Average salary: $57,100 /yearly
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- ...progressive experience in outpatient physician documentation and Risk Adjustment; Bachelor’s degree preferred Licenses/Certifications: One of... ...: Certified Coding Specialist (CCS), orCertified Professional Coder (CPC), orCertified Coding Specialist-Physician Based (CCS-P),...RiskWork at office
- Vytwo in Dallas, TX seeks a Risk Adjustment Coding Auditor for a 6-month engagement to support CMS RADV audit passes. The role requires a CPC and CRC certification and 5+ years of risk adjustment experience, with proficiency in MS Office. The team will run first and second...Risk
$25 - $26.7 per hour
...change in 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...RiskHourly payRemote workFlexible hours- ...Risk Adjustment Coding Specialist We are currently seeking a highly motivated Risk Adjustment Coding Specialist to support our Houston market. In this role, you will support risk adjustment efforts by conducting high-volume chart reviews to identify coding gaps, trends...RiskRemote jobLive in
- Risk Adjustment Coding Auditor Role type: Risk Adjustment Coding Auditor Quantity of resources: 2 Duration: 6 months This role will be occupied by a certified risk adjustment coder to support first and second pass auditing for CMS RADV's. Required Skillset MS Suite...Risk
- ...Certified Medical Coder Certified Medical Coder role is responsible for reviewing, abstracting, and coding inpatient and/or outpatient... ...proper ICD-10-CM, HCPCS, and CPT coding and compliance with Risk Adjustment requirements. Key Responsibilities Follows CMS Risk...Risk
Apex Health Solutions
Houston, TX3 days ago - ...Job Description: A prominent insurance organization specializing in claims handling and risk management seeks a highly skilled Senior Claims Adjuster to join its dedicated claims team. This role is ideal for an experienced professional with a strong background in commercial...RiskFull time
The Jacobson Group
Texas28 days ago $143.62k - $229.79k
...Job Description As a Consulting Actuary -ACA Risk Adjustment, you will play a pivotal role in delivering a wide array of actuarial and analytical services for our organization. Responsibilities include leading pricing strategies and actuarial initiatives for business segments...RiskLocal areaBlue Cross and Blue Shield of North Carolina
Houston, TX1 day ago$136k - $170k
...transformative change in healthcare. What we're looking for: The open manager role is on a team that directly influences internal risk adjustment coding operations and produces client-facing analytics. Our focus is on our retrospective risk adjustment coding product and...RiskWork experience placementSeasonal workWork at officeRemote workFlexible hoursDatavant
Dallas, TX4 days ago$66k - $78k
...Description Description We are currently seeking a highly motivated Risk Adjustment Coding Specialist to support our Houston market. In this role... ...informal discussion and overread assignments. Supports coder training and orientation as requested by manager. May...RiskWork at office$70k - $75k
...Description Description: AvonRisk is the nation’s leading specialty risk manager for self-insured organizations, uniting respected... ...Role Summary: AvonRisk is seeking an Experienced Liability Adjuster for an in-house desk adjuster role based in Arlington, TX. The ideal...RiskWork experience placementWork at officeRemote workAvonRisk
Arlington, TX12 days ago- ...Altegra's nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data... ...QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines). Responsibilities Abstract pertinent information...RiskTemporary workRemote workWork from home
Altegra Health
Dallas, TX2 days ago - ...Value Based Coder II Inspired by faith. Driven by innovation. Powered by humankindness... ...within the Quality Management/Risk team, responsible for independently reviewing... ...identifying clinically appropriate risk-adjusting conditions and supporting provider documentation...RiskWork at office
$29 - $32 per hour
..., ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in... ...diagnosis level Answer rebuttals entered on the auditor by coders and or auditors Participate in weekly coding project review...RiskRemote workFlexible hoursDatavant
Dallas, TX15 days ago- CCMSI, a leading national TPA, seeks a Multi-Jurisdiction Claims Adjuster for auto and property damage within a national accounts program.... ...and adjusting losses. You’ll collaborate with clients, conduct risk assessment, maintain reserves, and ensure compliance with Corporate...RiskRemote job
- ...in Dallas is seeking an experienced Auto Physical Damage claims adjuster to manage first-party auto damage claims from notice through settlement... ..., and coordinating resources such as subrogation and risk management while interviewing witnesses as needed. #J-18808-Ljbffr...Risk
- RISK MANAGER - CLAIMSPosition Overview:Reporting to the JB Poindexter & Co's Director of Risk and Counsel, the Risk Manager - Claims... ...will oversee the third-party administrator (TPA) and work with adjusters on claims evaluations, strategy, reserves, legal, and review;...Risk
- ...Vendor Management is responsible for the sourcing, onboarding, risk assessment, monitoring and offboarding of third-parties; and assists... ...• Participate in the identification of policy and procedure adjustments to address the evolving risk environment and emerging risks...Risk
$159.1k - $265.1k
Position Summary Manager - Semiconductor Operations, Risk & Transformation Our Deloitte Regulatory, Risk & Forensic team helps... ...organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location...RiskLocal area- ...Position: HCC Medical Coder Location: Remote USA Interview Mode: Virtual Only Interview Process: 2 Rounds Job... ...position. The ideal candidate will have strong experience in HCC/Risk Adjustment coding, ICD-10-CM guidelines, and clinical documentation...RiskContract workRemote work
- ...Description Job Description Position Summary The Certified Medical Coder reviews clinical documentation and assigns medical codes in... ...and document work activity. Communicate workload status, risks, and questions clearly to Team Leads or Supervisors....RiskWork from home
Visualutions, Inc.
Spring, Montgomery County, TX15 days ago $99.25k - $166.78k
...functions, primarily clinicians and certified coders, to ensure achievement of organizational... ...may impact the salary range and these adjustments would be clarified during the offer... ...website: CorVel Careers | Opportunities in Risk Management In general, our opportunities...RiskMinimum wageFull timeWork at officeLocal areaRemote workFlexible hoursCorVel Healthcare Corporation
Fort Worth, TX25 days ago- ...Risk Manager Job Duties: Leads the identification, communication, measurement, and management of company-wide risk. Manages insurance... ...participates in negotiations, conferences and mediations with adjusting companies, outside legal counsel, staff, claimants, and other...Risk
TradeJobsWorkforce
Fort Worth, TX19 hours ago - The Risk Management & Claims Analyst is responsible for assisting with the overall management of insurance claims and company risk... ...Risk Management, this position will work closely with insurance adjusters, insurance brokers, the Safety and Legal teams, and other internal...RiskContract work
- ...industry together.The Asset Liability Management (ALM) & Market Risk Modeling team within Corporate Treasury develops and maintains models... ...modelingExperience implementing and validating optionality-adjusted measures for instruments with embedded options.Familiarity with...Risk16 hoursFull timeFlexible hours
- At AIG, we are reimagining the way we help customers to manage risk. Join us as a Commercial Liability Claims Adjuster, TPA Oversight to play your part in that transformation. It’s an opportunity to grow your skills and experience as a valued member of the team. Make your...Risk
- The Risk Management & Claims Analyst at Coca-Cola Southwest Beverages in Dallas assists with insurance claims and risk management programs... ...Director - Risk Management. You will coordinate with brokers, adjusters, and internal teams, process certificates of insurance, review...Risk
$161.93k - $269.88k
...audit managementExperience conducting management system audits, risk assessment reviews, implementation assessments, and audit reporting... ...organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the...RiskFull timeLocal areaVisa sponsorship$148.1k - $237k
...Georgia, 30144CarMax, the way your career should be! Director, Credit Risk & AnalyticsAbout this jobAs the captive lender behind the nation... ...pricing, fraud, and decisioning — balancing growth, risk-adjusted return, and customer experienceEvolving originations capabilities...RiskHourly payFull timeWork at office$126.82k - $149.2k
...Job DescriptionCredit Strategy is a dynamic team within Credit Risk Management focused on optimizing the identification, quantification... ..., maintaining strong procedural documentation, and adjusting priorities as the business and regulatory environment evolves.Key...RiskFull timeTemporary workWork experience placementWork at officeLocal area3 days per week
