risk adjustment

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    HHS Risk Adjustment Education

    Good morning, I am wondering who else out there might have any commercial risk adjustment education for providers? I have been going on to physicians offices as well as meeting with coding and billing staff to give presentations regarding HHS Risk Adjustment. I am looking to add information...
  2. K

    HCC Risk Adjustment Coding Positions (Auditor and Supervisor)

    GlobalHealth has open positions for an HCC Risk Adjustment Coding Auditor as well as a Supervisor of Risk Adjustment. We have offices in Tulsa and OKC. If you are interested, or know of someone who is, please see the below links for the job descriptions and application. Supervisor...
  3. K

    HCC Risk Adjustment Coding Positions (Auditor and Supervisor)

    GlobalHealth has open positions for an HCC Risk Adjustment Coding Auditor as well as a Supervisor of Risk Adjustment. We have offices in Tulsa and OKC. If you are interested, or know of someone who is, please see the below links for the job descriptions and application. Supervisor...
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    Questions for a newbee! Location: Georiga

    Hello Everyone! I am switching careers from public safety to CRC. From what I am learning I am confident that my skills are very much transferable and will really help me in this new line of work it is just a matter of getting the experience. I am beginning a online course shortly and am...
  5. P

    Coding with MEAT or not

    I have been doing RA coding for insurance companies for 4 years now. When I was originally trained, I was told to look for MEAT or TAMPER for every RA code before submitting to CMS. However, CMS also says to follow ICD 10 guidelines. In the 2017 ICD 10 guidelines, this statement was added...
  6. J

    Atherosclerosis and Angina

    I was researching the code for atherosclerosis with angina. Per the ICD-10 manual appears the correct dx code would be I25.9 Chronic Ischemic heart disease, Unspecified which is not associated with an HCC. Is that correct?
  7. J

    Uncontrolled Diabetes in ICD10-Coding Clinic

    Hello All. Having this discussion with a coding vendor and there is some confusion. When ICD-10 came out a big change was that Uncontrolled Diabetes was coded as E1165 Diabetes with hyperglycemia rather than E119. This Coding Clinic determination was pointed out to me and I'm having a hard time...
  8. D

    General Chart Review Question

    Hello all. I am a new AAPC member working on my CRC certification. I work for a start up health plan in NYC and we are working on conducting our first round of chart reviews for risk adjustment. If a health plan has medical records and identifies discrepancies in their HCCs (assuming the...
  9. C

    CHDS, CPC-A, COC-A, CRC - Seeking Remote HCC Coding Position

    I would love to join your team of remote HCC coders and am confident I will do an outstanding job. Thank you for your consideration. PAMELA S. HEBERT, CHDS, CPC-A, COC-A, CRC www.linkedin.com/in/pamela-s-hebert SUMMARY Responsible and dedicated professional with 14 years as a remote...
  10. A

    The new CRC course

    I am looking for more information regarding the new CRC course. I read the syllabus, so I know what will be taught in the course. I am wanting to know more about how is risk adjustment used in the healthcare industry? Examples about what someone with this certification would do on a regular...
  11. A

    Certified Professional Coder (CPC) Office-Based - West Conshohocken, PA

    At Tandigm Health, we enhance the Primary Care Physician’ ability to provide the finest possible care, so patients get healthy and stay healthy. We are seeking an experienced Certified Professional Coder to come join our team and assist us with our goal to make health care work better. We’re...
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    Seeking coder who is willing to learn Medicare Risk Adjustment in Cerritos CA.

    Hello, We are currently seeking a Medicare Risk Adjustment medical coder who is fluent in Vietnamese for our Cerritos, Ca. office. We are willing to train this position. Please send resume to gruiz@pdtrust.com Thank you. Gabriel Ruiz
  13. E

    Anyone looking in the greater Seattle area?

    We have two openinggs at Humana in our Federal Way office for a Medicare Risk Adjustment Provider Educator. This is a great opportunity for a CPC that would like to expand into the world of HCC coding and Risk Adjustment. MRA Provider Educator- Federal Way, WA-157514 Hiring Manager: Harry...
  14. B

    Remote 1099 HCC (Diagnosis Coding) with Training & Laptop Provided

    I am happy to announce that ionHealthcare, a nationally renowned risk adjustment coding company is currently hiring 1099 coders for work from home risk adjustment coding work. ionHealthcare carries a reputation of being one of the best risk adjustment vendors across the country. ionHealthcare...
  15. C

    Risk Adjustment Coding - Inpatient Coding Guidelines

    Hello, Can uncertain diagnosis such as r/o, probable, suspected, questionable etc. be captured for HCC risk adjustment purposes on consults, h&p's, progress notes, in an inpatient setting? My thoughts are no; they can only be captured at the time of discharge on a discharge summary...
  16. S

    Coding for Risk Adjustment (HCCs)

    When pulling diagnosis information for risk adjustment from outpatient/physician notes, there is some confusion whether or not to code diagnoses that are listed in PMH. CMS guidance is vague, at best. Arguments include: - Code everything listed in the PMH because if the doctor put it in PMH the...
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