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Coding • grand prairie tx

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Supervisor HCC Coding - HP Network

Supervisor HCC Coding - HP Network

CHRISTUS HealthIrving, TX, United States
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The Supervisor of HCC Coding reports to the VP of Network Operations.The supervisor is responsible for supervising the team of risk adjustment auditors, delivering operational excellence, and clear...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Education & Quality Coding Analyst- Remote Days

Education & Quality Coding Analyst- Remote Days

Texas Health ResourcesArlington, TX
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Education & Quality Coding Analyst.Are you looking for a rewarding career with an award-winning company? We’re looking for a qualified . Education & Quality Coding Analyst.HIMS Coding Department Hig...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Quality Assurance Auditor, Outpatient / Interventional Radiology Facility Coding

Quality Assurance Auditor, Outpatient / Interventional Radiology Facility Coding

Exela TechnologiesIrving, TX, US
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Exela is a business process automation (BPA) leader, leveraging a global footprint and proprietary technology to provide digital transformation solutions enhancing quality, productivity, and end-us...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Certified Coding Specialist

Certified Coding Specialist

VirtualVocationsGrand Prairie, Texas, United States
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A company is looking for a Contract Coding Specialist (Part Time - Remote).Key Responsibilities Review clinical documentation to assign appropriate CPT, ICD-10, and HCPCS codes Ensure coding acc...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Medical Billing and Coding - Entry Level Training Program

Medical Billing and Coding - Entry Level Training Program

Dreambound Inc.Grand Prairie, Texas
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This is an educational program, not a job offer.Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market.Looking to s...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
DRG Coding Auditor

DRG Coding Auditor

Elevance HealthGrand Prairie, TX, United States
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This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity,...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Supervisor HCC Coding - HP Network

Supervisor HCC Coding - HP Network

CHRISTUS HealthIrving, TX, United States
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Summary :

The Supervisor of HCC Coding reports to the VP of Network Operations. The supervisor is responsible for supervising the team of risk adjustment auditors, delivering operational excellence, and clearly documenting the team's workflows and outcomes. Coordinates the coding activities to ensure optimization of risk adjustment revenue across CHRISTUS population health value-based contracts.

Responsibilities :

  • Supervises coding team and activities for Risk Adjustment efforts, including productivity
  • Conducts QA coding reviews and provides guidance to ensure accurate documentation and adherence to CMS guidelines
  • Responsible for preparing, assigning tasks, monitoring workflow and monitor day to day execution and employee activities
  • Identifies and communicates documentation deficiencies to providers to improve documentation for risk adjustment, including development of educational materials
  • Performs all duties inherent in a supervisory role. Ensures effective staff training, interviews candidates for employment, evaluates staff performance, and recommends hiring, promotions, salary actions, and terminations as appropriate.
  • Participates in special projects and performs other duties as required
  • Identify corrective action plans and implement strategies related to coding findings
  • Provide guidance and oversight for internal coding reviews in compliance with internal review process.
  • Provide regular updates to the management on the status of their completed reviews.
  • Establishes operating policies and procedures for all risk adjustment programs and processes in coordination with internal and external operational units. Ensure employees follows guidelines, policies, and procedures accordingly.
  • Develops and performs analyses of performance metrics
  • Ability to handle many different tasks simultaneously
  • Produces clear, well-formatted reports that communicate a clear message
  • Works closely with the business to develop, recommend and establish strategies, plans, and processes to improve performance and efficiencies

Requirements :

  • Certified Professional Coder
  • In depth knowledge of all regulatory processes both State and Federal
  • Experience with CMS & HHS risk adjustment
  • Five or more years of experience in risk adjustment
  • In depth knowledge of risk adjustment methodologies for MA and ACA
  • Extensive knowledge of ICD-9-CM, ICD-10-CM and CPT / HCPCS coding
  • Strong planning, organizational, interpersonal, verbal, and written communication skills required
  • american Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC) certification required
  • CRC (Certified Risk Adjustment Coder) certification, preferred
  • Work Schedule : 5 Days - 8 Hours

    Work Type : Full Time