75 (CRC) Certified Risk Adjustment Coder jobs

A leading healthcare coding company is seeking a professional to handle outpatient coding responsibilities, including assigning ICD-10 and CPT codes in accordance with guidelines. The ideal candidate will have 3-5 years of experience and certification in coding systems. Key duties include maintaining patient privacy, following coding processes, and collaborating with clinical staff. This role emphasizes accuracy and adherence to HIPAA guidelines, requiring a thorough understanding of HCC coding. #J-18808-Ljbffr

Porter is hiring a Risk Adjustment Coder to join our Team! Porter combines the power of analytics with the power of care. Porter is a leading healthcare IT and services platform for care and coverage coordination that optimizes outcomes and member experience. We deliver understanding, compassion, information, and peace of mind for your members. Driven by robust AI analytics, Porter’s Care Guide team helps the member navigate the healthcare delivery system, secures the right support for each member’s specific needs, and directs Porter’s team of expert clinicians to perform comprehensive in-home assessments, complete with lab and diagnostic testing. By coordinating the complexities of each unique care journey, Porter helps close the gaps with the largest impact on quality measures, total cost of care, risk adjustment, and member experience. Position Overview We are seeking a certified coder with expertise in risk adjustment coding and a specialization in in-home health...

A healthcare IT service provider in Pompano Beach, FL is seeking a Risk Adjustment Coder to ensure accurate coding of assessments and manage provider queries. The ideal candidate will have 5+ years of experience in risk adjustment coding, particularly in in-home assessments, and will maintain a high standard of coding accuracy. This role involves collaboration with clinical teams and requires a CPC or CSS certification. A competitive wage and benefits package is offered, alongside opportunities for professional growth and education. #J-18808-Ljbffr

A leading healthcare staffing company in Cleveland is seeking an HCC Medical Coder to assign ICD-10-CM diagnosis codes. Candidates must hold relevant certifications and possess over 3 years of HCC experience. This role offers competitive pay and benefits including health, dental, and vision insurance, as well as a 401(k) savings plan. Flexibility in scheduling allows for part-time or full-time work. Join a committed team at a company focused on providing meaningful staffing solutions. #J-18808-Ljbffr

Description The HCC Auditor/Coder's primary objective is to continually improve providers' reporting and documentation of chronic health care conditions. This is done through auditing providers' patient medical records and providing education on best coding practices. Code review super bills and patient medical records for proper use of diagnosis and procedure codes. Works as an integral member of the Finance Department. Code review super bills and patient medical records for proper use of diagnosis and procedure codes. Interface effectively with physicians and office staff on coding issues. Research coding questions as needed. Code review a wide variety of document types, i.e., Primary and specialty care medical records, mental health, substance abuse, in-patient, out-patient, non-submittals (lab), ancillary and pharmaceutical services for HCC values. Perform both provider office audits and on-line audits via reviewing patient medical records. Provide education to provider...

Medical Risk Adjustment Coder The Medical Risk Adjustment Coder supports the physician practices and the Care Coordination Department with Coding Improvement activities using various clinical data systems. Responsibilities Collaborates with a variety of internal and external clients, including health care executives, physicians, provider office personnel, and payer representatives from various health plans to streamline and optimize accurate diagnosis code capture. Maintains responsibility for conducting clinical chart and patient billing audits for the purpose of identifying and validating reported diagnoses for Medicare/Medicare Advantage and ACO health plan members. Reviews medical records and billing history to determine if specific disease conditions were correctly billed and documented. Adheres to all official coding rules and CMS guidelines for risk adjustment, and ensures accuracy, completeness, specificity and appropriateness of diagnosis information. Assists with...

Medical Coder - Hcc Auditor/Coder Location: Northridge, CA Schedule: Onsite Compensation: $25-$35/hr Contract Duration: 6 months (potential to extend) About the Opportunity Join a respected healthcare organization as a Medical Coder (Hcc Auditor/Coder) where you'll play a key role in improving the accuracy of chronic condition reporting and driving high-quality documentation for providers. This role is ideal for individuals passionate about coding accuracy, provider education, and contributing to better patient outcomes. You'll serve as an essential member of the Finance Department, auditing medical records, supporting providers, conducting coding reviews, and ensuring proper documentation aligned with Hcc standards. What You'll Do Hcc Auditing & Coding Review super bills and medical records for accurate ICD, CPT, HCPCS, and Hcc coding Perform ongoing audits for primary care, specialty care, mental health, inpatient, outpatient, labs, ancillary services, and...

A leading technology services provider is hiring an HCC Coder for a contract position in Canoga Park, CA. The role involves reviewing PCP office visit notes and performing retrospective HCC coding. Ideal candidates will have at least 6 months of hands-on experience in HCC coding, Medicare Risk Adjustment experience, and an active certification. The pay rate is $25 per hour, and the role requires onsite presence. Benefits include medical, dental, and 401(k). This is a contract-to-hire position, with conversion possible after 4-6 months. #J-18808-Ljbffr

A healthcare organization is seeking an experienced Risk Adjustment Coder & Auditor to support coding integrity and CMS compliance. This fully remote position requires strong knowledge of ICD-10-CM and 3+ years of HCC coding experience. Responsibilities include ensuring accuracy in coding, conducting medical record reviews, and supporting RADV audits. This role offers a stable full-time opportunity with work-life balance and a comprehensive benefits package including PTO and education reimbursement. #J-18808-Ljbffr

Sr. Associate, Health Care Ankura is a team of excellence founded on innovation and growth. Practice Overview: Ankura's Health Care team is a recognized leader in health care disputes, compliance, and investigations. We combine unparalleled clinical, technical, and operational expertise with financial, economic, analytic skills. Our clients and their legal counsel rely upon us to successfully resolve complex matters. Ankura's health care team is comprised of clinicians, certified coders, revenue cycle, and operations professionals. Our practice leaders each have over 25 years of health care and consulting experience. The Ankura team has a mastery of the data and information systems used by providers, payers, and CMS. We combine in-depth operational, compliance, and clinical industry knowledge with exceptional data analytics, information-gathering, and forensic skills enabling us to help our clients and their legal counsel assess and quantify the potential impact of a dispute....

Health Coder - Hcc & Risk Adjustment Burlingame, CA 94010 Overview Salary Range $42.79 - $48.75 Hourly Description The Healthcare Coder plays a critical role in supporting accurate and compliant coding for NEMS MSO operations with a focus on Medicare Risk Adjustment (RA) programs. This position ensures accurate capture of Hierarchical Condition Category (HCC) coding and improves risk adjustment scores by conducting chart audits, providing provider education, and supporting clinical documentation improvement (CDI) initiatives. The Healthcare Coder will collaborate closely with providers, clinical staff, and leadership to improve coding accuracy and compliance, directly impacting the organization's quality outcomes and financial performance. ESSENTIAL JOB FUNCTIONS: HCC Coding and Risk Adjustment (RA) Program Support Perform comprehensive review of patient charts to identify and validate diagnosis codes in alignment with HCC and risk adjustment guidelines. Ensure all...

HCC Medical Coder needed ASAP! Location: Onsite in West Hills, CA Schedule: Monday-Friday, 8:00 AM to 5:00 PM Setting: Established, reputable medical group Team: Supportive finance and coding team WHAT YOU'LL BE DOING (HIGH LEVEL) Review medical records and superbills for accurate HCC and diagnosis coding Audit provider documentation and support accurate risk adjustment Collaborate with providers and internal teams on coding questions Support quality, compliance, and documentation improvement efforts WHAT WE'RE LOOKING FOR Active coding certification (AHIMA or AAPC) Experience with HCC, ICD10, CPT, and HCPCS Experience in coding, auditing, billing, or claims (1+ year preferred) Knowledge of medical terminology and anatomy Comfortable working in EMRs and Excel Job Type & Location This is a Contract position based out of Calabasas, CA. Pay and Benefits The pay range for this position is $25.00 - $35.00/hr. Eligibility...

A healthcare provider organization is seeking a Coder to ensure accurate coding of medical records and compliance with healthcare regulations. Responsibilities include translating services into codes, educating providers, and managing healthcare records effectively. The role requires an associates degree or relevant experience, along with coding certifications and strong communication skills. This position is remote and offers a competitive pay range with various employee benefits. #J-18808-Ljbffr

Ankura is a team of excellence founded on innovation and growth. Practice Overview: Ankura's Health Care team is a recognized leader in health care disputes, compliance, and investigations. We combine unparalleled clinical, technical, and operational expertise with financial, economic, analytic skills. Our clients and their legal counsel rely upon us to successfully resolve complex matters. Ankura's health care team is comprised of clinicians, certified coders, revenue cycle, and operations professionals. Our practice leaders each have over 25 years of health care and consulting experience. The Ankura team has a mastery of the data and information systems used by providers, payers, and CMS. We combine in-depth operational, compliance, and clinical industry knowledge with exceptional data analytics, information-gathering, and forensic skills enabling us to help our clients and their legal counsel assess and quantify the potential impact of a dispute. Our clients include the...

A leading consulting firm in Washington, DC seeks a Sr. Associate specialized in healthcare coding and compliance. The role involves analyzing patient records, ensuring coding guidelines adherence, and managing complex investigations. Candidates must have a CRC certification and strong communication skills, with the ability to work independently. The position offers a competitive salary range between $85,000 and $200,000, depending on experience, and focuses on maintaining high quality in a fast-paced environment. #J-18808-Ljbffr

A leading consulting firm seeks a Sr. Associate to join its Health Care team in Washington, D.C. This position involves coding, compliance analysis, and project management for investigations and disputes in the health care sector. Ideal candidates will possess strong clinical knowledge and a CRC certification, with at least five years of relevant experience. The role allows for remote work and requires excellent communication skills. Salary range is between $85,000 and $200,000, commensurate with experience and other factors. #J-18808-Ljbffr

Hierarchical Condition Category (HCC) Medical Coder The Hierarchical Condition Category (HCC) Medical Coder is responsible for assigning ICD-10-CM diagnosis codes and/or HCC's as appropriate to reflect risk adjustment and abstracts pertinent information from patient records. Minimum Requirements: Must hold at least one of the following certifications: RHIA, RHIT, CCS, CCS-P, CPC, CPC-H (COC), CRC experience Must be at least 18 years of age Must have 3+ years of recent HCC experience Available for PT (30 hours) or FT (40 hours) Benefits At Amergis, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits: Competitive pay & weekly paychecks Health, dental, vision, and life insurance 401(k) savings plan Awards and recognition programs *Benefit eligibility is dependent on employment status. About Amergis Amergis, formerly known as Maxim Healthcare Staffing, has served our clients and...

*Medical Coder - HCC Auditor/Coder* *Location:* Northridge, CA *Schedule:* Onsite *Compensation:* $25-$35/hr *Contract Duration:* 6 months (potential to extend) *About the Opportunity* Join a respected healthcare organization as a *Medical Coder (HCC Auditor/Coder)* where you'll play a key role in improving the accuracy of chronic condition reporting and driving highquality documentation for providers. This role is ideal for individuals passionate about coding accuracy, provider education, and contributing to better patient outcomes. You'll serve as an essential member of the Finance Department, auditing medical records, supporting providers, conducting coding reviews, and ensuring proper documentation aligned with HCC standards. *What You'll Do* *HCC Auditing & Coding* * Review super bills and medical records for accurate ICD, CPT, HCPCS, and HCC coding * Perform ongoing audits for primary care, specialty care, mental health, inpatient, outpatient, labs, ancillary...

*HCC Medical Coder needed ASAP!* * *Location:* Onsite in West Hills, CA * *Schedule:* Monday-Friday, 8:00 AM to 5:00 PM * *Setting:* Established, reputable medical group * *Team:* Supportive finance and coding team WHAT YOU'LL BE DOING (HIGH LEVEL) * Review medical records and superbills for accurate HCC and diagnosis coding * Audit provider documentation and support accurate risk adjustment * Collaborate with providers and internal teams on coding questions * Support quality, compliance, and documentation improvement efforts WHAT WE'RE LOOKING FOR * Active coding certification (AHIMA or AAPC) * Experience with HCC, ICD10, CPT, and HCPCS * Experience in coding, auditing, billing, or claims (1+ year preferred) * Knowledge of medical terminology and anatomy * Comfortable working in EMRs and Excel *Job Type & Location*This is a Contract position based out of Calabasas, CA. *Pay and Benefits*The pay range for this position is $25.00 - $35.00/hr. Eligibility...

A healthcare provider organization in California is seeking a full-time Risk Adjustment Coding Specialist II to ensure compliance with Medicare documentation requirements. This role includes reviewing medical records, educating providers, and conducting quality audits. The ideal candidate will have 3-5 years of risk adjustment coding experience and maintain relevant certifications. The position requires travel up to 75% of the time and offers a hybrid work structure. Competitive compensation between $75,000 and $85,000 annually is provided. #J-18808-Ljbffr