Remote HCC Coding Specialist for Risk Adjustment
Highmark Health
Columbia, SC
- Remote job
Highmark Health is seeking a candidate for HCC Coding who will deliver value in risk-adjusted government programs like Medicare Advantage and Affordable Care Act. Responsibilities include performing HCC coding, assisting with regulatory audits, and participating in projects to improve coding practices. Candidates should have 3-5 years of experience in HCC coding, required certifications, and preferably an associate degree in a health-related field. This position is remote with occasional travel requirements. #J-18808-Ljbffr Highmark Health
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Remote HCC Coding Specialist for Risk Adjustment in Columbia, SC vacancy
- ...Highmark Inc. seeks a qualified HCC Coding Specialist to perform HCC coding on MA, ACA, and ESRD... ...various EMR systems to ensure accurate risk adjustment coding. The role supports RPM coding,... ...guidelines and Highmark policies. Remote, full-time position with collaborative...Remote workRiskFull timeFlexible hours
Highmark Health
Louisiana, MO1 day ago - MedPOINT Management in Sherman Oaks, CA is seeking a detail‑oriented HCC Coding Specialist to join our expanding team. You will play a pivotal role in risk adjustment accuracy and high‑quality healthcare documentation, collaborating with physicians and clinical staff to...Remote jobRisk
- ...insurance provider is seeking an experienced HCC Coding Specialist to deliver quality coding for various risk adjustment programs. The ideal candidate will have at least... ...in coding educational initiatives. This remote position requires excellent communication and...Remote jobRisk
- MedPOINT Management in Sherman Oaks, CA seeks a detail-oriented HCC Coding Specialist to ensure accurate risk adjustment coding and compliant documentation. You’ll review medical records, collaborate with clinicians, and stay current with CMS guidelines to support payer...Remote jobRiskWork from homeFlexible hours
$27.02 - $41.85 per hour
...Hierarchical Condition Category (HCC) Coding SpecialistApplyremote type:... ...beneficiaries enrolled in Risk Adjusted government programs such as... ...coding. Supports all Remote Patient Monitoring (RPM) risk... ...Coder (CRC)* Certified Coding Specialist (CCS)* Registered Health Information...Remote workRiskWork at officeWork from homeFlexible hoursHighmark Health
Louisiana, MO2 days ago- ...-08-10TEKsystems is seeking a Senior Risk Adjustment/Coding Specialist to evaluate and ensure accuracy of risk... ...and outpatient records, ensuring CMS/HCC alignment, and protecting patient... ...of Jacksonville, FL, but offers full remote work. Ideal candidates have 7+ years...Remote workRiskContract work
- UASI is seeking a Risk Adjustment Clinical Documentation Specialist to advance documentation accuracy in a fully remote capacity. The role focuses on supporting coding accuracy, HCC capture, regulatory compliance, and clinical documentation integrity in outpatient settings...Remote jobRisk
- ...CorroHealth Inc is seeking Risk Adjustment Coding Specialists to join the HCC Coding Team. This role involves reviewing medical records to abstract codes following... ...and specific client requirements. The position is remote, part-time with flexible hours after meeting...Remote workRiskPart timeFlexible hours
CorroHealth Inc
Wausau, WI1 day ago - ...Heritage Medical Group is seeking a full-time Administrative Family Medicine nurse practitioner in Anaheim, CA to join the Risk Adjustment and HCC Coding Department. The role includes weekly telehealth visits, educating providers to improve documentation and coding...Remote jobRiskFull time
- Advantmed is seeking experienced Medical Coders specializing in Risk Adjustment and HCC coding. The ideal candidate holds CPC or CCS certification and... ...-10-CM, CMS-HCC, ensuring accuracy and compliance. This remote, US-based role requires 20 hours per week minimum, with a...Remote jobRisk
$85 per hour
...consulting opportunity for United States-based healthcare coding and risk adjustment professionals experienced in HCC coding, Medicare Advantage risk adjustment,... .... This role supports current and upcoming remote consulting opportunities focused on AI-assisted risk...Remote jobRiskHourly payWeekly payContract workPart timeFor contractorsFlexible hours- ...Anaheim, CA is seeking a full-time Administrative Family Medicine nurse practitioner to join the Risk Adjustment and HCC Coding Department. The role blends primarily remote outpatient work with occasional in-person activity and includes telehealth visits once a week. You...Remote workRiskFull time1 day per week
- Astrana Health seeks a Risk Adjustment Coding Specialist II to join our Strategy and Operations team in Monterey... ...documentation into compliant HCC coding and educating providers on CMS... ...setting, including on-site visits and remote #J-18808-Ljbffr Astrana Health ManagementRemote workRisk
- Baptist Health Medical Group seeks an Ambulatory CDI Specialist to join our team. This remote position requires residency in KY or IN and involves evaluating documentation for coding accuracy and HCC coding. You will guide providers and staff on clinical documentation...Remote jobRiskWork at office
$110 per hour
...the evaluation and improvement of AI tools that assign HCC codes and recommend risk adjustment actions, ensuring clinical accuracy and regulatory compliance... ...or executive stakeholders. Work Terms Location: Remote. Engagement type: Hourly. Compensation ~ Pay...Remote workRiskHourly paySaidGig
United Statesa month ago$110 per hour
...Thiel , Adam D'Angelo , Larry Summers , and Jack Dorsey . Position: Risk-adjustment / HCC coding leader Type: Contract Compensation: $110/hour Location: Remote Role Responsibilities Lead risk adjustment and HCC coding operations across...Remote workRiskContract workSummer workMercor
New York, NYa month ago$7.25 per hour
...looking for an Ambulatory CDI Specialist to join our team! This is a remote work position that... ...documentation utilizing their coding and clinical expertise... ...accuracy. They identify HCC diagnosis codes, ensure... ...HCC, Rx HCC coding and risk adjustment assignment as it relates...Remote workRiskHourly payFull timeWork experience placementWork at officeLocal areaFlexible hoursShift workBaptist Health
Louisville, KY3 days ago$110 per hour
...Risk-adjustment / HCC coding leader is a remote review track for evaluating AI outputs across risk adjustment / hcc coding leader specialist operations workflows. Reviewers grade workflow correctness, policy adherence, and stakeholder fit; flag operational risk; and document...Remote jobRiskFor contractorsWork experience placement10 hours per week- ...Manager Risk Adjustment Program At BayCare, we are proud... ...Location: Tampa, FL (Remote - Must Reside in the State... ...documentation and HCC (Hierarchical Condition... ...Category) and ICD-10 coding practices. As a subject... ...); Certified Coding Specialist (CCS); or Registered Health...Remote workRiskFull timeShift work
BayCare
United States2 days ago $31.03 - $36.03 per hour
...work experience. ~3 years of risk adjustment and/or hierarchical condition category coding experience. ~ Strong knowledge... ...and guide less experienced coding specialists. Experience... ...Risk adjustment coding. HCC coding. Medical record review...Remote workRiskTemporary workWork experience placementCynet Systems
United States4 days ago- Position Title Professional Coding Specialist II Department Revenue Integrity Remote Eligibility Candidates must reside and work full-time in AR,... ...compliant query workflows. Working knowledge of risk adjustment concepts and HCC validation where applicable to supported...Remote workRiskFull timeWork at officeFlexible hours
- Astrana Health is seeking a Risk Adjustment Coding Specialist II to support remote chart reviews, identify coding gaps, and deliver provider education. This role emphasizes interpreting HCC data, monitoring KPIs, and providing insights to improve accuracy across payer requirements...Remote jobRiskWork from homeHome office
- Astrana Health is seeking a Risk Adjustment Coding Specialist to support physician practices remotely from CST/EST time zones. You will review records for HCCs, educate providers, and track KPIs like HCC recapture and AWVs, contributing to program success. Requirements...Remote jobRiskFull time
$27 per hour
...A national recruitment agency is looking for experienced HCC Medical Coders for a fully remote position. The role involves reviewing medical charts, assigning ICD-10 codes for risk adjustment, and ensuring compliance with coding standards. Candidates should have at least...Remote workRiskContract workThe Judge Group, LLC
New York, NY5 days ago$70k - $85k
...Risk Adjustment Coding Specialist II - Remote Department: Quality - Risk Adjustment Employment Type: Full Time Location: 1600 Corporate Center Dr., Monterey... ...ll track and report on key performance metrics—such as HCC recapture rates, AWVs, and other KPIs, helping drive provider...Remote workRiskFull timeWork at officeHome officeAstrana Health, Inc.
Monterey Park, CA4 days ago- ...Description Director, Product Manager - Risk Adjustment (Remote) About the Role: ~Type: Full-Time,... ...capabilities supporting Medicare Advantage (CMS-HCC), ACA Marketplace (HHS-HCC), and... ...quality. ~Partnering with Clinical, Coding Operations, Engineering, Compliance,...Remote workRiskFull timeTemporary workFlexible hours
Matrix Medical Network
Remote3 days ago - ...accurate CPT®, ICD-10-CM, and HCPCS Level II codes for outpatient E/M services based on Medical... ...Making (MDM) and current guidelines. - Apply HCC (Hierarchical Condition Category) coding principles to support risk adjustment and complete clinical documentation. -...Remote workRisk
ProEd Consulting and Staffing
United States5 days ago $143.62k - $229.79k
...Consulting Actuary -ACA Risk Adjustment As a Consulting Actuary -ACA Risk Adjustment, you will... ...with ACA Risk Adjustment, including HHS-HCC model methodology, risk score... ...Preferred Strong understanding of diagnosis coding (ICD-10-CM), provider documentation practices...Remote workRiskLocal areaBlue Cross and Blue Shield of North Carolina
United States3 days ago$27.57 - $35.84 per hour
...on advancing physician education around HCC coding and Epic support. As the HCC Coding... ...accuracy, completeness, and compliance of risk-adjustment documentation. Your work will directly... ...Myers and Cape Coral, with remaining days remote. Mileage between locations is...Remote workRiskFull timeWork from homeRelocationRelocation packageShift workLee Health
Fort Myers, FL5 days ago- ...for experienced and motivated Clinical Risk Adjustment Documentation Specialists to join our dedicated team in a fully remote capacity. As a Clinical Risk Adjustment... ...will play a critical role in supporting coding accuracy, HCC capture, regulatory compliance, and clinical...Remote workRisk
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote HCC Coding Specialist for Risk Adjustment. Be the first to apply!
Related searches
- junk removal specialist Columbia, SC
- continuous improvement specialist Columbia, SC
- loss prevention specialist Columbia, SC
- hospitality specialist Columbia, SC
- learning management system specialist Columbia, SC
- medical prior authorization specialist Columbia, SC
- member engagement specialist Columbia, SC
- fabrication specialist Columbia, SC
- email specialist Columbia, SC
- process specialist Columbia, SC