Remote HCC Coding Specialist | Risk Adjustment Expert
Highmark Health
Highmark Health in Washington, DC is seeking a certified coder to perform HCC coding for MA, ACA and ESRD projects. You will work remotely from an office-based setting, collaborating with physicians, Quality, Compliance, and leadership to ensure accurate risk adjustment coding and RPM compliance. The role requires CPC/CRC/CCS/RHIT certifications and at least 3 years of HCC coding experience, with 5 years preferred. Strong attention to detail and documentation improvements are essential. #J-18808-Ljbffr
- Highmark Inc. seeks an experienced HCC Coder to deliver accurate risk adjustment coding for MA, ACA, and ESRD projects. You will work remotely, analyze physician documentation, and translate it into ICD-10 diagnoses and HCC categories, while aligning with CMS guidelines...Remote jobRisk
- Highmark Health is seeking a skilled HCC coder to support risk adjustment coding for MA, ACA, and ESRD projects. The role focuses on accurate ICD10/HCC... ...credentials and 3 years of HCC coding experience, with remote-office flexibility and 0-25% travel. A background in MS...Remote jobRisk
- Highmark Health in Minnesota is seeking a skilled HCC coder to deliver accurate risk adjustment coding for MA, ACA, and ESRD programs. You will work with physicians and teams to interpret documentation into ICD-10 and HCC categories while following CMS guidelines and RPM...Remote jobRisk
- Highmark Health is seeking an experienced HCC coder to deliver accurate coding for Medicare Advantage, ACA and ESRD, leveraging CPC,... ...and systems to maintain compliant, high-quality risk adjustment data. The role is remote office-based with 0%-25% travel, offering collaboration...Remote jobRiskWork at office
- Highmark Health in the United States seeks a skilled HCC Coder to support risk adjustment coding for MA, ACA and ESRD projects. You will interpret physician... ...initiatives, and opportunities to improve processes. Remote, office-based position with potential travel within 0-...Remote jobRiskWork at office
- Highmark Health is seeking a skilled Risk Adjustment Coder to deliver accurate HCC coding for MA, ACA, and ESRD projects. The role requires navigating multiple... ...while maintaining quality and compliance across remote work environments. You will collaborate with physicians...Remote jobRisk
$27.02 per hour
...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$75k - $90k
...motivated Clinical Documentation Improvement (CDI) Specialist in Stillwater, MN, with remote work flexibility. The role involves conducting... ...chart reviews to ensure accurate capture of risk adjustment diagnostic codes, directly improving patient care quality. Ideal...Remote workRiskFull timeWeekend workAfternoon shift$60.32k - $68.64k
...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 workRiskHourly payFull timeFlexible hours- ...HCC/RAF Coding Specialist in Springfield, MA | Baystate Health Careers Department... ...: Population Health / Risk Adjustment Location: Baystate Health... ...Serve as a subject matter expert in HCC, RAF, and risk... ...schedule (3 days on-site, 2 days remote) with the ability to...Remote workRiskHourly payFull timeWork at officeLocal areaMonday to FridayShift work
- ...POSITION PURPOSE The Manager of Coding and Risk Adjustment is responsible for leading coding... ...serves as the subject matter expert for ICD-10 coding, CMS-HCC risk adjustment, Medicare Advantage... ...compliance. This position is fully remote. DUTIES & RESPONSIBILITIES...Remote workRisk
$31.03 - $36.03 per hour
...required work experience.3 years of risk adjustment and/or hierarchical condition category coding experience.Strong knowledge of... ...guide less experienced coding specialists.ExperienceExperience supporting... ...stakeholders.SkillsRisk adjustment coding.HCC coding.Medical record review....Remote workRiskTemporary workWork experience placement$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 workRisk- Datavant Job Opportunity We are committed to building a diverse team of Datavanters who are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. We are proud to be an Equal Employment Opportunity employer and all qualified...Remote workRisk
- Insight Global is seeking Medical Coders specializing in Risk Adjustment Coding for a leading healthcare client. These professionals will review... ...ICD-10-CM diagnosis codes that support risk adjustment and HCC reporting. Ideal candidates will have strong experience with...Remote jobRisk
- ...is hiring a Program Manager Risk Adjustment Coding and this position youll be responsible... ...as the subject matter expert for risk adjustment coding... ...optimization. Expert in HCC and HHS risk adjustment methodology... ...is working full time remote. Hybrid is a minimum of 2...Remote workRiskFull timeFor contractorsWork at office2 days per week
- ...identify variances or risks, and support accurate... ...but not limited to coding, auditing, and medical... ...Condition Categories (HCC) or risk adjustment.Experience with Risk... ...learning and becoming an expert on new and... ...needed. This is a remote position. AnewHealth...Remote workRiskFull timeTemporary workLocal areaFlexible hours
$65 per hour
...45–$65/hour Location: Remote Commitment: 10+ hours/week... ...accuracy, completeness, and coding integrity. Evaluate AI-... ...codes. Contribute expert input on annotation guidelines... ...Epic . Experience with HCC or risk-adjustment coding. Prior AI/ML annotation...Remote jobRiskContract workWork experience placementSummer work10 hours per weekFlexible hours$26 - $29 per hour
...application process. RCM Specialist III Paradigm... ...Hourly LOCATION: REMOTE HOURS: 8-5, M-F... ...as an internal expert for colleagues and... ...benefits inquiries Coding review and... ...scorecard/metrics, adjust workflows, and implement... ...reduce compliance risk, and maximize timely...Remote workRiskHourly pay- Ogletree Deakins seeks an experienced Docketing Specialist for the Client Information Risk Services team. This role involves reviewing emails and filings... ...projects. The position supports MT or PT schedules and remote work options within the MT/PT time zones. The candidate...Remote jobRisk
$25 - $31 per hour
...Health is seeking a highly skilled Coding & Revenue Integrity Specialist to support accurate, compliant,... ...provider documentation audits, risk adjustment validation (HCC), coding compliance, provider... ...accuracy. This is a primarily remote position based in Las Vegas, Nevada...Remote workRiskHourly payWork at officeWork from homeHome office- Endeavor Health seeks an Ambulatory Risk Adjustment Coding Specialist in Skokie, IL. The role focuses on identifying and coding HCCs during physician outpatient visits, ensuring documentation supports the CMS risk score. The candidate will work with ambulatory CDS and physicians...Risk
- ...Wisconsin, Inc. is seeking a skilled coder to perform billing and coding duties under established office policies. You will serve as the... ...service billings for selected clinical departments. All remote work must occur within MCW registered payroll states. #J-18808-...Remote jobWork at office
- ...Position Summary The role of the remote Revenue Cycle specialist is a valued member of our Revenue... ...prior to billing Review Surgical coding for accuracy prior to billing Process... ...of and adherence to all safety, risk management and precautionary procedures...Remote workRiskMinimum wageFull timeWork at officeMonday to Friday
- ...Health Coder - Hcc & Risk AdjustmentBurlingame, CA 94010OverviewSalary... ...supporting accurate and compliant coding for NEMS MSO operations with a focus on Medicare Risk Adjustment (RA) programs. This position... ...a resource and subject matter expert on Hcc, risk adjustment, and...RiskFull time
$58.7k - $70.4k
Remote The Risk Adjustment Coding Analyst provides operational, analytical, and administrative support to business leaders and teams. You will analyze data to support decision-making, performance monitoring, project tracking, and partner communication. You will develop...Remote workRiskFull timeWork at officeWork from homeHome office- ...Position Title RN Care Manager – HCC Risk Adjustment & Value-Based Care Department Care... ...Manager to lead HCC risk adjustment and coding initiatives across ambulatory care settings... ...providers, clinical teams, coding specialists, and payors to improve documentation...RiskFull timeLocal areaRelocation package
- ...Relief Clinical Documentation Integrity Specialist I. The role focuses on reviewing inpatient... ...assignment, severity of illness and mortality risk assessments. Training is provided, with... ...opportunities across CDI and coding processes. As a trainee, you will engage...Remote jobRiskTraineeship
$35 - $65 per hour
...CDI Specialist III - REMOTE This Jobot Job is hosted by: Daylen Quichocho Are you a fit? Easy Apply... ...physicians, healthcare providers, and coding professionals to ensure the correct... ...representation of the severity of illness and risk of mortality. 2. Collaborate with...Remote workRiskHourly payLocal area- ...severity of illness (SOI), and risk of mortality (ROM) Ability to... ...apply regulatory, payer, and coding guidelines Experience collaborating... ...Industry Subject Matter Experts A sales department with reliable... ...relationships nationwide Remote opportunities that allow for positive...Remote workRiskPermanent employmentFull timeWork visa
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