Hybrid Risk Adjustment Coder: Impactful HCC Coding
Cano Health, LLC
Cano Health, LLC is seeking a Risk Adjustment Coder to join our hybrid team in New York. The coder will identify and document coding information crucial for Clinical Condition Categories and ensure diagnosis code accuracy. This role involves regular collaboration with healthcare providers, and candidates must have coding certifications and prior experience. This position emphasizes attention to detail and strong organizational skills, suitable for professionals passionate about healthcare. #J-18808-Ljbffr Cano Health, LLC
- Mount Sinai Medical Center of Florida, Inc. is seeking a Certified Risk Adjustment Coder to ensure accurate coding and documentation standards. The role involves reviewing medical records, providing feedback to physicians, and maintaining coding credentials. The ideal candidate...Risk
- ## Risk Adjustment CoderApplyremote type: Hybridlocations: Jupiter... ...believe in making an impact!We are committed to... ...Summary**The Risk Adjustment coder will identify, collect,... ...claims and encounter coding information as it... ...appropriate coding based on CMS HCC categories* Prepare the...RiskWork at officeFlexible hoursWeekend work
- ...Baptist Health is seeking a Certified Professional Coder to perform medical record reviews and coding to support risk adjustment and Medicare compliance. The role involves identifying documentation gaps, communicating with providers, and ensuring accurate ICD-10-CM coding...Risk
- ...record documentation. May assign codes to medical diagnoses,... ...appropriate diagnosis (including HCC Coding Hierarchical Condition... ...ACCURACY (DRG) ACCURACY - CODER ACCURACY - OUTPATIENT ANALYSIS... ...Auditor (CPMA), Certified Risk Adjustment Coder (CRC) by AAPC, or Certified...RiskWork experience placementWork at officeLocal areaShift work
- ## Certified Risk Adjustment CoderApplylocations: Hialeah, FLtime type: Full... ...* Demonstrates knowledge of coding and documentation standards... ...assignment of a valid and accurate HCC for each episode of care*... ...to discern the financial impact of a query in order to prioritize...RiskWork at office
$143.62k - $229.79k
...As a Consulting Actuary -ACA Risk Adjustment, you will play a pivotal role... ...Risk Adjustment , including HHS-HCC model methodology, risk score forecasting, and financial impact analysis - Highly Preferred P... ...understanding of diagnosis coding (ICD-10-CM) , provider...Risk$20.5 - $27.85 per hour
...information. Identifies and codes diagnoses and procedures for... ...M) and as needed Diagnostic, HCC, Retrospective Coding, Documentation... ...CPC (Certified Professional Coder) Preferred or COC (Certified... ...Requirements CRC (Certified Risk Adjustment Coder) required -or- CIC (...RiskCasual workRemote work- Oscar Health is hiring an Associate, Risk Adjustment Auditor for their Risk Adjustment team. This remote role requires conducting quality audits specific to ICD-10 code abstraction and ensuring compliance with coding standards. The ideal candidate holds a Bachelor's degree...RiskRemote job
$49.72k - $92.47k
...MAITLAND State Florida Postal Code 32751 Job Description Reviews... ...severity of illness and risk factors. Collaborates with physicians... ...background and risk adjustment/HCC knowledge (Preferred) [Preferred... ...Preferred] Certified Professional Coder (CPC) [Required] Certified...RiskFull timeWork experience placementLocal areaShift work- The Senior Clinical Coder serves as a subject matter expert in medical coding and DRG validation, playing a critical role in ensuring coding accuracy, regulatory... ...and claims systems Escalate complex or high-risk cases to the Medical Director as appropriate Required...RiskFull timeWork at officeRemote workWork from homeHome office
- ...At Houston Methodist, the Inpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to inpatient encounters based upon... ...job, especially with regard to activities impacting patient or employee safety or security Ability...ApprenticeshipWork at office
- ...experience for all. JOB SUMMARY The Coding Coordinator is an integral... ...these items. Participate in risk adjustment coding audits including but... ...Advantage and Commercial HCC models Proficient in Microsoft... ...experience Certified Risk Adjustment Coder (CRC) (Preferred) HHS IVA...RiskWork at office
- ...Primary Care seeks a Manager, IPA Consultative Medical Coding to lead a regional team focused on risk adjustment accuracy and documentation excellence. You will... ...of leadership and CPC certification, with in-person/hybrid work in Florida. #J-18808-Ljbffr CenterWell Senior...Risk
- ...motivated and experienced Charge Posting (Coder) Supervisor to join our leadership team... ...review and approve encounters using industry coding guidelines, optimize workflow efficiency,... ...and collaborative company culture Impactful work that makes a real difference for healthcare...
- ...everything behind the scenes: real-time risk stratification, AI-assisted... ...flexibility of a part-time commitment and the impact of a full-time mission. What You'll Own... ...of value-based care mechanics: HCC coding, risk adjustment, Medicare/Medicaid programs, and quality...RiskFull timeContract workPart timeWork at officeRemote workShift workWeekend work
- ...clinical documentation to improve coding accuracy, quality metrics, and... ...the severity of illness, risk of mortality, and proper reimbursement... ...Collaborate with physicians, coders, and clinical staff to improve... ..., mortality reviews, and risk adjustment tool experience. Hiring...RiskRemote jobMonday to FridayFlexible hours
- A healthcare organization is looking for a Medical Coder to work remotely from Florida. The candidate will be responsible for abstracting data from medical records into system software and coding diagnoses and procedures according to standardized guidelines. A minimum...Remote work
- ...A healthcare staffing company is seeking a Remote Inpatient Coder to support accurate coding operations for patient records. This contract role requires RHIA, RHIT, or CCS certification and at least 3 years of coding experience. You will assign diagnostic codes using...Contract workRemote work
- ...TalentFish is casting a line for a Remote Inpatient Coder . This is a contract role that plays a key part in supporting a large healthcare organization's medical coding operations. The position exists to ensure accurate and compliant coding of inpatient records, contributing...Contract workLocal areaRemote work
- ...Monitor billing exceptions, credits, adjustments, delayed invoices, and revenue or cash-flow impacts Reconcile bookings, billings,... ...forecast and explain variances, risks, and opportunities Support... ...enterprise generative-AI and coding-assistant tools in finance, accounting...RiskContract work
- ...and corporate initiatives with significant financial impact. You will lead employment-law counseling, oversee... ...litigation and EEOC matters, and advise senior leadership on risk management and policy development within a Hybrid-Flex work environment. #J-18808-Ljbffr Blue Cross...RiskRemote jobFlexible hours
- ...Finance, Operations, Medical Coding, and Medical Auditing, the... ...posting of payments, adjustments, and remittances (ERA/EOB),... ...trends, quantify financial impact, and drive process improvement... ...Preferred Certified Professional Coder (CPC) Certified Risk Adjustment Coder (CRC)...RiskLocal area
- A healthcare solutions provider is seeking a Senior Clinical Coder to serve as a subject matter expert in medical coding and DRG validation. This fully remote, full-time position requires extensive experience in coding accuracy, regulatory compliance, and reimbursement...Remote jobFull time
- ...experience for all. SCOPE OF ROLE The Risk Adjustment and Analytics Team is working to push boundaries... ...to meet those needs. Using SQL code, mine data on medical spend, clinical data... ...(Preferred) Familiarity with CMS‑HCC and HHS‑HCC risk Adjustment Models Familiarity...Risk
- Greenberg Traurig, LLP seeks an IT Risk and Compliance Analyst located in Miramar for a hybrid role. You will lead the third-party risk management program, performing assessments and collaborating across teams to enhance security protocols. The ideal candidate has a degree...Risk
$120k
...including responsible use of coding assistants to improve speed, quality... ...good judgment around quality, risk, security, and long‑term... ...Experience managing distributed, hybrid, or vendor‑augmented... ...while leading teams that directly impact revenue, customer satisfaction...RiskWork at officeLocal areaFlexible hours- ...improvement efforts including chart audits, coding accuracy, and provider education.... ...with clinical teams, case managers, and risk adjustment specialists to optimize patient care and... ...measures, Star Ratings, risk adjustment (HCC coding), and electronic medical records...RiskWork at officeLocal area
$125.6k - $172.7k
..., we never stop solving for you.****The Impact You’ll Make in this Role**As a **CDI Outsourcing... ...Management (HIM) services consulting or coding functions in mid-to-large size acute... ...experience; Working knowledge of risk-adjusted methodologies (e.g., APR DRGs) and quality...RiskRemote jobH1bRelocation packageFlexible hours- ...healthcare and creating a better care experience for all. A Medical Coder, or Certified Professional Coder, is responsible for reviewing a... ...records after a visit and translating the information into codes that insurers use to process claims from patients. Their duties...Work at office
- ...level of care rendered, severity of illness, risk of mortality and clinical validation (in... ..., and US News and World Report risk‑adjustment systems to identify clinical documentation... ...and key areas for improvement in querying, coding, and documentation integrity....RiskFull timeWork at office
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Hybrid Risk Adjustment Coder: Impactful HCC Coding. Be the first to apply!


