Remote HCC Coding Lead & Risk-Adjustment Expert
Highmark Health
- 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
$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 jobRisk$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 jobRiskContract workFor contractorsWork at officeLocal areaFlexible hours- ...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 workRiskWork at office
$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 jobRisk$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 jobRisk- 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 jobRisk
- ...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 jobRiskPart time
- 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 workRiskFull time
$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...RiskHourly pay$65k - $75k
...Description Job Description Risk Adjustment Specialist – Primary Care Location: Remote Employment Type: Full-Time... ...accurate clinical documentation and coding practices. Position Overview... ...Ensure accurate ICD-10-CM and HCC coding based on clinical documentation...Remote workRiskFull time$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 workRiskFull timeWork experience placement- ...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 workRiskContract workWork experience placementWork at officeFlexible hours
$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 workRiskFull timeShift work- ...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 workRiskContract work
$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 workRiskWork at office- 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 jobRiskFor contractors
- ...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 workRisk
$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 workRiskFull timeWork at office- ...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 workRiskFull timeTemporary workLocal area
$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 workRiskLocal areaFlexible hours$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 workRiskFull timeMonday to FridayFlexible hours- ...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 jobRiskFull time
$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 workRisk$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 jobRiskHourly payContract work$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- ...Analytics Team, the Lead Technical Business... ...HERMANN CANNOT HIRE REMOTE WORKERS IN THE... ...Population Health Coding (HCC) – Experience enhancing risk score accuracy by identifying... ...implementing risk adjustment strategies.... .../ Skills: Expert proficiency with one...Remote workRisk
$198.22k - $297.33k
Job Overview Sr. Director, Risk Adjustment Data & Analytics (Remote) is a senior technical and... ...suspecting, chart review, coding, submission, and... ...scale. Key Responsibilities Lead MRA Data Operations and Ecosystem... ...Adjustment Operations expertise (HCC coding, ICD‑10 principles,...Remote workRisk- ...Domain Expert - Finance We are hiring experienced accounting... ...prepaid expenses, deferrals, and adjustments Balance sheet... ...compilations Audit planning, risk assessment, testing, sampling... ..., payment approvals, expense coding, and 1099 support Invoicing...Remote workRiskContract workLocal areaFlexible hours
- BayCare Health System seeks a Manager for the Risk Adjustment Program in Tampa, FL. This full-time role involves leading risk adjustment strategies across the healthcare organization, requiring a bachelor’s degree in business or healthcare and significant management experience...Remote jobRiskFull time
- Millennium Physician Group is seeking a Level II - Risk Adjustment Coding Specialist in New York. Responsibilities include abstracting ICD-10-CM codes from documentation, auditing medical records for accuracy, and analyzing Medicare Risk Adjustment data. The ideal candidate...Risk
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