Remote HCC Coding Specialist - Risk Adjustment Expert
Highmark Health
- Remote job
Highmark Inc. seeks an HCC Coding Specialist to support Risk Adjustment programs (MA/ACA/ESRD) by applying CMS guidelines, coding accuracy, and documentation improvement. This remote, full-time role collaborates with physicians, Quality, Compliance, and IT teams. Ideal candidate has at least 3 years of HCC coding experience, familiarity with ICD-10 and RADV audits, and an associate degree in medical billing/coding or related field. #J-18808-Ljbffr Highmark Health
- 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
- ...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
- 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
- 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
- Highmark Health is seeking a candidate for HCC Coding who will deliver value in risk-adjusted government programs like Medicare Advantage and Affordable Care... ...associate degree in a health-related field. This position is remote with occasional travel requirements. #J-18808-Ljbffr...Remote jobRisk
$95.4k - $208.3k
...Clinical Documentation Integrity Specialist for Medicare Advantage Risk Adjustment. This role involves conducting medical... ...and coders, ensuring accurate coding and documentation. Ideal candidates... ...with proficiency in ICD-10 and CMS-HCC Risk Adjustment models. This full-...RiskFull time$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- ...-08-17TEKsystems 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
$58 - $63 per hour
...agency is hiring an Inpatient Clinical Documentation Integrity Specialist for a 12-month remote contract. The role focuses on reviewing medical records for accurate coding and compliance, requiring risk adjustment coding experience and relevant certifications. Ideal...Remote jobRiskHourly payContract work- ...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
- ...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
- 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
$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
- 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 pay$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 work$84 per hour
...hour Location: Remote Role Responsibilities... ...of illness, and risk of mortality accurately... ...Collaborate with coding, compliance, and clinical... ...Clinical Documentation Specialist) or CDIP (Clinical... ...Experience with HCC risk adjustment and outpatient CDI programs...Remote jobRiskContract workSummer work- 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
$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$31.03 - $36.03 per hour
...work experience. ~3 years of risk adjustment and/or hierarchical condition category coding experience. ~ Strong... ...and guide less experienced coding specialists. Experience: Experience... ...Risk adjustment coding. HCC coding. Medical record review...Remote workRiskTemporary workWork experience placement- Astrana Health in Monterey Park, CA is seeking a Risk Adjustment coder to review and ensure accurate ICD-10-CM/HCC documentation across Medicare Advantage, ACA, and... ...educate providers and work with IPAs to improve coding quality. You will travel up to 75% and balance on...Risk
- 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
$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 work$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 office- ...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
- ...healthcare organization supporting physicians seeks a Healthcare Practice Transformation Specialist in Atlanta, GA. This full-time role involves EHR training, risk adjustment coding, and billing support. Applicants should hold a Certified Professional Coder...RiskFull timeLocal area
- ...documentation through expert CDI consulting. As we continue... ...and motivated Risk Adjustment Clinical Documentation Specialist professionals to join our... ...dedicated team in a fully remote capacity. As a Risk... ...critical role in supporting coding accuracy, HCC capture, regulatory...Remote workRisk
$60.32k - $66.56k
...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 workRiskFull timeFlexible hours
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