Remote Risk Adjustment Coder - CMS/HHS RADV
Sentara Health Plans
- Remote job
Sentara Health Plans in Virginia Beach, VA is seeking a Risk Adjustment Coder to perform compliance activities related to CMS/HHS risk adjustment and RADV audits. You will review professional and facility coding to ensure accurate HCC capture and support vendor and internal audits. The role requires an Associate degree or 4 years of coding experience, knowledge of ICD-10-CM guidelines, and CRC certification within two years. #J-18808-Ljbffr Sentara Health Plans
- ...hiring a full-time hybrid Risk Adjustment Coder in Virginia Beach, VA!... ...a combination of remote and onsite work, with... ...& Medicaid Services (CMS) and U.S. Department of... ...Health & Human Services (HHS). Performs prospective... ...Data Validation (RADV) audits. Reviews provider...Remote workCmsRiskFull timeWork at officeImmediate startMonday to FridayDay shift2 days per week1 day per week
- ## Risk Adjustment CoderApplyremote type: Hybridlocations... ...Medicaid Services (CMS) and U.S.... ...& Human Services (HHS). Performs prospective... ...Adjustment Data Validation (RADV) audits. Reviews... ...Professional Coder (CPC), Certified Outpatient... ...are available as remote work,** **Sentara...Remote workCmsRiskFull timeTemporary workWork at officeShift work
- Sentara Medical Group in Virginia 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 weekly and travel as needed to support team objectives...Remote workCmsRiskFull timeWork at office
- ...hours Monday-Friday. This is a remote position with occasional on-... ...full-time Certified Medical Coder to join our team. This role... ...clinical documentation and risk adjustment reviews and accurately... ...ensure accurate coding. Use CMS and HHS risk adjustment mapping tools...Remote workCmsRiskFull timeWork at officeWork from homeMonday to Friday
- ...coding practices, the full-time Certified Risk Adjustment Coder will perform first-pass reviews of member medical records in a remote environment, ensuring documentation accuracy... ...responsibilities Maintain compliance with CMS risk adjustment diagnosis coding guidelines...Remote workCmsRiskFull timeWork experience placement
$18 - $20 per hour
Pride Health is seeking a Senior Medical Coder for a remote contract role. The position runs 8am-5pm with a 6-month term and potential... ...ICD-10-CM, CPT, HCPCS, and modifier codes, and performing CMS-HCC/risk adjustment coding as appropriate. #J-18808-Ljbffr Pride HealthRemote jobCmsRiskHourly payContract work- Advantmed is seeking experienced Medical Coders specializing in Risk Adjustment and HCC coding. The ideal candidate holds CPC or... ...code diagnoses and procedures in ICD-10-CM, CMS-HCC, ensuring accuracy and compliance. This remote, US-based role requires 20 hours per week...Remote jobCmsRisk
- WellSense Health Plan is seeking a Coder to manage chart abstraction, vendor auditing... ...up-to-date ICD-10-CM knowledge, CMS guidelines, and independence in a remote environment. Minimum 5 years in coding, with at least 3 in Risk Adjustment; CPC certification is required. #J-...Remote jobCmsRisk
$40 per hour
Hybrid | Des Moines, IA (Onsite Tues-Thurs, Remote Mon/Fri) $40/hour | 6-Month Contract... ...Conversion We are seeking a Certified Risk Adjustment Coder (CRC) to support Medicare Risk... ...practices and support compliance with CMS guidelines. Key Responsibilities Conduct...Remote workCmsRiskContract workWork at officeLocal areaMonday to Friday$110 per hour
...Dorsey . Position: Risk-adjustment / HCC coding leader... ...Location: Remote Role Responsibilities... .... Manage RADV audit preparation... ...Deep expertise in CMS-HCC , RxHCC , and/or ACA HHS-HCC risk adjustment... ...CRC (Certified Risk Coder) , CCS , CPC ,...Remote workCmsRiskContract workSummer work- ...026-08-25TEKsystems is seeking a Senior Risk Adjustment/Coding Specialist to evaluate and ensure... ...inpatient and outpatient records, ensuring CMS/HCC alignment, and protecting patient... ...out of Jacksonville, FL, but offers full remote work. Ideal candidates have 7+ years in...Remote workCmsRiskContract work
- ...Job Summary: We are seeking a Risk Adjustment Coding Auditor with 8+ years... ...- and second-pass audits for CMS RADV (Risk Adjustment Data Validation... ...CPC (Certified Professional Coder) certification Active CRC (... ...Office Suite (Excel, Word, Outlook) This is a remote position....Remote workCmsRiskWork at office
- Managed Resources, Inc. is seeking a skilled HCC Coder for a fully remote role serving healthcare clients nationwide. The coder will assign ICD-10-CM codes and HCC mappings, with optional E/M coding duties based on business needs. The position emphasizes accuracy, compliance...Remote jobCmsRisk
- ...Community position. Job Summary The Risk Adjustment Coder II provides advanced support for complex... ...Categories (HCCs) while adhering to CMS guidelines and internal coding... ...Adjustment, Medicare Risk Adjustment, and HHS and Medicare RADV systems. The coder serves as a subject...CmsRiskWork experience placement
$83.99k - $119.97k
...The Program Manager, Risk Adjustment & Stars, serves as the... ...pipelines, coding logic, and CMS methodology, into... ...policies. ~ Supports RADV audit readiness and health... ...Risk Adjustment Coder (CRC) credential. • Experience... ...compliant for all remote or telecommuting positions...Remote workCmsRiskFull timeHome office$110 per hour
...HCC codes and recommend risk adjustment actions, ensuring... ...managed care, and/or ACA HHS-HCC programs. Evaluate... ...risk scores. Manage RADV audit preparation and response... ...Ensure adherence to CMS risk adjustment... ...Work Terms Location: Remote. Engagement type: Hourly...Remote workCmsRiskHourly pay$56.2k - $101k
...education and training regarding risk adjustment to ensure accurate CMS payment and improve... ...’ requests). Serve on the RADV Committee as subject matter... ...Organization as a medical coder. 2+ years of experience in... ...approach to work with remote, hybrid, field or office work...Remote workCmsRiskFull timePart timeWork at officeFlexible hours$35 - $38 per hour
...Title : Risk Adjustment Coding Auditor Location : Remote (To be eligible for this position, candidate... ...code capture based on CMS HCC categories. Maintaining... ...~ CRC (Certified Risk Coder) in good standing, in... ...education experience. Prior RADV experience. CPMA or...Remote workCmsRiskFull timeContract workTemporary work- ...as hybrid, onsite or remote. While the majority... ...JOBThe Quality Assurance Coder/Auditor will develop a risk mitigation and... ...visit with a valid Risk Adjustable provider. Coder/... ...measures and/or the CMS Star ProgramPreferred... ...Adjustment Validation Audit (RADV) process for risk...Remote workCmsRiskFull timeWork at office1 day per week
$32 - $37 per hour
...Job Description* The Risk Adjustment Coding Auditor ensures... ...code capture based on CMS HCC categories * Maintains... ...* *CRC (Certified Risk Coder) in good standing* *... ...experience * Prior RADV experience * CPMA or... ...Workplace Type*This is a fully remote position. *...Remote workCmsRiskContract workTemporary work- ...Customer Success Manager - Healthcare Risk Adjustment Remote Opportunity About Reveleer Reveleer delivers a unified platform spanning... ...of complexity customers specifically within the ACA HHS CMS RADV Initial Validation Audit. • You will work across your assigned...Remote workCmsRiskFull timeWork experience placementLocal areaFlexible hours
- ...Supporting the Risk Adjustment team in a fully remote capacity, the Specialist, Risk Adjustment will manage daily operations related to medical record... ...and provider outreach while ensuring compliance with CMS and HHS deadlines. Key responsibilities: Support daily...Remote workCmsRiskWork experience placement
$28 - $32 per hour
Remote | Full-Time | Salary Range: $28.00 - $32.00 Work... ...Opportunity The HCC Coder is responsible for accurately... ...Reporting as well as Risk Adjustment guidelines for data... ...submission of HCC codes to CMS. Stay up to date on... ...with both CMS and HHS defined HCCs as well as...Remote workCmsRiskHourly payFull time$198.22k - $297.33k
...Description The Sr. Director, Risk Adjustment Data & Analytics (Remote) is a senior technical and... ...suspecting through CMS submission and reconciliation... ...with Compliance to support RADV audits, internal reviews,... ...Certified Risk Adjustment Coder (CRC) issued by AAPC, or Certified...Remote workCmsRiskFull timeWork experience placement- Vytwo in Dallas, TX seeks a Risk Adjustment Coding Auditor for a 6-month engagement to support CMS RADV audit passes. The role requires a CPC and CRC certification and 5+ years of risk adjustment experience, with proficiency in MS Office. The team will run first and second...CmsRisk
- ...abstraction and vendor auditing, the full-time remote Certified Coder will ensure accurate ICD-10-CM coding... ...knowledge of coding guidelines, CMS documentation requirements, and... ...experience, including at least 3 years in Risk Adjustment coding Completion of an accredited...Remote workCmsRiskFull timeWork at office
- ...seeking a Senior Professional Coder to act as service line coding... ...codes for compliance with CMS and payor guidelines, providing... ...providers and staff, supporting HCC/risk adjustment coding, denials analysis,... ...with external audits; remote work with onsite education as...Remote jobCmsRisk
$20.5 - $27.85 per hour
...Rate: $20.50 - $27.85/ hour This is a remote position. Incumbents, who reside in... ...Requirements : CPC (Certified Professional Coder) Preferred or COC (Certified Outpatient... ...Additional Requirements CRC (Certified Risk Adjustment Coder) required -or- CIC (Certified...Remote workCmsRiskCasual work- Mount Sinai Medical Center of Florida, Inc. is seeking a Certified Risk Adjustment Coder to ensure accurate coding and documentation standards. The role involves reviewing medical records, providing feedback to physicians, and maintaining coding credentials. The ideal candidate...CmsRisk
- ClinDCast LLC is seeking a Risk Adjustment Coding Auditor with 8+ years of experience to support CMS RADV first- and second-pass audits. The ideal candidate must be CPC and... ...in Microsoft Office Suite. This is a remote position, offering an opportunity to contribute...Remote jobCmsRiskWork at office
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