Risk-adjustment / HCC coding leader
$110 per hourTemporary
Gridnaut Recruiting
Gridnaut Recruiting is hiring a remote Risk-adjustment / HCC coding leader contractor (pay $110/hr). Contribute to frontier AI research and evaluation work. Ideal candidates: Remote contractor engagement supporting a leading AI lab.; Remote AI evaluation / expert contributor work with flexible hours; Strong domain judgment and clear written communication required; Hourly contractor pay; prior professional experience preferred.
Vacancy posted 5 days ago
Similar jobs that could be interesting for youBased on the Risk-adjustment / HCC coding leader in Remote vacancy
$110 per hour
...Role Overview Lead the evaluation and improvement of AI tools that assign HCC codes and recommend risk adjustment actions, ensuring clinical accuracy and regulatory compliance across Medicare Advantage, Medicaid managed care, and ACA markets. This role combines hands-...RiskHourly payRemote workSaidGig
United Statesmore than 2 months ago$110 per hour
...Risk-adjustment / HCC coding leader is a remote review track for evaluating AI outputs across risk adjustment / hcc coding leader specialist operations workflows. Reviewers grade workflow correctness, policy adherence, and stakeholder fit; flag operational risk; and document...RiskRemote jobFor contractorsWork experience placement10 hours per week- UASI is seeking a Risk Adjustment Clinical Documentation Specialist to advance documentation accuracy in a fully remote capacity. The role focuses on supporting coding accuracy, HCC capture, regulatory compliance, and clinical documentation integrity in outpatient settings...RiskRemote job
$85 per hour
...Opportunity We are sharing a specialised part-time consulting opportunity for United States-based healthcare coding and risk adjustment professionals experienced in HCC coding, Medicare Advantage risk adjustment, Medicaid managed care, ACA risk adjustment, RADV audit...RiskRemote jobHourly payWeekly payContract workPart timeFor contractorsFlexible hours- ...role. The ideal candidate will be responsible for the accurate coding of medical services across various settings. This position... ...certification from AAPC or AHIMA. Strong experience in CMS HCC Risk Adjustment Models is essential, along with advanced coding knowledge....RiskRemote jobFull time
- Mercor is seeking a Senior Risk Adjustment and HCC Coding leader to direct operations across Medicare Advantage, Medicaid, and ACA programs. You will evaluate AI-generated HCC coding and risk adjustment recommendations for clinical accuracy and regulatory compliance. You...RiskRemote job
$25 - $26.7 per hour
...transformative change in healthcare. As an HCC (Hierarchical Condition Category) coder... ...review medical records to identify and code diagnoses using a standardized system,... ...of patient conditions for risk adjustment and reimbursement purposes. You will play...RiskHourly payRemote workFlexible hoursDatavant
Springfield, IL4 days ago- ...Risk Adjustment Coding Specialist We are currently seeking a highly motivated Risk Adjustment Coding... ...education to providers and practice leaders while navigating complex conversations.... ...report on key performance metricssuch as HCC recapture rates, AWVs, and other KPIs,...RiskRemote jobLive in
$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... .... Skills: Risk adjustment coding. HCC coding. Medical record review. Diagnosis...RiskTemporary workWork experience placementRemote workCynet Systems
United States8 hours ago$29 - $32 per hour
...healthcare. What We're Looking For: As an HCC (Hierarchical Condition Category)... ...will review medical records that have been coded in a standardized system, ensuring... ...representation of patient conditions for risk adjustment and reimbursement purposes. You will play...RiskRemote workFlexible hoursDatavant
Dallas, TX12 days ago$23 - $25 per hour
Hcc Risk Adjustment CoderLocation:Hybrid - Verona, NJ & Remote Schedule:Monday through Friday; 40 hours/week Employment Type:Full Time; Exempt... ...and outcomes.Ability to review documentation and abstract all codes with specific emphasis on identifying the most accurate...RiskFull timeWork at officeRemote workMonday to Friday- ...support fully. POSITION TITLE: HCC Auditor ROLE TYPE: Full Time (32+hours... ...the official ICD-10-CM and appropriate Risk Adjustment guidelines. This role will be... ...record and validating the assignment of HCC codes (and possibly complete code capture) for...RiskFull timeTemporary workPart timeRemote workHome office
e4health
Pittsburgh, PA5 days ago $143.62k - $229.79k
...Consulting Actuary -ACA Risk Adjustment As a Consulting Actuary -ACA Risk Adjustment, you will... ...with ACA Risk Adjustment, including HHS-HCC model methodology, risk score... ...Preferred Strong understanding of diagnosis coding (ICD-10-CM), provider documentation practices...RiskRemote workBlue Cross and Blue Shield of North Carolina
United States1 day ago$70k - $85k
Risk Adjustment Coding Specialist II (CST/EST) Department: Quality - Risk Adjustment Employment Type:... ...delivering education to providers and practice leaders while navigating complex conversations.... ...on key performance metrics—such as HCC recapture rates, AWVs, and other KPIs,...RiskFull timeWork at officeRemote workHome office$84 per hour
...evaluate AI-generated documentation and coding suggestions to improve documentation... ..., procedures, severity of illness, and risk of mortality. Develop and manage physician... ...or CDIP credential. Experience with HCC risk adjustment and outpatient CDI programs....RiskHourly payRemote workSaidGig
United Statesmore than 2 months ago$75k - $85k
...Description Description We are currently seeking a highly motivated Risk Adjustment Coding Specialist. This role will report to the Supervisor - Risk... ...as it pertains to Hierarchical Condition Categories (HCC) Perform code abstraction and/or coding quality audits of...RiskWork at officeWork from homeHome officeAstrana Health, Inc.
Monterey Park, CA6 days ago$143.62k - $229.79k
...Description As a Consulting Actuary -ACA Risk Adjustment, you will play a pivotal role in... ...with ACA Risk Adjustment , including HHS-HCC model methodology, risk score forecasting... ...Preferred Strong understanding of diagnosis coding (ICD-10-CM) , provider documentation...RiskFull timeLocal areaRemote workFlexible hoursBlueCross BlueShield of North Carolina
United States1 day ago- ...Risk Adjustment Quality Specialist The Risk Adjustment Quality Specialist plays a vital role in coordinating and supporting prospective... ...understanding of Hierarchical Condition Categories (HCC) coding to accurately translate, input, extract, and validate medical...RiskRemote workWork from home
$86k - $124k
...compensation and claims support? Join ESIS, a leader in risk management and insurance services,... ...and provide early claim direction to adjusters, as appropriate.Identify and address issues... ...and related claim factors.Ensure claim coding and file documentation are accurate and...RiskWork experience placementWork at officeLocal areaHome office- ...care provider or health insurance company 2+ years as a Supervisor or Manager overseeing a team of 3+ people Experience in risk adjustment coding Current certification as a professional coder (CPC) Vaccinated for Covid Can be fully remote in one of the following states...RiskWork experience placementRemote work
- ...Job Description Job Description Porter is hiring a Risk Adjustment Coder to join our Team! Porter combines the power of analytics... ...seeking a certified coder with expertise in risk adjustment coding and a specialization in in-home health assessments. The ideal...RiskWork from homeMonday to FridayWeekend work
Porter Cares, Inc.
Pompano Beach, FL18 days ago - ...Working remotely in a full-time capacity, the Certified Risk Adjustment Coder will perform risk adjustment coding and quality assurance validation, including... ...terminology and anatomy Familiarity with Medicare risk adjustment methodologies and HCC coding principles...RiskFull timeRemote work
Virtual Vocations Inc
United States1 day ago $20 - $24 per hour
...Hcc Risk Adjustment Medical Coder Required Skills & Experience-Medicare HCC experience is required -ICD 10 experience -2 years experience... ...through AAPC or AHIMA Nice to Have Skills & ExperienceMedicaid Coding Experience Job DescriptionInsight Global is seeking...RiskRemote jobHourly paySeasonal work- ...this role performs patient chart reviews to ensure the appropriateness and completeness of diagnostic coding with evidence based on CMS HCC standards. The Risk Adjustment Coder is responsible for: ~ Timely, accurate, and complete review of patient charts following...RiskLive inRemote workRelocation
eCommunity.com
Indianapolis, IN17 hours ago $100k - $231.54k
...Informatics to lead Medicare Advantage and ACA risk adjustment analytics, predictive modeling,... ...partnership with executive leadership, market leaders, finance, service operations, compliance... ..., or ACA risk adjustment methodologies, HCC models, healthcare claims and clinical...RiskHourly payFull timeTemporary workWork experience placementLocal area- ...partners closely with providers, coding, revenue cycle, quality,... ...reimbursement, quality reporting, risk adjustment, and continuity of care... ...outpatient providers, clinic leaders, coding staff, and CDI team members... ..., ICD-10-CM, CPT, HCPCS, HCC/risk adjustment concepts, payer...RiskFull timeLive inWork at officeRemote workHome officeMonday to FridayShift work
$40 per hour
...for Conversion We are seeking a Certified Risk Adjustment Coder (CRC) to support Medicare Risk Adjustment initiatives through detailed HCC medical record reviews and direct... ...HCC diagnosis capture Validate diagnosis codes within Clinical Documentation Improvement...RiskContract workWork at officeLocal areaRemote workMonday to Friday- ...Group is now hiring a full-time hybrid Risk Adjustment Coder in Virginia Beach, VA! Hours: Monday... ...(RADV) audits. Reviews provider coding for professional & inpatient/outpatient... .../HHS Hierarchical Condition Categories (HCC). Supports risk adjustment data validation...RiskFull timeWork at officeImmediate startRemote workMonday to FridayDay shift2 days per week1 day per week
- ...time Certified Medical Coder to join our team. This role involves performing detailed clinical documentation and risk adjustment reviews and accurately coding HCC diagnoses using ICD-10-CM guidelines. CPT and E/M experience is not required for this role. Essential Duties...RiskFull timeWork at officeRemote workWork from homeMonday to Friday
- ...Performs compliance activities focused on risk adjustment in accordance with Centers for Medicare... ...(RADV) audits. Reviews provider coding for professional & inpatient/outpatient... .../HHS Hierarchical Condition Categories (HCC). Supports risk adjustment data validation...RiskFull timeTemporary workWork at officeRemote work
Sentara Healthcare
Virginia Beach, VA4 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Risk-adjustment / HCC coding leader. Be the first to apply!
