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$73.92k - $110.87k
Overview Risk Adjustment Coder Specialist role at SECUR Health Plan. This role is hybrid remote/office and is responsible for validating clinical documentation, supporting provider education, engaging in provider relations, and ensuring compliant coding practices to reflect...RiskFull timeWork at officeRemote work$72.8k - $95.55k
...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- ...healthier future for everyone - which requires innovative thinking and continuous improvement. To achieve this, we're looking for a Risk Adjustment Coder to join #TeamMVP. This is the opportunity for you if you have a passion for accuracy, quality, and compliance coding. What's...RiskRemote work
MVP Health Care
Rochester, NY4 days ago - ...Job Description Job Description Job Title: Medical Risk Adjustment Coder Job Summary WE HAVE AN IMMEDIATE OPENING FOR A MEDICAL CODER with RISK ADJUSTMENT EXPERIENCE FOR A HYBRID ROLE IN MIDTOWN MANHATTAN. The Medical Risk Adjustment Coder is responsible for...RiskImmediate start
$77.51k - $87.2k
...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- ...committed to building the best primary care environment for patients and are seeking healthcare enthusiasts to join us. The Risk Adjustment coder will identify, collect, assess, monitor and document claims and encounter coding information as it pertains to Clinical Condition...RiskFull timeWork at officeFlexible hoursWeekend work
- We are seeking a certified coder with expertise in Risk Adjustment to join our team. The ideal candidate will have prior experience in Risk Adjustment coding and will support both Medicare and Medicaid Risk Adjustment clinical activities. Key Responsibilities Medicare...RiskContract work
$75k - $85k
Risk Adjustment Coding Specialist II (Central Georgia) Department: Quality - Risk Adjustment Employment Type: Full Time Location: Georgia, USA... ...informal discussion and overread assignments. Supports coder training and orientation as requested by manager. May assist or...RiskFull timeWork at officeMonday to Friday$28 - $30 per hour
...Job Description Job Description Now Hiring: Risk Adjustment Coder Location: NYC | Schedule: Hybrid, Mon–Fri (Flexible Hours) Pay: $28–$30/hr | Type: Long-Term Temp Are you an experienced coding professional with a passion for accuracy and compliance?...RiskTemporary workImmediate startWork from homeHome officeFlexible hours$77.97k - $141.37k
JOB DESCRIPTION Job Summary Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintain risk adjustment model, estimate risk scores, and analyze impact. Extract, analyze, and synthesize data from various sources...RiskRemote jobWork experience placement$65k - $84k
...realize our bold vision for healthcare. The Coding 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...RiskRemote jobFlexible hours$77.97k - $140k
JOB DESCRIPTION Job Summary Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks. Maintain/update SQL model(s), estimate...RiskRemote jobWork experience placement$125k - $160k
...Description We are seeking an experienced Senior Actuarial Associate to lead initiatives within our Value-Based Care (VBC) and Risk Adjustment teams, playing a pivotal role in the strategic management of healthcare provider contracts and risk models. This individual will...RiskContract workRemote work- Senior Risk Adjustment Analyst Join to apply for the Senior Risk Adjustment Analyst role at PacificSource Health Plans. Job Summary: The Senior Risk Adjustment (RA) Analyst assists in the accurate and comprehensive data submission to regulatory entities such as the Centers...RiskWork experience placementWork at officeNight shift
$77.97k - $155.51k
...DESCRIPTION Job Summary This Sr. Analyst, Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment Actuarial team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab...RiskRemote jobWork experience placement- Join to apply for the Sr. Risk Adjustment Analyst role at MVP Health Care At MVP Health Care, we're on a mission to create a healthier future for everyone - which requires innovative thinking and continuous improvement. To achieve this, we're looking for a Sr. Risk Adjustment...RiskRemote work
$130k - $145k
...Property General Adjuster Berkley One exists to insure and protect the lifestyles of a modern generation of affluence. We seek clients... ...sophisticated individuals and families who require world-class risk and claims management customized to their needs, a team of select...RiskFull timeFor contractors- ...We're Hiring: Sr. Medical Coder! We are seeking an experienced and detail-oriented Sr. Medical Coder to join our healthcare team... ...Adheres to compliance of Medicare, Medicaid, and Commercial risk adjustment guidelines with precision. Understands, respects, and applies...RiskRemote work
Tap Growth ai
Rochester, NY12 days ago $105.6k - $195.4k
Data Scientist III - Risk Adjustment Compliance page is loaded## Data Scientist III - Risk Adjustment Compliancelocations: Remote-MO: Remote-FL: Remote-NCtime type: Full timeposted on: Posted Todayjob requisition id: 1603544You could be the one who changes everything for...RiskFull timePart timeWork at officeRemote workFlexible hours- Overview Risk Adjustment Coding Auditor AdventHealth PHSO Resources role focused on supporting inpatient and outpatient coding teams through... ...established by corporate leadership. Conduct initial audits during coder onboarding and support ongoing quality assurance needs for...RiskFull timeLocal areaRemote workMonday to FridayShift work
$50k
...Description Job Description Complex General Liability Claims Adjuster - New York Labor Law Claims · New York Adjusters License... ...and benefits package. Company Description North American Risk Services (NARS) is a premier third-party claims administrator that...RiskWork at officeWork from homeNorth American Risk Services, Inc. (NARS)
Albany, NY1 day ago- Position Purpose Executes Line 2 oversight of Risk Adjustment including monitoring, auditing, and Line 1 oversight. Identifies and evaluates risk levels and effectively communicates findings to stakeholders, ensuring the highest quality of risk adjustment data. Develop...RiskFull timePart timeWork at officeRemote workFlexible hours
$60.41k - $84k
Overview Join to apply for the Risk Adjustment Coding Coordinator I/II role at Excellus BCBS . Responsibilities for this role include decision... ...federal regulations. Provide peer-to-peer guidance, support coder training and orientation as requested by leadership. Maintain...RiskRemote work- ...industry standard for global medical cost containment and medical risk management solutions. Learn more here . Iris, Powered by... ...here . What you’ll be doing. Job Summary: The Liability Claims Adjuster will be reporting to the Supervisor, Liability Claims. This position...RiskTemporary workWork at officeLocal areaWork from homeMonday to Friday2 days per week3 days per week
$60.41k - $84k
Overview Join to apply for the Risk Adjustment Coding Coordinator I/II role at Excellus BCBS Responsibilities The Risk Adjustment Coding Coordinator... ...informal discussion and over read assignments. Supports coder training and orientation as requested by leadership. Maintains...RiskWork at officeWork from homeHome office$60.41k - $84k
Overview Risk Adjustment Coding Coordinator I/II at Excellus BCBS. The role focuses on decision-making and implementation of medical coding... ...federal regulations. Provide peer-to-peer guidance and support coder training and orientation as requested. Maintain accuracy in coding...RiskRemote workWork from homeHome office$29 - $33 per hour
...diversity of professional, educational and life experiences to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder, you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate...RiskRemote jobHourly payFull timeFlexible hours- ...machine shop environment. Perform tool changes, offsets, and adjustments to maintain efficient production. Set up complex legacy... ...-site personnel services such as payroll, employee benefits or risk management, we are experts in meeting the needs of workers and...RiskFull timeShift workDay shiftAfternoon shift
Ethan Allen Workforce Solutions
Brewster, NY15 days ago $66.5k - $89.9k
...The opportunity Delaware North is hiring a full-time Senior Risk Analyst to join our team in Buffalo, New York. As a Senior Risk... ...compensation statutes, typical litigation procedures, casualty claims adjustment principles, medical management processes, and related medical...RiskFull timePart timeWork experience placementShift workDelaware North
Buffalo, NY12 days ago$70k - $95k
...efficiencyProvide leadership and direction to team to achieve organizational objectivesContinuously monitor the risk environment, foster a risk culture, and effectively adjust tactics to ensure compliance with corporate risk appetite and risk thresholds.Stay abreast of risk...RiskTemporary workWork at officeRemote workWork from homeHome officeFlexible hoursKeyCorp
New York, NY4 days ago
