Senior Risk Adjustment Coder II — HCC & Compliance Expert
340B Health
340B Health is seeking a Risk Adjustment Coder II to provide advanced support for medical record reviews and ensure accurate capture of chronic conditions. This role involves coding according to CMS guidelines and improving documentation standards. The ideal candidate will have a Bachelor's Degree or equivalent experience and be an AHIMA/AAPC Certified Coder with 3-5 years of relevant coding experience. Strong analytical and interpersonal skills are essential. This position supports Medicare and Commercial Risk Adjustment programs. #J-18808-Ljbffr 340B Health
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Senior Risk Adjustment Coder II — HCC & Compliance Expert in Houston, TX vacancy
- Direct Jobs is seeking a Risk Adjustment Coder II in Houston, Texas. This role involves advanced support for... ...correct capture of chronic conditions and compliance with CMS guidelines. The Coder II acts as a subject matter expert, facilitating team training and audits. The...SeniorRisk
- Community Health Choice, Inc. seeks a Risk Adjustment Coder II in Houston, Texas. The role involves advanced medical record reviews and coding of chronic conditions to ensure correct risk scoring, complying with CMS guidelines and internal policies. The ideal candidate...SeniorRisk
- Community Health Choice is looking for a Risk Adjustment Coder II to manage complex medical record reviews to ensure accurate patient risk score... ...role requires expertise in mapping conditions to HCCs in compliance with CMS guidelines. Key responsibilities include...SeniorRisk
- ...is looking for a Value Based Coder II in Houston, Texas. This role... ...Condition Categories (HCC). The ideal candidate will have... ...and a deep understanding of risk adjustment principles. Responsibilities... ...network providers and ensuring compliance with coding guidelines. #J-...Risk
$25.3 - $35.74 per hour
...Texas is seeking an experienced Value Based Coder II to review medical records for coding opportunities... ...on Hierarchical Condition Categories (HCC). The role involves developing provider education and ensuring compliance with coding guidelines. Candidates should have...RiskHourly pay$55k - $70k
...Risk Adjustment Coding Specialist I - Remote (Central Time Zone) We are... ...key performance metricssuch as HCC recapture rates, AWVs, and... ...knowledge of coding regulations, compliance guidelines, and updates to... ...overread assignments. Supports coder training and orientation as...RiskLive inWork at officeRemote work- ...Houston is seeking a Certified Medical Coder to review and code inpatient and outpatient medical records. You will ensure compliance with ICD-10-CM and HCPCS guidelines while... ...and at least three years of experience in risk adjustment. AAPC or AHIMA credential is required....Risk
Page Mechanical Group Inc
Houston, TX20 hours ago $27.69 - $34.62 per hour
Job Number: 180041, Job Title: Risk Adjustment Coder II, Salary: $27.69 - $34.62 JOB SUMMARY The Risk... ...II will serve as a subject matter expert for risk adjustment and will assist in... ...by supervisor. Ensure coding compliance by following the Official Coding Guidelines...RiskWork experience placement- ...Responsibilities The Value Based Coder II is an experienced... ...the Quality Management/Risk team, responsible for... ...Condition Categories (HCC). This role focuses on... ...clinically appropriate risk‑adjusting conditions and... ...adjustment principles. Compliance & Regulatory Insight: Continuously...RiskWork at office
- Astrana Health Management is seeking a Risk Adjustment Coding Specialist II in Houston to support risk adjustment efforts through chart reviews and... ...3 years of experience. Responsibilities include coding compliance, tracking performance metrics, and providing education...Risk
- ...general supervision, the Senior Payroll Specialist... ...payroll operations in compliance with company policies and... ...regulatory requirements. II. Essential Duties and... ...Flexibility to adjust quickly to unexpected demands... ...physical and occupational risks, and the work...SeniorRiskHourly payTemporary workWork experience placementWork at office
wm
Houston, TX3 days ago - ...This Opportunity WSP is seeking a Senior Risk Manager to join our Project Controls group... ...as the risk management subject matter expert on assigned project, program, portfolio... ...making. Advise project leadership on risk adjusted contingency and schedule reserve ranges...SeniorRiskContract workLocal areaFlexible hours
WSP
Houston, TX3 days ago - ...Senior Auditor I/II - Retail and Institutional Location US-MS, AL, Houston, TX; Memphis... ...the adequacy of controls and ensuring compliance with applicable laws and regulations.... ...thinking by appropriately challenging risks, scope, and approaches, and providing...SeniorRiskFull time
Trustmark
Houston, TX1 day ago $87.7k - $100.1k
Senior Associate, Risk Manager Are you ready to lead from the front line of a top 10 bank? Do you thrive... .... Framework Alignment: Map and adjust localized business processes to seamlessly... ..., Enterprise Risk Management, Compliance, Business Risk Offices, Information Technology...SeniorRiskLocal area- ...Title: Senior Manager, Risk Management We are KBR When you become part of our KBR team,... ...including program administration, regulatory compliance, claims activity, and leadership... ...conditions and claims trends to proactively adjust risk management strategies. Team...SeniorRiskContract workWork at officeLocal area
KBR
Houston, TX1 day ago - ...focus This role is critical to advancing the organization’s risk adjustment performance by supporting accurate, timely, and sustainable identification... ...decision-making. Act as a risk adjustment subject matter expert for RAF, Medicaid risk score operations, performance trends,...Risk
$87.7k - $100.1k
Senior Associate, Risk Manager Are you ready to lead from the front line of a top 10 bank? Do you... ...expectations. Framework Alignment: Map and adjust localized business processes to... ...Management, Enterprise Risk Management, Compliance, Business Risk Offices, Information Technology...SeniorRiskFull timePart timeLocal area- ...Business Credit, is seeking a Field Examiner II in Houston, Texas. This role involves... ...evaluations of financial records, ensuring compliance, and preparing comprehensive reports.... ...to sound lending decisions and effective risk mitigation. #J-18808-Ljbffr Renasant BankSeniorRisk
$72.5k - $90k
Governance, Risk, and Compliance Associate or Senior Associate - Asset Management Consulting Job Category : Advisory Requisition Number : GOVER003092... ...Advisers Act of 1940 Monitor regulatory updates and help adjust internal procedures as needed Prepare and maintain...SeniorRiskFull timeWork at officeFlexible hoursShift work$182.5k - $208.3k
Senior Manager, Senior Counsel - US Commercial & Product... ...for: Providing expert counsel and strategic guidance... ...contracting and risk identification and mitigation... ...(e.g., Durbin and Reg. II) and debit specific... ...Partnering with Risk and Compliance teams to ensure comprehensive...SeniorRiskFull timeContract workPart timeLocal area3 days per week$30 - $65 per hour
...Sr. Field Tech - Power Systems Tech II, III, or IV Sr. Field Tech, Power Systems... ...and decisions shall be conducted in strict compliance of all regulatory laws. Other duties as... ...of action that assume unreasonable risk to yourself or the Company. You are on...SeniorRiskHourly payDaily paidFull timeWork at officeRelocationRelocation packageFlexible hoursNight shift$75k - $135k
...facilitate key trading operations. This candidate will support the Orchestrade Go Live, acting as a central contact for traders, quants, and risk teams. Required qualifications include 3-15 years of front office support experience, strong technical skills, and the ability to...SeniorRisk- ## Senior Operations ManagerApplylocations: Houston, TXtime type: Full timeposted... ...-ups and changeovers, crowd and risk management, fire and life safety and ADA compliance.* Manage subordinate supervisors... ....* Remain flexible and adjust to situations as they occur.**Computer...SeniorRiskContract workFor contractorsFor subcontractorWork at officeImmediate startFlexible hoursNight shift
NRG Park
Houston, TX2 days ago - ...that make clean energy possible at scale. Senior Credit Risk Analyst – Responsibilities &... ...contracts, serves as a subject matter expert for internal partners, and provides guidance... ...to meeting timelines and the ability to adjust priorities as business needs change. Day...SeniorRiskWork at officeWork from homeFlexible hours1 day per week
Williams
Houston, TX1 day ago $139.2k - $293.5k
...industry.Job Description:As a Senior Manager in our Tax... ...subject matter experts (international, state,... ...consulting, tax planning, compliance, and researchDevelop high... ...estimate has not been adjusted for the applicable geographic... ...with tax, advisory, risk and performance services...SeniorRiskLocal areaRemote workWorldwideCrowe Global
Houston, TX1 day ago- ...Pilot Company seeks a Senior Analyst for its Houston credit department, responsible for evaluating creditworthiness and managing approvals... ...skills, along with experience in energy-trading credit risk. Benefits include a nationwide medical plan and employee discounts...SeniorRisk
PILOT
Houston, TX1 day ago - ...A key Z Firm client is looking for a Senior Risk Analyst for their office located in downtown Houston. IDEAL QUALIFICATIONS: Commodity knowledge – Natural Gas Natural gas price deconstruction and risk decomposition Natural gas curve setup and configuration Strong trouble...SeniorRiskWork at office
The Z Firm LLC
Houston, TX15 hours ago - ...Summary The Business Strategy & Partnerships Senior Director serves as the strategic digital... ..., shape future digital solutions, manage risks and opportunities, and advance measurable... ...work responsibilities or environment and adjusting effectively to change by exploring...SeniorRiskTemporary work
- ...Bank is seeking a Commercial Relationship Sales & Service Manager Senior to serve as the primary contact for assigned Commercial... ...This role requires strategic thinking, leadership, and a focus on risk and client retention. #J-18808-Ljbffr Huntington National BankSeniorRisk
$72.7k - $144k
...industry.Job Description:As a Senior Tax Associate, your... ...creative and become an expert so that you can make a... ...role is 12/31/2026.In compliance with federal law, all... ...estimate has not been adjusted for the applicable geographic... ...with tax, advisory, risk and performance...SeniorRiskWork at officeLocal areaRemote workWorldwideCrowe Global
Houston, TX15 hours ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Risk Adjustment Coder II — HCC & Compliance Expert. Be the first to apply!
Related searches
- sql expert Houston, TX
- fulfillment expert Houston, TX
- subject matter expert Houston, TX
- technology expert Houston, TX
- guest service support expert Houston, TX
- senior trade analyst Houston, TX
- senior app developer Houston, TX
- senior customer service advisor Houston, TX
- senior international account manager Houston, TX
- senior magento developer Houston, TX