Average salary: $60,674 /yearly
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- ...Medical Director Opportunity - Medicare Risk Adjustment HCC Review - Puerto Rico (Option to be Florida Based)!! Option to either live in Puerto... ...record reviews in tandem with a certified professional coder at provider locations or at company's offices Facilitates query...RiskFull timeWork at officeLive in
Doctors Choice Placement Services
Orlando, FL1 day ago - ...Hi, we're Oscar. We're hiring a Senior Specialist to join our Risk Adjustment team. Oscar is the first health insurance company built around... ...or commensurate work experience. ~ Certified professional coder (CPC) ~2+ year(s) retrospective risk adjustment coding...RiskFull timeWork experience placementWork at officeRemote workWork from home2 days per week
- ...passion for problem-solving and embrace the thrill of addressing risk head-on at Gallagher's global brokerage team. Join a family of... ...encourage you to apply. Overview We are seeking a Claims Adjuster who will be responsible for day-to-day management of general...RiskWork at officeLocal areaLive outFlexible hoursMonday to Friday
Gallagher
Gulfport, MS19 hours ago - ...passion for problem-solving and embrace the thrill of addressing risk head-on at Gallagher's global brokerage team. Join a family of... ...and or complexity Provide guidance and mentorship to claims adjusters, assisting them in handling complex claims and developing their...RiskWork at officeLocal areaLive outFlexible hours
Gallagher
Phoenix, AZ19 hours ago - ...everyone - which requires innovative thinking and continuous improvement. To achieve this, we're looking for a Professional, Sr. Risk Adjustment Analyst to join #TeamMVP. This is the opportunity for you if you have a passion for healthcare analytics, innovation, and...RiskRemote work
MVP Health Care
Schenectady, NY21 hours ago $25 - $30 per hour
...Do you thrive in a fast-moving, detail-driven environment? We're looking for an enthusiastic Risk Adjustment Coder to join our client’s vibrant team! You'll use your skills to accurately code patient diagnoses using ICD-10, mapping them to Hierarchical Condition Categories...RiskRemote jobContract workTemporary workApprenticeship- ...passion for problem-solving and embrace the thrill of addressing risk head-on at Gallagher's global brokerage team. Join a family of... ...encourage you to apply. Overview We are looking for Claims Adjuster, in preparation for future openings. While this role is not...RiskWork at officeLocal areaLive outFlexible hours3 days per week
Gallagher
Phoenix, AZ19 hours ago - ...Description: This is a flexible CMS HCC/Risk Validation Audit role for a seasonal project... ...- nights and weekends are acceptable. Coders will review member and claim data... ...Coders will be presented with all risk-adjusting diagnoses billed on a claim for a particular...RiskRemote jobSeasonal workFlexible hoursNight shiftWeekend work
- ...Competencies: ACCOUNTABILITY, ACCURACY (DRG), ACCURACY - CODER, ACCURACY - OUTPATIENT, ANALYSIS AND DECISION MAKING, CUSTOMER... ...CPC), Certified Professional Medical Auditor (CPMA), Certified Risk Adjustment Coder (CRC) by AAPC, or Certified Coding Specialist (CCS),...RiskRemote jobWork experience placementWork at officeLocal areaShift work
- ...Job Description Job Description Position: Risk Adjustment Coder Location: Remote (Must reside in NY/NJ/CT) Schedule: Monday - Friday 9am-5pm Compensation: $77,506.87 - 87,195.23 annual salary **CPC, CCS, RHIT or RHIA and CRC are required** Join VillageCare...RiskFull timeLocal areaRemote workWork from homeHome officeMonday to Friday
- ...patient experience. Learn more at: Job Summary: The Coder is responsible for accurate post review coding and... ...equivalent required Minimum one (1) year experience in CMS HCC risk adjustment coding preferred Successful completion of coding certification...RiskWork at officeLocal area
- ...Job Description Job Description Job Title: Director of Risk Adjustment and Quality Department: Risk Adjustment & Quality Product... ...risk arrangements. - Lead internal teams including clinical coders, quality analysts, and client success staff focused on risk and...Risk
- ...interact with operational and clinical leadership to assist in the identification of Risk Adjustment/HCC coding opportunities, and will provide targeted education to CHC providers, billers, coders, and support staff to support value-based contract initiatives. Risk...RiskContract workTemporary workRemote workWork from homeFlexible hours
- ...healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses... ...system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in...RiskRemote jobFull timeWork at officeFlexible hours
- ...Health Care is an Equal Opportunity Employer_ *Job Summary* The Risk Manager is responsible for facilitating, mentoring, organizing... ...vision, peripheral vision, depth perception, and the ability to adjust focus. Ability to work with a moderate noise level in the work...RiskHourly payFull timeRelocation
Tejas Health Care
La Grange, TX-266 - ...Job Title: Nurse Clinician Managed Care (Certified Coder) Location: New York, NY 10004 Duration: 3+ months with very high possibility... ...standards and regulations. Conduct audits of high-risk claims and billing patterns to identify discrepancies, over-utilization...RiskWork at officeShift workMonday to Friday
Integrated Resources
New York, NY19 hours ago - ...Step into the vibrant role of Lead Third Party Risk Analyst at American Family Insurance, where you'll orchestrate the dynamic assessment... ..., and industry standards to assess third-party exposure and adjust TPRM criteria accordingly. Remain current on regulatory changes...RiskFull timeLocal areaRelocation package
American Family Insurance
Boston, MA1 day ago - ...The range is subject to change. We are currently hiring a Risk Adjustment Manager to join our team! What You Will Be Doing: The... ...Supervises Revenue Analyst Quality and Risk Adjustment Coder Contracted vendors Our Vision: Continuously improve...RiskContract workLocal areaCurrently hiringFlexible hours
- ...Job Description Job Title: General Liability and Auto Claims Adjuster Schedule: Monday-Friday, 8:00 AM-5:00 PM Compensation: $35... ...Negotiation Insurance Coverage Analysis Claims Resolution Risk Assessment Client Relationship Management Mediation &...RiskHourly payWork at officeLocal areaMonday to Friday
Ultimate Staffing
Greenwood Village, CO8 days ago - ...Role Overview As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the strategy, roadmap, and execution... ...Background in working with provider documentation teams, coders, or concurrent review vendors. Clinical experience or deep...Risk
- ...Description Description We are currently seeking a highly motivated Risk Adjustment Coding Specialist II. This role will report to a Sr. Manager -... ...informal discussion and overread assignments. Supports coder training and orientation as requested by manager. May...RiskWork at officeMonday to Friday
- ...verify business identities, onboard customers faster, and reduce risk at every stage of the customer lifecycle. Middesk came out... ...keep the team moving forward, shipping quickly and responsively adjusting to customer feedback. Youll ultimately be responsible for...RiskFull time
Middesk
San Francisco, CA3 days ago - ...Job Description Network Adjusters is seeking an experienced Claims Adjuster for a file review position (Disposition/Claims Analyst)... ...Bodily Injury, Construction Defect, D&O, Cyber, and Builder’s Risk claims. It should be noted that while the candidate does not specifically...RiskTemporary workRemote work
Network Adjusters, Inc.
Denver, CO17 days ago - ...to make a difference, join us. The Impact You Will Have As a Risk Adjustment Quality Assurance (QA) Consultant at BCBSMN, you'll play a... ...programs. Educate internal and external stakeholders, including coders and clinical staff, on proper coding practices and compliance...RiskFor contractorsWork at officeRemote work2 days per week
- ...Your Day Will Look Like: Analyze the costs and benefits of risk transferred under reinsurance agreements via pricing analysis and... ...all and provide individuals with disabilities with reasonable adjustments to participate in the job application, interview process and to...RiskFull timeTemporary workPart timeLocal areaRemote work
MedStar Health
Chicago, IL1 day ago - ...Commercial General Liability Sr. Adjuster - (CGL) Litigation Specialist. This is a full time, exempt role, 2 days in office. Itasca,... ...daily telephone contacts with the commercial line policyholders, risk managers, and agents. Fully responsible for the analysis, investigation...RiskFull timeFlexible hours
Randstad USA
Itasca, IL1 day ago - ...Senior Risk Manager, Extended Producer Responsibility, RISC (Program) - EPR Join to apply for the Senior Risk Manager, Extended... ...If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for...RiskFull timeWork at officeLocal area
Amazon
San Diego, CA1 day ago - ...Director, Claims Investigations and Adjustments Job ID: 9838 Business Unit: MTA Headquarters Location: Brooklyn, NY, United States... ...investigated to its conclusion to minimize the financial risks of loss. RESPONSIBILITIES: Responsible for analyzing notices...RiskFull timeTemporary workImmediate startRemote work1 day per week
Metropolitan Transportation Authority (MTA)
New York, NY1 day ago - ...Baltimore, we support the Firm's global Technology, Operations, Risk Management, Legal and Compliance, Internal Audit and Finance divisions... ...from experience and mistakes; actively seek out feedback and adjusts behavior accordingly Role is hybrid and will require in...RiskFull timeTemporary workPart timeWork at officeLocal area3 days per week
Morgan Stanley
Baltimore, MD1 day ago - ...organizational process changes. Drive execution of operational risk management, regulatory compliance training, policies and, procedures... ...skills. ~ Acquisition and maintenance of applicable insurance adjuster license within 6 months time in role. What sets you apart...RiskWork at officeRelocation packageH1bFlexible hours
