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... 
    Risk
    Work experience placement
    Work at office

    Loma Linda University Health

    Redlands, CA
    2 days ago
  •  ...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... 
    Risk
    Work at office

    Loma Linda Univ Health Care

    Loma Linda, CA
    15 hours ago
  • 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... 
    Risk
    Work experience placement
    Work at office

    Loma Linda University

    Redlands, CA
    2 days ago
  • $19.6 per hour

     ...vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses...  ..., ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in... 
    Risk
    Full time
    Work at office
    Remote work
    Flexible hours

    Datavant

    Sacramento, CA
    4 days ago
  • $139.26k - $222.77k

     ...hours impacting our communities. As a Director of Quality and Risk Adjustment with HCA Healthcare, you can be a manager in an organization...  ...education program for network physicians + Ensure internal HCC coders meet minimum coding performance guidelines + Evaluate and... 
    Risk
    Full time
    Temporary work
    Part time
    Work at office
    Flexible hours

    HCA Healthcare

    Campbell, CA
    26 days ago
  • Medical Director, Risk Adjustment Southern California preferred; Clark & Pima Counties, NV — Travel Required CareMore Health Make an Impact...  ...advise from afar — you’ll partner closely with providers, coders, and cross-functional leaders to ensure the integrity, accuracy... 
    Risk

    CareMore

    Cerritos, CA
    1 day ago
  • 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... 
    Risk
    Full time
    Work at office

    Central Valley Medical Providers

    Fresno, CA
    1 day ago
  • $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,... 
    Risk
    Hourly pay
    Work experience placement
    Work at office
    Local area

    Stanford Health Care

    Newark, CA
    4 days ago
  • $75k - $85k

     ...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... 
    Risk
    Work at office
    Monday to Friday

    Astrana Health, Inc.

    Alhambra, CA
    26 days ago
  • $75k - $85k

     ...Description Description We are currently seeking a highly motivated Risk Adjustment Coding Specialist. This role will report to a Sr. Manager -...  ...informal discussion and overread assignments. Supports coder training and orientation as requested by manager. May assist... 
    Risk
    Work at office
    Monday to Friday

    Astrana Health, Inc.

    Alhambra, CA
    24 days ago
  • $192.15k - $240.19k

     ...Job Description Summary The Medical Director, Risk Adjustment - will serve as the clinical expert responsible for advancing CareMore Health's risk adjustment strategy. This physician expert will guide providers in accurate and complete documentation of patient complexity... 
    Risk

    Mosaic Health

    Cerritos, CA
    2 days ago
  •  ...Responsibilities ***This position is remote. Position Summary: The Risk Adjustment Audit and Compliance Specialist conducts audits to measure...  ...Organization (PHSO) function, specifically the Value-based Coders and the Risk Adjustment Coding and Training Specialist, to... 
    Risk
    Work at office
    Local area
    Remote work
    Flexible hours

    Dignity Health

    Bakersfield, CA
    3 days ago
  • Overview: The Data Analyst II will play a key role in supporting multiple initiatives across our risk adjustment programs. This position is responsible for driving operational excellence in chart retrieval and vendor management through data analysis, provider engagement... 
    Risk
    Local area

    Kaiser Permanente

    Sacramento, CA
    29 days ago
  • $200k - $280k

     ...Medical Director, Risk Adjustment Los Angeles, CA (Hybrid) Compensation: $200,000 $280,000 per year + Bonus Schedule: Full-Time | Hybrid (Onsite & Remote) Overview: Were seeking a Medical Director, Risk Adjustment to lead and advance our clinical risk adjustment... 
    Risk
    Full time
    Remote work

    Optigy

    Los Angeles, CA
    11 days ago
  • $71.3k - $82.6k

     ...outcomes. In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance...  ...appropriate reserves with documented rationale, maintains and adjusts reserves over the life of the claim to reflect changes in exposure... 
    Risk
    Work experience placement
    Remote work

    PMA Companies

    San Diego, CA
    5 days ago
  •  ...advancement and growth within the organization Competitive benefits and compensation package Work with a dedicated team on national risk adjustment studies Engage in meaningful work that influences healthcare outcomes Chance to develop and lead actuarial studies,... 
    Risk
    Remote job
    Immediate start

    Remote Jobs

    Long Beach, CA
    1 day ago
  • 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... 
    Risk
    Work at office

    Molina Healthcare

    Long Beach, CA
    3 days ago
  • $70k - $84k

     ...realize our bold vision for healthcare. Auditing Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring production and quality of employees' work, process improvements and clear communication... 
    Risk
    Remote work
    Flexible hours

    Datavant

    Sacramento, CA
    a month ago
  • $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... 
    Risk
    Hourly pay
    Temporary work
    Remote work
    Visa sponsorship
    Flexible hours

    Government Jobs

    San Bernardino, CA
    2 days ago
  • $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... 
    Risk
    Weekly pay
    Temporary work
    For contractors
    Local area
    Monday to Friday

    Staffmark Group

    San Bernardino, CA
    4 days ago
  •  ...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... 
    Risk
    Full time
    Temporary work
    Work experience placement
    Immediate start
    Remote work
    Visa sponsorship
    Flexible hours

    Government Jobs

    San Bernardino, CA
    2 days ago
  • + **JOB SUMMARY** The Risk Adjustment Analyst Sr is responsible for monitoring and oversight of the end-to-end encounter management workflow. This position analyzes complex encounter inbound/outbound process issues, using data from internal and external sources to provide... 
    Risk
    Work experience placement
    Immediate start

    Baylor Scott & White Health

    Sacramento, CA
    a month ago
  • Bargaining Unit: Local 21 - Non-Supervisory Management Contra Costa County is seeking two (2) Workers' Compensation Claims Adjuster II to join our Risk Management team. The County Workers’ Compensation Program is unique as it is not only self-insured, but also self-... 
    Risk
    Permanent employment
    Full time
    Temporary work
    Work at office
    Local area
    Immediate start
    Remote work

    County of Contra Costa

    Martinez, CA
    4 days ago
  • $24.18 - $33.27 per hour

     ...Part-Time RCIS Crop Claims Field Adjuster I Zurich is currently looking for a Part-Time Crop Adjuster to join our Rural Community Insurance...  ...plans through the United States Department of Agriculture's Risk Management Agency. Together with RCIS agents, we protect America... 
    Risk
    Hourly pay
    Temporary work
    Part time
    Work at office
    Local area
    Work from home

    Zurich Insurance Company

    Concord, CA
    2 days ago
  •  ...As a leading provider of crop insurance and other agricultural risk management tools, we recognize that our success is derived directly...  ...generations to come. This job is primarily responsible for adjusting both Multi-Peril Crop Insurance (MPCI), Private Products and... 
    Risk
    Full time
    Work at office
    Work from home
    Worldwide
    Home office
    Flexible hours
    Weekend work

    Sompo International

    Riverside, CA
    2 days ago
  •  ...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... 
    Risk
    Work at office
    Local area
    Immediate start

    Alliant Insurance Services

    San Diego, CA
    5 days ago
  • 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...
    Risk
    Local area

    Stanford Health Care - ValleyCare

    Newark, CA
    3 days ago
  •  ...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... 
    Risk
    Work at office

    To Help Everyone Health & Wellness Centers

    Los Angeles, CA
    29 days ago
  • 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 models... 
    Risk
    Work experience placement
    Local area

    Kaiser Permanente

    Oakland, CA
    5 days ago
  •  ...commercial trucking insurance taking transportation insurance and fleet risk management to the next level. Our platform arms fleets with an...  ...unlimited PTO. About the Role As an HDVI Physical Damage Adjuster you will work closely with HDVIs Claims and Fleet Services Teams... 
    Risk
    Full time
    Temporary work
    Work at office
    Remote work
    Flexible hours
    Shift work

    HDVI

    Anderson, CA
    3 days ago