6 hcc risk coder jobs found

Pride Health is seeking a Senior Medical Coder for a remote contract role. The position runs 8am–5pm with a 6-month term and potential extension. Pay ranges from $18 to $20 per hour and compensation is based on experience, credentialing, and education. AAPC or AHIMA certification is required, with at least 3 years of coding experience. Responsibilities include reviewing records, applying ICD-10-CM, CPT, HCPCS, and modifier codes, and performing CMS-HCC/risk adjustment coding as appropriate. #J-18808-Ljbffr

GeBBS Healthcare Solutions is seeking an HCC Coder to assign Hierarchical Condition Category codes from clinical documentation to support risk adjustment and compliant reimbursement. This full-time on-site role is based in Chanhassen, MN, reviewing records and applying ICD codes per current guidelines. You will validate diagnoses, identify documentation gaps, and collaborate with coding leadership to improve data integrity and support audits and continuous improvement initiatives in coding #J-18808-Ljbffr

GeBBS Healthcare Solutions is a KLAS-rated leader in Revenue Cycle Management (RCM) services and Risk Adjustment solutions, serving healthcare organizations across the U.S. The company combines innovative technology with a global workforce of over 14,000 team members to improve financial performance, support compliance, and elevate the patient experience. Headquartered in East Haven, CT, GeBBS is backed by EQT, a prominent European private equity fund. GeBBS has received multiple industry accolades, including recognition in Modern Healthcare’s Top 10 Largest RCM Firms, Black Book Market Research’s Top 20 RCM Outsourcing Services, and the Inc. 5000 list of fastest-growing private companies. Candidates joining GeBBS can expect a performance-driven, growth-oriented environment focused on quality and customer success. Role Description The HCC Coder is responsible for accurately assigning Hierarchical Condition Category (HCC) codes based on clinical documentation to support risk...

Coding Subject Matter ExpertOptum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together.Responsible for providing oversight to Optum360 coding services, directly overseeing facility-based and/or HIM (Health Information Management) Center operations leadership of Optum 360 Coding Departments within the assigned Region. The SME will lead key initiatives within the organization related to Quality metrics, workflow improvement, and audits, etc. to meet or exceed metrics, drive efficient coding services, and deliver performance excellence through standardization of processes...

Job Overview Fairview is looking to hire a Coder 4 to join our Inpatient Coding team . This is a full-time position (80 hours per pay period) and is benefit eligible . This role offers the flexibility to perform work in a virtual environment while remaining closely connected with the coding team and other partners across the organization. The ideal candidate will have strong experience in hospital-based inpatient coding , with demonstrated expertise in ICD-10-CM and ICD-10-PCS coding , including accurate MS-DRG assignment . This role utilizes encoder and computer-assisted coding (CAC) software to ensure accurate, thorough, and compliant coding of complex inpatient cases. The Coder 4 will also research complex coding scenarios, apply coding guidelines and clinical documentation, and query physicians when clarification is needed to support accurate code assignment. This is an HB Inpatient coding position for an experienced, trained inpatient coder. An Inpatient Coder...

Job Overview Are you an experienced inpatient coder looking to work fully remotely, with a team that values accuracy, continuous learning, and work-life balance? Fairview is hiring-you'll work Monday through Friday, handling 80 hours per pay period.What You'll Do Review and code inpatient clinical records using ICD-10-CM and ICD-10-PCS in alignment with coding guidelines, MS-DRG / APR-DRG reimbursement rules, and Fairview protocols.Validate computer-assisted coding (CAC) output and ensure thorough, accurate coding.Analyze clinical documentation and drill down on severity of illness (SOI), risk of mortality (ROM), HAC, and POA indicators.Collaborate with CDI (Clinical Documentation Integrity) staff to drive provider education and documentation quality.Assist in provider queries to improve documentation specificity.Partner with revenue cycle teams to support prompt claim submissions and optimize financial performance.Required Qualifications (must be met to be considered) :Certificate...