD-10 and CPT codes in accordance with guidelines. The ideal candidate will have 3-5 years of experience and certification in coding systems. Key duties include maintaining patient privacy, following coding processes, and collaborating with clinical staff. This role emphasizes accuracy and adherence to HIPAA guidelines, requiring a thorough understanding of HCC coding. #J-18808-Ljbffr

Job Description Job Description Certified Coder | $27.00 per Hour | Monday – Friday, 8:00 AM – 5:00 PM | Hybrid | Contract What Matters Most Competitive Pay of $27.00 per hour Schedule: Monday – Friday, 8:00 AM – 5:00 PM Hybrid work schedule Contract opportunity with a leading healthcare organization Weekly Pay with direct deposit or pay card When you work through Team1Medical, you are eligible to enroll in dental, vision and medical insurance as well as 401K, direct deposit and our referral bonus program Job Description We are seeking an experienced Certified Coder with a strong background in outpatient Neurosurgery and Evaluation & Management (E/M) coding. This position is responsible for reviewing clinical documentation and diagnostic results to accurately assign ICD-10-CM, CPT-4 codes, and modifiers for billing, reporting, research, and regulatory compliance. The ideal candidate will have experience coding Neurology services for physicians, strong...

Job TitleREMOTE positionWebEx video interview will be conducted prior to an offerMUST be able to work 40 hrs/week without issueApplicant must have the necessary equipment for the contract; 2 monitors, keyboard, mouse, web camera. If not, Agency must supply ahead of start date.Knowledge and Expertise:Must demonstrate a solid understanding of Coding Guidelines and CPT Guidelines for E/M (Evaluation and Management).Must be able to answer questions to gauge their coding knowledge.Clinic Coding Experience:Must have experience in clinic coding, including:Office-type proceduresVaccinationsE/M levelingModifiers: Familiarity with modifiers used in the clinic setting is essential.Risk Adjustment Experience: While Risk Adjustment experience is acceptable, the candidate must also possess clinic coding experience as well.Experience in Specialty Areas:The candidate must have experience in at least five (5) of the following areas:Internal MedicineCardiologyChronic Kidney DiseaseTransplant...

Responsibilities Prominence Health is a value-based care organization bridging the gap between affiliated health systems and independent providers, building trust and collaboration between the two. Prominence Health creates value for populations and providers to strengthen integrated partnership, advance market opportunities, and improve outcomes for our patients and members. Founded in 1993, Prominence Health started as a health maintenance organization (HMO) and was acquired by a subsidiary of Universal Health Services, Inc. (UHS) in 2014. Prominence Health serves members, physicians, and health systems across Medicare, Medicare Advantage, Accountable Care Organizations, and commercial payer partnerships. Prominence Health is committed to transforming healthcare delivery by improving health outcomes while controlling costs and enhancing the patient experience. Responsibilities Prominence Health is a value-based care organization bridging the gap between affiliated health systems...

Hcc Coding Auditor The HCC Coding Auditor will perform code audits and abstractions using the Official Coding Guidelines for ICD-10-CM and AHA Coding Clinic Guidance, following all state regulations, federal regulations, internal policies, and internal procedures. The HCC Coding Auditor will be involved with quality assurance auditing and risk adjustment code abstraction for the following programs: Commercial Risk Adjustment, Medicare Advantage Risk Adjustment, and HHS and Medicare RADV (Risk Adjustment Data Validation). This is a hybrid role. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Performs Medical Record reviews and audits based on organizational priorities. These can include prospective and concurrent Clinical Documentation Improvement (CDI) workflows and retrospective auditing. Review and audits may lead to the addition, deletion, adjustment, or confirmation of diagnoses...

General Summary: This role focuses on the Risk Adjustment process that supports the documentation of acuity diagnoses for the Managed Care (MC) patient population and required activities for submission of records to Medicare Advantage (MA) payers under established capitated contracts. It assists with medical record reviews for HCC diagnoses, correct usage of various coding guidelines (ICD-10-CM, CPT, HCPCS) and federal and MA payor regulations, as well as clinical validation of appropriate supporting documentation. Supervisory Responsibilities: This position has no supervisory responsibilities. General Requirements: All duties performed will be done accurately and in a timely manner. Assumes responsibility for maintaining clinical competencies according to Gonzaba Medical Group policy. Exercise tact and courtesy when dealing with patients, visitors, providers, and co-workers. Must always adhere to customer service expectations including in-person and virtual (via...

Value Based Coder IIInspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings.The Value Based Coder II is an experienced professional within the Quality Management/Risk team, responsible for independently reviewing patient medical records to identify, assess, monitor, and review coding opportunities, with a growing emphasis on Hierarchical Condition Categories (HCC). This role focuses on developing and delivering provider education and contributing to process improvement initiatives. The Value Based Coder II acts as a valuable resource in identifying clinically appropriate...

Submitting a candidate to this position is acknowledgement that the candidate 1) will follow all client policies and procedures, 2) will adhere to the terms of the MSA and 3) has all the requirements and specialty experience that the position requires. Refer to client Fees and Procedure Statement for additional information Job Summary Responsible for reviewing clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10-CM/CPT4 codes and modifiers for billing, internal and external reporting, research, and regulatory compliance. Accurately code conditions and procedures as documented in the ICD-10-CM & CPT4 Official Guidelines for Coding and Reporting. Typically reports to Coding Manager Job Description Minimum Qualifications Education High School Diploma or GED required, Associate Degree in medical area, preferred Licenses/Certifications Certified Coding Specialist (CCS), or Certified Professional Coder (CPC), or Registered...

Coding SpecialistResponsible for reviewing clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10-CM/CPT4 codes and modifiers for billing, internal and external reporting, research, and regulatory compliance. Accurately code conditions and procedures as documented in the ICD-10-CM & CPT4 Official Guidelines for Coding and Reporting. Typically reports to Coding ManagerMinimum QualificationsEducation: High School Diploma or GED required, Associate Degree in medical area, preferredLicenses/Certifications: One of the following licenses is required:· Certified Coding Specialist (CCS), or· Certified Professional Coder (CPC), or· Registered Heath Information Technician (RHIT), or· Certified Medical Coder (CMC)· Certified Coding Associate (CCA)Experience / Knowledge / Skills:· Two (2) years outpatient Neurosurgery (Required), Required 2 Years outpatient E/M coding experience required, six (6) months of HCC experience preferred· Ability...

Certified Coder - Outpatient Neurosurgery | Contract Protouch Staffing is seeking an experienced Certified Coder for an exciting contract opportunity with a leading healthcare organization in Houston. This position is ideal for a knowledgeable coding professional with strong outpatient Neurosurgery and E/M coding experience who is ready to bring their expertise to a collaborative revenue cycle team. If you have a strong understanding of ICD-10-CM, CPT, modifiers, outpatient coding guidelines, and physician Neurology coding, we want to hear from you! Compensation & Schedule Pay: $25.50/hour Schedule: Monday-Friday Hours: 8:00 AM-5:00 PM 40 hours per week Hybrid work environment Contract: August 31-November 28, 2026 Position Summary The Certified Coder is responsible for reviewing clinical documentation and diagnostic information to accurately assign appropriate ICD-10-CM and CPT codes, modifiers, and other coding data for outpatient encounters. The...

Submitting a candidate to this position is acknowledgement that the candidate 1) will follow all client policies and procedures, 2) will adhere to the terms of the MSA and 3) has all the requirements and specialty experience that the position requires. Refer to client Fees and Procedure Statement for additional information Job Summary Responsible for reviewing clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10-CM/CPT4 codes and modifiers for billing, internal and external reporting, research, and regulatory compliance. Accurately code conditions and procedures as documented in the ICD-10-CM & CPT4 Official Guidelines for Coding and Reporting. Typically reports to Coding Manager Job Description Minimum Qualifications Education : High School Diploma or GED required, Associate Degree in medical area, preferred Licenses/Certifications : One of the following licenses is required: • Certified...

Remote Certified CoderAltegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to-end solutions to help improve payment integrity data, to support accreditation programs, and to meet regulatory requirements. Altegra's nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in:CMS HCC Risk AdjustmentHEDISMedical Record Reviews (Accreditation)And moreThese are remote/home based temporary positions forecast to run through the end of 2015 and Coders will be paid by the chart. Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and Altegra Health Flagged Event. Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines).Responsibilities:Abstract pertinent information from patient medical records. Assign appropriate...

Job TitleSubmission RequirementsAAPC certificate required; MUST be CPC, CPC-H and/or COC - REQUIREDMust have graduated from an approved coding program or health information management program - REQUIREDProficiency in AT LEAST 3 of the following: Specialty Clinics (Med Spec Inject, Anticoag Management, Nutrition/Oncology Nutrition, Newborn/Lactation, OP Orthotic Prosth, Urology, Apheresis, Cardiac Rehab, General Surgery, Int Pain Healing, Non Inv Cardiology, Outpatient General Surgery, Proctology, Plastic Surgery, Endocrine, Benign Gyn, Infectious Disease, Neurosurgery, Oral & Facial Surgery, Ortho Total Joint, RAD CT, RAD MRI, RAD MRI, Trauma, Amputation Clinic, Burn Clinic, Dermatology, Endocrine Surgery, ENT Clinic, GI and Liver Disease, Gyn Dysplasia, Internal Medicine, Mineral Metabolism, Ortho Foot & Ankle, Pain, Burn Outpatient, Hand Surgery, Cardiology, Comprehensive Wound, Neurology, Pulmonology Clinic, Rheumatology, Eye Clinic, Access Clinic) -...

Coding SpecialistHours of Work: 8-430Days Of Week: M-FWork Shift:Job Description: Remote position after training on site (a minimum of 3 weeks) at the Dallas Campus.Job Relationships: Reports to Coding ManagerCertification Requirements: Core coding certification credential from AAPC or AHIMA: CPC, CCS-P required; CCC PreferredSkills, Credentials, Professional Qualifications: High school diploma or equivalent; Associate degree is an asset. A minimum of two years of professional coding experience or one year of professional coding experience and two years of HCC experience; demonstrated experience in procedural/surgical coding. Strong knowledge of CMS manuals, federal and regulatory guidelines and correct coding policies. Independently disciplined in time management and productivity. Experience in electronic medical record software, preferably Epic. Microsoft Office proficient. Ability to communicate written and oral coding information to healthcare professionals.Job Summary:...

Hours of Work : 8-430 Days Of Week : M-F Work Shift : Job Description : Location: Remote position after training on site (a minimum of 3 weeks) at the Dallas Campus. Job Relationships: Reports to Coding Manager Certification Requirements: Core coding certification credential from AAPC or AHIMA: CPC, CCS-P required; CCC Preferred Skills, Credentials, Professional Qualifications High school diploma or equivalent; Associate degree is an asset A minimum of two years of professional coding experience or one year of professional coding experience and two years of HCC experience; demonstrated experience in procedural/surgical coding Strong knowledge of CMS manuals, federal and regulatory guidelines and correct coding policies Independently disciplined in time management and productivity Experience in electronic medical record software, preferably Epic Microsoft Office proficient Ability to communicate written and oral coding information...

Job Title Submission Requirements AAPC certificate required; MUST be CPC, CPC-H and/or COC - REQUIRED Must have graduated from an approved coding program or health information management program - REQUIRED Proficiency in AT LEAST 3 of the following: Specialty Clinics (Med Spec Inject, Anticoag Management, Nutrition/Oncology Nutrition, Newborn/Lactation, OP Orthotic Prosth, Urology, Apheresis, Cardiac Rehab, General Surgery, Int Pain Healing, Non Inv Cardiology, Outpatient General Surgery, Proctology, Plastic Surgery, Endocrine, Benign Gyn, Infectious Disease, Neurosurgery, Oral & Facial Surgery, Ortho Total Joint, RAD CT, RAD MRI, RAD MRI, Trauma, Amputation Clinic, Burn Clinic, Dermatology, Endocrine Surgery, ENT Clinic, GI and Liver Disease, Gyn Dysplasia, Internal Medicine, Mineral Metabolism, Ortho Foot & Ankle, Pain, Burn Outpatient, Hand Surgery, Cardiology, Comprehensive Wound, Neurology, Pulmonology Clinic, Rheumatology, Eye Clinic, Access Clinic) - REQUIRED...

We are so glad you are interested in joining Sutter Health! Organization: SHSO-Sutter Health System Office-Valley Position Overview: This position conducts review of outpatient medical records using International Classification of Disease Coding ICD-10-CM and Current Procedural Terminology (CPT), Medicare Advantage, ICD-10-CM, and Centers for Medicare and Medicaid Services (CMS) coding and reporting guidelines. Performs medical record reviews to ensure accurate assignment of medical diagnoses and procedures. Responsible for pre-appointment review of each encounter in scope, including Medicare Advantage encounters, to ensure accurate reporting of diagnoses and to alert the physician of potential clinical conditions that may require review. This position will support risk adjustment code validation for CMS and HHS Risk Adjustment models Job Description : EDUCATION: HS Diploma or General Education Diploma (GED) CERTIFICATION & LICENSURE: CRC-Certified...