Remote Medicare Risk Adjustment Coding Expert
American Health Plans
- Remote job
American Health Plans is seeking a Medicare Risk Adjustment Coding Specialist to conduct coding audits and perform post-payment coding reviews to ensure compliance with CMS regulations. This remote role requires strong knowledge of ICD-9 and ICD-10 coding, experience with Medicare and Medicaid claims, and excellent communication skills. Ideal candidates will be certified in coding (CPC or CRC) and possess at least two years of relevant experience in claims processing or coding auditing. A collaborative mindset and the ability to work independently are essential for success in this role. #J-18808-Ljbffr American Health Plans
- Community Health Network is looking for a remote coding professional in Indianapolis, IN. The role requires an excellent communicator... ...should have at least three years of professional outpatient Risk Adjustment coding experience and the ability to validate diagnosis codes...Remote jobRisk
- Dovel Technologies, Inc is seeking a Remote Risk Adjustment Medical Coder responsible for proficiently coding medical records using ICD10CM and CPT codes for billing and reporting compliance. The ideal candidate will have 3+ years of experience in risk adjustment coding...Remote jobRiskFlexible hours
$85k - $200k
...disputes seeks a Sr. Associate to utilize their expertise in coding, revenue cycle, and clinical operations. Responsibilities include... ...with regulations. Candidates should be certified in Risk Adjustment Coding (CRC) with strong analytical and communication skills....Remote jobRisk- 6AM City, LLC is seeking a remote HCC Coding Specialist/Risk Adjustment Coding Specialist. This role is vital in delivering value to beneficiaries enrolled in Risk Adjustment government programs, providing expertise in HCC coding and compliance with CMS requirements. Applicants...Remote jobRiskWork experience placement
- Highmark Health is seeking a professional specializing in HCC risk adjustment coding to deliver high-quality coding and support compliance with... ...relevant certifications, including CPC. This role offers a remote office-based opportunity in Pennsylvania. #J-18808-Ljbffr Highmark...Remote jobRiskWork at office
$27.02 - $41.85 per hour
Highmark Health is seeking a qualified HCC Coder in Washington, DC. The role involves performing HCC coding for Medicare Advantage and ACA, ensuring compliance with CMS guidelines. A minimum of 3 years of coding experience is required, with preferred education in medical...Remote jobRiskHourly pay$27.02 - $41.85 per hour
Highmark Health is seeking an HCC Coding professional in Austin, TX. The role involves delivering accurate coding for Medicare Advantage and ACA programs, assisting with audits,... ...certifications. The position offers a flexible remote office environment. Pay is between $27.02...Remote jobRiskHourly payWork at officeFlexible hours- The Alliance seeks a Risk Adjustment Director in California or hybrid. This role involves... ..., managing the team, and providing expert advice on coding methodologies. Ideal candidates are... ...care with substantial experience in Medicare risk adjustment. Offered benefits include...Remote jobRiskLocal area
- Village Center for Care, Inc. is seeking a Full-Time Medicare Risk Adjustment Coding Manager to work remotely from NY/NJ/CT. This pivotal position offers flexibility and the chance to impact patient care within the evolving healthcare sector. The ideal candidate will bring...Remote jobRiskFull time
- ...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,... ...skills. This role may be remote with travel required, offering an...Remote jobRisk
$102.55k - $115.37k
...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, allowing...Remote workRiskFull timeWork experience placement$27.02 - $41.85 per hour
...Health in Phoenix, Arizona, is seeking an HCC Coding Specialist to support Risk Adjusted government programs like Medicare Advantage. The ideal candidate has strong skills... ...documentation processes. The role allows for remote work and offers a pay range of $27.02 to $41.8...Remote jobRiskHourly pay- ...with nursing home operators, these Medicare Advantage plans manage medical risk by improving patient care to... ...JOB SUMMARY: The Medicare Risk Adjustment Coding Specialist is responsible for conducting... ...• Ability to work remotely without direct supervision • Successful...Remote workRiskFull timeTemporary workLocal area
$102k - $184.3k
...Principal Risk Adjustment Consultant At HCSC, our employees... ...solutions to optimize Medicare Risk Adjustment (RA)... ...expertise and advanced coding proficiency, this role... ...subject matter expert Performance excellence... ...LLMs). This is a Remote role. Pay Transparency...Remote workRisk$58 - $63 per hour
...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 candidates will have...Remote jobRiskHourly payContract work- ...Risk Adjustment Coding Specialist We are a new and growing healthcare organization with a unique... ...commitment to value-based care under Medicare Advantage and ACO REACH contracts. Embedded... ...improvement. Through both remote and in-person collaboration, this role...Remote workRiskTemporary workLive inWork at officeLocal areaImmediate start
$65k - $75k
...Description Job Description Risk Adjustment Specialist – Primary Care Location: Remote Employment Type: Full-Time... ...accurate clinical documentation and coding practices. Position Overview... ...compliance with Centers for Medicare & Medicaid Services (CMS)...Remote workRiskFull time- ...Domain Expert - Finance We are hiring experienced accounting... ...prepaid expenses, deferrals, and adjustments Balance sheet... ...compilations Audit planning, risk assessment, testing, sampling... ..., payment approvals, expense coding, and 1099 support Invoicing...Remote workRiskContract workLocal areaFlexible hours
- ...Coder/Auditor based in Arizona to develop risk mitigation and education programs.... ...Responsibilities include reviewing medical records, coding for accuracy, and educating providers on... ...candidates to work both onsite and remotely within Arizona. #J-18808-Ljbffr Blue Cross...Remote workRisk
$70k - $85k
Astrana Health Management is looking for a Risk Adjustment Coding Specialist II to provide support for our IPAs nationwide. This remote position focuses on identifying coding... ...educating providers about compliance with Medicare documentation. Candidates should have 3-5...Remote jobRisk- Oscar Health is hiring an Associate, Risk Adjustment Auditor for their Risk Adjustment team. This remote role requires conducting quality audits specific to ICD-10 code abstraction and ensuring compliance with coding standards. The ideal candidate holds a Bachelor's degree...Remote jobRisk
- Millennium Physician Group is seeking a Level II - Risk Adjustment Coding Specialist in New York. Responsibilities include abstracting ICD-10... ...documentation, auditing medical records for accuracy, and analyzing Medicare Risk Adjustment data. The ideal candidate will have at...Risk
- ...Level II – Risk Adjustment Coding Specialist (Intermediate) Responsibilities: Abstract and assign ICD-10-CM diagnosis codes supported... ...outliers and improvement opportunities. Analyze Medicare Risk Adjustment (MRA) data to identify coding or documentation...Remote workRisk
$70k - $85k
Astrana Health, Inc. is seeking a Risk Adjustment Coding Specialist II to support nationwide risk adjustment efforts. This remote role involves high-volume chart reviews, provider education, and tracking key performance metrics. Ideal candidates need 3-5 years of risk adjustment...Remote jobRisk- E2E Alignment Healthcare USA, LLC is seeking a Risk Adjustment Compliance Auditor. This fully remote role involves auditing and compliance activities related... ...should have strong knowledge of risk adjustment, HCC coding, and compliance auditing. Responsibilities include conducting...Remote jobRisk
- Oscar Health is hiring a remote Associate, Risk Adjustment Auditor to join their Risk Adjustment team. This role involves conducting internal and external quality audits specific to ICD-10 code accuracy. The ideal candidate will have experience in risk adjustment coding...Remote jobRisk
$85k - $200k
...join their Health Care team in Washington, DC. This role focuses on coding, compliance, and assisting with complex investigations and disputes. The ideal candidate should be certified in Risk Adjustment Coding with a strong understanding of clinical practices and...Remote jobRisk- A healthcare technology company is seeking a Coding Associate responsible for delivering high-quality risk adjustment coding services for clients. This role requires reviewing... ...for professional growth. This is a fully remote role based in the United States. #J-18808-...Remote jobRisk
$27.02 - $41.85 per hour
Highmark Health is seeking a skilled HCC Coder to support Medicare Advantage programs. This remote position requires proficiency in HCC coding, in-depth knowledge of CMS guidelines, and 3 years of coding experience. Responsibilities include performing HCC coding, assisting...Remote jobRiskHourly pay$85k - $200k
...team. This role involves analyzing and coding diagnoses based on patient records, ensuring... ...should possess at least five years of risk adjustment coding experience and excellent... ...salary range between $85,000 to $200,000. A remote work environment is available, supporting...Remote jobRiskFlexible hours
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