Senior Nurse Medical Coder - Remote Risk-Adjustment Expert
$86.3k - $118.7kSanta Barbara Cottage Hospital
- Remote job
Santa Barbara Cottage Hospital is looking for a Senior Market Consultation / Partnership Professional (Nurse Medical Coder) to ensure compliance and quality in coding practices. This remote position requires an active RN license and coding certification, as well as expertise in ICD-10-CM guidelines. You’ll perform medical record reviews, validate documentation, and partner with clinical teams to enhance coding accuracy. The role offers a salary range of $86,300 - $118,700, plus benefits such as medical coverage and a 401(k) plan. #J-18808-Ljbffr Santa Barbara Cottage Hospital
$86.3k - $118.7k
Humana is looking for a Senior Market Consultation / Partnership Professional to enhance quality and measurement of programs... ...strong knowledge of ICD-10-CM coding guidelines and risk adjustment methodologies. This remote position offers the opportunity to engage with clinical...Remote jobRisk- Humana Inc. is looking for a Senior Market Consultation /... ...enhancing program quality across risk adjustment. Key responsibilities include reviewing medical records for accuracy, educating coders on compliance, and... ...predominantly being remote. #J-18808-Ljbffr Humana...Remote jobRisk
$86.3k - $118.7k
Humana Inc is looking for a Senior Market Consultation / Partnership Professional to enhance... .... The role involves detailed medical record reviews and collaborating with clinical... ...education to improve documentation. This remote position offers a competitive salary ranging...Remote jobRisk- Humana is seeking a Senior Market Consultation / Partnership Professional... .... This role involves reviewing medical records, validating coding... ...certification as a Professional Coder, and strong analytical skills while working in a remote environment with occasional required...Remote jobRisk
- Humana is seeking a Senior Market Consultation / Partnership Professional (Nurse Medical Coder) focused on ensuring accurate documentation and coding practices. This remote position involves extensive collaboration with clinical and operational teams, conducting thorough...Remote jobRisk
- Humana Inc in Sacramento seeks a Senior Market Consultation / Partnership Professional (Nurse Medical Coder) to support their Clinical Support Team (CST). This role involves ensuring the accuracy and compliance of medical documentation and coding practices to enhance program...Remote jobRisk
- Humana is seeking a Senior Market Consultation / Partnership Professional to support coding practices within their Clinical Support Team... ...ICD-10-CM coding and compliance standards through detailed medical record reviews and collaboration with clinical teams. The ideal...Remote jobRisk
- Humana is seeking a Senior Market Consultation / Partnership Professional (Nurse Medical Coder) to enhance documentation and coding practices. This role involves performing... ...excellent communication skills. This is a remote position with occasional travel required for training...Remote jobRisk
- Humana Inc seeks a Senior Market Consultation / Partnership Professional (Nurse Medical Coder) to join their Clinical Support Team. This role focuses on ensuring documentation... ...communication skills. The position operates remotely with occasional travel to offices for training...Remote jobRisk
$86.3k - $118.7k
Humana is seeking a Senior Market Consultation / Partnership Professional (Nurse Medical Coder) to support their Clinical Support Team. This role requires performing detailed... ...such as CPC, CRC, or CCS. The position is remote with occasional required travel for training. Competitive...Remote jobRisk$85k - $200k
...clinical operations. Responsibilities include coding diagnoses from medical records and managing small projects while ensuring compliance with regulations. Candidates should be certified in Risk Adjustment Coding (CRC) with strong analytical and communication skills....Remote workSeniorRisk- Honest Health in Nashville, TN is seeking a Risk Adjustment Auditor to ensure accuracy in risk adjustment coding and documentation. This role is critical in auditing clinical data and ensuring compliance with Medicare standards. The ideal candidate should possess strong...Remote jobSeniorRisk
- A leading insurance and risk management firm is seeking a Claims Adjuster in Dallas, Texas. The ideal candidate will have 3-5 years of experience managing lost... ...compensation package and the possibility for remote work. Join a team committed to making a difference during...Remote workSeniorRisk
$65.6k - $98.4k
...arrangements that include remote and hybrid... ...matters: Perform medical record reviews of... ...CMS) for accurate risk adjustment payments. Perform... .... Maintain expert industry knowledge... ...Certified Professional Coder (CPC, CPC-H), or... ...Registered Nurse (RN) Bachelor's...Remote workRiskContract workWork at officeWork from homeFlexible hours2 days per week1 day per week- A healthcare technology firm is seeking a Senior Product Manager to lead the strategy and execution of a risk adjustment product. The ideal candidate should have 5-7 years... ...enhance product offerings. The position is fully remote and offers a competitive salary and...Remote jobSeniorRisk
$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 workSeniorRisk$67.9k - $199.14k
## Senior Informatics Manager, Risk Adjustment Analytics RemoteApplyremote type: Remotelocations: Work At Home-Massachusetts: Work At Home-Arkansas: Work... ...· Design and execute complex analyses leveraging medical and pharmacy claims, encounter, provider, and membership...Remote workSeniorRiskHourly payFull timeTemporary workWork experience placementLocal areaWork from home$85k - $200k
...investigations and disputes. The ideal candidate should be certified in Risk Adjustment Coding with a strong understanding of clinical practices and... ...communication skills. The position involves reviewing medical records, ensuring compliance with regulations, and managing...Remote jobSeniorRisk$60k - $105k
...Now Hiring: Senior Claims Adjuster I - CA Workers' Comp (100% Remote) Are you an experienced California... ...claims from start to finish (medical, indemnity & litigation)... ...attorneys to mitigate risk * Mentor peers and serve as a subject matter expert Details: * 100% Remote (...Remote workSeniorRiskImmediate startWork from home$58k - $66k
...Join Senior CommUnity Care as a Medical Coder - Risk Adjustment Specialist and partner directly with physicians and Medical Directors to improve documentation... ...program. Medical Coder - Risk Adjustment Specialist- Remote Schedule: M-F 8:00 AM-5:00 PM Salary: $58,00...Remote workRiskLocal area$89.17k - $142.68k
Blue Cross and Blue Shield of North Carolina is seeking a highly skilled Senior Data Analyst who specializes in ACA Risk Adjustment and EDGE submissions. You will act as a liaison between business and technical teams to ensure data accuracy and reporting. This role requires...Remote jobSeniorRisk- Oscar Health is seeking a Senior Actuarial Analyst to join their Actuarial team, focusing on risk adjustment in ACA markets. This position involves managing and enhancing actuarial... ...for actuarial accreditation. The role is remote, primarily open to applicants in Hartford, CT...Remote jobSeniorRisk
- Blue Cross and Blue Shield of North Carolina is seeking a Senior Data Analyst in Durham. This role focuses on ACA Risk Adjustment and EDGE server submissions. The candidate will work with stakeholders to ensure accurate data reporting and provide complex analytic support...Remote jobSeniorRisk
- HealthEdge Software, Inc. is seeking a Senior FP&A Analyst - Risk Adjustment to play a crucial role in financial forecasting and analysis. The successful... ..., and 3-5 years of relevant experience. The position is remote, allowing work from anywhere in the US. #J-18808-Ljbffr...Remote jobSeniorRisk
$89.17k - $142.68k
Blue Cross and Blue Shield of North Carolina is seeking a Senior Data Analyst with expertise in ACA Risk Adjustment and EDGE data submissions. The role requires strong experience in data flows and analytical validation. You'll prepare complex data for various stakeholders...Remote jobSeniorRisk$89.17k - $142.68k
Blue Cross and Blue Shield of North Carolina is seeking a Senior Data Analyst with expertise in Affordable Care Act Risk Adjustment. The candidate will collaborate with stakeholders to ensure the accuracy of EDGE data submissions. This role requires strong analytical skills...Remote jobSeniorRisk- ...North Carolina is looking for a Senior Data Analyst skilled in Affordable Care Act (ACA) Risk Adjustment. This role will be essential in... ...work model that balances remote work with in-office collaboration. Competitive salary, medical benefits, and career development...Remote jobSeniorRiskWork at office
- ...Blue Shield of North Carolina is looking for a Senior Data Analyst with expertise in Affordable Care Act (ACA) Risk Adjustment and EDGE server submissions. This role... ...5 years in a related field. Benefits include medical coverage, flexible work arrangements, and a 4...Remote jobSeniorRiskFlexible hours
$89.17k - $142.68k
Blue Cross and Blue Shield of North Carolina seeks a Senior Data Analyst skilled in ACA Risk Adjustment. The role involves complex data analysis,... ...hybrid work model with competitive benefits including medical coverage, 401k match, and flexible working arrangements...Remote jobSeniorRiskFlexible hours- ...Cross and Blue Shield of North Carolina is seeking a Senior Data Analyst to manage ACA Risk Adjustment. This role serves as a liaison between various teams,... ...salaries, and comprehensive health benefits, including medical, dental, and vision coverage. Join a workplace...Remote jobSeniorRisk
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