Remote Medical Records & Risk-Adjustment Analyst
01 USAble Mutual Insurance Company
Arkansas Blue Cross and Blue Shield is seeking a Chart Procurement Analyst to coordinate medical record retrieval for risk adjustment initiatives, documentation accuracy, and quality measures. The role involves collecting, organizing, and analyzing data and acting as a liaison among healthcare organizations, vendors, and internal teams to improve provider communication and education. The position requires a 3+ year background in analysis or medical coding, 2+ years MR review, and EMR system #J-18808-Ljbffr
$70k - $85k
...Risk Adjustment Coding Specialist II - Orange CountyWe are currently seeking a highly motivated... ...documentation of diagnostic data from medical records to verify that all Medicare Advantage,... ...(approximately 50% travel) with remote support to help practices. The Company...Remote workWork at officeWork from homeHome office- ...Cambia Health Solutions is seeking a Temporary Risk Adjustment Campaign Associate to support Medicare Advantage and Commercial risk adjustment... ...-benefited assignment focuses on daily operations and EMR medical record retrieval within the Risk Adjustment team. You will work...Remote workTemporary work
- ...Health is seeking a Certified Risk Coder to support value-based... ...of diagnoses through detailed medical record reviews and coding analysis.... ...improve documentation and CMS risk-adjustment compliance. The ideal... ...performance improvements in a remote US-based environment. #J-1880...Remote work
$31.03 - $36.03 per hour
...the required work experience.3 years of risk adjustment and/or hierarchical condition category... ...appropriateness of diagnosis codes based on medical documentation.Ability to identify... ...and coding moderately complex medical records.Experience working with vendors, providers...Remote workTemporary workWork experience placement- ...Certified Risk Adjustment Coding SpecialistLocation: Trinity Health PACE Corp MichiganStatus... ...abstracting and validating data from medical records and providing education on documentation... ...HCCs.Position Details:This is a fully remote position. Work hours will be 8 to 4:30...Remote workDaily paidFull timeLocal areaHome office
$60k - $75k
...management and data-driven medical decisions, Bluestone care teams... ...colleagues who work remotely or at our corporate offices... ...join our team as a Certified Risk Adjustment Coding Specialist . The primary... ...Responsibilities : Review medical records, provider documentation, and...Remote workFull timeTemporary workPart timeWork at officeFlexible hoursWeekend workAfternoon shiftWeekday work- Insight Global is seeking Medical Coders specializing in Risk Adjustment Coding for a leading healthcare client. These professionals will review medical records and clinical documentation to accurately assign ICD-10-CM diagnosis codes that support risk adjustment and HCC...Remote job
- ...Risk Adjustment & Quality CoderCommunity Clinic is a trusted regional healthcare system dedicated... ...schedule for this position is a fully remote role to Arkansas candidates only, full... ...coder responsible for reviewing medical records to capture, validate, and assign accurate...Remote workFull timeLive outMonday to FridayFlexible hours
$70k - $85k
...Risk Adjustment Coding Specialist IIWe are currently seeking a highly motivated Risk Adjustment... ...documentation of diagnostic data from medical records to verify that all Medicare Advantage,... .... There can be weeks that are fully remote, and then weeks where there are more...Remote workWork at office- ...teams to ensure accurate documentation and coding in line with CMS guidelines. You will participate in audits, coding reviews, and process improvements, contributing to compliant risk adjustment programs and ongoing education across the organization. #J-18808-LjbffrRemote work
- ...Working remotely in a full-time capacity, the Senior Risk Adjustment Analyst will support Medicare Advantage and ACA Risk Adjustment programs by managing risk adjustment... .../or RxHCC risk adjustment models Proven track record in risk adjustment analytics focused on revenue...Remote workFull 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 workFull timeWork at officeWork from homeHome office- ...Baton Rouge, LA seeks an experienced Risk Adjustment Coder with Medicare Advantage and ACA... ...focuses on accurate ICD-10-CM coding, medical record reviews, documentation validation, and... ...integrity. This role can be performed remotely under general supervision. You will...Remote work
$35 per hour
...Job Title: Risk Adjustment Coding Oversight Specialist (Risk Analyst)Job Description This role focuses on retrospective... ...diagnoses based on thorough medical record review results, ensuring accurate... ..., and you will collaborate remotely with team members based in multiple...Remote workContract workTemporary workShift workEarly shift- Humana is seeking a Remote Risk Adjustment Coding Analyst to provide analytical and operational support across programs. You will analyze data, prepare executive-ready summaries, and develop dashboards to monitor performance and compliance. This role emphasizes turning...Remote job
$42 - $51 per hour
...Temporary Risk Adjustment Campaign Associate Work from home within Oregon, Washington, Idaho or Utah. This is a temporary non-benefited... ...Campaign Associate is also responsible for internal EMR medical record retrieval for all Risk Adjustment campaigns. Do you...Hourly payTemporary workWork at officeWork from homeFlexible hours- ...Highmark Health is seeking a remote-based HCC coder to support Medicare Advantage, ACA, and ESRD risk adjustment coding. You will work with physicians and teams to ensure accurate ICD-10 and HCC disease capture, while adhering to CMS guidelines and RPM requirements. You...Remote work
- ...Greater Good Health is hiring a Risk Adjustment Coding Specialist to own retrospective CDI review and drive compliant, accurate coding within our Medicare-focused model. You will work with Revenue Cycle, Clinical Operations, and leadership to close review backlogs, reduce...Remote work
- ...improvement opportunities, establishing priorities, and developing standardized processes to support operational effectiveness. The position is remote with occasional travel to Humana offices for training or meetings, and requires a Bachelor’s degree #J-18808-LjbffrRemote work
- ...Humana is seeking a Risk Adjustment Representative 3 to perform QA audits of medical records and ICD-9/10 codes for CMS and other government programs. The role requires... ..., and collaborate with IPA and Medical Groups. Remote work is possible with occasional travel to CA;...Remote work
- ...Review medical records to validate reportable diagnoses and coding accuracy. Apply MEAT criteria and CMS guidelines for risk adjustment. Qualifications: CRC or related risk adjustment certification required. Minimum 2 years of HCC coding and risk adjustment experience...Remote work
- ...Solutions, Inc. is seeking a Temporary Risk Adjustment Campaign Associate to support Medicare Advantage... ...risk adjustment campaigns. This remote role works from home in OR, WA, ID or UT... ...project documentation, and assist with EMR record retrieval under supervision....Remote workTemporary workWork from home
- ...Cambia Health Solutions, Inc. is seeking a Temporary Risk Adjustment Campaign Associate to support Medicare Advantage and Commercial campaigns... ...performance, assist with project reporting, and retrieve EMR records as needed. A bachelor’s degree plus two years in a project-...Remote workContract workTemporary workWork from home
- AnewHealth is seeking a Client Service Liaison to optimize Medicare revenue cycle processes for PACE programs. The role partners with client financial teams to interpret payment data, identify variances, and ensure timely premium payments.You will support training and ...Remote work
- ...Risk AnalystJoin a team where your work truly makes a difference. For nearly... ...and carrier-assigned claims adjusters, reviewing electronic medical record documentation, policies and procedures... ...(when required).Able to work remotely (when required); and therefore, requires...Remote workFull timeWork at officeHome officeMonday to Friday
$60k - $75k
...Bluestone Physician Services is seeking a detail‑oriented Certified Risk Adjustment Coding Specialist to conduct thorough patient chart reviews... ...and CMS compliance while supporting providers across remote settings. The position offers full‑time hours, remote flexibility...Remote workFull time- ...Cambia Health Solutions, Inc. is seeking a temporary Risk Adjustment Campaign Associate to support Medicare Advantage and Commercial campaigns... ...under the Manager of Campaign Execution. Work is remote with potential in Oregon, Washington, Idaho or Utah. The role...Remote workTemporary work
- ...Humana, Inc. is seeking a Records Retrieval Specialist (Risk Adjustment Rep. 2) to perform quality assurance audits of medical records and ICD-9/10 codes. This remote role combines field travel in the Northern Virginia area with on-site record retrieval, reporting to...Remote work
- ...Solutions, Inc. is seeking a Temporary Risk Adjustment Campaign Associate to support Medicare Advantage... ...risk adjustment campaigns. This remote role can be performed from Oregon,... ...involves day-to-day campaign operations, EMR record retrieval, and cross-functional...Remote workTemporary work
- ...Cambia Health Solutions is seeking a Risk Adjustment Campaign Associate to support Medicare Advantage and Commercial campaigns. This remote role works within Oregon, Washington, Idaho... ...operations, vendor monitoring, and EMR record retrieval under the Campaign Execution Manager...Remote workHourly payTemporary work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Medical Records & Risk-Adjustment Analyst. Be the first to apply!
- senior quantitative risk analyst New York, NY
- risk consultant New York, NY
- operational risk consultant New York, NY
- quantitative risk analyst New York, NY
- operational risk specialist New York, NY
- risk officer New York, NY
- market risk analyst New York, NY
- risk analyst New York, NY
- it risk analyst New York, NY
- risk compliance officer New York, NY


