Risk-Adjustment Medical Coder II
ClareMedica Health Partners LLC
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, and help maintain regulatory compliance across Federal and State programs. Applicants should have CPC certification and ideally CRC certification, with 3+ years of medical coding experience and proficiency in EMR software and #J-18808-Ljbffr ClareMedica Health Partners LLC
- 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...Risk
- ...awaits - welcome to Claremedica.ESSENTIAL FUNCTIONSWe are seeking an accurate, detailed oriented Risk Adjustment Coder to join our team. You will play a key role in reviewing medical records and identifying, collecting, assessing, monitoring, and documenting claims and...RiskWork at officeLocal area
$71.18k - $108.53k
...of Sentara Health Plans in the Florida market, is hiring a Risk Adjustment Nurse/Coder (RN/CPC, COC, CIC, CCS-P, CCS, RHIT, RHIA in Doral, FL!... ...Human Services (HHS). Performs prospective/retrospective medical record reviews (MMR) & CMS/HHS Risk Adjustment Data Validation...RiskFull timeTemporary workWork at officeRemote workShift work$70k - $84k
...Account Manager II Aon is looking for an Account Manager II... ...have experience in commercial risk? Are you an inquisitive, organized... ...data. The salary may also be adjusted based on applicant's... ...incentive awards at Aon's discretion; medical, dental and vision insurance,...RiskFull timeTemporary workPart timeWork at officeLocal areaFlexible hours- ...the company’s success. As a(n) Sales Leader II - Group Manager within PNC's Commercial... ...sales and client responsibilities.Manages risk/return and drives quality for new and/or existing... ...options for full-time employees include: medical/prescription drug coverage (with a Health...RiskFull timeTemporary workPart timeWork experience placementWork at office
$86.6k - $161.6k
...advance. ADP is hiring a Project Manager II (in Miami only) . In this position, you'll... ...as appropriate. Identify all risks to the scope, quality and schedule. Develops... ...commissions. We offer the following benefits: Medical, Dental, Vision, Life Insurance, Matched...RiskMinimum wageTemporary workWork at officeLocal areaNight shift$82.6k - $162.8k
...focused on application security, governance, risk, and compliance across Enterprise Resource... ...2026.Work you'll doAs a Security Engineer II on the Cyber Enterprise Security team, you... ...The disclosed range estimate has not been adjusted for the applicable geographic differential...RiskLocal areaVisa sponsorship$91.1k - $179.5k
...’ll do As an AI and Data Science Engineer II on the AI & Data team, you will be responsible... ...before issues affect deliveryIdentify risks, assumptions, and constraints early, and implement... ...The disclosed range estimate has not been adjusted for the applicable geographic differential...RiskLocal areaVisa sponsorship- ...Ensuring compliance with internal controls, operational procedures and risk management policies. Management of human capital including... ...by the division of Truist offering the position. Truist offers medical, dental, vision, life insurance, disability, accidental death and...RiskFull timePart timeShift workDay shift
$91.1k - $179.5k
...'ll do As an AI and Data Science Engineer II on the HC Forward team, you will be responsible... ...involving quality, latency, cost, and risk to stakeholders.2+ years collaborating... ...The disclosed range estimate has not been adjusted for the applicable geographic differential...RiskLocal area$128k - $252.5k
...- Consulting - Lead Integration Engineer II - AI & Engineering/EaaS Join our AI & Engineering... ...of work; manage technology economics; and risk. The successful candidate would possess... ...The disclosed range estimate has not been adjusted for the applicable geographic differential...RiskLocal areaVisa sponsorshipFlexible hours$30.29 - $32.69 per hour
...Payroll Specialist II At HUB, we believe the best work happens when people are given... ...' timesheets for accuracy Make adjustments in pay for raises, bonuses, commission, and... ...'s largest insurance brokers, delivering risk management, insurance, employee benefits,...RiskLocal area- ...bathers. Tests pool water and adjust chemical balance as needed. Advises... ...will be subject to a Level II background screening and may... ...required to submit to toxicology, medical and background screening. It... ...eligibility determination or risk being disqualified. Applicants...RiskTemporary workPart timeWork experience placementShift workNight shift
- ...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
- ClareMedica Health Partners, LLC is seeking an experienced Risk Adjustment Coder to review medical records, identify conditions, and code encounters in alignment with risk adjustment models. The ideal candidate holds CPC certification (CRC preferred), with 3+ years of medical...Risk
- AvMed, a division of Sentara Health Plans, seeks a Risk Adjustment Nurse/Coder in a hybrid role in Doral, FL. The position focuses on CMS/HHS risk... ...and relevant coding certifications, with 2 years of medical coding experience and familiarity with ICD-10-CM guidelines...Risk
- Cano Health in Miami is seeking a Risk Adjustment Coder to identify, extract and document diagnoses for CMS HCCs. You will review medical records, ensure accuracy of codes and coordinate with PCPs for MRA coding and quality initiatives. The role requires CPC or CCS-P/CPC...RiskFlexible hours
- ...Mount Sinai Medical Center Job Opportunity As Mount Sinai grows, so does our legacy in high-quality health care. Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical...Work at office
- ...Cook II The Cook II is responsible for preparing the menu items contracted for all Biltmore Hotel Banquet Events, as well as, restaurant... ...may exclude individuals who pose a direct threat or significant risk to the health and safety of themselves, other employees or guests...RiskWork at officeShift work
- ...Full Time Summary HIM Inpatient Coder 2 is responsible for reviewing the clinical... ...documentation contained in the in-patient medical records to accurately assign and sequence... ...circumstances and/or information with possible risk factors to the Coding Associate...RiskFull time
- ...exceptional client service. Key Functions: Portfolio Oversight & Risk Management Monitor a diversified portfolio of corporate... ...basis to ensure credit quality, covenant compliance, and risk-adjusted returns. Conduct periodic portfolio reviews, identify early...RiskFull time
$155.6k - $306.8k
...overall success. Whether focused on project financials, quality and risk management, methods and tools, sales excellence, talent,... ...organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location...RiskOngoing contractContract workLocal area$75k - $95k
...Client Success Manager II SQA protects through quality. We have a global footprint that... ...performance outcomes). Develop action plans for "at-risk" accounts to mitigate churn and improve... ...will also receive access to comprehensive medical, vision, and dental coverage, access to a...RiskFull timeContract workTemporary work- ...Department has an exciting opportunity for an IT Security Specialist II to join its team in Miami in a full-time capacity. The... ...office, some of which include PCI-DSS compliance tasks, auditing, risk management, and security assessments. The CISO Security Specialist...RiskFull timeTemporary workWork at office
$250k - $350k
Job-ID: 202605886Category: General Risk ConsultingLocation: New York, NY, United States... ...and capital efficiency and maximum risk-adjusted return, designs portfolios and reinsurance... ...requirements apply):Health and Welfare Benefits: Medical (including prescription coverage), Dental...RiskTemporary workLocal areaRemote workWorldwideVisa sponsorshipWork visaFlexible hours- ...LSF is seeking a talented Counselor II who wants to make an impact in the lives... ...sessions, and performing intake, psychosocial/risk assessments. Experience with troubled youth... ...Amazing benefits package including: ~ Medical, Dental and Vision ~ Telehealth (24/7 online...RiskWork at officeFlexible hours
$141.2k - $278.3k
...upgrade migrations, across scope, budget, resources, timelines, and risk management.Manage and develop analysts, consultants, and senior... ...organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the...RiskLocal area- ...oversees the entire lifecycle of business agreements, from drafting and negotiation to execution, monitoring, and renewal. They mitigate risk, ensure legal compliance, and manage supplier relationships to maximize operational efficiency and cost savings. Key duties include...RiskContract workLocal area
- ...Caribbean areas.The candidate selected for this position: Conducts risk and vulnerability assessment at the network, system and... ...experienceCertifications:i. Certified Chief Information Security Officer (CCISO)ii. Certified Information Security Manager (CISM)iii. Certified...Risk
$35 - $37 per hour
...Maryland . The Behavioral Health Care Manager II (ABA Specialist) is responsible for... ...behavioral health treatment requests to determine medical necessity, appropriate level of care, and... ...delivery. Refer complex or high-risk cases to Peer Reviewers when required....RiskHourly payFull timeContract workCurrently hiringLocal areaRemote workMonday to FridayFlexible hours
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