Risk Adjustment Coding Consultant & Educator
Humana Inc
Humana Inc in Palm Beach Gardens, FL is seeking an IPA Consultative Coding Professional to provide medical coding expertise and consultative support to IPA affiliates nationwide. The role serves as the primary coding and documentation resource for assigned providers, supporting accuracy, compliance, and performance in risk adjustment and value-based care initiatives. Responsibilities include analyzing trends, triaging inquiries, researching coding guidelines, and providing real-time support #J-18808-Ljbffr Humana Inc
- ...Baptist Health is seeking a Certified Professional Coder to perform medical record reviews and coding to support risk adjustment and Medicare compliance. The role involves identifying documentation gaps, communicating with providers, and ensuring accurate ICD-10-CM coding...Risk
- 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...Risk
- Oscar Health is hiring an Associate, Risk Adjustment Auditor for their Risk Adjustment team. This remote role requires conducting quality audits specific to ICD-10 code abstraction and ensuring compliance with coding standards. The ideal candidate holds a Bachelor's degree...RiskRemote job
- ...Abstract and assign ICD‑10‑CM diagnosis codes supported in encounter documentation... ...improvement opportunities. Analyze Medicare Risk Adjustment (MRA) data to identify coding or... ...Experience contributing to project work, educational development, or group presentations. #J...Risk
- Cano Health, LLC is seeking a Risk Adjustment Coder to join our hybrid team in New York. The coder will identify and document coding information crucial for Clinical Condition Categories and ensure diagnosis code accuracy. This role involves regular collaboration with...Risk
- Millennium Physician Group is seeking a RISK ADJUSTMENT CODING SPECIALIST to abstract and assign ICD‑10‑CM diagnosis codes and conduct audits of medical records. The role requires advanced knowledge of medical terminology and coding practices, with a strong emphasis on...Risk
- Cano Health is looking for a Risk Adjustment Coder in the Town of Florida, NY. The role involves identifying and documenting claims coding information while ensuring the accuracy of diagnosis codes. Candidates should have two years of medical coding experience and relevant...RiskWork at office
- ## Certified Risk Adjustment CoderApplylocations: Hialeah, FLtime type: Full timeposted on: Posted... ...healthcare through innovation, education, and research. At Mount Sinai, we take... ...Responsibilities* Demonstrates knowledge of coding and documentation standards as well as...RiskWork at office
- CVS Health is seeking a Lead Director - Revenue Integrity Informatics (Medicaid) to lead Medicaid risk adjustment analytics, reporting, and informatics, ensuring accurate revenue capture across markets and plans. The role drives strategic leadership, performance analytics...Risk
- ...Blue Cross and Blue Shield of Nebraska is seeking a Healthcare Analytics professional to support Risk Adjustment Programs by analyzing healthcare data and delivering actionable reports and forecasts. The role focuses on measuring program performance, ROI, and risk score...RiskRemote work
- ## Risk Adjustment CoderApplyremote type: Hybridlocations: Jupiter, FLtime type: Full timeposted... ...and document claims and encounter coding information as it pertains to Clinical... ...encounter information* Provide coding support, education and training related to, quality of...RiskWork at officeFlexible hoursWeekend work
- Centrumhealth is seeking a Risk Adjustment Analyst responsible for designing and maintaining Risk Adjustment and Quality Data for the entire portfolio. This role requires strong SQL skills and experience in healthcare analytics. The position involves collaboration across...Risk
$82.72k - $108.57k
Oscar is hiring an Associate, Risk Adjustment Auditor to join our Risk Adjustment team. This role involves conducting quality audits related to ICD-10 code abstraction and working closely with management to implement benchmarks and quality assurance programs. This is a...RiskRemote job$26.13 - $33.97 per hour
...learning and advancement And so much more Description E\&M Coding Auditor/Educator performs comprehensive audits to determine integrity of... ...subject matter expert with all parties to provide input on risk and ensure a sustained understanding of federal coding compliance...RiskRemote jobWork at office$84.9k - $108.2k
## CDE Governance Consultant - RemoteApplylocations: Florida - Remotetime... ...that address associated risk and issues.* Focuses on improvements... ...or equivalent combination of education and experience required.*... ...108,200.00Actual Pay will be adjusted based on experience and other...RiskRemote jobLocal areaFlexible hours- Mount Sinai Medical Center is seeking a qualified candidate with extensive coding experience to ensure accurate documentation and compliance. The role requires a minimum of five years' experience in coding and billing, along with a CPC, CCS-P, or CRC certification. This...Risk
- Blue Cross Blue Shield of Nebraska seeks a Healthcare Analytics professional to support the Risk Adjustment Programs by analyzing healthcare data to evaluate program performance, measure financial and clinical impact, and identify opportunities for improvement. The role...RiskRemote job
- Nebraska Blue Cross and Blue Shield is seeking a Risk Adjustment Health Data Analyst to join our Healthcare Analytics team. You will analyze claims, enrollment, and risk adjustment submissions to evaluate program performance and identify opportunities for improvement. The...RiskRemote job
- ...maintain HCC performance reporting Support predictive modeling initiatives Monitor vendor performance Design, develop, and maintain risk adjustment performance dashboards and reports using Power BI, Tableau, or equivalent tools to monitor KPIs Write and optimize complex SQL...Risk
- ...actionable steps that mitigate brand risk andoptimizeguest experience.... ...using a foundation of consulting, coaching, and training to meet... ..., convenience stores, the education sector, healthcare and senior... ...Bending, squatting, shifting and adjusting movement to assess areas low...RiskHourly payMinimum wageLocal areaVisa sponsorshipShift workNight shiftAfternoon shift
- ...company expertise. Our Crop Division has been helping farmers manage risk since 1915 and is one of the few private companies authorized by... ...part‑time. Hours fluctuate based on seasonal needs. As a Crop Adjuster, You Will Understand and work claims for all major crops,...RiskFull timePart timeSeasonal work
- ...Responsibilities Establish and ensure adherence to risk appetite, risk selection, coverage analysis, underwriting guidelines and underwriting authority for assigned line(s) of business. Create consistency in underwriting and pricing decisions and enhance monitoring standards...RiskWork at office
- ...personalized, flexible learning and innovative educational practices, we empower young adults to... ...evaluate students’ academic progress and adjust teaching methods accordingly. Analyze and... .... Passion: A commitment to supporting at‑risk youth and fostering their academic and...RiskTemporary workWork at officeFlexible hours
- ...blackouts, cut-off dates, and contracted inventory. Ensure proper coding of wholesale business in PMS and golf systems. Audit bookings... ...with Revenue Management on rate changes, allotment adjustments, and pace monitoring. Assist with invoicing accuracy and deposit...Work at officeRelocationWeekend work
$67.9k - $199.14k
...opportunity for a Senior Informatics Manager to join our dynamic Risk Adjustment Analytics team! In this role, you will lead and execute... ...Experience with data visualization tools (e.g., Tableau, Power BI) Education Bachelor's degree preferred or a combination of professional...RiskRemote jobHourly payFull timeTemporary workWork experience placementLocal area$75k - $92k
...‑based transportation industry. We offer risk financing solutions across all 50 states,... ...transfer programs. Position Workers Comp Adjuster - fully remote (USA) Essential Job... ...other duties as assigned. Job Requirements Education: Bachelor’s Degree in Business Administration...RiskRemote jobFull timePart timeSeasonal work$16.5 - $22.3 per hour
...your teaching career with Bright Horizons , where you can make a meaningful impact on children's lives every day. Learn from early education experts while having the opportunity to pursue a CDA or college degree at no cost. Experience this and more as a Bright Horizons...Hourly payTemporary workLocal areaImmediate start$100k - $231.54k
...Integrity Informatics (Medicaid) to join our highly dynamic Risk Adjustment analytics team. This senior‑level role will provide strategic... ...working within a large national health plan or payer organization Education Bachelor's degree preferred/specialized training/relevant...RiskHourly payFull timeTemporary workLocal area$18 - $19 per hour
...global clients to solve their most complex risk management challenges, delivering... ...clerical and organizational support to Claims Adjusters as they review and manage claims. This position... ...with medical providers. Process, code, and route incoming medical bills. Scan,...RiskWork at office- ...progression Company-funded professional educational program Visible management commitment to... ...Recognition Program Perr&Knight is looking for a Consultant to join their PK1Cloud Services... ...Services include actuarial consulting, risk strategies & solutions, applied AI consulting...RiskWork at officeFlexible hours
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