Risk Adjustment Coder — HCC & MRA Specialist
Cano Health
Cano Health is seeking a Risk Adjustment Coder to identify and document CMS HCC related diagnoses from medical records. You will verify code accuracy, ensure complete documentation, and support clinical and billing teams across sites. Responsibilities include coding, chart preparation, on-site reviews, and ongoing support for MRA coding, HEDIS, and STARS initiatives. Requires CPC/CPC-A/CCS-P or CRC credentials and 2 years of coding experience. #J-18808-Ljbffr Cano Health
- ...enthusiasts to join us. Job SummaryThe Risk Adjustment coder will identify, collect, assess, monitor... ...identify all appropriate coding based on CMS HCC categories Prepare the medical charts... ...Providers and Care Coordinators for MRA coding, HEDIS and STARS Monitor coding...RiskWork at officeFlexible hoursWeekend work
- Datavant is seeking an experienced HCC Auditor to ensure accurate representation of patient conditions for risk adjustment and reimbursement. You will translate clinical documentation into precise codes and verify the quality of coding work in a remote environment. Requirements...RiskRemote job
$29 - $33 per hour
...healthcare. What We're Looking For: As an HCC (Hierarchical Condition Category)... ...representation of patient conditions for risk adjustment and reimbursement purposes. You will play... ...Answer rebuttals entered on the auditor by coders and or auditors Participate in weekly coding...RiskHourly payRemote workFlexible hours- ClinDCast LLC is seeking an experienced Risk Adjustment Coder for remote work in the United States. The role focuses on medical record reviews, coding validation, and audits in line with CMS guidelines. Responsibilities include first-pass and second-pass reviews, ensuring...RiskRemote job
- Risk Adjustment Coder Job Summary We are seeking an experienced and certified Risk Adjustment Coder to perform medical record reviews, coding validation, and audit activities in accordance with applicable CMS guidelines. The ideal candidate will have strong knowledge of...RiskRemote work
- ...5, M-F ROLE OVERVIEW The RCM Specialist III is a senior individual contributor... ...site scorecard/metrics, adjust workflows, and implement new... ...guidelines to reduce compliance risk, and maximize timely... ...procedures Certified Professional Coder (CPC) or Certified Revenue Cycle...RiskRemote job
- ...Health Information Management seeks a Remote Senior Professional Coder to lead the service line for professional coding, charging... ...education and training, support LEAN process improvements, and serve as the HCC/Risk adjustment coding expert. #J-18808-Ljbffr Albany MedRiskRemote job
- ...cost sharing premiums, daycare About ThedaCare! Summary : The Coder (Clinic - II) performs coding review for primary care or... .../or assigns CPT and/or diagnosis codes (ICD-10-CM, including HCC risk adjustment) for primary care and/or specialty clinic services (E&M, office...RiskFull timeWork at officeRemote workFlexible hoursShift work
$85k - $95k
...launch and closeout, including scope, milestones, dependencies, risks, changes, stakeholder accountability, and project-health visibility... ...feedback to flag risks and inform decisions. Adaptability Adjusts priorities and approaches as scope, timelines, and conditions change...RiskFull timeRemote work$64.97k - $97.46k
...Range: $64,972.00 - $97,458.00 The Remote Senior Professional Coder will apply an advanced professional coding skill set to act... ...training to providers and coding staff. Act as an expert for the HCC/Risk adjustment coding. This position is remote but does require onsite...RiskRemote workShift work- Cambia Health Solutions is seeking a Risk Adjustment Campaign Associate to support Medicare Advantage and Commercial campaigns. This remote role works within Oregon, Washington, Idaho or Utah and involves day-to-day operations, vendor monitoring, and EMR record retrieval...RiskRemote jobHourly payTemporary work
$55k - $68.5k
Specialist - Bid Management Ready to turn bold ideas into real-world impact?At Genpact, we don... ...Insight Generation Project Management Risk Management Structuring Deals Language Language... ...to fuel progress Come join the 140,000+ coders, tech shapers, and growth makers at...RiskShift work$110k - $138k
...will you be doing? The Computer Vision Specialist is a member of WWT’s Global Solutions &... ...such as cost, quality, throughput, and risk. Partner engagement. Evaluate and work... ...accessibility accommodation(s) or adjustment during any stage of the hiring process,...RiskFull timeWork experience placementRemote workFlexible hoursShift work$22.5 - $23.85 per hour
...instructions Position Summary: The Prevention Specialist will work closely with the Prevention... ...with populations that are at high-risk for acquiring HIV, to assist them in accessing... ...appropriate, maintains effectiveness & adjusts well when experiencing changes in work...RiskHourly payWork at officeLocal areaFlexible hoursNight shiftWeekend workAfternoon shift3 days per weekEarly shift- ...Solutions is seeking a Coding Quality Specialist to conduct coding quality reviews of medical... ...audit reporting, education for coders, and adherence to CMS and state regulations... ...AHIMA/AAPC credentials, several years in Risk Adjustment coding, and the ability to work...RiskRemote job
$50k - $75k
...As a leading provider of crop insurance and other agricultural risk management tools, we recognize that our success is derived directly... ...? AgriSompo has a unique opportunity for a Crop Insurance Adjuster to join our Upper Midwest team, supporting our Multi-Peril Crop...RiskWork at officeRemote workWorldwideHome officeFlexible hoursWeekend work$44.25k
USA Sr. Specialist, Account ServicesCountry: United States of America It Starts With You: Santander... ...Employers with money movement or audit risk. Takes ownership for providing... ...day challenges confidently and willing to adjust to multiple demands, shifting priorities,...RiskHourly payFull timeContract workWork experience placementWork at officeShift workNight shift$76k - $93k
...Program. Position Summary The ADA & Leave specialist is responsible for overseeing the day-to-... ...requirements. Identify compliance risks and recommend corrective actions. Support... ...vision, depth perception and the ability to adjust focus. LifeStance provides the compensation...RiskFull timeTemporary workLocal areaRemote work- ...ensuring their workers are paid and mitigating areas of potential risk or conflicts of interest. Responsible to develop engaged and... ...Comfortable working within a variety of settings with ability to adjust style as needed to work with diverse populations, various personalities...RiskWork at officeLocal areaRemote workWork from home
$4,458 - $5,864 per month
Position Title Office Specialist 2 , General Services OS2 (Lakeview) Initial Posting Date... ...security prison setting with all the inherent risks found therein. Examples are: confined... ...applicants may be eligible for an adjusted range to reflect an additional 6.95%. The...RiskContract workTemporary workWork at officeImmediate startTrial periodFlexible hoursAfternoon shift$44k - $57.5k
Become a part of our caring community The Records Retrieval Specialist (Risk Adjustment Rep. 2) conducts quality assurance audits of medical records and ICD 9/10 diagnosis codes submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies...RiskFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to FridayNight shift$42 - $51 per hour
...person-focused and economically sustainable health care system. Who We Are Looking For Every day, Cambia’s dedicated team of Risk Adjustment Campaign Associates are living our mission to make health care easier and lives better. As a member of the Claims Audit/Risk Adjustment...RiskHourly payTemporary workWork at officeWork from homeFlexible hours- ...environment Are ready to learn and grow through innovation and risk-taking Have a passion for getting it done Welcome opportunities... ...official title of this position is Supervisory Government Information Specialist. As a Supervisory Privacy Specialist, you will: Plan, manage,...RiskFull timeTemporary workPart timeWork experience placementWork at office
- UASI is seeking an Outpatient Clinical Documentation Improvement (CDI) Specialist to join our team in a fully remote capacity. You will support coding accuracy, HCC capture, regulatory compliance, and documentation integrity with strong clinical judgment and analytical...Remote job
$33.05 - $49.6 per hour
...hours each week. Certification required : Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA). Remote opportunity: Advocate Health may approve those who...Daily paidFull timeTemporary workPart timeWork at officeRemote workMonday to FridayFlexible hoursShift work$4,558 - $5,995 per month
Position Title Institution Records Specialist, Administrative Specialist 1(Lakeview) Initial... ...abusive, and aggressive, increasing the risk for employees of physical injury, death,... ...applicants may be eligible for an adjusted range to reflect an additional 6.95%. Family...RiskTemporary workWork at officeImmediate startTrial periodFlexible hours- ...brokerage firm delivering expertly crafted Commercial Insurance and Risk Management, Private Insurance and Risk Management, Employee... ...and risk management. Position Summary The Certificate Specialist, Construction provides professional-level support to construction...RiskContract workInternshipWork at office
$40 - $50 per hour
...partner is looking for a Vulnerability Management & Remediation Specialist based in the United States. The Vulnerability Management &... ...vulnerability assessments, patch management, security configuration, and risk reduction across Windows, Linux, network, and cloud...RiskHourly payImmediate startRemote work$55.5k - $66.6k
About the Team/Role The Merchant Risk team plays a critical role in the setup and administration of merchants within our proprietary... ...urgency* Management of maintenance or other requests including adjustments, setups, etc. within deadlines and with minimal errors or...RiskContract workFlexible hours- Mount Sinai Health System seeks a Clinical Documentation Specialist to support outpatient physician practices in improving documentation... ...Management and the CDQI leadership team. This role emphasizes HCC coding, data-driven improvements, and collaboration with HIM, physicians...
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