Risk Adjustment Specialist
Virtual Vocations Inc
Supporting the Risk Adjustment team in a fully remote capacity, the Specialist, Risk Adjustment will manage daily operations related to medical record retrieval and provider outreach while ensuring compliance with CMS and HHS deadlines. Key responsibilities: Support daily operations of Risk Adjustment, including medical record retrieval and provider outreach Maintain oversight of medical records inventory to meet or exceed retrieval goals Develop an understanding of internal workflows and tools to identify areas for improvement Required qualifications: Bachelor's degree in a relevant field or equivalent work experience 1+ years of experience in chart retrieval or provider outreach 1+ years of experience in Healthcare Operations 2+ years of experience achieving set goals
- ...Risk Adjustment Specialist Location: Birmingham, Alabama Job Summary The Risk Adjustment Specialist ensures all ICD-10 codes are documented for the assignment of valid and accurate HCCs for each record reviewed for submission to the Centers for Medicare & Medicaid...SuggestedImmediate startFlexible hours
- ...Risk Adjustment Coding Specialist Greater Good Health is a fast-growing organization delivering care to older adults in access starved communities. Our innovative model is led by Nurse Practitioners and focused on outcomes, not volume—meaning we prioritize quality over...SuggestedFull timeTemporary workWork at officeFlexible hours
- ...Reviewing medical records and validating diagnosis information, the full-time Risk Adjustment Coding Specialist will work remotely to ensure accurate risk adjustment coding while adhering to established guidelines and departmental procedures. Key Responsibilities Review...SuggestedFull timeRemote work
$33.88 - $42.35 per hour
...Categories (HCC). Participates in and supports the Medicare Risk Adjustment team-based environment to educate providers on coding compliance... ...Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) or (CRC) Certified Risk Adjustment Coder in ICD-10-CM...SuggestedContract workWork experience placementFlexible hours- ...Blue Cross Blue Shield of Nebraska is seeking a Healthcare Analytics professional to analyze healthcare data for Risk Adjustment programs, evaluate performance, and drive actionable insights for intervention planning and decision‑making. The role supports reporting, forecasts...SuggestedRemote work
$31.03 - $36.03 per hour
...in addition to the required work experience. ~3 years of risk adjustment and/or hierarchical condition category coding experience.... .... ~ Ability to mentor and guide less experienced coding specialists. Experience: Experience supporting retrospective...Temporary workWork experience placementRemote work- ...Position Overview Risk Adjustment is a growing and critical field within Health Insurance Finance. This is your opportunity... ...not-for-profit health insurance company. As a Risk Adjustment Specialist, you will support ongoing processes and lead projects to ensure...
$49.92k - $74.88k
...Employment Type: Full time Shift: Description: CERTIFIED RISK ADJUSTMENT CODING SPECIALIST Location: Trinity Health PACE Corp Michigan Status: Full time Remote Position Purpose: The primary purpose of this position is to assign ICD/CPT codes to...Daily paidFull timeLocal areaRemote workHome officeShift work- ...Risk Adjustment Coding Specialist We are currently seeking a highly motivated risk adjustment coding specialist to support our Orange County market. In this role, you will support risk adjustment efforts by conducting high-volume chart reviews to identify coding gaps...
- ...Risk Adjustment Coding Specialist We are currently seeking a highly motivated Risk Adjustment Coding Specialist. This role will report to a Sr. Manager - Risk Adjustment and enable us to continue to scale in the healthcare industry. The staff is required to frequently...
- ...anchored by a reimagined Henry Ford academic healthcare campus. Job Description Role Overview As a Risk Adjustment Informatics Specialist, you'll play a critical role in driving complex program analytics and process improvements for Risk Adjustment, HCC...Full timeWork at office
- ...Job Description Job Description Job Summary The Senior Risk Adjustment Specialist reviews medical records to ensure all ICD-10-CM codes are accurate and compliant with supportive documentation for submission to the Centers for Medicare and Medicaid Services...Immediate startFlexible hours
$70k - $85k
...Job Description Job Description Description We are currently seeking a highly motivated Risk Adjustment Coding Specialist. This role will report to a Sr. Manager - Risk Adjustment and enable us to continue to scale in the healthcare industry. The staff is required...Work at officeRemote workWork from homeHome office$66k - $78k
...Job Description Job Description Description We are currently seeking a highly motivated Risk Adjustment Coding Specialist to support our Houston market. In this role, you will support risk adjustment efforts by conducting high-volume chart reviews to identify coding...Work at office- Astrana Health seeks a Risk Adjustment Coding Specialist II to support the Houston market. You will review medical records to identify coding gaps, deliver education to providers, and track KPI metrics to improve program outcomes. The role requires AAPC CPC/CRC certifications...Remote job
- Cambia Health Solutions is hiring a Risk Adjustment Campaign Associate for a hybrid role with 3 days in the office. The position supports Medicare Advantage and Commercial risk adjustment campaigns, coordinating with the Risk Adjustment operations team and cross-functional...Work at office
- Greater Good Health in El Segundo, CA, is seeking a Risk Adjustment Coding Specialist to own retrospective CDI chart reviews, strengthen coding compliance, and optimize risk capture for our Medicare-focused care model. You will collaborate with Revenue Cycle, Clinical Operations...
- verawholehealth is seeking a Risk Adjustment Coding Specialist to lead prospective and retrospective medical record reviews, validate provider ICD-10-CM codes, and ensure documentation supports diagnoses in alignment with Medicare risk adjustment guidelines. The role requires...
- Astrana Health, Inc. is seeking a Risk Adjustment Coding Specialist II to support risk adjustment efforts across provider practices. The role involves chart reviews to identify coding gaps, delivering education to providers, and tracking KPIs such as HCC recapture and AWVs...Remote job
- UASI is actively seeking a Clinical Risk Adjustment Documentation Specialist to support accurate outpatient CDI and HCC coding in a fully remote capacity. You'll collaborate with physicians and care teams to ensure documentation quality and regulatory compliance while...Remote job
- Astrana Health in Houston, TX is seeking a Risk Adjustment Coding Specialist II to join the Quality - Risk Adjustment team. The role conducts provider medical record audits, analyzes coding patterns, and educates providers to ensure accurate CMS payment and quality care...
- Gonzaba Medical Group in San Antonio, TX, is seeking a skilled Risk Adjustment Specialist to document acuity diagnoses for Medicare Advantage programs under capitated contracts. You will review medical records, apply ICD-10-CM, CPT, HCPCS guidelines, and ensure supporting...
- Job Description Summary Under the direction of Burden of Illness department leadership, the Risk Adjustment Coding Specialist is responsible for various aspects of decision‑making and coding reviews to facilitate, obtain, validate, and reconcile appropriate provider documentation...
- University Health is seeking a Risk Adjustment Data Analyst to support the risk adjustment program through data analysis, reporting, and medical record retrieval. You will coordinate with internal departments, provider networks, and external vendors to ensure accurate collection...
- 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...
- Astrana Health, Inc. is seeking a Risk Adjustment Coding Specialist II to support Houston market. Travel to provider offices is required twice weekly, with responsibilities including chart reviews, HCC coding, and education delivery to providers. Candidate will review documentation...
- ...settings. This position requires a high school diploma or GED, along with 3+ years of coding experience and active certification from AAPC or AHIMA. Strong experience in CMS HCC Risk Adjustment Models is essential, along with advanced coding knowledge. #J-18808-LjbffrFull timeRemote work
- ...Risk Adjustment Quality Specialist The Risk Adjustment Quality Specialist plays a vital role in coordinating and supporting prospective, concurrent, and retrospective reviews to assist with patient care management. The position provides education and facilitates chart...Remote workWork from home
- ...CDI consulting. As we continue to grow our service offerings, we’re looking for experienced and motivated Clinical Risk Adjustment Documentation Specialists to join our dedicated team in a fully remote capacity. As a Clinical Risk Adjustment Documentation Specialist,...Remote work
- ...range reflects the Northern CA region. Lower salary ranges will apply for other labor markets outside of NCAL.Support Health Plan Risk Adjustment strategy through data analysis, performance monitoring, and business insights that drive operational excellence, compliance...
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