Remote Senior HCC Coding Specialist (Risk Adjustment)
Highmark Health
- Remote job
Highmark Health is seeking a healthcare data coder to support risk adjustment coding for Medicare Advantage and ACA programs. This remote role emphasizes HCC coding, ICD-10, CMS guidelines, and RADV audits, while collaborating with quality and compliance teams to ensure accurate risk capture. You will analyze medical records, mentor staff, develop training materials, and contribute to process improvements. The position requires 3 years of HCC experience and relevant certifications, along with #J-18808-Ljbffr Highmark Health
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...its beneficiaries enrolled in risk-adjusted government programs such as... ...Condition Category (HCC) coding, medical coding, clinical terminology... ...(CRC) Certified Coding Specialist (CCS) Registered Health Information... ...CONDITIONS Position Type Remote Office-based Teaches /...Remote workSeniorRiskFor contractorsWork at officeLocal areaFlexible hours- Astrana Health, Inc. is seeking a Risk Adjustment Coding Specialist II to support risk adjustment efforts across provider practices. The role involves... ...delivering education to providers, and tracking KPIs such as HCC recapture and AWVs. Travel to provider offices in the...Remote jobSeniorRisk
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...its beneficiaries enrolled in Risk Adjusted government programs such as... ...Condition Category (HCC) Coding, medical coding, clinical terminology... ...coding. Supports all Remote Patient Monitoring (RPM) risk... ...Coder (CRC) Certified Coding Specialist (CCS) Registered Health Information...Remote workRiskFor contractorsWork at officeLocal areaFlexible hours- Wollborg Michelson Recruiting is seeking an experienced medical coder and auditor to support risk mitigation and provider education around HCC coding and risk adjustment. This role focuses on reviewing medical records, identifying inappropriate or unsupported diagnoses...SeniorRisk
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Insight Global is seeking experienced HCC Risk Adjustment Medical Coders for a high-volume seasonal project supporting Medicare risk adjustment... ...and ICD-10 proficiency is essential. You will review and code medical records in accordance with ICD coding guidelines, meet...Remote jobRiskHourly paySeasonal work$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- Cambia Health Solutions is seeking a Risk Adjustment Auditor I or II for a hybrid role with three days in office across designated U.S. locations... ...reviews to ensure accurate risk adjustment reporting and coding integrity. You will analyze provider documentation, identify...Remote jobSeniorRiskWork at office
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...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 pay- ...a Quality Assurance Coder/Auditor to lead risk mitigation education for primary care providers... ..., identify at-risk HCCs, and suggest coding improvements based on Medicare guidelines.... .../COC credentials, 5+ years in coding with HCC, and 2+ years auditing; hybrid role within...SeniorRisk
$110 per hour
...of building modern AI systems. Specialists review model outputs, identify... ...In this role, your healthcare risk adjustment expertise will help evaluate AI-generated HCC coding and produce high-quality... ...engagement 20+ hours per week Remote work for candidates in the United...Remote workRiskHourly payPart timeFor contractors$29 - $32 per hour
...What We’re Looking For: As an HCC (Hierarchical Condition... ...medical records that have been coded in a standardized system, ensuring... ...of patient conditions for risk adjustment and reimbursement purposes. You... ...skills, ability to work in a remote environment and time...Remote workRiskFlexible hours$75.8k - $126.3k
...Senior Safety Specialist Company Name: PPD Development, L.P. Salary: $75... ...adverse event data entry, coding and assessment of adverse events... .... Duties may be performed remotely. Qualifications:... ...reporting, and mitigating quality risks with the completion of...Remote workSeniorRisk- ...fully. POSITION TITLE: HCC Auditor ROLE TYPE: Full... ...ICD-10-CM and appropriate Risk Adjustment guidelines. This role will be... ...validating the assignment of HCC codes (and possibly complete code... ...FUNCTIONS: This is a remote role; the majority of the work...Remote workRiskFull timeTemporary workPart timeWork at officeHome office
- ...Job Description Job Description Senior Risk Adjustment Coding Specialist Position Summary The Senior Risk... ...accuracy and compliance with CMS-HCC, HHS-HCC, and organizational risk adjustment... ...initiatives. Work Environment Remote, hybrid, or onsite based on business...Remote workSeniorRiskWork at office
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- ...Ambulatory CDI Specialist Baptist Health Medical Group... ...our team! This is a remote work position that requires... ...utilizing their coding and clinical expertise... ...accuracy. They identify HCC diagnosis codes,... ...HCC, Rx HCC coding and risk adjustment assignment as it relates...Remote workRiskWork at officeFlexible hours
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...care, committed to serving seniors and those who need it most... .... The Sr. Director, Risk Adjustment Data & Analytics (Remote) is a senior technical and... ...suspecting, chart review, coding, submission, and reconciliation... ...Advanced) — Deep expertise in HCC coding, ICD‑10 coding...Remote jobSeniorRiskWork experience placement- ...Beach, VA is seeking a full-time hybrid Risk Adjustment Coder to ensure accurate CMS/HHS risk adjustment documentation. The role blends remote and in-office work, with 1-2 days on site... ...Records Data experience and 2 years Coding experience, plus certification options including...Remote workRiskFull timeWork at office
$85 - $105 per hour
...Description Job Description Title: Senior P6 Scheduler Location: Houston, TX (or Remote with 25% travel) Hire Type:... ...analysis, float analysis, and risk assessments to identify schedule... ...scheduling standards, and technical coding structures. Adhere to the...Remote workSeniorRiskFull timeContract workWork experience placementShift work- ...Remote Clinical Documentation Integrity Specialist The Remote Clinical Documentation Integrity (CDI) Specialist... ...illness and facilitate proper coding. Needing a CDI that has experience with Risk Adjustment Tools like Vizient, Elixhauser, HCC's, SOI/ROM. Specifically we...Remote workRiskHourly payWeekly payFor contractorsFlexible hoursAfternoon shift
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