Senior Risk Adjustment Coder II — HCC & Compliance Expert
Direct Jobs
Direct Jobs is seeking a Risk Adjustment Coder II in Houston, Texas. This role involves advanced support for medical record reviews, ensuring 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 ideal candidate will have a Bachelor's degree or equivalent experience in risk adjustment, along with relevant coding certifications. Experience in Commercial and Medicare coding is required alongside strong analytical and communication skills. #J-18808-Ljbffr Direct Jobs
- 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
- ...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
- ...a nonprofit managed care organization serving Texas. The Risk Adjustment Coder II will review complex medical records, code chronic conditions... ..., audits, and collaboration across departments to improve documentation quality and compliance. #J-18808-Ljbffr Harris HealthSeniorRisk
$70k - $85k
Risk Adjustment Coding Specialist II - Houston Department: Quality - Risk Adjustment Employment... ...metrics—such as HCC recapture rates, AWVs, and... ...knowledge of coding regulations, compliance guidelines, and updates to... ...assignments. Supports coder training and orientation as...RiskFull timeWork at office- Astrana Health, Inc. is seeking a Risk Adjustment Coding Specialist II to support Houston market. Travel to provider... ...including chart reviews, HCC coding, and education delivery to providers... ...ensure regulatory risk adjustment compliance and track KPIs like HCC recapture...Risk
- Astrana Health Management in Houston is seeking a Risk Adjustment Coding Specialist II to drive risk adjustment efforts through chart reviews, provider education, and KPI reporting. You’ll translate findings into actionable insights and support education for providers...SeniorRisk
$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- ...Atlanta, GA Overview Trustmark's Compliance Audit team is a key part of... ...on Trustmark's processes and risks through assessment and testing... ...deposit and lending products. The Senior Auditor of Compliance is... ...Strong analytic skills LEVEL II ADDITIONAL QUALIFICATIONS Five...SeniorRiskFull time
- ...Value Based Coder II Inspired by faith. Driven by innovation... ...the Quality Management/Risk team, responsible for... ...Condition Categories (HCC). This role focuses on... ...appropriate risk-adjusting conditions and supporting... ...adjustment principles. 3. Compliance & Regulatory Insight:...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
$143.62k - $229.79k
...As a Consulting Actuary -ACA Risk Adjustment, you will play a pivotal role... ...projects, ensuring timeliness, compliance, and quality of work... ...Adjustment , including HHS-HCC model methodology, risk score... ...and explanation of results to senior leadership - Highly Preferred...RiskLocal areaRemote work- ## Senior Rotating Equipment ExpertApplylocations: Houston... ...Rotating Equipment Expert (Open)LocationHouston,... ...allowing Air Liquide to adjust supply needs more... ...development of selected risk assessments for new and... ...machinery* Ensure subsidiary compliance with directives from AL...SeniorRisk
$155.6k - $306.8k
...: The mission of Quality and Risk Management (QRM) is to manage... ...include: Guidance and Support to Senior Business Leaders within the... ....Facilitates internal compliance with contract terms, risk management... ...in flight project risks, adjusts contract requirements to accommodate...SeniorRiskContract workFor subcontractorWork at officeLocal area- This OpportunityWSP is seeking a Senior Risk Manager to join our Project Controls group in Houston... ...as the risk management subject matter expert on assigned project, program, portfolio... ....Advise project leadership on risk adjusted contingency and schedule reserve ranges...SeniorRiskContract workLocal areaFlexible hours
$87.7k - $100.1k
...Senior Associate, Risk Manager Are you ready to lead from the front line of a top 10 bank? Do you... .... Framework Alignment: Map and adjust localized business processes to seamlessly... ..., Enterprise Risk Management, Compliance, Business Risk Offices, Information Technology...SeniorRiskFull timePart timeLocal area- ...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
$180.2k - $355.1k
.../30/2026. Work you'll do As an Actuarial Senior Manager on the Human Capital team, you will... ..., economic capital modeling, enterprise risk management, and strategic planning... ...The disclosed range estimate has not been adjusted for the applicable geographic differential...SeniorRiskLocal areaVisa sponsorship$130k - $154k
...effectiveness of AIG’s control environment including risk management, operational, financial,... ...is seeking an energetic, self-motivated Senior Audit Manager who will be responsible for... ...risk background. The SeniorAudit Manager II will also act as a liaison with other audit...SeniorRiskFull timeWork experience placementWork at office- Fifth Third Bank is seeking a Portfolio Manager II for the Oil & Gas sector in Houston, Texas. This role involves managing a complex portfolio, making credit recommendations, and developing client relationships. Candidates should possess strong analytical skills and at...Risk
- Houston Methodist is seeking an RN II to deliver professional nursing care across a diverse patient population, conducting assessments, assisting with treatments, and educating patients. The role collaborates with physicians and the interprofessional health care team to...Senior
- ...construction personnel to ensure a high standard of compliance with pipeline safety regulations and the... ...role focuses on regulatory adherence, risk mitigation, audit readiness, and... ...compliance frameworks. This position reports to Senior Manager, Codes and Regulatory. The...SeniorRiskWork at officeLocal areaFlexible hoursNight shift
$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$93k - $191k
...and driving growth. The Tax Innovation Senior Consultant manages incoming... ...stakeholder coordination through established risk, legal, and compliance workflows — to efficiently advance high... ...range estimate has not been adjusted for the applicable geographic differential...SeniorRiskContract workWork at officeLocal areaVisa sponsorship- ENGIE North America is seeking a Quantitative Analyst II to join the Asset Backed Trading team in the United States. You will analyze... ...quantitative professionals, focusing on forecasting, deal pricing, and risk management while promoting coding standards and robust analysis....RiskWork at office
- Responsibilities Act as the risk management subject matter expert on assigned project, program, or portfolio, being accountable for the risk management... ...decision‑making. Advise project leadership on risk‑adjusted contingency and schedule reserve ranges based on...SeniorRiskContract workLocal area
$128k - $173k
...Responsibilities JOB PURPOSEThe Senior Manager, Investment and Risk Management plays a pivotal role in strengthening... ...& Risk EvaluationAssess risk‑adjusted returns, key assumptions, and... ...lifecycle.Collaborate with subject matter experts to quantify risks for investment...SeniorRiskFull timeTemporary workWork experience placement$100.35k - $205k
...31, 2027.What you’ll doAs a Senior Consultant in Deloitte’s Legal... ...the core responsibilities of compliance, reporting and planning, while... ..., agile resourcing models, risk, provision and compliance. QualificationsRequired... ...range estimate has not been adjusted for the applicable geographic...SeniorRiskContract workWork at officeLocal area- ...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
$105.4k - $207.8k
...GRC Access & Process Control Senior Consultant / Senior Engineering... ...helping organizations reduce risk and enable business... ...or SAP Governance, Risk, and Compliance (GRC)3+ years of experience designing... ...range estimate has not been adjusted for the applicable geographic...SeniorRiskLocal areaVisa sponsorship- Eagle Analytical seeks an experienced Microbiologist II to perform advanced microbiological testing in a cleanroom, ensuring ISO 17025, cGMP and cGLP compliance. The role includes equipment maintenance, data review, and cross‑functional collaboration to support client projects...Senior
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