Average salary: $54,738 /yearly
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- ...Job Title: Risk Adjustment Medical Coder (hybrid, must be local to NYC) Location: Must be open to traveling within the 5 boroughs 2-3 days in the field, remaining days can be remote Duration: Contract to Hire Pay: up to $115,000 (based on experience)...RiskContract workWork at officeLocal areaRemote workWork from homeShift workDay shift
Medix™
New York, NY12 hours ago - ...Greenbrook Medical is looking to hire a full-time Medical Risk Adjustment Specialist for our growing primary care organization that serves... ...outcomes. About You Experience: Certified Professional Coder (CPC) required, Certified Risk Adjustment Coder (CRC)...RiskHourly payFull timeLocal areaRemote workLive inMonday to Friday
- ...encounters covering a wide variety of clinical cases and services for risk adjustment models.This position is responsible for translating diagnostic... ...information to support or provide specificity for coding. The coder must be trained in the anatomy and physiology of the human...RiskWork at office
- ...Virginia Beach, VA Work Shift First (Days) Overview: Sentara Health is seeking to hire a qualified individual to join our team as Risk Adjustment Coder . Position Details Position Status: Full-time, Day Shift Position Location: Hybrid work model - 1 day week on-site in...RiskFull timeWork at officeRemote workShift workDay shift1 day per week
- ...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...RiskFull timeRemote workFlexible hours
- ...interact with operational and clinical leadership to assist in the identification of Risk Adjustment/HCC coding opportunities, and will provide targeted education to CHC providers, billers, coders, and support staff to support value-based contract initiatives. Risk...RiskContract workTemporary workRemote workWork from homeFlexible hours
$136.1k - $176.11k
...Manager, Risk Adjustment – Coding Compliance The Manager of Risk Adjustment, Medical Coding, and Compliance is responsible for overseeing... ...Information Management Association OR Certified Professional Coder from American Academy of Professional Coders Additional Requirements...RiskRemote jobFull timeWork experience placementShift workKaiser Permanente
Rockville, MDmore than 2 months ago- **Become a part of our caring community and help us put health first** The Risk Adjustment Coder conducts quality assurance coding of medical records and ICD-10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government...RiskBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeShift workMonday to Friday
- ...standards for correct coding, minimize the risk of fraud and abuse, and optimize revenue... ...site to answer questions regarding risk adjustment, corrective CPT coding, Medicare & Medicaid... ...from AHIMA) or Certified Professional Coder (CPC), and Certified Risk Adjustment Coder...RiskWork at officeLocal areaRemote work
- ...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 officeHome officeMonday to Friday
- ...to Expect (Job Responsibilities): - Conduct research, analysis, and modeling of complex healthcare claims, pharmacy, lab, and Risk Adjustment submissions data - Develop and present reports on Risk Adjustment intervention performance and make data-driven recommendations...RiskImmediate startRemote work
Molina Healthcare
Long Beach, CA1 day ago - ...1490, Houston, TX 77004. We are currently recruiting for a Risk Adjustment Coding Specialist to join our Gulf Coast Population Health team... ...: Associate’s degree preferred AAPC Certified Professional Coder (CPC) certification is preferred, CPC and Certified Risk...RiskWork at officeLocal areaRemote workWork from homeHome office
- ...serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring production and quality... ...How many years of experience do you have directly managing coders or auditors?* Which coding systems are you experienced with?...RiskContract workFor contractorsFor subcontractorWork at officeRemote workH1bFlexible hours
- ...Utilizes analytics to identify and target providers for Medicare Risk Adjustment training and documentation/coding resources + The Medicare... ...small groups of clinicians, practice managers and certified coders developing training to fit specific provider's needs + Educates...RiskMinimum wageFull timeWork experience placementWork at officeLocal areaRemote workWork from homeRelocationRelocation packageMonday to Friday
- ...Position Summary The Risk Adjustment Analyst provides analytic, technical, and decision support to the Risk Adjustment Team utilizing third party software as well as the data warehouse as key sources of data. The Analyst works closely with our internal customers related...RiskRemote jobWork at office
- ...Job Description Job Description Salary: $110,000-$150,000/year Title:Product Manager Risk Adjustment Location:Remote Type:Temp to Hire Salary Conversion:$110,000-$150,000/year Description: We are seeking a strategic and detail-oriented Product Manager...RiskTemporary workRemote work
- ...diverse professional, educational, and life experiences to realize our bold vision for healthcare. What we're looking for: The Risk Adjustment Analytics Manager will oversee the Business Analytics team, guiding analysts and contributing hands-on to data analysis. The ideal...RiskWork at officeRemote work
- ...join a dynamic team supporting a leading healthcare organization's risk adjustment program. This fully remote role focuses on retrospective chart reviews and audit validation to ensure accurate and comp Coder, Remote, Audit, Healthcare, Staffing, Technology A-Line...RiskRemote job
- Description The Director for Quality and Risk Adjustment is responsible for leading enterprise development of the Medicare Star Ratings and Enterprise Risk Adjustment strategies that ensure our risk adjusted and Star members are getting the right clinical and pharmacy...RiskPermanent employmentContract workTemporary workRemote work
- ...home anywhere in the Continental United States. Position Purpose: Manages a team responsible for supporting key elements of the Risk Adjustment Compliance program with a focus on the auditing and monitoring functions. Collaborates with business areas to ensure effective...RiskFull timePart timeWork at officeRemote workWork from homeFlexible hours
- **Department Name:** Risk Adjustment **Work Shift:** Day **Job Category:** General Operations **Estimated Pay Range:** $53.63 - $89.38 / hour, based on location, education, & experience. In accordance with State Pay Transparency Rules. Banner Health was recently recognized...RiskRemote workLive inShift workMonday to Friday
- Senior Director, Risk Adjustment Compliance Oversight Join to apply for the Senior Director, Risk Adjustment Compliance Oversight role at Centene Corporation Senior Director, Risk Adjustment Compliance Oversight 1 week ago Be among the first 25 applicants Join to apply...RiskFull timePart timeWork at officeRemote workFlexible hours
- ...What You'll Do: Become a resource for all data needs in Risk Adjustment Analytics. Monitoring regulatory changes related to risk adjustment and ensuring our products and services are up to date. Producing thought leadership and white papers on risk adjustment...RiskFull timeWork experience placement
- ...Highmark Inc. **Job Description :** **JOB SUMMARY** This job provides end-to-end management, delivery and support to new and existing Risk Adjustment Programs. The incumbent will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government...RiskFor contractorsWork at officeLocal area
- ...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 workFlexible hours
- **JOB DESCRIPTION** **Job Summary** Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment program valuation. Maintain SQL/Databricks model, estimate valuations, and analyze results. Extract, analyze, and synthesize data from various sources...RiskWork experience placementRemote work
- Sales Director - Risk Adjustment & Retrieval (Healthcare BPO) Colorado Springs, United States | Posted on 06/06/2025 Job Title: Sales Director - Risk Adjustment & Retrieval (Healthcare BPO) Location: U.S. (Remote) | Reports to: CEO About Us Annova Solutions is a Healthcare...RiskRemote workShift work
- ...optimization on a global scale. Join us to start **Caring. Connecting. Growing together.** This Product team is a part of the Risk Adjustment and Quality Domain of Optum Insight. It includes Retrospective and Prospective services and a total team of 45 members - here and...RiskMinimum wageFull timeWork experience placementLocal areaRemote work
- ...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 workFlexible hours
- ...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 workFlexible hours
