Remote Risk Adjustment Coder - ACA RADV Specialist

GeBBS Consulting

GeBBS Consulting is seeking a skilled Risk Adjustment Coder for a remote role to support ACA RADV coding for a New York-based health plan partner. The ideal candidate will review medical records and validate diagnoses to ensure documentation meets risk adjustment and compliance standards. Strong Excel skills are required, and experience with ACA RADV, a medical coder certification, or knowledge of QNXT is a plus.

#J-18808-Ljbffr

Apply

Vacancy posted 16 hours ago

Similar jobs that could be interesting for youBased on the Remote Risk Adjustment Coder - ACA RADV Specialist in Manhattan, KS vacancy

Remote Risk Adjustment Coder - ACA RADV Specialist
...GeBBS Consulting is seeking a Risk Adjustment Coder to support validation of health risk factors... ...partner. The ideal candidate will have ACA RADV coding experience, strong Excel skills... ...adjustment and compliance standards. This is a remote position across the United States. #J-...
Remote work
Risk
GeBBS Consulting
New York, NY
5 days ago
Remote ACA RADV Risk Adjustment Coder
...services and consulting firm based in Towson, Maryland, seeks a Risk Adjustment Coder for a New York-based health plan partner. The role supports... ...risk factors identified through coding activities, with ACA RADV experience and strong Excel skills. Candidates should...
Remote work
Risk
GeBBS Consulting
United States
4 days ago
Remote HCC Coding Specialist Medicare Risk Adjustment
...United States seeks a skilled HCC Coder to support risk adjustment coding for MA, ACA and ESRD projects. You will interpret... ...role emphasizes CMS guidelines, RADV audits, RPM coding initiatives,... ...opportunities to improve processes. Remote, office-based position with potential...
Remote work
Risk
Work at office
Highmark Health
United States
3 days ago
Remote HCC Coding Specialist | Risk Adjustment Expert
...Highmark Health in Pennsylvania seeks a skilled HCC coder to support risk adjustment projects for Medicare Advantage and ACA populations. You will translate physician... ...HCC categories in line with CMS guidelines and RADV audit requirements. You will collaborate with...
Remote work
Risk
Highmark Health
United States
4 days ago
Remote HCC Coding Specialist - Risk Adjustment Expert
...Highmark Health is seeking a remote, office-based coder to deliver HCC coding services for MA, ACA, and ESRD projects. You’ll apply CMS guidelines and RADV processes to ensure accurate ICD... ...optimization to drive high-quality risk adjustment coding results across CMS...
Remote work
Risk
Work at office
Highmark Health
United States
5 days ago
Remote Medicare Advantage Risk Adjustment Coder
...Group is seeking an Experienced Risk Adjustment Coder with Medicare Advantage and ACA coding expertise to support risk... ...revenue integrity while working remotely under general supervision. The candidate... ..., perform audits, and contribute to RADV activities. #J-18808-Ljbffr...
Remote work
Risk
Tier4 Group
New York, NY
1 day ago
Remote HCC Coding Specialist | Risk Adjustment & Audits
...Highmark Health seeks an experienced HCC coder to support risk adjustment initiatives for MA, ACA, and ESRD programs, translating clinical documentation into ICD-10 diagnoses and HCC categories per CMS guidelines. You will collaborate with physicians, quality, compliance...
Remote work
Risk
Highmark Health
United States
5 days ago
Remote HCC Coding Specialist (Risk Adjustment)
...Highmark Health is seeking a skilled HCC coder to deliver accurate risk adjustment coding for MA, ACA, and ESRD projects. You will work across Retro and Prospective... ...audits, and contribute to process improvements. Remote office-based with travel 0–25% may apply. #J-188...
Remote work
Risk
Work at office
Highmark Health
United States
5 days ago
Risk Adjustment Coder
...the US. We are currently hiring a Risk Adjustment Coder Summary : One of our New York-based... ...activities. The ideal candidate will have ACA RADV coding experience, strong Excel skills... ...have but not required. Location Remote Recr uiting Fraud Over the past...
Remote work
Risk
Currently hiring
GeBBS Consulting
Manhattan, KS
5 days ago
Remote HCC Coding Specialist - Risk Adjustment Expert
...Highmark Health is seeking a HCC coder to deliver accurate risk adjustment coding for MA/ACA beneficiaries. The role collaborates with physicians, Quality, Compliance... ...to improve documentation and coding accuracy in a remote office-based setting. Responsibilities include...
Remote work
Risk
Work at office
Highmark Health
United States
4 days ago
Remote HCC Coding Specialist - Risk Adjustment & Audits
...Highmark Health is seeking a skilled HCC coder to support Medicare Advantage and ACA risk adjustment projects from a remote office-based setting. You will translate clinical documentation into ICD-10 diagnoses and HCC categories, collaborating with physicians and cross...
Remote work
Risk
Work at office
Highmark Health
Juneau, AK
4 days ago
HCC Coding Specialist - Remote Risk Adjustment Expert
...Highmark Health is seeking a skilled HCC coder to support Medicare Advantage, ACA, and ESRD risk adjustment coding from a remote office setting. You will work across CMS guidelines, analyze clinical documentation, and collaborate with physicians and interdisciplinary teams...
Remote work
Risk
Work at office
Highmark Health
New York, NY
4 days ago
Risk Adjustment Coder
...based health plan partners is seeking a Risk Adjustment Coder to support the validation of health... ...activities. The ideal candidate will have ACA RADV coding experience, strong Excel skills... ...QNXT is nice to have but not required. Location: Remote #J-18808-Ljbffr Jobrapido
Remote work
Risk
Jobrapido
Pittsfield, MA
2 days ago
Remote HCC Coding Specialist | Risk Adjustment Expert
...Highmark Health is seeking a skilled HCC coder to support Medicare Advantage, ACA, and ESRD projects. You will translate physician documentation... ..., compliance, and leadership to ensure accurate risk adjustment coding. Remote office-based with 0–25% travel, requiring CPC/CRC...
Remote work
Risk
Work at office
Highmark Health
United States
4 days ago
Risk Adjustment Coder
...Risk Adjustment Coder Location: Baton Rouge, LA 70809 Contract Length: 4... ...Advantage Risk Adjustment and ACA Risk Adjustment coding. This... ...to work independently in a remote environment while maintaining... ...Adjustment Data Validation (RADV) audits. Experience within...
Remote work
Risk
Contract work
Work at office
Strategic Staffing Solutions
Baton Rouge, LA
5 days ago
Remote HCC Coding Specialist | Risk Adjustment Expert
...Highmark Health seeks a skilled HCC coder to support risk adjustment coding for Medicare Advantage and ACA programs. You will perform HCC coding across MA, ACA, and ESRD... ...improvement, audits, and education; remote office-based work with travel up to 25% aligns with...
Remote work
Risk
Work at office
Highmark Health
United States
5 days ago
Remote HCC Coding Specialist | Risk Adjustment Expert
...Highmark Health is seeking a skilled HCC coder for remote office-based work focusing on Medicare Advantage and ACA risk adjustment. You will analyze documentation to translate it into ICD-10 codes and HCC categories while supporting RPM coding projects and audits. Ideal...
Remote work
Risk
Work at office
Highmark Health
South Carolina
7 hours ago
Remote HCC Coding Specialist for Risk Adjustment
Highmark Health in Minnesota is seeking a skilled HCC coder to deliver accurate risk adjustment coding for MA, ACA, and ESRD programs. You will work with physicians and teams to interpret documentation into ICD-10 and HCC categories while following CMS guidelines and RPM...
Remote job
Risk
Highmark Health
Saint Paul, MN
5 days ago
Remote HCC Coding Specialist for Risk Adjustment
Highmark Health is seeking a remote risk-adjustment coder to support Medicare Advantage, ACA, and ESRD projects. You will apply HCC coding, ICD-10 diagnoses, and CMS guidelines to ensure accurate risk capture and compliant documentation. Working with physicians and cross...
Remote job
Risk
Work at office
Highmark Health
Madison, WI
5 days ago
Remote HCC Coding Specialist | Medicare Risk Adjustment
Highmark Health is seeking a remote Risk Adjustment coder to handle HCC coding for MA, ACA, and ESRD projects. You will work with physicians and teams to ensure accurate coding in CMS guidelines and RPM initiatives. The role requires CPC/CRC/CCS/RHIT certs, 3 years of HCC...
Remote job
Risk
Work at office
Highmark Health
Columbus, OH
5 days ago
Remote HCC Coding Specialist - Risk Adjustment Expert
Highmark Health is seeking a skilled HCC Coder to perform risk adjustment coding for MA, ACA, and ESRD programs. You will use CMS guidelines and HIPAA-compliant practices to ensure accurate ICD-10 and HCC model coding, while supporting RPM initiatives and audits. Ideal...
Remote job
Risk
Highmark Health
Phoenix, AZ
5 days ago
Remote HCC Coding Specialist: Risk Adjustment
Highmark Health is seeking a skilled HCC coder to support Medicare Advantage, ACA, and ESRD projects. You will... ..., you will drive accurate risk-adjustment coding, participate in audits, and... ...contribute to process improvements in a remote, office-based setting. #J-18808-Ljbffr...
Remote job
Risk
Work at office
Highmark Health
Austin, TX
5 days ago
Remote HCC Coding Specialist | Risk Adjustment Expert
Highmark Inc. seeks an experienced HCC Coder to deliver accurate risk adjustment coding for MA, ACA, and ESRD projects. You will work remotely, analyze physician documentation, and translate it into ICD-10 diagnoses and HCC categories, while aligning with CMS guidelines...
Remote job
Risk
Highmark Health
Yorktown, VA
5 days ago
Remote HCC Coding Specialist Risk Adjustment Expert
Highmark Health is seeking a skilled HCC coder to join a remote, office-based team. You will work on MA, ACA, and ESRD projects, translating physician documentation... ..., supporting RPM across CMS requirements and risk adjustment initiatives. #J-18808-Ljbffr Highmark Health
Remote job
Risk
Work at office
Highmark Health
Salem, NH
5 days ago
Remote HCC & Risk Adjustment Coder
...Inc. in Connecticut seeks an experienced HCC coder to perform coding on Medicare Advantage and ACA projects, ensuring CMS guidelines are... ...physicians, compliance, and leadership to improve risk adjustment processes. Remote office-based with travel 0%–25% may be required...
Remote work
Risk
Work at office
Highmark Health
United States
5 days ago
Hybrid Risk Adjustment Nurse/Coder (RN, CPC/CIC/CCS)
...through AvMed in Florida, is hiring a Risk Adjustment Nurse/Coder (RN/CPC, COC, CIC, CCS-P, CCS, RHIT, RHIA... ...coding. The role involves CMS/HHS RADV audits, medical record reviews, and ensuring... ...hours 8am-4:30pm EST, M-F, with 2 onsite days and 3 remote days. #J-18808-Ljbffr...
Remote work
Risk
Sentara Health
Tallahassee, FL
5 days ago
Remote HCC Coding Specialist - Risk Adjustment & Audits
...Highmark Health is seeking an experienced HCC Coder to support Medicare Advantage, ACA, and ESRD projects. You will apply ICD-10, HCC concepts, and coding... .../CCS/RHIT credentials, and strong attention to detail. Remote office-based work with limited travel and opportunities...
Remote work
Risk
Work at office
Highmark Health
United States
5 days ago
Medicare & ACA Risk Adjustment Specialist
...Solutions in Baton Rouge, LA seeks an experienced Risk Adjustment Coder with Medicare Advantage and ACA risk adjustment coding expertise. The role focuses... ...and revenue integrity. This role can be performed remotely under general supervision. You will review records,...
Remote work
Risk
Strategic Staffing Solutions
Baton Rouge, LA
5 days ago
Hierarchical Condition Category (HCC) Coding Specialist
$27.02 per hour
...beneficiaries enrolled in Risk Adjusted government... ...Affordable Care Act (ACA), using skills... ...Data Validation (RADV) Audits. Works closely... .... Supports all Remote Patient Monitoring... ...Certified Professional Coder (CPC) Certified... ...Certified Coding Specialist (CCS) Registered...
Remote work
Risk
For contractors
Work at office
Local area
Flexible hours
Highmark Health
Wilmot, SD
4 days ago
Remote HCC Coding Specialist for Risk Adjustment
Highmark Health is seeking an experienced HCC Coder to support Medicare Advantage, ACA, and ESRD projects. You will code using CMS guidelines, with focus... .../CRC/CCS/RHIT certifications, and the ability to work remotely. Travel is minimal, as needed, with strong...
Remote job
Risk
Highmark Health
Central City, CO
5 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Risk Adjustment Coder - ACA RADV Specialist. Be the first to apply!