HCC Risk Adjustment Coder - ICD-10 & Data Quality Lead
Necccare
Northeast Community Clinic is hiring an HCC Coder in Alhambra, CA to ensure accuracy of coded outpatient diagnoses and services. You will review records, collaborate with Billing Manager and Medical Director, and support HIPAA compliance. The role requires 2+ years in healthcare coding, knowledge of ICD-10-CM, CPT, HCPCS, and HCC risk adjustment, and a coding certificate is preferred. Some travel is required. #J-18808-Ljbffr Necccare
- ...seeking a detail‑oriented HCC Coder to ensure accurate outpatient... ...Medical Director to apply ICD-10-CM, CPT, HCPCS and HCC guidelines, promoting quality measures and risk adjustment accuracy. You will review records... ...on Medicare rules, and lead coding process improvements...QualityRisk
- 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-site...QualityRisk
$34 - $39 per hour
...HCC Coder Administration Office - Alhambra, CA 91801 Overview... ...of coded clinical data quality results and reports in accordance... ...but not limited to ICD-10-CM, CPT, E&M and record documentation... ...with focus on HEDIS and Risk Adjustment HCC. Lead the development and...QualityRiskHourly payFull timeWork at officeLocal areaFlexible hoursWeekend workAfternoon shift$70k - $85k
Risk Adjustment Coding Specialist II (CST/EST) Department: Quality - Risk Adjustment Employment... ...metrics—such as HCC recapture... ...of diagnostic data from medical records... ...to ensure ICD-10- CM codes are... ...assignments. Supports coder training and... ...May assist or lead projects and/...QualityRiskFull timeWork at officeRemote workHome office- ...Oaks, CA is seeking a detail‑oriented HCC Coding Specialist to join our... ...team. You will play a pivotal role in risk adjustment accuracy and high‑quality healthcare documentation, collaborating... ...2+ years in HCC coding, with strong ICD-10-CM knowledge and experience in managed...QualityRiskRemote job
$75k - $85k
Risk Adjustment Coding Specialist II Department... ...of diagnostic data from medical records... ...Categories (HCC) Perform code... ...and/or coding quality audits of medical... ...to ensure ICD-10- CM codes are... ...assignments. Supports coder training and... ...May assist or lead projects and/or...QualityRiskFull timeWork at officeWork from homeHome office$75k - $85k
Astrana Health, Inc. in Monterey Park, CA is seeking a Risk Adjustment Coding Specialist II to verify provider documentation, educate providers... ...and 3+ years of risk adjustment coding, with strong ICD-10-CM/HCC knowledge and EHR proficiency. Competitive salary is $75,000...Risk- Astrana Health seeks a Risk Adjustment Coding Specialist II to join our Strategy and Operations team in Monterey Park, CA. The role requires converting provider documentation into compliant HCC coding and educating providers on CMS requirements while traveling to provider...RiskRemote work
- ...Management in Sherman Oaks, CA seeks a detail-oriented HCC Coding Specialist to ensure accurate risk adjustment coding and compliant documentation. You’ll review... ...within a growing managed care team focused on quality documentation and risk adjustment success. #J-1880...QualityRiskRemote jobWork from homeFlexible hours
- ...Analytics. This role will lead National Health Plan Risk Adjustment analytics,... ...leveraging complex data to influence medical... ...commitment to innovation and quality, and the ability to... ..., including HCC coding, RADV audits,... ...ExperienceMinimum ten (10) years of experience...QualityRisk
- ...of NCAL. Support Health Plan Risk Adjustment operations through government... ...compliance oversight, and internal quality assurance reviews. Perform... ..., documentation review, and data-driven analysis to ensure... ...requirement. Certified Risk Adjustment Coder from American Academy of...QualityRiskWork experience placement
- ...TITLE: Sr. Manager, Risk Adjustment FLSA STATUS:... ...Exempt DEPARTMENT: Quality Improvement and... ...is responsible for leading and optimizing risk... ...adjustment performance and data integrity across... ...Advantage (CMS-HCC), Marketplace (HHS... ...Risk Adjustment Coder (CRC) — AAPC...QualityRiskWork at officeShift work
- ...personalized patient relationships and high-quality medical care. We believe in a... ...annual wellness visits and health risk assessments. Educate patients on their... ...of medical documentation, coding (ICD-10, HCC), and risk adjustment. Active, unrestricted state license...QualityRiskWork at officeFlexible hours
- ...communities with quality medical and... ...distinguish itself as a leading healthcare... ...providers, coders, quality, and compliance... ...of illness, risk of mortality,... ...Assist in risk adjustment and... ...condition category (HCC) capture where... ...indicators ~2) ICD-10-CM/PCS coding...QualityRiskFull timeLocal areaShift work
$27 - $33 per hour
...Department: Quality - Quality Care Improvement Location... ...of clinical data in accordance with NCQA... ...processes Proficiency with ICD-10, CPT, HCPCS, and other... ...Certified Professional Coder (CPC), RHIT, RHIA, LVN... ...of CMS Stars, risk adjustment, and population health...QualityRiskHourly payWork at office- ...documentation, and support regional leadership with findings and corrective actions.You will partner with operational, clinical, and compliance teams to sustain regulatory adherence, drive quality improvements, and maintain the KP code of conduct across all lines of#J-18808-LjbffrQualityRisk
- ...Regulatory, Risk & Forensic team... ...use advanced data, AI, and... ...profiling, and risk adjustment Has strong... ...departments, Quality, Case... ...Revenue Cycle, and Coders Other... ...medical records to lead to coding... ...coding, and ICD-10-CM/PCS, IPPS... ..., MS-DRG and HCC assignment...QualityRiskWork experience placementLocal area
- ...opportunities, and collaborate with clinicians to ensure CMS-HCC capture reflects patient complexity and care needs. The... ...with physicians and care teams to improve documentation quality, with a focus on risk adjustment and outpatient settings. #J-18808-Ljbffr myPlace HealthQualityRisk
$193.73k - $322.88k
...Associate Vice President, AI and Data Solutions - Data Lead Join our AI & Engineering... ...program objectivesOversee quality of team deliverables and recommendations... ...and regional health plans, 10 of the 10 largest... ...range estimate has not been adjusted for the applicable...QualityLocal areaVisa sponsorship- Astrana Health, Inc. is seeking a Risk Adjustment Coding Specialist II to support risk adjustment efforts across provider practices. The role... ...delivering education to providers, and tracking KPIs such as HCC recapture and AWVs. Travel to provider offices in the Houston...RiskRemote job
$115k - $145k
...continually strengthens the quality and completeness... ...Coding Operations leads the day-to-day... ...the team of coders responsible for post... ...population health, risk adjustment, quality... ...practices comply with ICD-10-CM, CMS, health plan... ...coding operation 9. Data, Reporting &...QualityRisk$160k - $170k
...Advanced Analytics Department: Data - Analytics Employment... ...insights across risk adjustment, clinical operations, quality, compliance, and cost management... ...value‑based care objectives. Lead the development of scalable... ...and measures such as HCC, HEDIS, and clinical analytics...QualityRiskFull timeRemote work$178.4k - $276.6k
...with us, H2O+U.Regional Sector Lead, BiosolidsStantec is... ...complex projects with a focus on quality, risk management, and long‑term value... ...eligible to accrue vacation between 10 and 20 days per year and... .... If you require reasonable adjustments to be made during the...QualityRiskFull timeTemporary workPart timeCasual workLocal areaFlexible hours$750 per month
...Estate Senior Underwriter manages portfolio risk by ensuring timeliness and accuracy of all... ...and other groups, promoting consistent quality and conciseness of credit documents and streamlining... ...bank‑financed propertiesSpecialized Data Center focus:Underwrite credit...QualityRiskFull timeWork at officeLocal area3 days per week$71.7k - $105k
...remove barriers, and improve quality of life for some of the most... ...interdisciplinary care teams, and risk adjustment stakeholders to ensure... ...teams to support compliant CMS-HCC capture and sustainable documentation... ....* Foundational knowledge of ICD-10-CM coding principles and...QualityRisk- ...MacDonald in North America.We are seeking a Data Center Architectural Design Lead to provide senior leadership across... ...coordination, accessibility, and quality reviews.Support entitlement,... ...architectural deliverables, manage design risk, and support quality outcomes across...QualityRiskTemporary workFor contractorsWork at officeLocal area3 days per week
$141.5k - $212.2k
...practice to deliver high‑quality work, ensure client... ...cost‑effective manner.Lead and be responsible for... ...scope, schedule, budget, risk, and quality management... ...related field.Minimum of 10 years of progressive experience... ...you require reasonable adjustments to be made during the...QualityRiskWork at officeLocal areaFlexible hours$148.5k - $174.7k
...Estate Senior Underwriter manages portfolio risk by ensuring timeliness and accuracy of all... ...and other groups, promoting consistent quality and conciseness of credit documents and streamlining... ...bank-financed properties Specialized Data Center focus: Underwrite credit...QualityRiskTemporary workWork experience placementWork at office3 days per week$107.3k - $155.5k
...0 years to improve the quality of life around the world... ...innovation and safety, leading our team to design the... ...preparation, contract legal and risk reviews, and related... ...- Experience: Minimum 10 years' relevant... ...you require reasonable adjustments to be made during the recruitment...QualityRiskFull timeContract workTemporary workPart timeCasual workLocal areaFlexible hours- ...include codes, pricing, and data integrity impacting... ...develop weaknesses; leads by influencing others through... ...-priority issues or risks, as appropriate;... ...manual charge capture for quality and accuracy; analyzing... ...coding/billing (e.g., ICD-10, CPT, HCPCS).Bachelors...QualityRisk
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to HCC Risk Adjustment Coder - ICD-10 & Data Quality Lead. Be the first to apply!
- remote medical coder (no experience in coding) Alhambra, CA
- part time remote medical coder Alhambra, CA
- risk adjustment Alhambra, CA
- risk Alhambra, CA
- high risk Alhambra, CA
- data Alhambra, CA
- health data Alhambra, CA
- provider data management Alhambra, CA
- data collection researcher Alhambra, CA
- data network cabling Alhambra, CA


