Remote Medicare Risk Adjustment Coding Manager
VillageCare
- Remote job
VillageCare is seeking a Full-Time Medicare Risk Adjustment Coding Manager who will be responsible for coordinating Risk Adjustment and Quality coding operations. This remote position requires candidates to reside in NY, NJ, or CT. The successful candidate will oversee coding staff, manage vendor operations, and ensure the accuracy of medical record interactions essential for quality patient care. Applicants must hold relevant certifications and have significant experience in Medicare Risk Adjustment coding. #J-18808-Ljbffr VillageCare
- The Alliance seeks a Risk Adjustment Director in California or hybrid. This role... ...risk adjustment functions, managing the team, and providing expert advice on coding methodologies. Ideal candidates... ...with substantial experience in Medicare risk adjustment. Offered benefits...Remote jobRiskLocal area
- Village Center for Care, Inc. is seeking a Full-Time Medicare Risk Adjustment Coding Manager to work remotely from NY/NJ/CT. This pivotal position offers flexibility and the chance to impact patient care within the evolving healthcare sector. The ideal candidate will bring...Remote jobRiskFull time
- ...To support accurate coding for Medicaid and Medicare Advantage programs, the part-time Certified Risk Adjustment Coder will perform medical record diagnosis code abstraction in a remote environment, ensuring compliance with coding guidelines and regulations. Key responsibilities...Remote workRiskPart time
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- ...populations across the ACA Marketplace, Medicare, and Medicaid. NeueHealth delivers... ...for all. Centrum Health’s Sr. Manager of Risk Adjustment and Quality will be responsible for managing... ...to maintain daily billing and coding operations for our wholly owned clinics...RiskTemporary workWork at office
- ...activities focused on risk adjustment in accordance with Centers for Medicare & Medicaid Services (CMS... ...audits. Reviews provider coding for professional &... ...nursing, health information management, accounting, finance,... ...that are available as remote work, Sentara Health employs...Remote workRiskTemporary workWork at office
- ...seeking a Certified Medical Coder for a full-time remote role. The ideal candidate will be responsible for the accurate coding of medical services across various settings.... ...AAPC or AHIMA. Strong experience in CMS HCC Risk Adjustment Models is essential, along with advanced...Remote workRiskFull time
$58k - $66k
...America National Services is seeking a Medical Coder - Risk Adjustment Specialist to join their Senior CommUnity Care team in Eden Prairie. This full-time remote role involves collaborating with physicians and ensuring coding accuracy for value-based care programs. Key...Remote workRiskFull time- ...Working remotely in a full-time capacity, the Risk Adjustment Coding Specialist will conduct medical record reviews, validate ICD-10-CM codes, and collaborate with... ...codes prior to claim submission Stay updated on Medicare guidelines and coding regulations, and participate...Remote workRiskFull time
- BayCare Health System is looking for a Manager of Risk Adjustment Program in Tampa, FL. The ideal candidate will lead and implement strategies, ensuring best practices in coding and documentation are met. A Bachelor's degree and relevant certifications are required, along...Remote jobRiskFull time
$70k - $85k
Astrana Health, Inc. is seeking a Risk Adjustment Coding Specialist II to work remotely. The position involves reviewing provider documentation, performing coding audits, and educating providers on coding requirements. Applicants should have 3-5 years of experience in risk...Remote jobRisk$70k - $85k
Astrana Health Management is looking for a Risk Adjustment Coding Specialist II to provide support for our IPAs nationwide. This remote position focuses on identifying coding gaps and educating providers about compliance with Medicare documentation. Candidates should have...Remote jobRisk- Oasis Health Partners seeks a Head of Risk Adjustment/Coding Operations to oversee strategy, design, and performance of their risk adjustment... .... Qualified candidates will have significant experience in Medicare Advantage risk adjustment and proven leadership in coding organizations...Remote jobRisk
- Oscar Health is hiring an Associate, Risk Adjustment Auditor for their Risk Adjustment team. This remote role requires conducting quality audits specific to ICD-10 code abstraction and ensuring compliance with coding standards. The ideal candidate holds a Bachelor's degree...Remote jobRisk
$70k - $85k
Astrana Health is seeking a Risk Adjustment Coding Specialist to support IPAs nationwide. This role involves conducting chart reviews, identifying... ...and be certified as a CPC and CRC. This is a full-time, remote position with a compensation range of $70,000 to $85,000 annually...Remote jobRiskFull time- Oscar Health is hiring a remote Associate, Risk Adjustment Auditor to join their Risk Adjustment team. This... ...external quality audits specific to ICD-10 code accuracy. The ideal candidate will... .... Responsibilities include managing operations related to risk adjustment...Remote jobRisk
- A healthcare technology company is seeking a Coding Associate responsible for delivering high-quality risk adjustment coding services for clients. This role requires reviewing... ...for professional growth. This is a fully remote role based in the United States. #J-18808-...Remote jobRisk
- Sprinter Health seeks a Nurse Practitioner Manager to lead a remote team across multiple states. This role combines clinical expertise... ...years in leadership, with a strong background in HCC coding and risk adjustment. Join us to shape the future of healthcare! #J-18808-...Remote jobRisk
- ...Virtix Health LLC is seeking a Risk Adjustment Coding Specialist to join its HCC Coding Team. The successful candidate will review... ...records and abstract ICD-10 codes according to Medicare guidelines. This remote role requires experience in coding, attention to detail...Remote workRisk
- ...Health is hiring an Associate, Risk Adjustment Auditor for their Risk Adjustment team. This remote role focuses on conducting quality audits related to ICD-10 code accuracy and completeness. You... ...compliance, while working with the management team to enhance quality...Remote jobRisk
- Blue Zones Health is looking for a Health Risk Adjustment Coder to join their Vitality Medical Team. This remote position involves implementing risk adjustment strategies and ensuring coding compliance while requiring local travel to provider practices 2-3 times a week...Remote jobRiskLocal area
- ...Centauri Health Solutions, Inc. in Tempe, Arizona, is seeking a skilled Risk Adjustment Coder to enhance healthcare data quality. This role requires certified professionals who can perform accurate coding and documentation improvements, working primarily with Medicaid...Remote workRisk
$96k - $140k
...Location: This is a fully remote role. Candidates who... ...in how the organization manages performance, conduct,... ...accountability, mediation, and risk mitigation, and you... ...exercise such as live coding, a panel interview, a... ...transparency, and market data. We adjust salaries by location to...Remote workRiskFull timeWork at officeImmediate startWorldwide$85k - $200k
...Associate to utilize their expertise in coding, revenue cycle, and clinical operations... ...diagnoses from medical records and managing small projects while ensuring compliance... ...regulations. Candidates should be certified in Risk Adjustment Coding (CRC) with strong analytical and...Remote workRisk- ...Proficient in ICD-10-CM Risk Adjustment coding, the full-time Remote Risk Adjustment Coder will review clinical documentation and accurately apply diagnosis and procedure codes for billing and compliance while working remotely. Key responsibilities: Perform quality coding...Remote workRiskFull time
- ...independently execute and manage every aspect of... ...outreach and data retrieval, coding, abstraction, reporting... ...plan and execute risk, quality, and member management... ...and improved outcomes. Remote Opportunity Are you a... ...the work environment; adjusts methods to best fit the...Remote workRiskLocal areaFlexible hours
$104k - $143k
...Primary Care Providers) risk negotiations. This... ..., relationship management, and communication... ...large‑scale model adjustments Translate... ...PCP Risk Background Coding Additional Information This is a remote position. Travel:... ...life for people with Medicare and Medicaid, families...Remote workRiskWeekly payFull timeTemporary workApprenticeship$70k - $85k
...seeking a highly motivated Risk Adjustment Coding Specialist to support our Maryland... ...records to verify that all Medicare Advantage, Affordable Care... ...Provide recommendations to management related to process... ...work structure: predominantly remote with quarterly travel to Maryland...Remote workRiskFull timeWork at officeMonday to Friday- Humana is seeking a Clinical Coding Educator to enhance provider documentation and education through targeted sessions and comprehensive... ...travel to provider offices required. A strong knowledge of Risk Adjustment and coding guidelines is necessary, along with excellent...Remote jobRisk
- ...and power systems for remote communities. All our work... ....As the Construction Manager, you will work onsite in... ...and tools.* Review and code project-related timesheets... ...used, schedule adjustments, and milestones.* Maintain... ...identify variances or risks.* Identify, document, and...Remote workRiskContract workFor contractorsFor subcontractorLocal area
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