HCC Coding Specialist - Risk Adjustment & Audits (Remote)
$27.02 - $41.85 per hourHighmark Health
- Remote job
Highmark Health is seeking a qualified individual for HCC coding responsibilities within government programs such as Medicare Advantage and ACA. The role involves coding projects, assisting with audits, and engaging in educational meetings. Candidates should possess 3 years of HCC coding experience, relevant certifications, and an associate degree preferred. The job allows for remote work, with a pay range from $27.02 to $41.85 per hour, depending on experience. #J-18808-Ljbffr Highmark Health
$27.02 - $41.85 per hour
...Health in Phoenix, Arizona, is seeking an HCC Coding Specialist to support Risk Adjusted government programs like Medicare... ...MA and ACA projects, assisting with audits, and improving documentation processes. The role allows for remote work and offers a pay range of $27.02...Remote jobRiskHourly pay- 6AM City, LLC is seeking a remote HCC Coding Specialist/Risk Adjustment Coding Specialist. This role is vital in delivering value to beneficiaries enrolled in Risk Adjustment government programs, providing expertise in HCC coding and compliance with CMS requirements. Applicants...Remote jobRiskWork experience placement
- Highmark Health is looking for an HCC Coding professional to deliver value to the Health Plan and its beneficiaries. The role involves HCC... ..., and proficiency in Microsoft Office. The work is mainly remote, with occasional travel and team collaboration. #J-18808-Ljbffr...Remote jobRiskWork at office
$27.02 - $41.85 per hour
...beneficiaries enrolled in Risk Adjusted government programs... ...Condition Category (HCC) Coding, medical coding,... ...Data Validation (RADV) Audits. Works closely with physicians... ...coding. Supports all Remote Patient Monitoring (... ...), Certified Coding Specialist (CCS), or Registered...Remote workRiskWork at officeLocal areaFlexible hours$102.55k - $115.37k
...Risk Adjustment Coding Manager Join VillageCare as a Full-Time Medicare Risk Adjustment Coding Manager... ...for Hierarchical Condition Category (HCC) accuracy and closing quality gaps.... ...Adjustment coding and familiarity with RADV audits. Proficiency in HEDIS measure...Remote workRiskFull timeWork experience placement- ...For roles that are 100% remote or hybrid, you must... ...The Corporate Director, Risk Adjustment Operations is the executive... ...record acquisition, coding, QA, and vendor oversight... ...obligations, audit support, performance governance... ...Knowledge of CDPS Rx, CMS-HCC, and/or HHS-HCC...Remote workRiskContract workWork experience placementWork at officeFlexible hours
- ...Auditor based in Arizona to develop risk mitigation and education... ...include reviewing medical records, coding for accuracy, and educating... ..., with proficiency in HCC coding, and certifications like... ...candidates to work both onsite and remotely within Arizona. #J-18808-Ljbffr...Remote workRisk
- ...Job Title: HCC | Risk Adjustment Coder Location: Newark, NJ (100% Remote) Duration: 6 months (possible extension) Pay Rate: $30 - $35/hr. on W2... ...Job Summary: ~ Responsible for reviewing, auditing, coding, and analyzing medical records to ensure accurate...Remote workRiskWork at office
$86.4k
...activities in support of Risk Adjustment and Quality/HEDIS.... ...Risk Adjustment Coding and Quality/HEDIS.... ...and regulatory audits, accreditation... ...Risk Adjustment, HCC coding, medical coding... ...Certified Coding Specialist (CCS) Registered... ...CONDITIONS Position Type Remote Teaches / trains...Remote workRiskFor contractorsWork at officeLocal area$70k - $150k
...Differently The Coding Compliance Consultant... ...certified coding skills to audit provider claims and... ...-10-CM codes that risk adjust under the CMS-HCC model for Medicare.... ...capacity. However, remote candidates will also... ...include specialist consultants, industry...Remote workRiskLocal area$58.53k - $87.8k
...position is hybrid- remote in Orange, CA. The... ...Condition Categories (HCC) Coding Analyst will effectively... ...coding strategies. Audit all RAPS submissions... ...CMS. 4. Works with Risk Adjustment Management on any Data... ...Support Staff, PCPs, Specialists, Employees vs....Remote workRiskLocal area- Oscar Health is hiring a remote Associate, Risk Adjustment Auditor to join their Risk Adjustment team. This role involves conducting internal and external quality audits specific to ICD-10 code accuracy. The ideal candidate will have experience in risk adjustment coding...Remote jobRisk
- ...Risk Adjustment Coding Auditor Blue Cross and Blue Shield of Minnesota is hiring a Risk Adjustment... ...practices Protects patient records and audit information by ensuring compliance with... ...diagnosis code capture based on CMS HCC categories Maintains knowledge of relevant...Remote workRiskHourly payFor contractors
$188.9k - $359.8k
...leadership for Centene's Corporate Risk Adjustment program operations and its... ...integrity and validation audit process. Lead enterprise-wide... ...Adjustment operations for coding and external audits, ensuring... ...flexible approach to work with remote, hybrid, field or office work...Remote workRiskFull timePart timeWork at officeLocal areaFlexible hours$42.79 - $48.75 per hour
...Health Coder - Hcc & Risk Adjustment Burlingame, CA 94010 Overview Salary Range $42.79 - $... ...role in supporting accurate and compliant coding for NEMS MSO operations with a focus on... ...adjustment scores by conducting chart audits, providing provider education, and...RiskHourly payFull time$82.72k - $108.57k
...Oscar. We're hiring a Associate, Risk Adjustment Auditor to join our Risk... ...conducts internal and external quality audits. Quality audits are specific to ICD-10 code abstraction relative to accuracy... ...Adjustment. Work Location: This is a remote position, open to candidates who...Remote workRiskFull timeWork experience placementWork from homeHome office$65k - $75k
...Risk Adjustment Specialist - Primary Care Location: Remote Employment Type: Full-Time Pay : $65K... ...clinical documentation and coding practices. Position... ...accurate ICD-10-CM and HCC coding based on... ...internal and external audits and ensure compliance with...Remote workRiskFull time- ...Level II – Risk Adjustment Coding Specialist (Intermediate) Responsibilities: Abstract and assign... ...level coders. Conduct retrospective audits of medical records to validate diagnosis... ...experience, including 1 year of HCC coding. Advanced knowledge of medical...Remote workRisk
- ...looking for a Manager of Risk Managment to oversee... ...Advantages's full suite of Risk Adjustment activities. This... ...Providers, regulatory audits, and compliance with CMS... ...(chart review, coding validation) programs, ensuring... ...accurate, and compliant HCC documentation under the...RiskWork at office
- ...Medicine , as a Revenue Integrity Specialist in the Lab... ...reimbursement, reduce errors and audit risk, and support departments in maintaining... ...promotes best practices in coding, billing, and documentation... ...am - 5:00pm Work Location: Remote Unit/Department: Laboratory...Remote workRiskFull timeFor contractorsWork at officeLocal areaWork from homeShift workDay shift
- ...Overview The Sr. Director of Risk Adjustment is a senior leader... ...scientists, and program specialists while partnering closely... ...predictive models (e.g., HCC suspecting, gap closure prioritization... ...performance monitoring, coding completeness, and audit-readiness dashboards. *...RiskLive inWork at officeLocal areaFlexible hours
$78k - $113k
...Position Summary The Manager of Risk Adjustment Coding manages the day-to-day... ...performance of workflows for auditing electronic medical records... ...Condition Categories (HCC). Risk adjustment coding relies... ...Certified Clinical Documentation Specialist- Outpatient or Certified...RiskFixed term contractFlexible hours$31.03 - $36.03 per hour
...experience. ~3 years of risk adjustment and/or hierarchical condition category coding experience. ~ Strong... ...experienced coding specialists. Experience Experience... ...Data Validation audit activities. Experience... ...adjustment coding. HCC coding. Medical record...Remote jobRiskTemporary workWork experience placement$70k - $85k
...Risk Adjustment Coding Specialist II - Remote Department: Quality - Risk Adjustment Employment Type: Full Time... ...on key performance metrics-such as HCC recapture rates, AWVs, and other... ...abstraction and/or coding quality audits of medical records to ensure ICD-10...Remote workRiskFull timeWork at office$27.57 - $35.84 per hour
...57 - $35.84 / hour Summary The HCC Coding Educator is responsible for improving the... ..., completeness, and compliance of risk-adjustment documentation through targeted provider... ...remaining fully compliant with CMS and payer audit standards. The position serves as a...Remote workRiskFull timeShift work$85k - $200k
...and knowledge related in coding, revenue cycle and clinical... ...in a variety of risk adjustment related areas. Qualifications... ...recent years of experience in HCC/Risk Adjustment and/or RADV Audit Methodology Associate'... ..., ability to work in a remote environment, and time...Remote workRisk- ...Hcc Coder PedIM Healthcare is seeking an experienced... ...to ensuring accurate risk adjustment, complete... ...optimize RAF scores and coding accuracy. What We Offer... ...interview In-house or remote flexibility Team-... ...experience with chart audits and provider education...Remote workRisk
$112.2k - $202.6k
...development. Job Summary The Medicare Risk Adjustment Analytics Consulting Manager is a... ...Risk Adjustment experience (HCC models, risk score calculations, RADV audits). Proven success leading data projects... ...-technical partners. This is a Remote role. #LI -PD1 #LI-REMOTE Are you...Remote workRisk- ...plans manage medical risk by improving patient care... ...: The Medicare Risk Adjustment Coding Specialist is responsible for conducting coding audits prior to payment... ...Condition Categories (HCC) conditions applicable... ...• Ability to work remotely without direct supervision...Remote workRiskFull timeTemporary workLocal area
$143.62k - $229.79k
...As a Consulting Actuary -ACA Risk Adjustment, you will play a pivotal role... ...Adjustment , including HHS-HCC model methodology, risk score... ...understanding of diagnosis coding (ICD-10-CM) , provider documentation... ...the role is Hybrid Flex or Remote Flex depends on the nature of...Remote workRiskLocal areaFlexible hours
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