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- ...International Classification of Diseases (ICD‑9 and ICD‑10) for CMS risk adjustment purposes. Education & Experience Required: High School or GED... ...Licenses & Certifications Required: Certified Professional Coder (CPC). Preferred: Certified Coding Specialist (CCS)....RiskHourly payRemote work
$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...RiskRemote jobFull timeWork at officeFlexible hours$71.15 - $112.34 per hour
Overview Join to apply for the Director Risk Adjustment role at Location: Mostly remote in WA, OR, and CA. The Role As the Director of Risk... ...management experience. Certification: Certified Risk Adjustment Coder (CRC) is preferred. Skills & Expertise: Strong strategic...RiskFull timeWork at officeLocal areaRemote workShift work$193k - $242k
...healthcare. Role Overview As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the strategy, roadmap, and execution... .... Background in working with provider documentation teams, coders, or concurrent review vendors. Clinical experience or deep...Risk$132.6k - $179.4k
Overview Assistant Director Risk Adjustment Member Engagement & Planning Work a hybrid schedule from Oregon, Washington, Idaho or Utah Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system. Who We Are Looking...RiskWork at officeImmediate startRemote workWork from homeFlexible hours$50.2k
...recommends process improvements for efficiencies. May provide guidance to Associate level employees. This role sits within our Risk Adjustment team - it is a remote based role - looking for someone who has some claims experience and looking to become familiar with risk...RiskFor contractorsWork at officeLocal areaRemote work$68.7k - $123.7k
...this job have the flexibility to work remote from home anywhere in the Continental United States. Position Purpose: Supports the Risk Adjustment Compliance program elements, with a focus on the auditing and monitoring functions. Collaborates with business areas to ensure...RiskFull timePart timeWork at officeRemote workWork from homeFlexible hours$70.8k - $113.2k
...Evaluates government reimbursement process to determine areas of risk and opportunity Participates in initiatives to improve... ...required Managed Care or healthcare experience is preferred Risk Adjustment experience is highly preferred Medicaid experience is preferred...RiskWork at office$145k - $170k
...professional, educational and life experiences to realize our bold vision for healthcare. Role Overview As a Product Manager, Risk Adjustment Coding Data Integration, you will own the data strategy and execution for Datavant’s Retrospective Risk Adjustment Coding products...Risk- Senior Risk Adjustment Analyst page is loaded Senior Risk Adjustment Analyst Apply locations Portland, OR time type Full time posted on Posted Yesterday job requisition id 2025-1267 Looking for a way to make an impact and help people? Join PacificSource and help our members...RiskFull timeWork experience placementWork at officeNight shift
$29 - $33 per hour
...a 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 representation...RiskRemote jobHourly payFull timeFlexible hours- ...matter expert, performing complex and high risk-based and baseline compliance reviews, and... ...PREFERRED CPC - Certified Professional Coder (AAPC) OR RHIA - Registered Health... ...to a rapidly changing environments and to adjust to new requirements ~ Demonstrated sound...RiskRemote jobFull timeWork experience placement
- ...verbal and written communications.* Ability to work independently and in teams, as appropriate, for complex projects with significant risk and financial impacts.* Demonstrated technology expertise with Microsoft Office Suite and coding (e.g., SQL, SAS, Alteryx).*...RiskWork at officeImmediate start
- ...Develops and post labor schedules in advance of work week start. Adjusts labor to changes in sale volume. Manages restaurant cash... ...employee handbook. Ensures accidents and incidents are reported to Risk Management in a timely manner. Take necessary action to minimize...RiskFull timeLocal area
Taco Bell
Portland, OR21 days ago $90k - $134k
Senior Claims Adjuster We are seeking an experienced Senior Claims Adjuster to handle complex property and casualty insurance claims. In... ...* Collaborate with underwriters regarding large losses and risk improvement recommendations * Identify suspicious claims and refer...RiskFull time$50k
...Description Job Description Sr. Construction Defect Claims Adjuster Ready to take the next step in your career? Let’s talk about... ...compensation and benefits package. Company Description North American Risk Services (NARS) is a premier third-party claims administrator...RiskWork at officeRemote workWork from home- ...experienced Inpatient Facility, Acute Care, Remote Medical Complex Coder to join our talented Inpatient Facility-coding team. Candidate... ...limited to: Trauma, ICU, Cardiac, Transplant, Orthopedics, High-Risk OB, NICU, and more . This is a facility-based coding position...RiskFull timeWork at officeRemote workShift work
$50k
...Responsibilities PRIMARY PURPOSE : To investigate and process marine claims adjustments for clients; to handle complex losses locally unassisted up to... ...for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive...RiskWork at officeLocal area$100k
...Performance-based bonuses tied to clinic outcomes & growth (Not per adjustment) Full medical, dental, vision + PTO, holidays, life/... ...Franchise Fees— earn like an operator, without taking on financial risk or overhead. Clinical Autonomy with Support — our doctors shape...RiskLocal areaFlexible hoursChiro One
Tualatin, OR56 minutes agonew$40k - $250k
...Financial Services & Insurance Job information Specialty Loss Adjuster Job Location: USA, Mexico, Brazil and strategic locations globally... ...Natural Resources, Property, Casualty, Technical and Special Risks and Marine. As we expand our operations, we are seeking individuals...RiskPermanent employmentFlexible hours- ...Related Groups (APR-DRG) assignment, utilizing applicable coding conventions. Demonstrates knowledge and understand of CMS HCC Risk Adjustment coding. Routinely performs chart analysis to identify areas of the medical record that contain incomplete, inaccurate or inconsistent...RiskFull timeWork experience placementWork at office
- ...are of sufficient quality to support diagnosis. \n ~ Repeat or adjust scans as necessary to improve image quality or ensure... ...patients. \n ~ Ensure proper patient positioning to prevent any risk of injury or discomfort during the scan, especially for vulnerable...RiskZero hours contractShift work
Magnet Medical
Portland, OR21 days ago $85k - $90k
...Work Fortune Best Workplaces in Financial Services & Insurance Sr. Adjuster - Multiline (Remote in Portland, OR) As an adjuster at Sedgwick,... ...for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by...RiskRemote jobWork from homeFlexible hours$81.62k - $135.88k
...Assist AM with client implementation and branch management with adjuster ID and training as needed Assist with claim review file selection... ...found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for...RiskMinimum wageFull timeWork at officeLocal areaRemote workFlexible hoursCorVel Enterprise Claims, Inc.
Portland, OR1 day ago- ...Job Title: Liability and Property Claims Adjuster Do you have a passion for public service and working alongside a team of professionals... ...traditional and non-traditional Human Resource and Enterprise Risk Management services. Application Deadline: Friday, November 0...RiskHourly payWork at officeLocal areaMonday to Friday
$69.92k - $133.62k
Property Adjuster Specialist - Field page is loaded## Property Adjuster Specialist - Fieldlocations: Winston-Salem Metro, NC Hometime type... ..., attend training, and conduct in-person inspections.* Ensures risks associated with business activities are effectively identified,...RiskHourly payH1bLocal areaRelocationAfternoon shift$74k - $118k
Job Title Senior Compliance Analyst (Risk Assessment and Oversight) - Remote Job Description The Senior Compliance Analyst assists in... ...color vision, peripheral vision, depth perception and ability to adjust focus Every employee must understand, comply with and attest to...RiskRemote jobWork experience placementLocal areaVisa sponsorshipWork visa- ...Job Description Job Description Program Manager – Enterprise Risk Management (ServiceNow IRM/GRC) Location : Remote (U.S.) with occasional travel to Albany, NY Employment Type : Full-time, project-based (initial 9-month implementation; potential long-term...RiskFull timeFor contractorsWork at officeRemote work
Persistent Technology, Inc.
Myrtle Point, OR5 days ago - Overview As a Senior Technical Product Manager, Risk Stratification, you will be a key member of the team that designs technical, service... ...and implementing CMS and HHS regulatory guidance, risk adjustment model updates, and maintaining compliance with evolving healthcare...RiskRemote jobTemporary workLocal areaFlexible hours
$86.68k
...global financial system. The Financial Services Specialist 2 (Risk) will be responsible for designing and overseeing the... ...Westchester Counties, are also eligible to receive an additional $4,000 annual downstate adjustment. Appointment Status: Permanent...RiskPermanent employmentFlexible hoursNew York State Department of Financial Services
Albany, OR20 days ago
