235 risk adjustment coder jobs found

A healthcare organization is seeking a highly motivated Risk Adjustment Coding Specialist for its Virginia market. The ideal candidate will support risk adjustment by conducting extensive chart reviews, educating providers, and tracking performance metrics. They should have 3-5 years of experience in risk adjustment and relevant certifications. This full-time role offers a hybrid work structure with significant remote work and includes a competitive salary range between $70,000 and $85,000 per year. #J-18808-Ljbffr

A healthcare organization is seeking a highly motivated Risk Adjustment Coding Specialist for its Virginia market. The ideal candidate will support risk adjustment by conducting extensive chart reviews, educating providers, and tracking performance metrics. They should have 3-5 years of experience in risk adjustment and relevant certifications. This full-time role offers a hybrid work structure with significant remote work and includes a competitive salary range between $70,000 and $85,000 per year. #J-18808-Ljbffr

A healthcare company seeks a Risk Adjustment Coding Specialist II in Orange, CA. The role involves reviewing medical records, educating providers, and performing coding audits. Candidates must have strong coding skills and certifications, along with 3-5 years of risk adjustment experience. This position requires up to 75% travel to provider offices and follows a hybrid work structure, allowing flexibility in work location. Competitive pay ranges from $70,000 to $85,000 per year. #J-18808-Ljbffr

Risk Adjustment Coder Analyst – Quality – Hansen Location: Green Bay, Wisconsin, United States Position: 40 hours per week Job Summary At Prevea Health the Risk Adjustment Coding Analyst will perform coding reviews of medical record documentation to ensure proper capture of CMS Hierarchical Condition Categories (HCC) conditions that are applicable to Medicare Risk Adjustment reimbursement activities. The Risk Adjustment Coding Analyst will also be responsible for education on HCC's as well as working with different insurance contracts to aid in closure requirements. What you will do Complete thorough medical record reviews, identify and assist the provider to update the Active Problem List for accuracy (highest degree of specificity) by transitioning the less/unspecified diagnoses codes to the most accurate diagnosis and appropriate code specificity. Review records prior to scheduled appointments and accurately identify conditions not yet incorporated in the Problem List to...

A healthcare provider in Green Bay seeks a Risk Adjustment Coder Analyst to perform coding reviews of medical records and ensure compliance with CMS HCC guidelines. The role includes educating providers on coding practices, identifying gaps in preventive services, and conducting quality audits. Candidates should have an associate's degree in a healthcare field and 1-3 years' experience in a healthcare setting. Knowledge of ICD-10 codes and Electronic Health Records (EPIC) is preferred. This position offers opportunities for professional development and essential contributions to patient care. #J-18808-Ljbffr

Hybrid | Des Moines, IA (Onsite Tues–Thurs, Remote Mon/Fri) $40/hour | 6-Month Contract with Potential for Conversion We are seeking a Certified Risk Adjustment Coder (CRC) to support Medicare Risk Adjustment initiatives through detailed HCC medical record reviews and direct provider engagement. This role is ideal for someone confident, collaborative, and comfortable working onsite with provider teams to drive documentation accuracy and performance improvement. This position requires onsite presence Tuesday–Thursday in Des Moines, IA with 10% local travel , and remote flexibility on Mondays and Fridays. Position Overview This role performs concurrent medical record reviews to ensure accurate capture of HCC conditions and appropriate documentation reflecting patient severity of illness. The coder will collaborate closely with physicians, clinical leadership, and provider engagement teams to improve documentation practices and support compliance with CMS guidelines. Key...

Position: Risk Adjustment Coder . Location: Remote (Must reside in NY/ NJ/ CT) . Schedule: Monday - Friday 9 am-5 pm . Compensation: $77,506.87 - 87,195.23 annual salary - - CPC, CCS, RHIT or RHIA and CRC are required - - . Join VillageCar Coder, Risk, Healthcare, Processing

Risk Adjustment Coder Join VillageCare as a Full Time Risk Adjustment Coder and embrace the opportunity to work remotely while making a significant impact in the Health Care sector. This role offers the flexibility of a work-from-home environment, allowing you to balance your professional and personal commitments without the daily commute. You'll be part of a dynamic team that thrives on innovation, problem-solving, and a customer-centric approach, all while contributing to the excellence and integrity that VillageCare stands for. With a competitive salary up to $77,506.87 - $87,195.23, this is not just a job but a chance to build your career in a forward-thinking organization dedicated to healthcare improvement. As a team member you'll be able to enjoy benefits such as PTO package, 10 Paid Holidays, Personal and Sick time, Medical/Dental/Vision, HRA/FSA, Education Reimbursement, Retirement Savings 403(b), Life and Disability, Commuter Benefits, Paid Family Leave, and Additional...

A community-based healthcare organization is looking for a Full Time Risk Adjustment Coder, offering a remote work option for residents of NY/NJ/CT. The role requires strong coding skills with a focus on ICD and CPT codes, ensuring compliance with regulations. Applicants must have relevant certifications and a commitment to healthcare quality improvement, with a competitive salary ranging from $77,506.87 to $87,195.23 annually. Employees enjoy various benefits including paid time off and education reimbursement. #J-18808-Ljbffr

Augusta Health is seeking a Lead Risk Adjustment Coder to enhance the accuracy of coding and improve patient care. This role requires a strong foundation in ICD-10 and risk adjustment coding, in addition to collaborative engagement with healthcare teams to maintain high coding standards. The position offers full-time employment within a leading community health system in Virginia's picturesque Shenandoah Valley. #J-18808-Ljbffr

A healthcare organization in Beaumont is seeking a motivated Risk Adjustment Coding Specialist. The role involves conducting chart reviews to identify coding gaps and providing education to healthcare providers. Candidates should have 3-5 years in risk adjustment coding, relevant certifications, and excellent communication skills. This position offers a hybrid work model with 75% travel required to provider offices in the Beaumont area, aiming to enhance coding accuracy and provider performance. #J-18808-Ljbffr

A healthcare provider in Knoxville is seeking a full-time Certified Medical Coder. The position requires thorough clinical documentation reviews and accurate coding of HCC diagnoses using ICD-10-CM guidelines. Candidates must have current CPC or RHIT certification, be team players with strong communication skills, and maintain HIPAA privacy. This remote role involves occasional onsite meetings, making it crucial for candidates to reside in the Knoxville area. #J-18808-Ljbffr

A leading healthcare organization in San Francisco seeks a Health Information Coder I. This entry-level position requires certification in coding and involves assigning accurate codes for diagnoses and procedures. Responsibilities include ensuring compliance with coding standards and collaborating with healthcare providers. Ideal candidates will have experience in healthcare coding and basic computer skills. The role offers a hybrid work model with additional health benefits and professional development opportunities. #J-18808-Ljbffr

Job Description Employment Duration: 3 months Location: Fully Remote Openings: 2 The Health Information Coder I is an entry‑level coder with a basic knowledge and skill set to utilize ICD‑10‑CM, CPT, and HCPCS classification systems to code across various healthcare settings, including outpatient, emergency department, and ancillary services. This role ensures coding accuracy, compliance with regulatory guidelines, and adherence to UCSF policies, supporting proper reimbursement and revenue cycle integrity. The Coder I collaborates with healthcare providers, revenue cycle teams, and compliance departments to resolve documentation issues and maintain high standards of coding performance. This position is hybrid and may require travel to UCSF Health for business purposes. The incumbent must be able to provide a safe and private home office environment for conducting UCSF business. Key Responsibilities Assign accurate ICD‑10‑CM, CPT, and HCPCS codes for diagnoses, procedures,...

A leading healthcare institution in California is seeking a Health Information Coder I. This entry-level role focuses on accurately coding healthcare data using ICD-10-CM, CPT, and HCPCS systems. The ideal candidate should have a high school diploma, relevant certification like CRC, and ideally 1-3 years of experience. They will ensure compliance with regulatory guidelines and collaborate with various teams to resolve documentation issues. This position allows for remote work and may require occasional travel to the office. #J-18808-Ljbffr

A leading health institution is seeking a certified Risk Adjustment Coder to ensure accurate coding for medical diagnoses and procedures. The position is hybrid, requiring some travel. Applicants should have at least 1-3 years of healthcare coding experience along with specific coding certifications. Knowledge of medical terminology is essential. The role demands an accuracy rate of 95% and involves collaborating with revenue cycle teams. This is an excellent opportunity for those looking to enhance their coding skills in a supportive environment. #J-18808-Ljbffr

Employment Duration: 3 months Location: Fully Remote Openings: 2 Work Schedule: Hybrid and may require travel to UCSF Health for business purposes. Provide a safe private home office environment for UCSF business. Key Responsibilities Assign accurate ICD-10-CM, CPT, and HCPCS codes for diagnoses, procedures, and services based on documentation in the medical record, with a focus on ICD-10-CM codes that map to CMS-defined Hierarchical Condition Categories (HCCs). Ensure ICD-10-CM and CPT coding compliance with federal regulations, payer policies, UCSF standards (including UCSF HCC Coding Guidelines), and industry guidelines, including LCD/NCD requirements. Review medical records and abstract necessary information to ensure documentation supports assigned codes for billing and reimbursement. Identify and add ICD-10-CM diagnosis codes supported by clinical documentation, with a focus on codes that map to HCC categories. Resolve coding edits, discrepancies, and denials in...

4 days ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. Colorado Community Managed Care Network provided pay range This range is provided by Colorado Community Managed Care Network. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $53,000.00/yr - $70,000.00/yr Direct message the job poster from Colorado Community Managed Care Network Director of Human Resources and Business Operations Description https://recruiting.paylocity.com/recruiting/jobs/All/3736f22c-4667-493c-828e-5131b681ff09/Colorado-Community-Managed-Care-Network. Applicants will must apply through this link to be considered. Responsibilities: The Value Based Coding Advisor will 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...

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

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...

REMOTE Risk Adjustment Coder (6-month contract) The Risk Adjustment Coder works in a collaborative effort directly with physicians and their office staff and other support departments to review medical records and other clinical documentation to identify appropriate risk adjustment codes and quality gap closure opportunities. A major focus of the position is to collect and review documents to support the organization’s quality and risk adjustment initiatives, which results in improving quality of care. ESSENTIAL JOB DUTIES/RESPONSIBILITIES: Ensures compliance with all applicable Federal, State and/or County laws and regulations related to coding and documentation guidelines for Risk Adjustment Reviews of medical records, patient medical history and physical exams, physician orders, progress notes, consultation reports, diagnostic reports, operative and pathology reports, and discharge summaries to verify whether: The diagnosis codes are supported by the documentation and ensure...

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

A community health organization is seeking a Full Time Risk Adjustment Coder to work remotely from NY/NJ/CT. The ideal candidate will have robust experience in HCC and inpatient coding, alongside necessary certifications such as CPC or RHIT. This role involves code abstraction, ensuring compliance with CMS requirements, and contributing to quality initiatives in healthcare. A competitive salary range of $77,506.87 - $87,195.23 is offered, along with various employee benefits including PTO, medical coverage, and education reimbursement. #J-18808-Ljbffr

Position: Risk Adjustment Coder Location: Remote (Must reside in NY/NJ/CT) Schedule: Monday - Friday 9am-5pm Compensation: $77,506.87 - $87,195.23 annual salary CPC, CCS, RHIT or RHIA and CRC are required Join VillageCare as a Full Time Risk Adjustment Coder and embrace the opportunity to work remotely while making a significant impact in the Health Care sector. This role offers the flexibility of a work-from-home environment, allowing you to balance your professional and personal commitments without the daily commute. You'll be part of a dynamic team that thrives on innovation, problem-solving, and a customer‑centric approach, all while contributing to the excellence and integrity that VillageCare stands for. With a competitive salary up to $77,506.87 - $87,195.23, this is not just a job but a chance to build your career in a forward‑thinking organization dedicated to healthcare improvement. Benefits: PTO package 10 Paid Holidays Personal and Sick time...