9 risk adjustment coder jobs found

Remote Risk Adjustment Coder HealthCare Support is actively seeking a Remote Risk Adjustment Coder to fill an opening with a physician-centric, technology-powered healthcare management company in the state of Maryland . Daily Responsibilities For Remote Risk Adjustment Coder Review medical record information on both a retroactive and prospective basis to identify, assess, monitor, and document claims and encounter coding information as it pertains to Hierarchical Condition Categories Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10- CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS Risk Adjustment guideline Prepare and/or perform auditing analysis and provide feedback on noncompliance issues detected through auditing Shift: Monday - Friday 8am ET - 5pm ET Required Qualifications For Remote Risk Adjustment Coder Must reside in the state of MD Certified Professional Coder (CPC) AND...

Remote Risk Adjustment Coder HealthCare Support is actively seeking a Remote Risk Adjustment Coder to fill an opening with a physician-centric, technology-powered healthcare management company in the state of Maryland . Daily Responsibilities For Remote Risk Adjustment Coder Review medical record information on both a retroactive and prospective basis to identify, assess, monitor, and document claims and encounter coding information as it pertains to Hierarchical Condition Categories Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10- CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS Risk Adjustment guideline Prepare and/or perform auditing analysis and provide feedback on noncompliance issues detected through auditing Shift: Monday - Friday 8am ET - 5pm ET Required Qualifications For Remote Risk Adjustment Coder Must reside in the state of MD Certified Professional Coder (CPC) AND...

Remote Risk Adjustment Coder HealthCare Support is actively seeking a Remote Risk Adjustment Coder to fill an opening with a physician-centric, technology-powered healthcare management company in the state of Maryland . Daily Responsibilities For Remote Risk Adjustment Coder Review medical record information on both a retroactive and prospective basis to identify, assess, monitor, and document claims and encounter coding information as it pertains to Hierarchical Condition Categories Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10- CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS Risk Adjustment guideline Prepare and/or perform auditing analysis and provide feedback on noncompliance issues detected through auditing Shift: Monday - Friday 8am ET - 5pm ET Required Qualifications For Remote Risk Adjustment Coder Must reside in the state of MD Certified Professional Coder (CPC) AND...

A healthcare solutions provider is seeking a Senior Medical Coder to support Medicare Part C Risk Adjustment initiatives. Candidates should have at least five years of coding experience in ICD-9-CM/ICD-10-CM standards and the necessary certifications. Responsibilities include diagnosis coding, medical record audits, and providing subject matter expertise during appeals processes. The role ensures compliance with healthcare regulations and promotes efficient data management within the organization. Competitive salary between $60,000 and $80,000, with additional benefits offered. #J-18808-Ljbffr

Resp & Qualifications PURPOSE: Acts as an internal expert to ensure that as value-based reimbursement and medical policy models are developed and implemented. Provides advanced knowledge to support effective partnership with provider entities and guidance on the appropriate quality measure capture and proper use of CPT and ICD 10 codes in claims submissions. Utilizes extensive coding knowledge, combined with medical policy, credentialing, and contracting rules knowledge to help build the effective guides and resources for providers on the expected methodologies for billing and code submissions to maximize quality for FWA prevention. ESSENTIAL FUNCTIONS: Consults on proper coding rules in value-based contracts to ensure appropriate quality measure capture and proper use of CPT and ICD10 codes. Provides input on various consequences for different financial and incentive models. Supports to use of alternatives and solutions to maximize quality payments and risk...

Description At RELI Group, our work is grounded in purpose. We partner with government agencies to solve complex challenges, improve public health, strengthen national security, and make government services more effective and efficient. Our team of over 500 professionals brings deep expertise and a shared commitment to delivering meaningful outcomes. Behind every solution is a group of experts who care deeply about impact-whether we're supporting data-driven decisions, modernizing systems or safeguarding critical programs. We are seeking an experienced and detail-oriented Senior Medical Coder to support our Medicare Part C Risk Adjustment Data Validation (RADV) initiatives. The ideal candidate will have strong experience in ICD-9-CM/ICD-10-CM coding across various care settings, including inpatient, outpatient, and physician office encounters. The candidate will perform diagnosis coding, support intake reviews, conduct appeal responses, and contribute to quality assurance...

Description At RELI Group, our work is grounded in purpose. We partner with government agencies to solve complex challenges, improve public health, strengthen national security, and make government services more effective and efficient. Our team of over 500 professionals brings deep expertise and a shared commitment to delivering meaningful outcomes. Behind every solution is a group of experts who care deeply about impact-whether we're supporting data-driven decisions, modernizing systems or safeguarding critical programs. We are seeking a detail-oriented and experienced Medical Coder to support Risk Adjustment and Medicare Part C audits by accurately coding inpatient, outpatient, and physician office medical records. The ideal candidate has a strong understanding of ICD-9-CM/ICD-10-CM coding guidelines and consistently demonstrates high accuracy and productivity. Responsibilities: Perform diagnosis coding of inpatient, outpatient, and physician office medical records...

At RELI Group, our work is grounded in purpose. We partner with government agencies to solve complex challenges, improve public health, strengthen national security, and make government services more effective and efficient. Our team of over 500 professionals brings deep expertise and a shared commitment to delivering meaningful outcomes. Behind every solution is a group of experts who care deeply about impact-whether we're supporting data-driven decisions, modernizing systems or safeguarding critical programs. We are seeking an experienced and detail-oriented Senior Medical Coder to support our Medicare Part C Risk Adjustment Data Validation (RADV) initiatives. The ideal candidate will have strong experience in ICD-9-CM/ICD-10-CM coding across various care settings, including inpatient, outpatient, and physician office encounters. The candidate will perform diagnosis coding, support intake reviews, conduct appeal responses, and contribute to quality assurance efforts....

Overview Description At RELI Group, our work is grounded in purpose. We partner with government agencies to solve complex challenges, improve public health, strengthen national security, and make government services more effective and efficient. Our team of over 500 professionals brings deep expertise and a shared commitment to delivering meaningful outcomes. Behind every solution is a group of experts who care deeply about impact—whether we’re supporting data-driven decisions, modernizing systems or safeguarding critical programs. We are seeking an experienced and detail-oriented Senior Medical Coder to support our Medicare Part C Risk Adjustment Data Validation (RADV) initiatives. The ideal candidate will have strong experience in ICD-9-CM/ICD-10-CM coding across various care settings, including inpatient, outpatient, and physician office encounters. The candidate will perform diagnosis coding, support intake reviews, conduct appeal responses, and contribute to quality...