Average salary: $54,216 /yearly
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- Astrana Health in Monterey Park, CA is seeking a Risk Adjustment coder to review and ensure accurate ICD-10-CM/HCC documentation across Medicare Advantage, ACA, and commercial lines. You will educate providers and work with IPAs to improve coding quality. You will travel...Risk
$42.79 - $48.75 per hour
...$42.79 - $48.75 Hourly ESSENTIAL JOB FUNCTIONS HCC Coding and Risk Adjustment (RA) Program Support Perform comprehensive review of patient charts... ...or General Education is required. Certified Professional Coder (CPC), Certified Risk Adjustment Coder (CRC), or equivalent coding...RiskHourly payFull time$44.13 - $57.36 per hour
...Senior Risk Adjustment Coder The Senior Risk Adjustment Coder will perform code audits and abstraction in accordance with all state regulations, federal regulations, internal policies, and internal procedures. The HCC Coding Auditor Senior will be involved with activities...RiskHourly payWork experience placementWork at officeLocal areaUniversity HealthCare Alliance
Fremont, CA4 days ago- ...apply for other labor markets outside of NCAL.Support Health Plan Risk Adjustment operations through government audit readiness, compliance... ...Information Management Association OR Certified Risk Adjustment Coder from American Academy of Professional Coders OR Certified...RiskWork experience placement
- Astrana Health Management is seeking a Senior Analyst, Risk Adjustment Strategy to lead coding policy and documentation standards. The role reports to the Chief Quality Officer and guides coders, CDI reviewers, and provider education across multiple IPAs. Responsibilities...RiskRemote job
- ...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
Imperial Management Administrators Services Inc
Pasadena, CA2 days ago - ...Risk Adjustment Coding Specialist Greater Good Health is a fast-growing organization delivering care to older adults in access starved communities... ...Credentials & Certifications Certified Risk Adjustment Coder (CRC or equivalent) required CDI credential preferred (CDIP...RiskFull timeTemporary workWork at officeFlexible hours
Greater Good Health
El Segundo, CA5 days ago $72k - $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 officeAstrana Health, Inc.
Orange, CA2 days ago$75k - $85k
Astrana Health, Inc. in Monterey Park, CA is seeking a Risk Adjustment Coding Specialist II to verify provider documentation, educate providers, and support CMS risk adjustment initiatives. The role requires travel to provider sites (about 75%) and reports to the Supervisor...Risk$28 - $34 per hour
...to 25% Shift: Day Job Category: Health Care Job Summary The Risk Adjustment Factor (RAF) Specialist supports Vivant’s risk adjustment initiatives... .... The RAF Specialist collaborates closely with providers, coders, and care management teams to identify opportunities for RAF...RiskHourly payFull timeWork at officeShift work$90k - $120k
...About the Role We are currently seeking a highly motivated Risk Adjustment Strategy Senior Analyst. This role will report to the Chief... ...defining role rather than a production coding role. Our internal coders, clinical documentation reviewers, and provider education...RiskContract workRemote workWork from homeHome officeAstrana Health, Inc.
Alhambra, CA2 days ago- Astrana Health seeks a Risk Adjustment Coding Specialist II to join our Strategy and Operations team in Monterey Park, CA. The role requires converting provider documentation into compliant HCC coding and educating providers on CMS requirements while traveling to provider...RiskRemote work
$70k - $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...RiskWork at officeRemote workWork from homeHome officeAstrana Health, Inc.
Orange, CA2 days ago- ...Sharp HealthCare is seeking a Risk Adjustment Reporting Specialist to support the SCMG Finance team in preserving accurate reporting across EHR, claims, and external vendor files. The role centers on validation, distribution, and analysis to enable timely performance tracking...RiskRemote work
Sharp Corporation
San Diego, CA10 hours ago - Greater Good Health in El Segundo, CA, is seeking a Risk Adjustment Coding Specialist to own retrospective CDI chart reviews, strengthen coding compliance, and optimize risk capture for our Medicare-focused care model. You will collaborate with Revenue Cycle, Clinical Operations...Risk
- ...range reflects the Northern CA region. Lower salary ranges will apply for other labor markets outside of NCAL.Support Health Plan Risk Adjustment strategy through data analysis, performance monitoring, and business insights that drive operational excellence, compliance...Risk
- ...Risk Adjustment Coding Specialist We are currently seeking a highly motivated Risk Adjustment Coding Specialist. This role will report to the Supervisor - Risk Adjustment and enable us to continue to scale in the healthcare industry. The staff is required to frequently...Risk
- ...Risk Adjustment Coding Specialist We are currently seeking a highly motivated risk adjustment coding specialist to support our Orange County market. In this role, you will support risk adjustment efforts by conducting high-volume chart reviews to identify coding gaps...Risk
- County of Contra Costa is seeking one (1) Workers' Compensation Claims Adjuster II to join the Risk Management team. The role involves self-administered claims and benefits for industrial injuries within the County, reporting to a Senior Adjuster or Supervisor, with a...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
- Greater Good Health is seeking a Risk Adjustment Coding Specialist to own retrospective CDI chart reviews and strengthen coding compliance and risk adjustment optimization in our Medicare-focused primary care model. Ideal candidates have deep Medicare risk adjustment knowledge...Risk
- ...The actual posting represents a position at one of our clients. Job Summary Our client is seeking a skilled Risk Adjustment Director to serve as the executive strategic leader and subject matter expert for the health plan's Risk Adjustment Department....RiskTemporary workLocal areaShift work
Medix
Scotts Valley, CA2 days ago - ...Senior RAF Specialist in Sacramento to support Medicare Advantage risk adjustment initiatives. You will ensure accurate documentation and coding to optimize RAF scores and collaborate with providers, coders, and care teams to identify opportunities for improvement. The...Risk
- ...Bargaining Unit: Local 21 - Non‑Supervisory Management Contra Costa County is seeking one (1) 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‑...RiskPermanent employmentFull timeTemporary workWork at officeLocal areaImmediate startRemote work
Contra Costa County
Martinez, CA4 days ago - ...LLC in Sacramento, CA is hiring a RAF Specialist to support risk adjustment initiatives within the Medicare Advantage line. You will ensure... ...under CMS guidelines. You will collaborate with providers, coders, and care teams, conduct chart reviews, monitor RAF trends, and...Risk
$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...RiskAvonRisk LLC
Rocklin, CA8 hours agonew- ...DRG Coder The DRG Coder is responsible for reviewing inpatient medical records and accurately assigning diagnosis and procedure... ...finance, and provider network teams to support accurate payment, risk adjustment, quality reporting, and medical expense analysis. Astrana...Risk
$25 - $27 per hour
...Description Description: AvonRisk is the nation’s leading specialty risk manager for self-insured organizations, uniting respected... ...Compensation Claims Assistant, or up to one year Trainee or Future Med Adjuster experience; or Bachelor’s degree (B.A.) and six months...RiskHourly payPermanent employmentTraineeshipAvonRisk
Rocklin, CA2 days ago$24.66 - $33.94 per hour
...insurance plans through the United States Department of Agriculture’s Risk Management Agency. Together with RCIS agents, we protect America... ...is hiring an RCIS Crop Claims Specialist or Claims Crop Field Adjuster to join our team! We are open to hiring talent in one of the...RiskHourly payFull timeTemporary workSummer workWork at officeLocal areaRemote workVisa sponsorshipFlexible hoursZurich
California18 days ago$30 - $40 per hour
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...RiskHourly payTemporary workWork at officeRemote work
