Remote Risk Adjustment Coder — ICD-10 & Audits
ClinDCast LLC
- Remote job
ClinDCast LLC is seeking an experienced Risk Adjustment Coder to perform medical record reviews, coding validation, and audits in line with CMS guidelines. The role requires strong ICD-10-CM knowledge, risk adjustment methodologies, and regulatory compliance expertise. The position is remote, offering collaboration with internal teams to resolve discrepancies and support audit requirements while meeting productivity and quality targets. Certification in risk-adjusted coding is preferred. #J-18808-Ljbffr ClinDCast LLC
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- ...Plans in Virginia Beach, VA is seeking a Risk Adjustment Coder to perform compliance activities related to CMS/HHS risk adjustment and RADV audits. You will review professional and... ...years of coding experience, knowledge of ICD-10-CM guidelines, and CRC certification within...Remote workRisk
- ...a detail-oriented Medical Coding Specialist II to support accurate risk adjustment coding and documentation initiatives. You will analyze coding trends, perform retrospective chart reviews, assign ICD-10-CM codes, and collaborate with providers and operations teams to improve...Risk
- ## Risk Adjustment CoderApplyremote type: Hybridlocations: SMG... ...Validation (RADV) audits. Reviews provider coding... ...& all risk adjustment ICD-10-CM coding-related activities... ...Professional Coder (CPC), Certified Outpatient... ...that are available as remote work,** **Sentara...Remote workRiskFull timeTemporary workWork at officeShift work
- ...Auditor to review medical records coded in ICD-10, ensuring accurate risk adjustment representations for reimbursement. You will audit charts, adapt to multiple client... ...credentials, and ability to work in a fast-paced, remote-friendly environment. Excellent communication...Remote workRisk
- Oscar Health is seeking an Associate, Risk Adjustment Auditor to conduct internal and external quality audits of ICD-10 code abstraction and collaborate with management on benchmarks and quality assurance programs. Responsibilities include medical record reviews, reporting...Risk
- ...Health is seeking a skilled HCC coder to support Medicare Advantage and ACA risk adjustment projects from a remote office-based setting. You... ...clinical documentation into ICD-10 diagnoses and HCC categories... ...and ESRD models, supporting audits, and driving process improvements...Remote workRiskWork at office
- ...Highmark Health seeks an experienced HCC coder to support risk adjustment initiatives for MA, ACA, and ESRD... ...translating clinical documentation into ICD-10 diagnoses and HCC categories per CMS... ...coding, participate in RPM projects, audits, and ongoing education to improve...Remote workRisk
- ...Datavant is seeking experienced inpatient coders for a fully remote role with a flexible schedule. You will assign ICD-10-CM and ICD-10-PCS codes, accurately abstract patient... ...are essential, and you will participate in audits, maintain productivity benchmarks, and #J-18...Remote workFlexible hours
- ...Health in Pennsylvania seeks a skilled HCC coder to support risk adjustment projects for Medicare Advantage and ACA... ...translate physician documentation into ICD-10 diagnoses and HCC categories in line with CMS guidelines and RADV audit requirements. You will collaborate...Remote workRisk
- ...Sprinter Health is seeking a Medical Coder to review and abstract... ...professional medical records and assign ICD-10-CM, CPT, HCPCS codes with... ...coding quality, support audits, and stay current with CPT/ICD-10-CM guidelines in a remote role.The ideal candidate holds...Remote work
- ...Jacksonville is hiring a Full-time Inpatient Hospital Coder to join our Appeals & Denials Department remotely. You will code using ICD-10-CM/PCS and CPT-4 for Observation accounts,... ...support CDI/HIM teams with mentoring and audits. Remote work is available for specified...Remote workFull time
- NECC is seeking a detail‑oriented HCC Coder to ensure accurate outpatient coding and documentation... ...with Billing and Medical Director to apply ICD-10-CM, CPT, HCPCS and HCC guidelines, promoting quality measures and risk adjustment accuracy. You will review records for...Risk
- ...The Associate, Risk Adjustment Auditor conducts internal and external quality audits specific to ICD-10 code abstraction. Work with management to implement benchmarks and quality... ...work experience. Certified Professional Coder (CPC) with 3+ years retrospective risk adjustment...Remote workRiskWork experience placement
$29 - $33 per hour
...patient conditions for risk adjustment and reimbursement... ...work. What You Will Do: Audit coded charts assigned... ...entered on the auditor by coders and or auditors... ...Extensive knowledge of ICD -10 High school diploma or... ...ability to work in a remote environment and time management...Remote workRiskHourly payFlexible hours- ...Health is seeking a skilled HCC coder to join a remote, office-based team. You... ...documentation into ICD-10 codes and HCC categories while... ...policies. You will participate in audits, provider education, and... ...CMS requirements and risk adjustment initiatives. #J-18808-Ljbffr...Remote jobRiskWork at office
- ...Job Description: Risk Adjustment Coder Job Summary We are seeking... ..., coding validation, and audit activities in accordance with... ...will have strong knowledge of ICD-10-CM coding, risk adjustment... ...support audit requirements. This is a remote position....Remote workRisk
$154.13k - $204.21k
...to the Vice President, Risk Adjustment, the Director of Risk... ...Oversee internal validation audits of prospective... ...Certified Risk Adjustment Coder (CRC) or Certified... ...documentation standards (ICD 10 CM/HCC, MEAT), HIPAA/... .... (Monday & Friday - remote, Tuesday – Thursday onsite...Remote workRiskTemporary workLocal areaImmediate startMonday to FridayFlexible hours- ...is seeking a Certified Facility Coder to review medical records, extract data, and apply ICD-10CM/PCS, CPT, and HCPCS codes for... .... The position supports remote work with residency in WA, OR, ID... ...package. Experience with EPIC and coding audits is valued. #J-18808-LjbffrRemote work
- ...Risk Adjustment Coder IIThe Risk Adjustment Coder II provides advanced support for complex medical... ...development of team trainings, quality assurance audits, and collaborating with multiple... ...chronic conditions, utilizing ICD-10 coding guidelines for Commercial and Medicare...RiskWork experience placement
- ...Manager of Coding and Risk Adjustment Operations Full Time Management Remote, AZ, US 3 days ago... ...subject matter expert for ICD-10 coding, CMS-HCC risk... ...a team of Medical Risk Coders and Chart Preparation staff... ...Conduct routine coding audits and quality reviews to...Remote workRiskFull time
$83.99k - $119.97k
...Program Manager, Risk Adjustment & StarsAre you looking to... ...with CMS regulations, ICD-10-CM coding guidelines,... ...policies.Supports RADV audit readiness and health plan... ...Risk Adjustment Coder (CRC) credential.• Experience... ...compliant for all remote or telecommuting positions...Remote workRiskWork at office$82.72k - $108.57k
...'re hiring a Associate, Risk Adjustment Auditor to join our Risk... ...internal and external quality audits. Quality audits are specific to ICD-10 code abstraction... ...Work Location: This is a remote position, open to... ...Certified professional coder (CPC) ~3+ year(s) retrospective...Remote workRiskFull timeWork experience placementWork from homeHome office$56.2k - $101k
...provider medical record audits, analysis of practice... ...training regarding risk adjustment to ensure accurate CMS... ...level. Key Details: Remote role with Southern Nevada... ...and accuracy of ICD-9/ICD-10 coding) for WellCare’... ...Organization as a medical coder 2+ years of...Remote workRiskFull timePart timeWork at officeFlexible hours$60k - $75k
...administrative colleagues who work remotely or at our corporate... ...team as a Certified Risk Adjustment Coding Specialist .... ...Assign accurate ICD-10-CM diagnosis codes in... .... Perform coding audits and participate in... ...Certified Risk Adjustment Coder (CRC) certification ,...Remote workRiskFull timeTemporary workPart timeWork at officeFlexible hoursWeekend workAfternoon shiftWeekday work- ...Jobrapido is seeking a Medical Coder specialized in Risk Adjustment for a leading healthcare client in the United... ...records to accurately assign ICD-10-CM codes that support risk adjustment... ...adjustment processes, HCC reporting, and audits to ensure compliance and data...Remote workRisk
- ...DaMar Staffing is seeking a Risk Adjustment HCC Coder for a remote role servicing the Baltimore, MD area. The position supports FQHC, Medicaid and value... ...care populations, with review of records to validate ICD-10-CM coding and HCC opportunities. Two openings, full-...Remote workRiskPermanent employmentFull time
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