155 hcc risk adjustment coder jobs found

A health care organization seeks an HCC Risk Adjustment Coder in a hybrid setting. The role requires expertise in coding, data management, and medical terminology, along with a minimum of an associate's degree. Responsibilities include abstracting diagnosis codes, managing data entry, and supporting the Population Health Department. Competitive compensation, benefits, and annual bonuses are offered, reflecting the organization's commitment to employee growth and satisfaction. #J-18808-Ljbffr

Overview Job Title: HCC Risk Adjustment Coder Location: Hybrid - Verona, NJ & Remote Schedule: Monday through Friday; 40 hours/week Employment Type: Full Time; Exempt Reports To: Director, Clinical Quality & Transformation The HCC Coder is an essential administrative member of our dynamic health care team, focused on supporting the activities of the Population Health Department through various clerical duties. Excellent time management and an ability to work as part of a team are essential skills for this role. Willing to train the right candidate. Responsibilities ESSENTIAL DUTIES AND RESPONSIBILITIES (included but not limited to): Accurate data management including the retrieval of hospital records and obtaining reports from specialists and health care providers. Manage data entry on multiple spreadsheets to track workflows and outcomes. Ability to review documentation and abstract all codes with specific emphasis on identifying the...

We are looking for experienced HCC Risk Adjustment Auditors/Coders to join our team! Position Summary: The HCC Risk Adjustment/Auditor is responsible for maintaining and monitoring the Quality Assurance auditing plan for outpatient clinical data. This position works to improve the quality of coding documentation and data in the medical record and HCC database. The HCC Risk Adjustment/Auditor reports on the accuracy and consistency of the data in accordance with accepted and established standards. Risk Adjustment Auditors collaborate with the Manager to provide expertise in the use and application of coding classifications, such as ICD-9-CM and/or ICD-10-CM. Auditors also record documentation to ensure compliance in the collection of outpatient diagnoses and services. Essential Duties and Responsibilities include the following: Works as an integral member of the Finance Department. Code review super bills and patient medical records for proper use of diagnosis and...

A private healthcare provider in Florida is looking for a proactive HCC Coder to ensure accurate risk adjustment and compliance with CMS guidelines. The role involves reviewing medical records, identifying HCC diagnoses, and collaborating with clinical teams. The ideal candidate should have 2+ years of experience in HCC coding and possess strong analytical skills. Benefits include health coverage, a 401(k) plan, and paid time off. Join us to make a meaningful impact in the community. #J-18808-Ljbffr

A leading healthcare provider in Texas is seeking an experienced Value Based Coder II to review medical records for coding opportunities, focusing on Hierarchical Condition Categories (HCC). The role involves developing provider education and ensuring compliance with coding guidelines. Candidates should have a Bachelor's degree in healthcare or equivalent experience, CPC/CCS/CRC certification, and at least 2 years of outpatient coding experience. Competitive hourly pay ranges from $25.30 to $35.74. #J-18808-Ljbffr

Physicians' Primary Care of Southwest Florida is a premier physician-owned and managed multi-specialty practice with locations in Cape Coral, Estero, Fort Myers, and Lehigh Acres. We are currently seeking an in-house HCC Risk Adjustment Coder for our Compliance and Coding department located in Fort Myers. This is not a remote coding position, must reside in Lee County Florida . Schedule is Monday through Friday, Day Shift. Sample of Responsibilities: Perform prospective reviews and clinical documentation improvement opportunities Assist healthcare providers in identifying and resolving issues related to incomplete or missing clinical documentation The individual will conduct chart reviews to abstract data not submitted by providers Initiate opportunities to improve documentation Assists other team members as needed to meet the goals of the department. Maintain strictest confidentiality and adhere to all HIPAA guidelines and regulations. Position...

A nonprofit health care organization in New York is seeking a Coding Specialist to ensure compliance in medical record documentation. The successful candidate will conduct coding reviews, monitor ICD-10 coding accuracy, and assist healthcare providers with documentation requirements. This role requires a strong understanding of medical terminology and claims processing, with at least two years of relevant experience. The organization values innovation and provides extensive benefits, including generous paid time off and professional growth opportunities. #J-18808-Ljbffr

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...

Overview Cotiviti drives better healthcare outcomes through data analytics. Our payment accuracy, revenue integrity, risk assessment and stratification, and quality improvement solutions help organizations utilize their data so they can efficiently and cost-effectively succeed in the new era of healthcare. We are currently looking for multiple Remote Risk Adjustment / HCC Coders (Coder 1) for full-time permanent positions. See what it's like to work as a Coder at Cotiviti: https://www.youtube.com/watch?v=-VgcV09cxCo Responsibilities Ability to review medical records for accurate, compliant, and complete diagnosis code abstraction for Medicare, Commercial and Medicaid risk adjustment from various chart types (physician, facility, and non-facility). May have special projects that will entail a full coding review. Ability to code following the ICD-10-CM Official Guidelines for Coding and Reporting, AHA’s Coding Clinic and well as Cotiviti and client specific coding guidelines....

A healthcare organization in Houston seeks an experienced Value Based Coder II to conduct thorough reviews of patient medical records, focusing on Hierarchical Condition Categories (HCC). The role involves delivering provider education, participating in compliance monitoring, and contributing to performance improvement initiatives. Candidates should have a relevant bachelor's degree or equivalent experience, along with coding certifications. Strong knowledge of CPT and ICD-10 coding, risk adjustment models, and excellent communication skills are essential. #J-18808-Ljbffr

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 coding adheres to CMS and ICD-10 guidelines, focusing on accuracy, completeness, and compliance. Conduct...

Are you a certified primary care medical coder who's passionate about improving the accuracy and integrity of patient records? V alleywise Heal th wants you to join our mission-driven team focused on providing exceptional patient care through precise and compliant documentation! In this critical role, you will collaborate with providers, coders, and clinical teams to ensure the outpatient medical record tells the full story of the patient's encounter. Your work will directly impact quality reporting, revenue cycle performance, and patient outcomes. Under the direction of the Clinical Documentation Improvement (CDI) Supervisor, while utilizing a hybrid work environment, this Outpatient Clinical Documentation Specialist(CDS)-I position uses their coding knowledge and understanding of ICD-10 coding guidelines and standards of compliance to improve overall quality and completeness of clinical documentation within the patient electronic medical record using a concurrent and/or...

A healthcare staffing company is seeking a Remote Risk Adjustment Coder II to support its Virginia market. This position involves accurate HCC risk adjustment coding, provider education, and collaboration with clinical teams to enhance documentation quality. The role requires certification as a CPC and CRC, along with 3 years of risk adjustment coding experience. Benefits include medical coverage, paid time off, and a 401(k) plan. This is a remote position with quarterly travel required. #J-18808-Ljbffr

Are you a certified primary care medical coder who is passionate about improving the accuracy and integrity of patient records? Valleywise Health wants you to join our mission‑driven team focused on providing exceptional patient care through precise and compliant documentation. In this critical role, you will collaborate with providers, coders, and clinical teams to ensure the outpatient medical record tells the full story of the patient’s encounter. You will work under the direction of the Clinical Documentation Improvement Supervisor and utilize a hybrid work environment to improve overall quality and completeness of clinical documentation within the patient electronic medical record using concurrent and/or retrospective review processes. You will work collaboratively with CDI nurses to ensure that the clinical information within the medical record is accurately coded and supported with the provider’s documentation, including accurate documentation to support the capture of...

A leading healthcare organization in Houston is seeking a Value Based Coder II to join its Quality Management/Risk team. This role is crucial for reviewing patient medical records to identify coding opportunities and deliver provider education on HCC. Candidates should have a Bachelor’s degree or equivalent experience, with at least 5 years in healthcare and certification as a CPC, CCS, or CRC. Strong knowledge of coding guidelines and excellent communication skills are essential. This is an opportunity to contribute significantly to process improvement initiatives. #J-18808-Ljbffr

Risk Adjustment Coder 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...

Job Description Job Description 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...

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 organization is seeking a Risk Adjustment Coder to perform code abstraction of medical records and ensure accurate assignment of coding while supporting compliance initiatives. Candidates should have at least five years of experience and relevant certifications such as CPC or RHIT. The position is remote but candidates must reside in NY, NJ, or CT. Competitive compensation ranges from $77,506.87 to $87,195.23 annually. #J-18808-Ljbffr

A healthcare company in California seeks a motivated Risk Adjustment Coding Specialist to ensure accurate coding compliance and provide education to providers. The role requires CPC and CRC certifications, alongside 3-5 years of relevant experience. Candidates should be proficient in Microsoft tools and willing to travel occasionally to Virginia for provider site visits. This position offers a hybrid work structure with competitive compensation ranging from $65,000 to $78,000 annually. #J-18808-Ljbffr

A healthcare provider organization in Houston seeks a Risk Adjustment Coding Specialist II to ensure compliance with Medicare documentation requirements, conduct audits, and mentor staff. Candidates must have 3-5 years of experience in risk adjustment coding, relevant certification, and reliable transportation for travel. This position follows a hybrid model requiring travel to provider offices, offering a competitive salary between $70,000 and $85,000 per year. #J-18808-Ljbffr

A non-profit managed care organization in Houston is seeking a Risk Adjustment Coder II to provide advanced support for medical record reviews and ensure accurate coding of chronic conditions. The ideal candidate will have a Bachelor's degree or extensive experience in risk adjustment, along with relevant coding certifications. Key responsibilities include coding compliance, conducting documentation reviews, and collaborating with various departments to improve accuracy. A strong background in coding standards and methodologies is essential for this role. #J-18808-Ljbffr

Certified Risk Adjustment Coder (CRC) Hybrid | Des Moines, IA (Onsite TuesThurs, 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 TuesdayThursday 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...