Remote Risk Adjustment Coding Specialist II

Astrana Health, Inc.

Remote job

Astrana Health, Inc. is seeking a Risk Adjustment Coding Specialist II to support our Houston market. This remote role focuses on high-volume chart reviews, identifying coding gaps, and delivering education to providers and practice leaders. You will track KPIs like HCC recapture rates and AWVs to drive program success. Ideal candidates live in CST or EST time zones, have strong risk adjustment experience, and can engage effectively with physicians regarding coding and documentation policies. #J-18808-Ljbffr Astrana Health, Inc.

Apply

Vacancy posted 3 days ago

Similar jobs that could be interesting for youBased on the Remote Risk Adjustment Coding Specialist II in Houston, TX vacancy

RCIS Crop Claims Field Adjuster I/II/Specialist (MT/WY Virtual)
$21.28 - $29.32 per hour
...Department of Agriculture’s Risk Management Agency.... ...RCIS Crop Claims Field Adjuster II to work out of the states... ...the RCIS Crop Claims Specialist is $47,000.00 - $77,000... ...complies with 18 U.S. Code § 1033. Please note... ...Montana Virtual Office Remote Working: Yes...
Remote work
Risk
Hourly pay
Full time
Temporary work
Work at office
Local area
Work from home
Visa sponsorship
Zurich Insurance Company Ltd.
Wyoming State
6 hours ago
RCIS Crop Claims Field Adjuster I/II/Specialist (IA Virtual)
$21.28 - $29.32 per hour
...RCIS Crop Claims Field Adjuster I or RCIS Crop Claims Field Adjuster II or RCIS Crop Claims Specialist to work out of the... ...providers, offering risk management protection... ...team and/or provide remote assistance for the CROP... ...complies with 18 U.S. Code § 1033. Please note...
Remote work
Risk
Hourly pay
Full time
Temporary work
Work at office
Local area
Work from home
Visa sponsorship
Zurich
Iowa, Johnson County, IA
a month ago
Senior Risk Adjustment Auditor II - Hybrid (Remote Options)
Cambia Health Solutions is seeking a Risk Adjustment Auditor I or II for a hybrid role with three days in office across designated U.S. locations,... ...reviews to ensure accurate risk adjustment reporting and coding integrity. You will analyze provider documentation, identify...
Remote job
Risk
Work at office
Cambia Health Solutions
New York, NY
10 hours ago
Risk Adjustment Coding Specialist II - REMOTE CST/EST
$70k - $85k
Risk Adjustment Coding Specialist II - REMOTE CST/EST Department: Quality - Risk Adjustment Employment Type: Full Time Location: 1668 S. Garfield Ave. 2nd Floor, Alhambra, CA 91801 Reporting To: Liz Francisco Compensation: $70,000 - $85,000 / year Description We are...
Remote job
Risk
Full time
Live in
Work at office
Home office
Astrana Health, Inc.
Alhambra, CA
3 days ago
Remote HCC Coding Specialist - Risk Adjustment
...Medical Ltd in Arizona is seeking a Medical Coding Specialist to join our team. The role focuses on ICD-10-CM coding for risk adjustment and requires accuracy in a fast-paced... ...days, after which it transitions to fully remote. Candidates must reside in Arizona and have...
Remote job
Risk
Optima Medical Ltd
Scottsdale, AZ
1 day ago
QI Specialist II
...Quality Improvement Specialist This role is fully remote but may require on-site visits to a provider's office to retrieve... ...a strong understanding of Medicare risk adjustment, familiarity with CMS RADV/RDAV processes, HCC coding, and medical record documentation standards...
Remote work
Risk
Work at office
Monday to Friday
Saviance
Miami, FL
3 days ago
BHMG Ambulatory CDI Specialist
...Ambulatory CDI Specialist Baptist Health Medical Group... ...our team! This is a remote work position that requires... ...utilizing their coding and clinical expertise... ...procedures ~ HCPCS, CPT, CPT II and modifier coding... ..., Rx HCC coding and risk adjustment assignment as it...
Remote work
Risk
Work at office
Flexible hours
Baptist Health
United States
3 days ago
Revenue Cycle Specialist I
$19.21 - $28.73 per hour
...The Revenue Cycle Specialist is responsible for... ...issues. This is a remote position. ESSENTIAL... ...Analyze and adjust/reprice claims to ensure... ...on billing and coding guidelines and regulations... ...leveled roles (I, II, III, Senior, Lead,... ...| Opportunities in Risk Management In...
Remote work
Risk
Hourly pay
Minimum wage
Full time
Contract work
Work experience placement
Work at office
Local area
Flexible hours
CERIS Health
Fort Worth, TX
1 day ago
Reimbursement Specialist II
...Reimbursement Specialist II Guardant Health is a leading precision oncology company focused... ...in both professional and facility coding, billing, and collections with high volume... ...skills to accurately interpret payment & adjustment transactions (must be able to read &...
Remote work
Guardant Health
United States
2 days ago
Specialist II, Financial Aid
$41.8k
Title: Specialist II, Financial Aid Department: DT Financial Aid Campus... ...Occasional Saturdays9:00am - 2:00pm. Remote Eligible: This position is... ..., and theability to adjust focus. Work Environment The work... ...and is occasionally exposed to risk of electrical shock. Thenoise...
Remote work
Risk
Work experience placement
Summer work
Work at office
Monday to Friday
Tarrant County College
Fort Worth, TX
4 days ago
Specialist II, Learning Commons
$41.8k
Title: Specialist II, Learning Commons Department: Learning Commons Campus... ...- Thursday 7:30am -9:00pm Remote Eligible: This position is... ...perception, and theability to adjust focus. Work Environment The... ...and is occasionally exposed to risk of electrical shock. Thenoise...
Remote work
Risk
Work experience placement
Summer work
Tarrant County College
Fort Worth, TX
3 days ago
Risk Adjustment - Risk Adjustment Data Analyst II 135-2008
...0-09Job Family: CommercialPay Type: SalaryJOB SUMMARY: The Risk Adjustment Analyst II supports the organization’s Medicare Advantage (MA) and Affordable... ...production and performance reports across retrieval, coding, and vendor operations. Support retrospective chart reviews...
Risk
Work at office
CommunityCare
Tulsa, OK
10 hours ago
General Liability and Auto Claims Adjuster II
$75k - $90k
...Claims Adjuster II AvonRisk is the nation's leading specialty risk manager for self-insured organizations, uniting respected regional leaders in workers' compensation... ...Location & Work Arrangement: Position is fully remote with preference for candidates in California....
Remote work
Risk
Work experience placement
Work at office
AS&G Claims Administration
United States
1 day ago
Specialist Coding Auditor
...Quality Assurance Auditor with a coding background. The role focuses on... ...provider education and risk mitigation initiatives.Location is Phoenix, AZ or remote. Requirements include 5+ years... ...professional coding, 3+ years in HCC/risk adjustment, 2+ years auditing/QA, and...
Remote work
Risk
AAPC
New York, NY
4 days ago
RCM Specialist II - REMOTE
$45.76k - $56.16k
...LOCATION: REMOTE HOURS: M-F, 8-5 ROLE OVERVIEW The RCM Specialist II is an individual contributor role on the RCM team... ...submission, payment application, adjustments, and resolution of outstanding... ..., claim submission, charging/coding requirements, insurance AR...
Remote work
Full time
Paradigm Oral Surgery
Remote
11 days ago
Hierarchical Condition Category (HCC) Coding Specialist
$27.02 - $41.85 per hour
...its beneficiaries enrolled in Risk Adjusted government programs such as... ...Condition Category (HCC) Coding, medical coding, clinical terminology... ...(CRC), Certified Coding Specialist (CCS), Registered Health... ...Conditions Position Type: Remote Office-based Teaches / trains...
Remote work
Risk
Work at office
Flexible hours
Highmark Health
United States
13 hours ago
CDI Specialist III
$35 - $65 per hour
...CDI Specialist III - REMOTE Job is hosted by: Daylen Quichocho Salary: $3... ...treatment, maternity with a Level II NICU, and advanced surgical... ..., healthcare providers, and coding professionals to ensure the... ...the severity of illness and risk of mortality. #...
Remote work
Risk
Hourly pay
Jobot
Florida, NY
1 day ago
General Liability and Auto Claims Adjuster II
$75k - $90k
...AvonRisk is the nation’s leading specialty risk manager for self-insured organizations,... ...category. Role Summary: The Claims Adjuster II investigates, evaluates, and adjusts... ...& Work Arrangement: Position is fully remote with preference for candidates in California...
Remote work
Risk
Work experience placement
Work at office
AvonRisk
Rocklin, CA
11 days ago
Workers Compensation Claims Adjuster II
...AvonRisk is the nation’s leading specialty risk manager for self-insured organizations,... ...: As a Workers’ Compensation Claims Adjuster II at AvonRisk, you’ll independently manage... ...Arrangement: Position is approved for remote work, candidates must be based in Texas...
Remote work
Risk
Permanent employment
Work at office
AvonRisk
Rocklin, CA
16 days ago
Remote Texas Workers' Comp Claims Adjuster II
AvonRisk, a leading specialty risk manager for self-insured organizations, seeks a Workers' Compensation Claims Adjuster II. You will independently manage a portfolio of indemnity claims from intake through resolution, applying sound judgment and strong knowledge of WC...
Remote job
Risk
InterMed Cost Containment Services
Austin, TX
22 hours ago
Global Immigration Specialist II
$76.1k - $136.9k
...solutions. We also oversee FlexBase, temporary remote work, and digital nomad visa programs to... ...arrangements while managing business risk. Partner with the best In this... ...clear guidance. As a Global Mobility Specialist II, you will be responsible for: Managing...
Remote work
Risk
Permanent employment
Temporary work
Work experience placement
H1b
Visa sponsorship
Work visa
Flexible hours
Akamai
Oregon State
1 day ago
Payment Integrity Analyst II
$66.94k - $101.26k
...guidelines. This is a remote position. ESSENTIAL FUNCTIONS... ...reimbursements, IDC-10 Coding, and DRG Validation... ...For leveled roles (I, II, III, Senior, Lead, etc... ...salary range and these adjustments would be clarified during... ...| Opportunities in Risk Management In general,...
Remote work
Risk
Minimum wage
Full time
Work experience placement
Work at office
Local area
Flexible hours
CERIS
Remote
4 days ago
Subject Matter Expert II - Subject Matter Specialist (NSS010) (CONUS - Washington, DC (Remote) | Senior Consultant - Full-Time) [DOEID010K]
...focus on the broad spectrum of Risk Management, Compliance,... ...Seeks a Subject Matter Expert II - Subject Matter Specialist (NSS010) headquartered near CONUS - Washington, DC (Remote) to support requirements for... ...to place the job reference code in the subject line of your...
Remote work
Risk
Full time
Temporary work
For contractors
Work at office
Flexible hours
Prosidian Consultng
Washington DC
10 hours ago
Workers' Compensation Claims Adjuster II
...Costa County is seeking one (1) Workers' Compensation Claims Adjuster II to join our Risk Management team. The County Workers’ Compensation Program... ...: You will be part of a dynamic team We offer a hybrid remote work schedule You will have access to a generous benefits...
Remote work
Risk
Permanent employment
Full time
Temporary work
Work at office
Local area
Immediate start
County of Contra Costa
Martinez, CA
2 days ago
Portfolio Administrator - Analytical Specialist (Private Credit)
$120k - $160k
...portfolio management and risk oversight activities.... ...of on-site and remote work) will be discussed... ...Prepare collateral value adjustment analyses, leverage advanced... ...Loan Services, Client Specialists, and Compliance to... ...(such as simulation, coding, MS Office). Our goal...
Remote work
Risk
Full time
CIBC Bank
Chicago, IL
11 hours ago
Remote CDI Specialist: Risk-Adjusted Documentation
...condition, and support complete, compliant, and specific coding using ICD-10 and CPT guidelines. You will collaborate... ...leadership to improve documentation quality. In this remote role, you will work with risk adjustment, quality, and operational teams to identify gaps,...
Remote job
Risk
CareConnectMD
Costa Mesa, CA
4 days ago
Charge Entry Specialist I/II
...the appropriate charge codes based on the procedure(... ...Policy and Procedures, Remote Access, and the Telework... ...: Charge Entry Specialist IThree (3) months experience... ...Charge Entry Specialist II:Certificate in medical... ...Contributes to Revenue Risks and Opportunities management...
Remote work
Risk
Work at office
Immediate start
Trial period
Flexible hours
Shift work
Tuba City Regional Health Care Corporation
Tuba City, AZ
10 hours ago
Safety Specialist II
...Job Title: Safety Specialist II FLSA Classification: Exempt Reports to: Safety and Compliance Director Base Location: Eastern... ...Technology Solutions. Our custom services are designed to de-risk our client's projects, while providing a 'white glove'...
Remote work
Risk
For contractors
Local area
Shift work
Logisticus Group
United States
5 days ago
Certified Coding Specialist
...Certified Risk Adjustment Coding Specialist Location: Trinity Health PACE Corp Michigan Status: Full time Remote Position Purpose: The primary purpose of this position is to assign ICD/CPT codes to participant health information for data retrieval, analysis...
Remote work
Risk
Daily paid
Full time
Local area
Home office
Trinity Health Grand Haven
United States
3 days ago
Senior AP Specialist
...Senior Accounts Payable Specialist Crescent is a... ...focused on cash flow, risk management and returns... ...requests, resolve complex coding and payment discrepancies... ...and process necessary adjustments for returned payments... ...Capable of working remotely while meeting established...
Remote work
Risk
Crescent Energy
United States
3 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Risk Adjustment Coding Specialist II. Be the first to apply!