Average salary: $54,216 /yearly
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$42.79 - $48.75 per hour
...Health Coder - Hcc & Risk Adjustment Burlingame, CA 94010 Overview Salary Range $42.79 - $48.75 Hourly Description The Healthcare Coder plays a critical role in supporting accurate and compliant coding for NEMS MSO operations with a focus on Medicare Risk...RiskHourly payFull timeNorth East Medical Services
Burlingame, CA4 days ago- ...accurately to maintain compliance, and minimize risk and denials. Contributes to overarching... ...to provider network regarding risk adjustment and coding updates related to risk adjustment... ...experience. Certified Professional Coder (CPC). Certified Coding Specialist (CCS...RiskRemote jobWork at office
$85k - $200k
...Ankura's health care team is comprised of clinicians, certified coders, revenue cycle, and operations professionals. Our practice... ...gain additional opportunities for development in a variety of risk adjustment related areas. Qualifications: Certified in Risk...RiskRemote work- ...Risk Adjustment Compliance Coding Specialist (Consultant) The Risk Adjustment Compliance Coding Specialist (Consultant) helps to ensure organizational... ...clinical field is preferred Certified Risk Adjustment Coder (CRC), Certified Professional Coder (CPC), Certified Coding...RiskFull timePart timeWork at officeLocal areaWork from homeHome office2 days per week
$25 - $27 per hour
RadNet, Inc. is seeking a HCC Risk Adjustment/Auditor in Los Angeles, California. This role involves maintaining quality auditing plans for outpatient clinical data and ensuring compliance with coding standards. The ideal candidate should have knowledge in HCC coding, expertise...RiskHourly payFlexible hours- ...classification systems and procedures. Required Work Experience: For HIM coder, one (1) year hospital-based outpatient coding experience. For... ...Billing, Certified Professional Coder (CPC) or Certified Risk Adjustment Coder (CRC) by AAPC. For Hospital Billing, Certified Coding...RiskWork experience placementWork at office
Memorial Healthcare System
Los Angeles, CAmore than 2 months ago $7,379.78 - $8,970.17 per month
...Annually: $88,557.36 - $107,642.04 Job Type: Permanent Full-Time Location: Martinez, California Department: Risk Management Job Title: Workers' Compensation Claims Adjuster II Contra Costa County is seeking two (2) Workers' Compensation Claims Adjuster II to join our Risk...RiskHourly payPermanent employmentFull timeTemporary workRemote workPrismrisk
Martinez, CA2 days ago- Humana Inc. is seeking a Director of Risk Adjustment & Quality Record Retrieval to lead a national remote team, optimize retrieval operations, and drive compliance across risk, quality, and regulatory initiatives. The role emphasizes collaboration with Risk Adjustment,...RiskRemote job
$25 - $27 per hour
...Position Summary The HCC Risk Adjustment/Auditor is responsible for maintaining and monitoring the Quality Assurance auditing plan for outpatient clinical data. This position works to improve the quality of coding documentation and data in the medical record and HCC database...RiskHourly payCasual workWork at officeRelocation packageFlexible hoursRadNet
Los Angeles, CA5 days ago$95.4k - $120k
UCLA Outpatient Clinics in Los Angeles is looking for a Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment. You will work closely with providers to ensure documentation accuracy and participate in audits. This role requires expertise in risk...Risk- A public agency in California is seeking a Workers' Compensation Claims Adjuster II to join the Risk Management team. This role involves investigating claims, administering benefits, and working closely with legal counsel. The County values a diverse workforce and offers...RiskRemote job
- ...communities we serve strengthens our ability to deliver on that commitment. We have an opportunity to join the Alliance as the Risk Adjustment Director leading the Risk Adjustment Department. This position can be located in one of our service counties (Mariposa,...RiskFull timeContract workTemporary workPart timeLive inWork at officeLocal areaRemote work
Central California Alliance for Health
Santa Cruz, CA5 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 ...RiskLocal area
Stanford Health Care - ValleyCare
Newark, CA2 days ago $95k - $100k
...Description AvonRisk is the nation’s leading specialty risk manager for self‑insured organizations, uniting respected regional leaders... ...all vocational rehabilitation plans. Establish, monitor, and adjust monetary case reserves when warranted and in strict accordance with...RiskInterMed Cost Containment Services
Rocklin, CA3 days ago$95.4k - $208.3k
...seeking a Clinical Documentation Integrity Specialist for Medicare Advantage Risk Adjustment. This role involves conducting medical record audits and providing education to physicians and coders, ensuring accurate coding and documentation. Ideal candidates should possess...RiskFull time$23.31 - $24.92 per hour
...Update encounter information with additional HCC data. Conduct Risk Adjustment Data Validation (RADV) audits as requested by HCC Manager.... ...High school graduate or equivalent. Certified Professional Coder (CPC). Must maintain certification Completion of anatomy course...RiskRemote workRelocation packageHeritage Victor Valley Medical Group
Victorville, CA2 days ago- ...Job Description JOB DESCRIPTION JOB TITLE: Sr. Manager, Risk Adjustment FLSA STATUS: Exempt DEPARTMENT: Quality Improvement and... ...CERTIFICATIONS/TRAININGS (NOT REQUIRED): Certified Risk Adjustment Coder (CRC) — AAPC Certified Professional Coder (CPC) or...RiskWork at officeShift work
$95.4k - $208.3k
...As the Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment, you will be an expert in risk adjustment coding and documentation, working closely with physicians, IPA coders, and risk adjustment teams associated with the health plan. You will:...Risk3 days per week$25 - $30 per hour
Description AvonRisk is the nation’s leading specialty risk manager for self-insured organizations, uniting respected regional leaders... ...Claims Assistant, or up to one year Trainee or Future Med Adjuster experience; or Bachelor’s degree (B.A.) and six months experience...RiskPermanent employmentFull timeTraineeship$70k - $85k
...Description Description We are currently seeking a highly motivated Risk Adjustment Coding Specialist to support our Orange County market. In... ...informal discussion and overread assignments. Supports coder training and orientation as requested by manager. May assist...RiskWork at office- ...Junior Quality Improvement Coder Astiva Health, Inc., located in Orange, CA is a premier healthcare provider specializing in Medicare... ...that allows for proper review of data to evaluate HEDIS and Risk Adjustment Factor. Conduct internal reviews of documentation and...Risk
$22 - $26 per hour
...Medical Coder Astrana Health is currently seeking a highly motivated Medical Coder. This role will report to our Director - Revenue... ..., CVOR, inpatient surgical cases) strongly preferred Risk adjustment experience preferred Additional experience with HCC coding...RiskFull timeWork at office$70k - $80k
A global risk and claims administration provider seeks a Workers Compensation Claims Adjuster to analyze and process claims, ensuring timely resolution. Ideal candidates have at least 5 years of claims management experience and strong negotiation skills. This remote role...RiskRemote workFlexible hoursSedgwick Claims Management Services
San Diego, CA2 days ago$21 - $27 per hour
...eager, detail-oriented Medical Biller and Coder to join our Revenue Cycle Team at Circle... ...Ability to identify coding trends and areas of risk Proficient with Google Workspace,... ...location): $21 – $27 per hour. Compensation is adjusted based on location, with higher ranges for...RiskHourly payWork at officeFlexible hoursCM with padding
San Francisco, CA2 days ago$33 - $38 per hour
...DRG Coder The Senior DRG Coder is responsible for reviewing inpatient medical records and accurately assigning diagnosis and procedure... ..., and provider network teams to support accurate payment, risk adjustment, quality reporting, and medical expense analysis. What You'...RiskWork at officeRemote workHome office$57.4k - $99k
...between $57,400 to $99,000 annually based on experience The Coder Quality Auditor conducts monthly and quarterly quality... ...requested . Immediately provides reports related to compliance risks when requested . Experience We Love: ~5+ years of...RiskTemporary workWork at officeImmediate startRemote workEnsemble Health Partners
Glendale, CA2 days ago- AvonRisk, national leader in specialty risk management, seeks an experienced claims professional to manage a portfolio of complex indemnity files. The role requires strong analytical skills, fraud awareness, and a focus on timely closure while collaborating with medical...Risk
- UCLA Health is seeking a Clinical Documentation Integrity Specialist to manage Medicare Advantage risk adjustment coding. This role requires expertise in coding, conducting audits, and collaborating with providers. The candidate must hold appropriate certifications, have...Risk
- ...Senior Specialty Physician Coder Interventional Our client, a healthcare company, is looking for a Senior Specialty Physician... ...inpatient and outpatient coding experience Profee ONLY NOT HCC/risk adjustment, ASC, or facility coding Bonus/nice to have: GYNONC...RiskContract workWork at office
- ...Certified Coder We are an FQHC community health center dedicated to embodying the values... ...gaps, and potential compliance risk. It also includes support for payer audits... ...delivered, including chronic condition and risk-adjustment-relevant capture. # Keeps up to date...RiskImmediate start
