Medical Coder I: Precision Coding & Risk Adjustment
Claremedica Health Partners
ClareMedica Health Partners is seeking an accurate, detail-oriented Medical Coder to review records and assign codes for risk-adjustment models and office procedures. You will evaluate charts, validate coding accuracy, and ensure compliance with coding guidelines. The ideal candidate holds CPC or CRC certification, with 2+ years of coding experience, strong terminology knowledge, and proficiency in EMR software and MS Office. #J-18808-Ljbffr Claremedica Health Partners
- Claremedica Health Partners LLC is seeking an accurate Risk Adjustment Coder to join our team in a detail-oriented role focused on reviewing medical records and coding for risk adjustment models. You will verify documentation, ensure ICD-10-CM and CPT guideline adherence...Risk
- ...Medical Coder I At Claremedica, exceptional is the standard. Driven... ...accurate, detailed oriented Risk Adjustment Coder to join our team. You... ...documenting claims and encounter coding information for adherence to... ...Suite. Accurate and precise attention to detail. Ability...RiskWork at officeLocal area
$23 - $28 per hour
...Required Skills & Experience • Certified coder (CPC, CCS, CRC, CCA, or equivalent certification) • Strong ICD-10-CM coding experience and medical record review background • Knowledge of Risk Adjustment and HCC coding methodologies • Experience reviewing physician...RiskHourly payRemote work$71.18k - $108.53k
...Plans in the Florida market, is hiring a Risk Adjustment Nurse/Coder (RN/CPC, COC, CIC, CCS-P, CCS, RHIT,... .... Performs prospective/retrospective medical record reviews (MMR) & CMS/HHS Risk... ...(RADV) audits. Reviews provider coding for professional & inpatient/outpatient...RiskFull timeTemporary workWork at officeRemote workShift work- ...division of Sentara Health Plans, seeks a Risk Adjustment Nurse/Coder in a hybrid role in Doral, FL. The... ...focuses on CMS/HHS risk adjustment coding, RADV audits, and ensuring accurate HCC... ...certifications, with 2 years of medical coding experience and familiarity with...Risk
- ...SystemFull TimeSummaryHIM Inpatient Coder 2 is responsible for reviewing... ...contained in the in-patient medical records to accurately assign... ...and ICD-9 procedure codes to inpatient records for use in... .../or information with possible risk factors to the Coding Associate...Risk
- ...enthusiasts to join us.Job SummaryThe Risk Adjustment coder will identify, collect, assess, monitor and document claims and encounter coding information as it pertains to Clinical... ...ResponsibilitiesEssential Duties & ResponsibilitiesReview medical record information to identify all...RiskWork at officeFlexible hoursWeekend work
- ...Certified Medical CoderWe are looking for experienced Certified Medical Coders, specializing in payer-side healthcare operations. If you have a robust background in medical coding, claims, benefits, and healthcare reimbursement, and thrive in a fast-paced environment,...Remote work
- ...Position ResponsibilitiesDemonstrates knowledge of coding and documentation standards as well as CMS risk adjustment guidelines and HCCs (hierarchical condition categories)Reviews medical record to ensure all diagnosis codes are documented for the assignment of a valid...RiskWork at office
$97.3k - $189.73k
...Contracts, including shared savings, shared risk, capitation, and other CMS-aligned... ...impacted by the regulatory risk adjustment payment model. Supports achievement of... ...Set (HEDIS) and Medicare STARS, and coding. Knowledge of medical economics and financial reporting, and...RiskRemote jobContract workWork experience placementWork at officeLocal area- ...resilience from within. We blend risk strategy, digital identity,... ...security posture improvement.Agentic coding is not a supporting skill for... ...CISO and CTO: build risk-adjusted investment cases, security... ...competitive suite of benefits including medical, dental, vision, life, and...RiskWork experience placementLive inWork at officeLocal area
- ...design discussions, architecture reviews, and code reviews to improve solution quality and... ..., estimation, capacity planning, and risk management across delivery teams.Oversee... ...The disclosed range estimate has not been adjusted for the applicable geographic differential...RiskLocal area
- ...Portfolio Management and execution of 1A risk management activities in a manner consistent... ...pricing and fees have been applied / adjusted correctlyClient Penetration/Cross SellConsults... ...other skills tests (such as simulation, coding, MS Office). Our goal for the application...RiskLocal area
- ...Risk Adjustment Data AnalystDoral, Florida, United StatesNeueHealth is a value-driven healthcare... ...owned clinics – Centrum Health and Premier Medical – as well as unique partnerships with... ...analytics to meet those needs.Using SQL code, mine data on medical spend, clinical data...Risk
- ...country. Feel free to check us out at Job Description Business Medical Coder Location: 5775 Blue Lagoon Dr., Miami, FL 33126 Contract: 3... ...Review of denial on adjudicated claim that is classified as a code edit denial. Request and review supporting documentation (...Contract work
- ...schedule Vision insurance Job Description: Candidate must have minimum of 1 year experience as Medical Charge Poster (coder); Need to be proficient with ICD-10 and coding guidelines. Good benefits; paid vacation, paid holidays, medical insurance, 401K with employer contribution...Flexible hoursDay shift
- A national recruiting company is seeking a Business Medical Coder in Miami. The role involves reviewing coded claims, requesting medical documentation, and communicating with providers about claim denials. Applicants should have coding experience, specifically CPC-A certification...Contract work
- ...preliminary schedule is created; review and adjust for constructability. Review all... ...application process including reviewing and coding of project related invoices for payment,... ...the Director of Construction. Develop risk management and recovery strategies when project...RiskContract workFor subcontractorWork at office
- About Us We are a fast-growing, innovative medical billing company committed to transforming... ...and experienced Charge Posting (Coder) Supervisor to join our leadership team and... ...review and approval encounters using industry coding guidelines, optimize workflow efficiency,...
$155.6k - $306.8k
...practitioner who moves with speed and precision, building working software,... ...other FDEs through design/code reviews and feedback, while... ...safety, latency, cost, and model risk.Deliver production-quality... ...disclosed range estimate has not been adjusted for the applicable geographic...RiskLocal areaShift work- ProMD Medical Billing in Miami, FL is seeking a charged posting supervisor to lead a team of certified coders. You will review encounters, enforce coding guidelines, and drive efficiency across commercial, Medicaid, and Medicare submissions. Join a fast-growing company...
- ...maintenance, financial, administration & risk management. As an offsite leader, you will... ...trends and recommend strategies and adjustments Develop yearly operating budgets/forecasts... ...the timely receipt, reconciliation, and coding of all vendor invoices Ensure property...RiskPermanent employmentFor contractors
$132.5k - $366.3k
...resilience from within. We blend risk strategy, digital identity,... ...posture improvement. Agentic coding is not a supporting skill for... ...client CISO and CTO: build risk-adjusted investment cases, security... ...competitive suite of benefits including medical, dental, vision, life, and...RiskWork experience placementLive inWork at officeLocal area$90k - $170k
...backing of a global network committed to collaboration, disciplined risk management and continuous learning. With opportunities to deepen... ..., variance swaps and equity total return swaps.• Strong Python coding skills or proficiency in a similar programming language.•...RiskWork experience placementWork at office- ...Bank's Compliance Department. This position supports the Bank's risk-based Compliance Management System (CMS), with emphasis on consumer... ...close vision, distance vision, color vision and ability to adjust focus. The physical demands described above are representative...RiskFull timeBank staffLocal area
- ...Mount Sinai Medical Center Job OpportunityAs Mount Sinai grows, so does our legacy in high-quality health care. Since 1949, Mount Sinai... ...excellence.Position ResponsibilitiesKnowledge of medical coding rules, regulations and compliance allowing to better handle issues...Work at office
$100k - $175k
...backing of a global network committed to collaboration, disciplined risk management and continuous learning. With opportunities to deepen... ...a strong willingness to contribute and support others.• Strong coding skills in Python or a similar programming language.Salary...RiskWork at office$118.91k - $154.58k
...This position collaborates closely with Risk Management, Patient Safety, Legal Counsel... ...CPHRM, AIC, CPCU, ARM, Florida All-Lines Adjuster License. Minimum six (6) years of progressively... .... Healthcare professional liability (medical malpractice) claims experience strongly...RiskFull time$25 - $30 per hour
...for an accommodation or an alternative application process. Medical Coder FT Technical Virginia Gardens, FL, US 2 days ago... ...concurrent chart reviews using knowledge of ICD10-CM and CPT coding to translate, input, extract and validate medical record data....Hourly pay- ...patients and are seeking healthcare enthusiasts to join us. Job Summary The Risk Adjustment Coder III is responsible for the accurate and timely assignment of medical diagnosis codes in accordance with established risk adjustment models, coding guidelines, and...RiskFull timeWork at officeFlexible hoursWeekend work
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