Quality & Revenue Groups

The HCC Coder User Groups


     These user groups are telephonic meeting groups, chaired by RISE HCC coding faculty, and made up of professional coders and CDI specialists focused on risk-adjusted government programs such as Medicare Advantage, ACA marketplace, and Medicaid lines of business.  The coders work for health plans and provider organizations, for the most part, although some work for vendors/service providers or as independent contractors. We also have some actuaries involved in our group meetings, as well as compliance specialists.

      The purpose of the user group is to bring up current coding/documentation questions or challenges where a member wants to get input or advice from colleagues and peers. Often the open dialogue format provides an in-depth conversation that helps clarify or identify key factors considered to come to a final resolution.  This peer-based interactivity is the key to the success and popularity of this forum.

Their roles include all levels in their organizations from staff positions up through supervisor, manager, and director. They include job titles such as:

  • Director of Revenue Cycle, Audit and Education
  • Auditor
  • Billing Coordinator
  • Clinical Documentation Improvement Manager
  • Clinical Documentation Specialist
  • Coding Compliance Manager
  • Coding Manager
  • Compliance Review Specialist
  • Director of Coding
  • Director of Quality, Compliance & Education
  • Director, ACO & Population Health
  • Director, Coding & CDI
  • Director, Population Health
  • Provider Educator
  • HCC Coder
  • Manager, Revenue Cycle
  • Manager, Risk Adjustment

 


The Provider Engagement User Groups


These Meetings are Coming Soon!

      These user groups are telephonic meeting groups, chaired by RISE HCC coding faculty, and made up of professional coders and provider education specialists focused on engaging and educating provider offices on coding and documentation within a risk adjusted contract program.  The members of this group work for health plans and provider organizations, for the most part, although some work for vendors / service providers or as independent contractors.

      The purpose of the user group is to identify current coding / documentation questions or challenges identified in coding or documentation patterns with contracted providers where a member wants to get input or advice from colleagues and peers. Often the open dialogue format provides an in-depth conversation that involves shared experiences (successes and failures) that help the group gain consensus on a best practice approach.  This peer-based interactivity is the key to the success and popularity of this forum.

     Their roles include all levels in their organizations from staff positions up through supervisor, manager, and director. They include job titles such as:

  • Director of Revenue Cycle, Audit and Education
  • Billing Coordinator
  • Clinical Documentation Improvement Manager
  • Clinical Documentation Specialist
  • Coding Compliance Manager
  • Coding Manager
  • Compliance Review Specialist
  • Director of Coding
  • Director of Quality, Compliance & Education
  • Director, ACO & Population Health
  • Director, Coding & CDI
  • Director, Population Health
  • Provider Educator
  • Manager, Risk Adjustment