Ambulatory Risk Adjustment Coder: Impact and Accuracy
AltaMed Health Services Corp
AltaMed Health Services Corp. is seeking a Risk Adjustment Coder to perform concurrent, prospective, and retrospective reviews of ambulatory medical records to ensure accurate capture of illness severity and complexity. The role involves evaluating coded data quality and compliance with federal, state, and county regulations for risk adjustment models. The position requires a high school diploma, at least 2 years of risk adjustment coding/auditing experience, and proficiency with multiple #J-18808-Ljbffr AltaMed Health Services Corp
$26.33 - $32.91 per hour
Risk Adjustment Coder Location: Montebello, CA 90640 Grow Healthy If you are... ...and retrospective review of ambulatory medical record clinical... ...responsible for evaluating the accuracy and consistency of coded... ...mission to create a positive impact. Equal employment opportunity...RiskHourly payLocal areaRemote workFlexible hours- NECC is seeking a detail‑oriented HCC Coder to ensure accurate outpatient coding and documentation. You will work with Billing... ..., HCPCS and HCC guidelines, promoting quality measures and risk adjustment accuracy. You will review records for accuracy, educate staff on...Risk
- AltaMed Health Services Corp. is seeking a Risk Adjustment Coder in Montebello, CA to review ambulatory records for accurate capture of illness severity and case complexity. The role emphasizes concurrent, prospective, and retrospective coding reviews in compliance with...Risk
- AltaMed Health Services Corp. in Montebello, CA is seeking a Risk Adjustment Coder to perform concurrent, prospective, and retrospective reviews of ambulatory medical records to ensure accurate and complete capture of illness severity and patient complexity. The role requires...Risk
$34 - $39 per hour
...HCC Coder Administration Office - Alhambra, CA 91801 Overview Salary Range... ...will be responsible for evaluating the accuracy and consistency of coded clinical data... ...Quality Measures with focus on HEDIS and Risk Adjustment HCC. Lead the development and implementation...RiskHourly payFull timeWork at officeLocal areaFlexible hoursWeekend workAfternoon shift$160k - $195k
...Sr. Director - Risk Adjustment Department: Quality - Risk Adjustment Employment Type: Full... ...key role in advancing risk adjustment accuracy, regulatory compliance, provider... ...DMHC, and other regulatory requirements impacting value‑based care programs. Demonstrated...RiskFull timeContract workRemote work$70k - $85k
...Risk Adjustment Coding Specialist II - Los AngelesWe are currently seeking a highly motivated... ...trends, and opportunities for improved accuracy for our providers. You'll translate your... ...discussion and overread assignments. Supports coder training and orientation as requested...RiskWork at office$149.5k
...days) to receive an alert: Director, Risk Adjustment Strategies and Initiatives Job... ...functional initiatives to improve diagnosis accuracy, coding capture, and documentation quality... ...and/or escalates critical issues that impact timelines or success in a timely manner...RiskFull timeWork at office- Astrana Health Management is seeking a Risk Adjustment Coding Specialist II to support our Northern California market. The role involves extensive chart reviews, coding accuracy audits, and education for providers. Travel to provider offices is required up to 50-75% of...Risk
- ...Certified Risk CoderThe Certified Risk Coder plays a critical role in supporting Astrana Health's value-based care and risk adjustment initiatives by ensuring the accurate capture and validation... ...documentation quality, coding accuracy, and compliance with CMS risk adjustment...Risk
- Astrana Health is seeking a Risk Adjustment Coding Specialist to support our Orange County market. You will review charts, identify coding gaps, and educate providers to improve accuracy in HCC documentation, while tracking KPIs and guiding performance improvements. The...Risk
- ...Pediatric Services in Los Angeles, CA seeks a detail-oriented Medical Coder to assign precise ICD-10, CPT, and HCPCS codes for pediatric... ...and participate in audits and staff training to improve coding accuracy and reimbursement outcomes. #J-18808-Ljbffr VigorCare...
- Astrana Health, Inc. is seeking a Risk Adjustment Coding Specialist II for the Northern California market. This role will conduct high-volume chart reviews to identify coding gaps and drive education for providers, with travel to provider offices up to 50% of the time in...Risk
- ...DESCRIPTION JOB TITLE: Sr. Manager, Risk Adjustment FLSA STATUS: Exempt... ...to improve risk score accuracy, provider engagement, and regulatory... ...scores, and evaluate the impact of coding pattern adjustments... ...Certified Risk Adjustment Coder (CRC) — AAPC Certified Professional...RiskWork at officeShift work
$56k - $85k
...Certified Risk CoderThe Certified Risk Coder plays a critical role in supporting Astrana Health's value-based care and risk adjustment initiatives by ensuring the accurate capture and validation... ...documentation quality, coding accuracy, and compliance with CMS risk adjustment...RiskWork at officeRemote work- A Hospital in Los Angeles is looking for a Medical Coder with experience in Surgery experience. The Medical Coder role... ...scanned charge documents for completeness and coding accuracy, escalating unusual or high-risk issues when necessary.• Support reporting and trend analysis...RiskRemote workMonday to Friday
- Astrana Health seeks a Sr. Director of Risk Adjustment to lead risk adjustment, clinical documentation improvement, provider engagement, and population health strategies. This leader will guide Senior Managers, Managers, and teams, translating enterprise priorities into...RiskRemote work
$70k - $85k
...Astrana Health, headquartered in California, seeks a Risk Adjustment Coding Specialist II to support their Los Angeles area operations. The role focuses on reviewing chart data to identify coding gaps, educating providers, and tracking key KPIs, with up to 30% travel to...Risk- Astrana Health, Inc. is seeking a Sr. Director - Risk Adjustment to lead the Risk Adjustment organization from our Alhambra office. You will build structure, standardize processes, develop leaders, and drive accountability across a multi-market operation. The role requires...RiskWork at office
- L.A. Care Health Plan seeks a Director of Risk Adjustment Strategies and Initiatives in Los Angeles. This senior leader will design and drive enterprise risk adjustment programs, enhance diagnosis accuracy, and ensure compliant data collection across lines of business....Risk
$126.4k - $189.6k
...client satisfaction, risk management, and project... ...Review work for technical accuracy, coordination,... ...the most complex and impactful healthcare projects in... ...specifically apply to Hospitals, ambulatory surgical centers, and... ...require reasonable adjustments to be made during the...RiskFull timeTemporary workPart timeFor contractorsCasual workWork at office$206.31k
...delegated clinical decision‑making accuracy, timeliness, and consistency.... ..., waste, and abuse (FWA) risk and manage financial exposure... ...education, benefit design adjustments, or modification of authorization... ...outcomes to evaluate the impact of medical policies and prior...RiskFull timeLocal area$175k - $205k
...design excellence, mitigate risk, and support successful project... ...for quality, compliance, accuracy, and alignment with program requirements... ...and Owners understand design impacts on cost and schedule; provide... ...projects (acute care, ambulatory, or specialized facilities),...RiskFull timeContract workTemporary workFor contractorsWork experience placementFlexible hours$121.78k - $152.23k
...Analyst, Information Security Governance, Risk, & Compliance will be responsible for the... ...mitigating evidence, or challenge the accuracy of the background report. As the nation’s... ...backgrounds to apply and join us in our mission to create a positive impact. #J-18808-Ljbffr...RiskWork at officeLocal areaFlexible hours- A community-focused healthcare provider is seeking a Certified Medical Coder for a remote position. This role requires at least 1 year of coding experience, including surgical cases, and thorough knowledge of medical terminology and coding regulations. The company offers...Remote job
$117.9k - $152.57k
...Integrity Specialist IV, Clinical Licensure-Risk Adjustment-RNPrimary Location Pasadena, California... ...medical/health records to promote the accuracy and completeness of clinical... ...identification of medical conditions that impact the severity of illness (SOI) and risk...RiskFull timeLocal areaRemote workShift work- ...L.A. Care Health Plan is seeking a Director, Risk Adjustment Strategies and Initiatives in Los Angeles to lead enterprise risk adjustment programs, AWEs, and Medicare STAR initiatives with cross-functional teams. Responsibilities include developing strategic plans,...Risk
$71.7k - $105k
...that prioritizes compassion, respect, and impact. The result is a culture where people... ..., interdisciplinary care teams, and risk adjustment stakeholders to ensure documentation reflects... ...in an outpatient, primary care, ambulatory care, or comparable clinical setting.*...Risk- ...This role will lead National Health Plan Risk Adjustment analytics, benchmarking, encounter... ...developments to assess business and financial impact, guide strategic planning, inform... ...that directly support risk adjustment accuracy and value capture across all lines of business...Risk
$30 - $35 per hour
...providing transitional care management, high-risk care management, and ongoing follow-up... ...-discharge. Review medications for accuracy, missing medications, duplications, and... ...year of clinical experience (acute care, ambulatory, case management, or related)....RiskHourly payFull timeWork at office
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