Value-Based Care Coder: Risk Adjustment Expert
Accompany Health, Inc.
Accompany Health is seeking a Value Based Care (VBC) Coder to support concurrent review, compliant query generation, and accurate documentation to optimize risk adjustment payments. The role requires CPC or CRC certification and 3+ years of medical coding experience, preferably in risk adjustment. You will collaborate with care teams and field staff, contribute to reporting improvements, and stay current with ICD-10-CM and CMS guidelines. #J-18808-Ljbffr Accompany Health, Inc.
- ...Improvement (CDI) Specialist to enhance documentation quality, risk adjustment, and patient care outcomes across our organization. This role emphasizes... ...leadership, coding teams, and health plans to drive value-based care initiatives, conduct medical record reviews, and...RiskRemote job
- ...leading pharmacy care management companies... ...Medical Coder will work from his... ...accuracy. Perform risk adjustment data validations using... ...workers to communicate value added information,... ...responsibilities may vary based upon departmental... ...and becoming an expert on new and...RiskFull timeTemporary workApprenticeshipLocal areaRemote workWork from homeHome officeFlexible hours
- Astrana Health is seeking a Certified Risk Coder to support value-based care by ensuring accurate capture and validation of diagnoses through detailed... ...with providers to improve documentation and CMS risk-adjustment compliance. The ideal candidate has CRC credentials, 2+...RiskRemote job
- DaMar Staffing seeks a Certified HCC Coder for a remote contract position to review medical records for accurate diagnosis code abstraction... ...reviewing records for Medicare, Commercial, and Medicaid risk adjustment, performing full coding reviews, and maintaining a quality...RiskRemote jobContract work
$60k - $75k
...by bringing exceptional care to patients living with... .... Using an evidence-based approach focused on quality... ...who bring our core values of Dedication, Excellence... ...team as a Certified Risk Adjustment Coding Specialist . The... ...Certified Risk Adjustment Coder (CRC) certification,...RiskFull timeTemporary workPart timeWork at officeRemote workFlexible hoursWeekend workAfternoon shiftWeekday work- AnewHealth seeks a Professional Remote Medical Coder to apply expert ICD-10-CM, CPT and HCPCS coding for reimbursement while ensuring CMS/HIPAA compliance. You will review medical records from a home office, perform quantitative and qualitative analyses, and support accurate...RiskRemote jobHome office
- AnewHealth is seeking a Professional Remote Medical Coder to apply technical expertise to ensure compliance and optimize reimbursement. You will review medical records and code using ICD-10-CM, CPT, and HCPCS from a home office, supporting CMS/HIPAA requirements and payer...RiskRemote jobFull timeHome office
- Highmark Inc. is seeking an experienced HCC coder to support risk adjustment projects for MA, ACA and ESRD. You will translate physician documentation... ...guidelines and Highmark policies. This remote, office-based role requires 3 years of HCC coding and/or coding and billing...RiskRemote jobWork at office
- ...collaborating with providers to accurately reflect illness severity, mortality risk, acuity, and care complexity. They perform pre-visit and retrospective reviews to support risk adjustment strategies and ensure ICD-10-CM accuracy, DRG impact, and HCC capture. They work...Risk
$85k - $95k
...Workers Compensation Adjuster AvonRisk is the... ...leading specialty risk manager for self-insured... ...liability, managed care, and risk... ...collaborative teams, and expert support. We invest... ...part of a team that values good judgment, curiosity... ...reserves based on nature/extent of...RiskWork at officeRemote work$75.35k - $98.89k
Risk Adjustment Coder Specialist Hi, we're Oscar. We're hiring a Risk Adjustment Coder Specialist to... ...Medicare Advantage (MA) and Affordable Care Act (ACA) lines of business will work closely... ...company events. Pay Transparency: The base pay for this role in the states of...RiskFull timeWork experience placementRemote workWork from homeHome office- ...Senior Humanitarian Evaluation Expert/ Evaluation of risk-taking, risk-sharing and risk management in... ...York, United States of America, home based with travel to countries for data collection... ...you demonstrate... UNICEF’s Core Values of Care, Respect, Integrity, Trust and...RiskWork experience placementWork at officeWork from home
$35 - $42 per hour
...financial content and provide expert feedback to improve financial... ...and earning competitive project-based compensation. This is an... ...duration and end date may be adjusted based on client needs, workload... ...Finance Quantitative Modeling Risk Analytics Statistical Analysis...RiskHourly payExtra incomePermanent employmentContract workTemporary workPart timeImmediate startRemote workFlexible hours- ...prevention the new norm of care for all. Our mission:... ...optimists who take risks, seeking our mission's... ...regulators. The Insurance Expert role in Spain The role... ...with teams based in another country You... ...engagement, and navigate Alan’s values to develop their full potential...RiskPermanent employmentLive inWork at officeRemote workHome officeFlexible hours
$29 - $33 per hour
...Professionals in this space are in consistent demand as risk adjustment and value-based care models expand under Medicare Advantage and ACA programs.... ...diagnosis level Answer rebuttals entered on the auditor by coders and/or auditors Participate in weekly coding project...RiskHourly payRemote workFlexible hours$56.2k - $101k
...training regarding risk adjustment to ensure accurate... ...quality of care. Analysis of MRA data... ...Territory Subject matter experts for proper risk... ...as a medical coder 2+ years of experience... ...will be adjusted based on an individual’s... ...to diversity, and values the ways in which...RiskFull timePart timeWork at officeRemote workFlexible hours- ...Vice President, Value Architecture About the Company Value-based care enablement company helping health plans and providers... ..., serving as a subject-matter expert in client meetings and... ...based care, Medicare Advantage, risk adjustment, quality measurement, or a related...Risk
$20 - $36 per hour
Coder III Optum Insight is improving the flow of health data and information... ...and drive alignment between care providers and payers, and... ...organizations reduce costs while improving risk management, quality and revenue... ...s Telecommuter Policy. Pay is based on several factors including...RiskHourly payMinimum wageFull timeWork experience placementLocal areaRemote work$155k - $190k
...where providers are paid based on the quantity of... ...Health we help primary care providers put patient health... ...Success Manager Risk Adjustment is a senior individual... ...understand your customers value drivers business goals... ...Additionally you will utilize expert Risk Adjustment...RiskFull timeWork at officeImmediate startRemote workFlexible hours$800 per month
...delegated authority, program governance, fronting, captives, and risk participation. Create work products such as structure... ...(Takes 20–30 mins to complete) Upload resume AI interview based on your resume Submit form Resources & Support For details...RiskContract workSummer workImmediate startRemote work$49k - $53k
...position in the US - you must be based and have the right to work in... ...by exceptional people who care deeply about doing work we’re... ...experienced and target-driven Sales Expert to join our Sales team in the... ...tactics, and flagging risks or shifts in behaviour to managers...RiskRemote workShift workWeekend workAfternoon shift$40 - $85 per hour
...students get the mental health care they deserve. At Hazel... ...access to evidence-based behavioral health services... ...own availability and adjust your hours as needed. Enjoy... ...and respond to clinical risk while following... ...compensated for the full value of their work—not just time...RiskHourly payPart timeLocal areaFlexible hoursWeekend workAfternoon shiftWeekday work- ...Job Description: Risk Adjustment Coder Job Summary We are seeking an experienced and certified Risk Adjustment Coder to perform medical record reviews, coding validation, and audit activities in accordance with applicable CMS guidelines. The ideal candidate will have strong...RiskRemote work
- ...and support to new and existing Risk Adjustment Programs. The incumbent will deliver value to the Health Plan, and its beneficiaries... ...to build/strengthen patient care delivery and capture of Risk... ...CONDITIONS Position Type Office-Based Teaches / trains others...RiskWork at office
£35k - £42k per year
...Highlights Job Title: Product Expert Location: Fully remote,... ...our comfort zone Our Values At SaleCycle , we care about people; it’s our top... ...medical condition or require adjustments to our process, let us know... ...diversity. We do not discriminate based on race, religion, gender,...Remote workFlexible hours$27.86 - $41.78 per hour
...nation? We are guided by our values of Love and Excellence... ...health, not just health care. Come join us at... ...currently seeking afull-time Coder III to be responsible for... ...codes as required based on record type and CCHS... ...severity of illness and risk of mortality reporting....RiskRemote jobHourly payLocal areaFlexible hours$33 - $47 per hour
Clinical Nurse Consultant I - CDI & Risk Adjustment Role — Remote This role sits at an interesting intersection of clinical nursing and health informatics — a high-growth niche as value-based care and risk adjustment continue to expand across the US healthcare system....RiskHourly payTemporary workWork at officeLocal areaRemote work- ...caregiver responsible for providing primary care to patients, including assessment,... ...goal-directed plan of care, prioritized and based on determined nursing diagnosis and patient... ...performance in a manner aimed at minimizing risk for the patients as well as employees. Appropriately...RiskLocal areaImmediate start
- ...Vice President of Payer Sales About the Company Value-based care enablement company improving health plan and provider performance... ...includes building relationships with payer leaders across risk adjustment, quality, network management, and value-based contracting;...RiskContract work
- ...Risk Adjustment SpecialistRisk Adjustment is a growing and critical field within Health Insurance Finance. This is your opportunity to support... ...of business, including Medicaid, Medicare and Affordable Care Act/QHP. This includes monitoring submission timelines, resubmissions...Risk
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