Average salary: $54,216 /yearly
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- Department: UHC: Managed Care-LLUHC/41077 Job Summary: The Coder 1 * Risk Adjustment is responsible for clinical documentation review related to Risk Adjustment Data Validation (RADV) timelines, focusing on completeness and accuracy of provider documentation concerning...RiskWork experience placementWork at office
- ...clinical ethics. Our core values are compassion, integrity, humility, excellence, justice, teamwork, and wholeness. Position: Coder 1 - Risk Adjustment The Coder 1 - Risk Adjustment is responsible for clinical documentation review related to Risk Adjustment Data Validation...RiskWork at office
- Overview Certified Coder - Risk Adjustment (Hybrid in SD) at Optum. Role involves chart review to code for diagnoses and quality, monitor performance, and participate in improvement initiatives with Provider Relations, health plans and providers. Responsibilities Generates...RiskWork at officeLocal area
- Department: UHC: Managed Care-LLUHC/41077 Job Summary: The Coder 1 Risk Adjustment is responsible for concurrent, prospective, and retrospective clinical documentation review as it pertains to Risk Adjustment Data Validation (RADV) timelines, with an emphasis on completeness...RiskWork experience placementWork at office
- Manager, Risk Adjustment, Medical Coding This position is flexible and must be based in a KP location, CA, OR, CO, WA, GA, MD, VA, HI or D.C... ...Information Management Association OR Certified Professional Coder from American Academy of Professional Coders Additional Requirements...RiskWork experience placementFlexible hours
- Risk Adjustment Coding Specialist:Central Valley Medical Providers in Fresno, CA Position Summary: A great opportunity to workdirectly with... ...Qualifications and/or Experience: CRC-Certified Risk Adjustment Coder OR CPC-CertifiedProfessional Coder OR AHMA or AAPC Coding...RiskFull timeWork at office
$44.13 - $57.36 per hour
...Hour (United States of America) This is a Stanford Health Care - University Healthcare Alliance job. Brief Overview The Senior Risk Adjustment Coder will perform code audits and abstraction in accordance with all state regulations, federal regulations, internal policies,...RiskHourly payWork experience placementWork at officeLocal area- ...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 workCurrently hiringLocal areaFlexible hours
- ...Description Summary We are seeking an experienced medical coder with a strong background in Hierarchical Condition Category (... ...with CMS guidelines. This role will directly support our risk adjustment reporting and ensure coding accuracy for audit readiness. The...RiskTemporary workWork at office
Florence Health
Hacienda Heights, CA3 days ago $75k - $85k
Overview We are currently seeking a highly motivated Risk Adjustment Coding Specialist II. This role will report to a Sr. Manager - Risk Adjustment... ...through informal discussion and overread assignments; support coder training and orientation as requested by manager May assist or...RiskWork at officeMonday to Friday$75k - $85k
Risk Adjustment Coding Specialist II (Central Maryland) Department: Quality - Risk Adjustment Employment Type: Full Time Location: 1668 S. Garfield... ...informal discussion and overread assignments. Supports coder training and orientation as requested by manager. May assist or...RiskFull timeWork at officeMonday to Friday$57.08k - $94.16k
...data quality issues and areas of coding improvements for CMS Risk Adjustment and Quality Incentive programs. The SCA is responsible to continuously... ...Processes ICD-10 Certified/Proficient Certified Professional Coder (CPC) required. Certified Risk Adjustment Coder (CRC)...RiskWork at officeShift work$135k - $150k
About the Role Risk Adjustment Manager is responsible for leading and optimizing risk adjustment operations across all lines of business and entities, including Medicare Advantage, Marketplace, and other affiliated health plans, medical groups, and MSO functions. This role...RiskFull time$70k - $85k
Risk Adjustment Coding Specialist II (San Gabriel Valley, CA) Department: Quality - Risk Adjustment Employment Type: Full Time Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 Compensation: $70,000 - $85,000 / year Description We are currently seeking a highly...RiskFull time- Data Analyst II, Risk Adjustment Performance Management Join to apply for the Data Analyst II, Risk Adjustment Performance Management role at National Association of Latino Healthcare Executives . Overview The Data Analyst II will play a key role in supporting multiple...Risk
- ...Industry: Healthcare Services Why consider this job opportunity: - Opportunity for career advancement and leadership in national risk adjustment studies - Competitive benefits and compensation package - Analyze and synthesize data to make a significant impact on Medicaid...RiskRemote jobImmediate start
- Overview Contra Costa County is seeking two (2) Workers' Compensation Claims Adjuster II to join our Risk Management team. The County Workers’ Compensation Program is self-insured and self-administers the claims and benefits to industrially injured employees of the County...RiskPermanent employmentFull timeTemporary workImmediate startRemote work
- ...Industry: Healthcare Services Why consider this job opportunity: - Opportunity for career advancement and leadership in national risk adjustment studies - Competitive benefits and compensation package - Engage with data analysis to drive improvements in Medicaid risk...RiskRemote jobImmediate start
- Job Description Job Summary The Analyst, Risk Adjustment-Predictive Analytics role will support Molina's Risk Adjustment Predictive Analytics team. Designs and develops Suspect, Targeting, and Tracking System to support Molina’s Prospective and Retrospective Interventions...RiskWork at office
$97.34k
...The Job Earn an annual salary up to $97,344. The Department of Risk Management is recruiting for Workers' Compensation Adjusters who receive and review workers' compensation claims and reports and determine if occupational illness or injury is compensable; develop documentation...RiskHourly payTemporary workRemote workVisa sponsorshipFlexible hours$35.46 per hour
Overview Staffmark is hiring an experienced Workers' Compensation Claims Adjuster for a leading risk management company in San Bernardino. If you're skilled in handling complex and litigated claims, this is your chance to join a professional team that values your expertise...RiskWeekly payTemporary workFor contractorsLocal areaMonday to Friday- ...Supervising Workers' Compensation Adjuster The Risk Management Department is recruiting for a Supervising Workers' Compensation Adjuster who, under direction, supervises the activities of the Workers' Compensation Division of the Risk Management Department. Duties...RiskFull timeTemporary workWork experience placementImmediate startRemote workVisa sponsorshipFlexible hours
- University HealthCare Alliance (dba Stanford Medicine Partners) is the medical foundation of Stanford Health Care and Stanford Medicine. Stanford Medicine Partners was born out of the aspiration for Stanford Medicine and local, leading providers to partner together to bring...RiskLocal area
- ...personal service. Alliant is changing the way our clients approach risk management and benefits, so they can capitalize on new... ...updates on litigated claims, serious injuries, and claims over the adjuster\'s authorization limits. Sets and manages reserve accounts, and...RiskWork at officeLocal areaImmediate start
- ...South Los Angeles based FQHC looking for onsite Certified HCC coder . *This is not a remote position Conduct the necessary... ...the diagnoses then code these diagnoses in ICD-10 for Medicare Risk Adjustments/Medicare Advantage. Evaluate medical information (Outpatient...RiskWork at office
$21.67 - $30.48 per hour
Join to apply for the Certified Coder/Billing Clerk role at Boutique Recruiting 1 day ago Be among the first 25 applicants Join to... ...Certified Medical Coder jobs in San Diego, CA . Certified Coder - Risk Adjustment (Hybrid in San Diego) Coding Auditor - Sharp Health Plan...RiskFull timeWork at officeDay shift- ...Staffing & Recruiting Firm by 2x Sign in to set job alerts for “Coder” roles. Regional Professional Services Coder I PT20 HIM Coder... ...III - The Angeles Clinic and Research Institute Manager, Risk Adjustment, Medical Coding Clinical Documentation Improvement Specialist...RiskFull timeContract workRemote workFlexible hours
$166.1k - $214.94k
...Job Summary: This role will focus on advancing actuarial insights that improve risk adjustment performance across Medicare Advantage and ACA populations. Key areas of emphasis include HCC model analytics, forecasting of RAF scores, and the development of predictive...RiskRemote jobFull timeWork experience placementWork at officeShift workKaiser Permanente
Oakland, CAmore than 2 months ago- The Medical Coder is primarily responsible for performing chart reviews and coding audits; reviewing appropriate ICD-10 diagnoses... ...related activities such as pre-appointment chart audits for HCC or risk adjustment, appeals of denied claims, providing information or education...RiskWork at office
$58.53k - $87.8k
CMS HCC Coder (Finance) Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those... ...accuracy and quality of the data submitted to CMS. 4. Works with Risk Adjustment Management on any Data Validation and /or RADV coding audit to...RiskLocal area
