Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Remote HCC Coding Lead & Risk-Adjustment Expert

Highmark Health

New York, NY
  • Remote job

Highmark Health is seeking a professional specializing in HCC risk adjustment coding to deliver high-quality coding and support compliance with CMS requirements. This position involves conducting quality assurance reviews, engaging in government audits, analyzing coding trends, and mentoring new hires. Candidates should have an Associate's degree or equivalent experience, 5 years of HCC coding experience, and relevant certifications, including CPC. This role offers a remote office-based opportunity in Pennsylvania. #J-18808-Ljbffr Highmark Health

Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Remote HCC Coding Lead & Risk-Adjustment Expert in New York, NY vacancy
  • $85k - $200k

     ...disputes seeks a Sr. Associate to utilize their expertise in coding, revenue cycle, and clinical operations. Responsibilities include...  ...with regulations. Candidates should be certified in Risk Adjustment Coding (CRC) with strong analytical and communication skills.... 
    Remote job
    Risk

    Ankura

    New York, NY
    5 days ago
  • $72.7k

     ...Management (ECCM) clinical risk assessment...  ...Category (HCC) coding, medical coding, clinical...  ...and support of Risk Adjustment Data Validation (...  ...entities; leads activities with provider...  ...Certified Documentation Expert Outpatient (CDEO),...  ...Position Type Remote Office-based... 
    Remote job
    Risk
    Contract work
    For contractors
    Work at office
    Local area
    Flexible hours

    Highmark Health

    New York, NY
    3 days ago
  •  ...Job Title: HCC | Risk Adjustment Coder Location: Newark, NJ (100% Remote) Duration: 6 months (possible extension) Pay Rate: $30 - $35/hr. on W2 Schedule...  ...: ~ Responsible for reviewing, auditing, coding, and analyzing medical records to ensure accurate... 
    Remote work
    Risk
    Work at office

    Integrated Resources

    Newark, NJ
    4 days ago
  • $86.4k - $138.6k

    A leading health organization in Columbus, Ohio, is seeking a qualified individual to manage Risk Adjustment and Quality/HEDIS activities. The role involves overseeing daily operations, ensuring compliance with coding guidelines, and improving processes. Candidates should... 
    Remote job
    Risk

    Highmark Health

    Columbus, OH
    2 days ago
  • $86.4k - $138.6k

     ...seeks a dedicated professional to manage Risk Adjustment and Quality/HEDIS activities. The role...  ...processes, and ensuring compliance with coding standards and regulations. Candidates should...  ...00 and $138,600 annually. Potential for remote work available. #J-18808-Ljbffr Highmark... 
    Remote job
    Risk

    Highmark Health

    Atlanta, GA
    5 days ago
  • A national healthcare organization is looking for a Risk Adjustment Manager in Phoenix, Arizona. The role involves developing plans for Risk...  ...will have a Bachelor's degree, relevant experience in coding, and strong leadership qualities. Additionally, familiarity with... 
    Remote job
    Risk

    Highmark Health

    Phoenix, AZ
    5 days ago
  • $85k - $200k

    A leading consulting firm seeks a Sr. Associate to join its Health Care team in Washington, D.C. This position involves coding, compliance analysis, and project management for investigations and...  ...experience. The role allows for remote work and requires excellent communication... 
    Remote job
    Risk

    Ankura

    Washington DC
    2 days ago
  • $85k - $200k

    A consulting company is searching for a Sr. Associate with expertise in coding, revenue cycle, and clinical operations. This role focuses on complex investigations, compliance evaluation, and project management within healthcare disputes. The ideal candidate must be CRC... 
    Remote job
    Risk

    Ankura

    Chicago, IL
    2 days ago
  • American Health Partners in Franklin, Tennessee is seeking a Medicare Risk Adjustment Coding Specialist responsible for conducting coding audits and performing post-payment coding reviews. The role requires extensive experience in claims processing and knowledge of CMS... 
    Remote job
    Risk

    American Health Partners

    Franklin, TN
    4 days ago
  •  ...join our team. This role is critical for conducting patient chart reviews to identify opportunities for accurate risk adjustment coding. The position is remote and requires a Bachelor's degree in Health Information Management or related fields, along with CRC... 
    Remote job
    Risk
    Part time

    Feitong Buke

    Stillwater, MN
    5 days ago
  • A leading healthcare company is seeking a Risk Adjustment Coding Specialist in Maryland. This full-time position requires a Certified Professional Coder (CPC) and...  ...The role follows a hybrid work structure with both remote and onsite responsibilities. A strong command of Excel... 
    Remote work
    Risk
    Full time

    Astrana Health, Inc.

    Annapolis, MD
    2 days ago
  • $25.3 - $35.74 per hour

    A leading healthcare provider in Texas is seeking an experienced Value Based Coder II to review medical records for coding opportunities, focusing on Hierarchical Condition Categories (HCC). The role involves developing provider education and ensuring compliance with coding... 
    Risk
    Hourly pay

    Catholic Health Initiatives

    Houston, TX
    2 days ago
  • $65k - $75k

     ...Risk Adjustment Specialist - Primary Care Location: Remote Employment Type: Full-Time Pay : $65K - $75K About Us...  ...accurate clinical documentation and coding practices. Position Overview...  ...Ensure accurate ICD-10-CM and HCC coding based on clinical documentation... 
    Remote work
    Risk
    Full time

    PCC Med

    North Palm Beach, FL
    1 day ago
  • $102.55k - $115.37k

     ...Risk Adjustment Coding Manager Join VillageCare as a Full-Time Medicare Risk Adjustment Coding Manager...  ...player in our organization, you will lead initiatives that directly impact...  ...effectively for Hierarchical Condition Category (HCC) accuracy and closing quality gaps.... 
    Remote work
    Risk
    Full time
    Work experience placement

    VIllageCare of New York

    United States
    2 days ago
  • $31.03 - $36.03 per hour

     ...required work experience. ~3 years of risk adjustment and/or hierarchical condition category coding experience. ~ Strong knowledge...  ...less experienced staff and may lead matrixed resources as needed....  ...Skills Risk adjustment coding. HCC coding. Medical record review.... 
    Remote job
    Risk
    Temporary work
    Work experience placement

    Cynet Systems

    Harrison, NY
    1 day ago
  •  ...For roles that are 100% remote or hybrid, you must...  ...The Corporate Director, Risk Adjustment Operations is the executive...  ...record acquisition, coding, QA, and vendor oversight...  ...based on outcomes. Lead retrospective operations...  ...of CDPS Rx, CMS-HCC, and/or HHS-HCC required... 
    Remote work
    Risk
    Contract work
    Work experience placement
    Work at office
    Flexible hours

    AmeriHealth Caritas

    Newtown Square, PA
    1 day ago
  • $27.57 - $35.84 per hour

     ...57 - $35.84 / hour Summary The HCC Coding Educator is responsible for improving the...  ..., completeness, and compliance of risk-adjustment documentation through targeted provider...  ...documentation and coding subject-matter expert, partnering with providers, care management... 
    Remote work
    Risk
    Full time
    Shift work

    Lee Health

    United States
    2 days ago
  •  ...Position Summary The Risk Adjustment Manager is...  ...analytics, providers, coding teams, and health...  ...Position may be remote with some travel required...  ...Translate CMS HCC guidance into actionable...  ...capture Lead provider education...  ...adjustment subject matter expert across the... 
    Remote work
    Risk
    Contract work

    IntraCare

    Carrollton, TX
    3 days ago
  • $102k - $115k

     ...year Department: Quality - Risk Adjustment Description Astrana Health is...  ...NP, medical chart retrieval, HCC risk adjustment data & documentation...  ...to ensure all diagnosed codes and conditions are properly...  ...Working Conditions This is a remote position. Travel to corporate... 
    Remote work
    Risk
    Work at office

    Astrana Health

    California, MO
    3 days ago
  • AAPC is looking for a remote contractor skilled in medical coding, specifically in validating ICD-10-CM codes for PACE Risk Adjustment. The ideal candidate will have at least 3 years of experience in this field and possess strong Excel skills for reporting purposes. The... 
    Remote job
    Risk
    For contractors

    AAPC

    New York, NY
    5 days ago
  • $70k - $85k

     ...Risk Adjustment Coding Specialist II - Remote We are currently seeking a highly motivated Risk Adjustment Coding...  ...on key performance metrics—such as HCC recapture rates, AWVs, and other KPIs...  ...by manager. May assist or lead projects and/or higher work volume... 
    Remote work
    Risk
    Full time
    Work at office

    Astrana Health

    United States
    2 days ago
  •  ...Hcc Coder PedIM Healthcare is seeking an experienced HCC Coder...  ...to ensuring accurate risk adjustment, complete documentation, and...  ...teams to optimize RAF scores and coding accuracy. What We Offer...  ...during interview In-house or remote flexibility Team-oriented,... 
    Remote work
    Risk

    PedIM Healthcare

    Lecanto, FL
    2 days ago
  •  ...Advantage plans manage medical risk by improving patient care to...  ...SUMMARY: The Medicare Risk Adjustment Coding Specialist is responsible for...  ...Hierarchical Condition Categories (HCC) conditions applicable to...  ...• Ability to work remotely without direct supervision... 
    Remote work
    Risk
    Full time
    Temporary work
    Local area

    American Health Partners

    United States
    5 days ago
  •  ...hiring for a full-time role focused on healthcare coding, aimed at improving risk adjustment coding. The position is remote and requires candidates to be located in...  ...field and have at least 2 years of experience in HCC coding, along with CRC or RAC certification. Drips... 
    Remote job
    Risk
    Full time

    Drips.com

    Tampa, FL
    2 days ago
  • $91k - $119k

     ...Senior Risk Adjustment Coder Drive accuracy. Influence outcomes...  ...to support a leading healthcare organization focused on accurate HCC capture, audit readiness...  ...traditional production-only coding position. The ideal candidate...  ...: Primarily remote role with hybrid... 
    Remote work
    Risk
    Full time
    Monday to Friday
    Flexible hours

    Power Personnel

    Newark, CA
    4 days ago
  • $143.62k - $229.79k

     ...Consulting Actuary -ACA Risk Adjustment, you will play a...  ...Responsibilities include leading pricing strategies and...  ...Adjustment , including HHS-HCC model methodology,...  ...of diagnosis coding (ICD-10-CM) , provider...  ...role is Hybrid Flex or Remote Flex depends on the nature... 
    Remote work
    Risk
    Local area
    Flexible hours

    BlueCross BlueShield of North Carolina

    United States
    18 days ago
  • $86.4k

     ...managing activities in support of Risk Adjustment and Quality/HEDIS. Directs...  ...supporting Risk Adjustment Coding and Quality/HEDIS. Assesses viability...  ...RN/LPN, Risk Adjustment, HCC coding, medical coding/...  ...WORKING CONDITIONS Position Type Remote Teaches / trains others... 
    Remote work
    Risk
    For contractors
    Work at office
    Local area

    Highmark Health

    Hartford, CT
    3 days ago
  • $102k - $184.3k

     ...The Principal Risk Adjustment Consultant drives...  ...expertise and advanced coding proficiency, this...  ..., risk forecasts, HCC coding logic, RADV...  ...~ Ability to lead multiple analytic...  ...Analytics subject matter expert ~ Performance...  ...This is a Remote role. #LI-PD1... 
    Remote work
    Risk

    Health Care

    United States
    4 days ago
  • $58 - $63 per hour

     ...an Inpatient Clinical Documentation Integrity Specialist for a 12-month remote contract. The role focuses on reviewing medical records for accurate coding and compliance, requiring risk adjustment coding experience and relevant certifications. Ideal candidates will have... 
    Remote job
    Risk
    Hourly pay
    Contract work

    Pride Health

    New York, NY
    5 days ago
  • $120k - $135k

    VIVANT HEALTH LLC is hiring a Senior Risk Adjustment Factor (RAF) Specialist in Sacramento, CA...  ...ensuring compliance with CMS guidelines, leading provider education, and analyzing...  ...significant experience in Risk Adjustment and HCC coding, with a salary range of $120,000 - $135... 
    Risk

    VIVANT HEALTH LLC

    Sacramento, CA
    5 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote HCC Coding Lead & Risk-Adjustment Expert. Be the first to apply!