Risk Adjustment Coding Specialist
Virtual Vocations Inc
Working remotely in a full-time capacity, the Risk Adjustment Coding Specialist will conduct medical record reviews, validate ICD-10-CM codes, and collaborate with healthcare providers to ensure accurate coding and documentation practices. Key responsibilities Perform prospective medical record reviews to support underlying diagnoses for clinician review Review encounter-level patient medical records and validate ICD-10-CM codes prior to claim submission Stay updated on Medicare guidelines and coding regulations, and participate in staff coding education initiatives Required qualifications Knowledge of ICD-10-CM coding and risk adjustment methodologies Experience with medical record reviews and coding validation processes Ability to maintain a coding accuracy rate of 95% or higher Familiarity with Medicare guidelines and reimbursement methodologies Participation in coding education and training initiatives
Vacancy posted 5 hours ago
Similar jobs that could be interesting for youBased on the Risk Adjustment Coding Specialist in United States vacancy
- Highmark Health in Columbus, Ohio, is seeking a detail-oriented HCC Coding Specialist to join its team. This role involves performing coding for Risk Adjustment government programs such as Medicare Advantage and ACA. Candidates should have a minimum of 3 years of coding...RiskRemote work
Highmark Health
Columbus, OH3 days ago - Highmark Health is seeking a skilled individual for HCC coding in Santa Fe, NM. The role delivers critical support in government risk adjusted programs like Medicare Advantage. Responsibilities include working with coding applications, maintaining accuracy, adherence to...RiskRemote work
Highmark Health
Santa Fe, NM3 days ago - ...AHIMA is seeking a Risk Adjustment Coding Specialist to join their team. This remote position requires reviewing medical records to code accurate ICD-10 codes, specifically related to HCCs and compliance with Medicare guidelines. Candidates must have at least one year...RiskRemote workFlexible hours
AHIMA
New York, NY4 days ago $27.02 - $41.85 per hour
Highmark Health is seeking a qualified individual for HCC coding responsibilities within government programs such as Medicare Advantage and ACA. The role involves coding projects, assisting with audits, and engaging in educational meetings. Candidates should possess 3...RiskHourly payRemote workHighmark Health
Denver, CO3 days ago- ...A healthcare organization is seeking a Coder to translate medical records into standardized codes and improve clinical documentation. This remote position requires an Associates degree and coding certifications. Key responsibilities include ensuring compliance with guidelines...RiskRemote work
CommonSpirit Health
Bakersfield, CA3 days ago $27.02 - $41.85 per hour
Highmark Health is hiring a coding specialist in Montpelier, Vermont. This role focuses on HCC coding for various projects related to Medicare Advantage and the Affordable Care Act. The ideal candidate will have at least 3 years of HCC coding experience and hold relevant...RiskHourly payRemote workHighmark Health
Montpelier, VT3 days ago$27.02 - $41.85 per hour
Highmark Health is seeking qualified candidates for a position focused on HCC coding for Medicare Advantage and ACA. The job involves analyzing physician documentation and performing HCC coding in compliance with CMS guidelines. Candidates should have at least 3 years...RiskHourly payRemote workHighmark Health
Nashville, TN3 days ago- ...Director Of Medicare Risk We are seeking a Director of Medicare Risk to oversee the... ...interventions to ensure accurate and complete coding, and ensures at-risk members are referred... ...review outcomes provided by the risk adjustment vendor and audits provider coding trends...RiskRemote work
MRINetwork
United States1 day ago - A healthcare provider is looking for a Risk Adjustment Manager in Texas to oversee the Medicare risk adjustment strategy. Responsibilities include implementation of coding workflows, provider education, and data reporting. Candidates should have a Bachelor's degree, over...RiskRemote work
INTRAcare
Carrollton, TX4 days ago $54.3k - $119.34k
...Manager, Risk Adjustment We're building a world of health around every individual — shaping a more connected, convenient and compassionate... ...with the national and local risk adjustment teams, risk coding improvement activities within the region, medical record collection...RiskHourly payFull timeTemporary workWork at officeLocal areaRemote workOak St. Health
United States3 days ago$86.4k
...and managing activities in support of Risk Adjustment and Quality/HEDIS. Essential Responsibilities... ...staff responsible for Risk Adjustment coding and Quality/HEDIS activities. Ensure... ...Coder (CPC), Certified Coding Specialist (CCS), Registered Health Information Administrator...RiskWork at officeRemote workHighmark Health
United States17 hours ago$80k - $90k
...Supervisor - Risk Adjustment (Inland Empire/San Diego) Department: Quality - Risk Adjustment... ...and motivated Risk Adjustment Coding Supervisor to oversee and support a team... ...coach, and mentor Risk Adjustment Coding Specialists to ensure high-quality, compliant coding...RiskFull timeWork at officeWork from homeHome officeAstrana Health, Inc.
Orange, CA17 hours ago$24.6 - $32.8 per hour
Byrne Dairy is seeking a Certified Risk Adjustment Coding Specialist to join our team in Syracuse. This full-time position works remotely but may require local travel. The specialist will be responsible for reviewing clinical documentation and coding according to established...RiskHourly payFull timeLocal areaRemote workByrne Dairy
Syracuse, NY1 day ago- ...M-F, 8:00 am - 5:00 pm The Manager Risk Adjustment Program: Leads and implements risk... ...Condition Category) and ICD-10 coding practices. As a subject matter expert... ...Adjustment Coder (CRC); Certified Coding Specialist (CCS); or Registered Health Information...RiskFull timeRemote workShift work
BayCare Health System
United States2 days ago - ...Risk Adjustment Coding Specialist We are seeking experienced and certified medical coders to join our Special Investigation Unit (SIU) at CareFirst. This team plays a critical role in fraud detection and prevention, focusing on prepayment claim reviews. Responsibilities...RiskRemote work
Lumen Solutions Group Inc.
United States3 days ago - ...Broward Health Corporate ISC Shift: Shift 1 FTE: 1.000000 Summary: Supervises remote risk adjustment coding specialists in the PBO, support satellite operations, ensures effective follow-up and optimal processing of applications to comply with...RiskRemote workShift work
Broward Health
Fort Lauderdale, FL3 days ago - ...Level II – Risk Adjustment Coding Specialist (Intermediate) Responsibilities: Abstract and assign ICD-10-CM diagnosis codes supported in encounter documentation and work independently with minimal oversight from leadership or higher level coders. Conduct retrospective...RiskRemote work
Millennium Physician Group
United States4 days ago $80k - $100k
...We are seeking a Product Manager to lead Risk Adjustment product capabilities across all lines of business, including Medicare Advantage,... ...accurate risk capture, compliant submissions, and efficient coding workflows for health plans and provider organizations. The Product...RiskTemporary workFlexible hoursVatica Health
New York, NY1 day ago- ...A healthcare technology company is seeking a Coding Associate responsible for delivering high-quality risk adjustment coding services for clients. This role requires reviewing medical records, assigning diagnosis codes, and ensuring compliance with CMS standards. Required...RiskRemote work
Intus Care
New York, NY1 day ago $135k - $150k
...Director, Risk Adjustment Location: Remote/Hybrid (Strongly Preferred: Chicago, IL) Reports... ...that connects clinical documentation, coding operations, and technology into a... ...Coders, Revenue Cycle Coders, and RCM Specialists Design onboarding, training, and education...RiskRemote workFlexible hours2 days per week1 day per weekTown Square Health
Chicago, IL4 days ago- ...Your Role The Risk Adjustment Compliance Coding Specialist (Consultant) helps to ensure organizational compliance with laws related to Risk Adjustment across our Marketplace (ACA), Medi-Cal (Medicaid), and Medicare Advantage lines of business. Specifically, the role...RiskWork at office
Blue Shield of CA
Oakland, CA2 days ago - ...Group is looking for an Ambulatory CDI Specialist to join our team! This is a remote work... ...evaluation of documentation utilizing their coding and clinical expertise to ensure... ...~ CMS HCC, HHS HCC, Rx HCC coding and risk adjustment assignment as it relates to provider documentation...RiskWork experience placementWork at officeRemote workFlexible hours
Baptist Health
Louisville, KY4 days ago $31.03 - $36.03 per hour
...addition to the required work experience. ~3 years of risk adjustment and/or hierarchical condition category coding experience. ~ Strong knowledge of diagnosis... ...to mentor and guide less experienced coding specialists. Experience Experience supporting retrospective...RiskTemporary workWork experience placementRemote workCynet Systems
United States2 hours ago$65k - $75k
...Job Description Job Description Risk Adjustment Specialist – Primary Care Location: Remote Employment Type: Full-Time Pay : $65K... ...outcomes while ensuring accurate clinical documentation and coding practices. Position Overview We are seeking a detail-...RiskFull timeRemote workPCC MEDICAL HOLDINGS LLC
West Palm Beach, FL5 hours ago- ...Job Title Responsible for all aspects of coding, provider education, practice improvement, quality assurance and compliance with... ..., and on-going training: CPC certification required. Risk Adjustment Certification preferred. Sub specialty coding certification or...RiskWork experience placementWork at officeLocal areaRemote work
Johns Hopkins Medicine
United States4 days ago $102.55k - $115.37k
...Medicare Risk Adjustment Coding Manager Join VillageCare as a Full-Time Medicare Risk Adjustment Coding Manager and enjoy the thrill of playing a vital role in healthcare's future while working from the comfort of your home. This position offers unparalleled flexibility...RiskFull timeWork experience placementRemote workVIllageCare of New York
United States1 day ago$90k
...needs in mind. We are looking for a Manager of Risk Managment to oversee Mass Advantages's full suite of Risk Adjustment activities. This position is responsible for... ...provider workflows) and retrospective (chart review, coding validation) programs, ensuring complete,...RiskWork at officeCentral Mass Health LLC
Worcester, MA4 hours ago$31.1 - $35.22 per hour
...day's work. Your Role As a CDI Specialist I, you will support physician offices... ...retrospective programs to ensure accurate coding and documentation and comprehensive... ...GED ~1+ years of medical coding and risk adjustment experience ~ Ability to work independently...RiskTemporary workWork at officeImmediate startRemote workHonest Health
United States17 hours ago- ...Emergency Services, LLC (“IES”) is seeking a Coding Specialist with emphasis on surgical services. The... ..., identifies coding compliance risks (including undercoding, overcoding, and... ..., depth perception, and the ability to adjust focus While performing the duties of...RiskWork at officeLocal areaRemote workMonday to FridayNight shift
Integrative Emergency Services
Dallas, TX2 days ago - ...Position Overview The Sr. Director of Risk Adjustment is a senior leader responsible for... ...analysts, data scientists, and program specialists while partnering closely with clinical,... ...infrastructure for HCC performance monitoring, coding completeness, and audit-readiness...RiskLive inWork at officeLocal areaFlexible hours
CINQCARE
Washington DC4 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Risk Adjustment Coding Specialist. Be the first to apply!
Related searches
- it risk analyst United States
- senior quantitative risk analyst United States
- risk analyst United States
- quantitative risk analyst United States
- junior risk analyst United States
- risk analyst intern United States
- information risk analyst United States
- operational risk specialist United States
- third party risk analyst United States
- transaction risk analyst United States