Remote Risk Adjustment Coding Specialist II
Astrana Health Management
- Remote job
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. The candidate should have 3–5 years in risk adjustment, CPC/CRC certification, and strong skills in Excel, PowerPoint, and EHR systems, with the ability to train others and work independently from a home office. #J-18808-Ljbffr Astrana Health Management
- Position Title Professional Coding Specialist II Department Revenue Integrity Remote Eligibility Candidates must reside and work full-time in AR, KS, MO,... ...compliant query workflows. Working knowledge of risk adjustment concepts and HCC validation where applicable to...Remote workRiskFull timeWork at officeFlexible hours
$70k - $85k
...Risk Adjustment Coding Specialist II - Remote Department: Quality - Risk Adjustment Employment Type: Full Time Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 Reporting To: Chanell Graves Compensation: $70,000 - $85,000 / year Description We are currently...Remote workRiskFull timeWork at officeHome office- ...Highmark Inc. seeks a qualified HCC Coding Specialist to perform HCC coding on MA, ACA, and ESRD... ...EMR systems to ensure accurate risk adjustment coding. The role supports RPM coding,... ...CMS guidelines and Highmark policies. Remote, full-time position with collaborative...Remote workRiskFull timeFlexible hours
- Astrana Health seeks a Risk Adjustment Coding Specialist II to join our Strategy and Operations team in Monterey Park, CA. The role requires converting... ...the ability to work in a hybrid setting, including on-site visits and remote #J-18808-Ljbffr Astrana Health ManagementRemote workRisk
- 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
- ...fast-paced team. This is a 100% remote position. All necessary... ...authorizations or referrals, correcting coding, calling the payer or clinic,... ...plan requirements, financial risk, as well as other factors that... ...for production, quality, and adjustment accuracy REQUIRED...Remote workRiskWork at office
- ...Revenue Cycle Specialist II The Revenue Cycle Specialist II (RCS-II) will... ...determine appropriate ICD-10 codes to be assigned as well as... ...would be eligible for a hybrid remote work schedule at the completion... ...hazards, reporting risks, and supporting continuous safety...Remote workRiskWork at office
- Highmark Health is seeking a candidate for HCC Coding who will deliver value in risk-adjusted government programs like Medicare Advantage and Affordable Care... ...degree in a health-related field. This position is remote with occasional travel requirements. #J-18808-Ljbffr Highmark...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... ...participating in coding educational initiatives. This remote position requires excellent communication and...Remote jobRisk
- 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
$70k - $85k
...Description We are currently seeking a highly motivated Risk Adjustment Coding Specialist. This role will report to a Sr. Manager - Risk Adjustment... ...blends on-site fieldwork (approximately 75% travel) with remote support to help practices. The Company reserves the right...Remote workRiskWork at officeWork from homeHome office$57.8k - $78.2k
...Risk Adjustment Auditor I Or II Hybrid role (3 days/week in office) at our Portland, Medford, Boise, Lewiston... .... Identifies trends in provider coding/documentation and vendor risk... ...Work primarily performed in office or remote environment. Travel may be required...Remote workRiskWork at officeImmediate startWork from homeFlexible hours3 days per week$22.4 - $30.87 per hour
...Department of Agriculture’s Risk Management Agency.... ...Crop Claims Field Adjuster I or RCIS Crop Claims Field Adjuster II or RCIS Crop Claims Specialist to work out of the... ...team and/or provide remote assistance for the CROP... ...complies with 18 U.S. Code § 1033. Please note...Remote workRiskHourly payFull timeTemporary workWork at officeLocal areaWork from homeVisa sponsorship$21.28 - $29.32 per hour
...Department of Agriculture’s Risk Management Agency.... ...RCIS Crop Claims Field Adjuster II to work out of the states... ...the RCIS Crop Claims Specialist is $47,000.00 - $77,000... ...complies with 18 U.S. Code § 1033. Please note... ...Montana Virtual Office Remote Working: Yes...Remote workRiskHourly payFull timeTemporary workWork at officeLocal areaWork from homeVisa sponsorship$21.1 - $31.56 per hour
...Subrogation Specialist The Subrogation Specialist identifies... .... This is a remote position. Essential... ...claimant and clients' risk management Adhere to... ...For leveled roles (I, II, III, Senior, Lead, etc... ...salary range and these adjustments would be clarified during...Remote workRiskHourly payMinimum wageFull timeWork at officeLocal areaFlexible hours$7.25 per hour
...looking for an Ambulatory CDI Specialist to join our team! This is a remote work position that... ...documentation utilizing their coding and clinical expertise... ..., HCPCS, CPT, CPT II and modifier coding,... ...HCC, Rx HCC coding and risk adjustment assignment as it relates...Remote workRiskHourly payFull timeWork experience placementWork at officeLocal areaFlexible hoursShift work- ...review to abstract Hierarchical Condition Categories (HCC's) codes to report for the calendar year. Communicates (via Epic and in... ...Licenses Certified Professional Coder (CPC), and Certified Risk Adjustment Coder(CRC) Knowledge, Skills and Abilities Knowledge of...Remote jobRiskWork at officeShift work
$19.21 - $28.73 per hour
...The Revenue Cycle Specialist is responsible for... ...issues. This is a remote position. ESSENTIAL... ...Analyze and adjust/reprice claims to ensure... ...on billing and coding guidelines and regulations... ...leveled roles (I, II, III, Senior, Lead,... ...| Opportunities in Risk Management In...Remote workRiskHourly payMinimum wageFull timeContract workWork experience placementWork at officeLocal areaFlexible hours- A public agency in California is seeking a Workers' Compensation Claims Adjuster II to join the Risk Management team. This role involves investigating claims, administering benefits, and working closely with legal counsel. The County values a diverse workforce and offers...Remote jobRisk
$19.24 - $31.04 per hour
...Professional Review Specialist analyzes medical... ...is available for remote, onsite and hybrid... ...Diagnoses and Procedure Codes, and C.P.T., as... ...leveled roles (I, II, III, Senior, Lead... ...range and these adjustments would be clarified... ...Opportunities in Risk Management In general...Remote workRiskHourly payMinimum wageFull timeWork at officeLocal areaFlexible hours- ...Location - REMOTE Hours - Monday-Friday, 8-5 ROLE OVERVIEW The RCM Specialist II is an individual contributor role on the RCM... ...submission, payment application, adjustments, and resolution of... ...claim submission, charging/coding requirements, insurance AR follow...Remote workMonday to Friday
$24.66 - $33.89 per hour
...States Department of Agriculture’s Risk Management Agency. Together... ...an RCIS Claims Crop Field Adjuster II to join our team! We are open... ...Zurich complies with 18 U.S. Code § 1033. Please note: Zurich... ...- Indiana Virtual Office Remote Working: Hybrid Schedule: Full...Remote workRiskHourly payFull timeTemporary workSummer workWork at officeLocal areaVisa sponsorshipFlexible hours$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 workRiskHourly payContract workTemporary work- ...the appropriate charge codes based on the procedure(... ...Policy and Procedures, Remote Access, and the Telework... ...: Charge Entry Specialist IThree (3) months experience... ...Charge Entry Specialist II:Certificate in medical... ...Contributes to Revenue Risks and Opportunities management...Remote workRiskWork at officeImmediate startTrial periodFlexible hoursShift work
- ...Costa County is seeking one (1) Workers' Compensation Claims Adjuster II to join our Risk Management team. The County Workers’ Compensation Program... ...: You will be part of a dynamic team We offer a hybrid remote work schedule You will have access to a generous benefits...Remote workRiskPermanent employmentFull timeTemporary workWork at officeLocal areaImmediate start
- ...Risk Adjustment Coding Associate II Galen Medical Group offers several medical specialties throughout the Chattanooga region. We provide quality care and patient-friendly services to adults and children of all ages. Our mission is to elevate the health of our community...RiskWork at office
- ...focus on the broad spectrum of Risk Management, Compliance,... ...Seeks a Subject Matter Expert II - Subject Matter Specialist (NSS010) headquartered near CONUS - Washington, DC (Remote) to support requirements for... ...to place the job reference code in the subject line of your...Remote workRiskFull timeTemporary workFor contractorsWork at officeFlexible hours
- ...CODING SPECIALIST Location: REMOTE Employment Type: Full-Time Reports to: CGO Position Summary... ...audits to identify potential risk areas and recommend corrective actions... ...care reimbursement models and risk adjustment coding. Familiarity with fraud,...Remote workRiskFull time
$120k - $160k
...portfolio management and risk oversight activities.... ...of on-site and remote work) will be discussed... ...Prepare collateral value adjustment analyses, leverage advanced... ...Loan Services, Client Specialists, and Compliance to... ...(such as simulation, coding, MS Office). Our goal...Remote workRiskFull time$27.02 - $41.85 per hour
...Hierarchical Condition Category (HCC) Coding SpecialistApplyremote type:... ...beneficiaries enrolled in Risk Adjusted government programs such as... ...coding. Supports all Remote Patient Monitoring (RPM) risk... ...Coder (CRC)* Certified Coding Specialist (CCS)* Registered Health...Remote workRiskWork at officeWork from homeFlexible hours
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