11 risk adjustment coder jobs found in Dallas, TX

Risk Adjustment CoderAt Suvida Healthcare, we are not just caregivers; we're compassionate advocates dedicated to enriching the lives of our cherished seniors. As a Team Member with us, you will embark on a fulfilling journey where your skills and empathy converge to make a meaningful impact on the well-being of an underserved community and their families. Our multi-disciplinary primary care program is built to address the physical, behavioral, social, and cultural needs of Medicare-eligible Hispanic seniors.We tailor our primary care program to the culture, language, social, and overall well-being of the seniors we serve.Our Culture & Core BeliefsEarn TrustBuilding RelationshipsCreating JoyDoing RightImproving Every DayMoving ForwardOur PromisePurpose Driven CareerCompetitive PayBest-In-Class Medical/Dental CoverageFree Mental Health & Life Coaching for Team Members and their DependentsHoliday Time Off with PayPaid Community Service DayPaid Parental/Family LeavePaid...

Risk Adjustment / HCC Coder (Medicare Advantage) Duration: Contract Pay: 20-22/hr Schedule Requirements: Minimum 20 hours per week Remote Required Qualifications: Minimum 1 year of HCC coding experience Medicare Advantage Risk Adjustment coding experience required Must be able to code MA HCC and RxHCC Must pass a Risk Adjustment Coding Assessment prior to hire Certification required through AAPC or AHIMA CRC strongly preferred , but any active AHIMA or AAPC credential will be considered Experience with ICD-10-CM coding guidelines and risk adjustment data abstraction Working knowledge of EMRs, billing systems, abstraction platforms, and related coding systems Proficient with Microsoft Excel and Outlook Strong written and verbal communication skills Ability to work independently in a remote environment Preferred Qualifications: CRC Certification Additional coding credentials such as CPC Job Responsibilities Review,...

Insight Global is seeking Medical Coders specializing in Risk Adjustment Coding for a leading healthcare client in Dallas. You will review medical records and documentation to assign ICD-10-CM codes supporting risk adjustment and HCC reporting. Ideal candidates have experience with medical record review, coding compliance, and CMS guidelines to ensure diagnoses are fully supported by clinical evidence. Knowledge of Medicare Advantage and HCC coding is advantageous. #J-18808-Ljbffr

Required Skills & Experience Certified coder (CPC, CCS, CRC, CCA, or equivalent certification) Strong ICD-10-CM coding experience and medical record review background Knowledge of Risk Adjustment and HCC coding methodologies Experience reviewing physician documentation and assigning accurate diagnosis codes Strong understanding of medical terminology, anatomy, physiology, and disease processes Ability to interpret complex clinical documentation with high accuracy and productivity Familiarity with CMS guidelines and Medicare Advantage requirements Nice to Have Skills & Experience Medicare Advantage Risk Adjustment experience Experience working with CMS-HCC models CRC (Certified Risk Adjustment Coder) certification Experience with EMRs and coding software platforms Background in a health plan, physician practice, hospital, or revenue cycle environment Audit and quality assurance experience Job Description Insight Global is seeking Medical Coders specializing in Risk...

Job Overview Role type: Risk Adjustment Coding Auditor. Quantity of resources: 2. Duration: 6 months. JD: This role will be occupied by a certified risk adjustment coder to support first and second pass auditing for CMS RADV's. Required Skills MS Suite CPC certified CRC certified 5+ years of risk adjustment experience Equal Opportunity Statement We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. #J-18808-Ljbffr

CHRISTUS Health is seeking a Senior HCC Coding Auditor to perform code audits and abstraction in line with ICD-10-CM guidelines and CMS risk adjustment requirements. Onsite with a remote option, the role focuses on Commercial and Medicare Advantage risk adjustment programs and RADV compliance. The position requires strong auditing experience, knowledge of coding guidelines, and the ability to educate providers on risk adjustment to improve payment accuracy and documentation quality. #J-18808-Ljbffr

HCC Coding Auditor Senior - Health Plan NetworkUS:TX:Irving | Revenue Cycle Audit | Full TimeHCC Coding Auditor Senior will perform code audits and abstraction using the Official Coding Guidelines for ICD-10-CM, AHA Coding Clinic Guidance, and in accordance with all state regulations, federal regulations, internal policies, and internal procedures. The HCC Coding Auditor Senior will be involved with activities of quality assurance auditing and risk adjustment code abstraction for the following programs: including but not limited to, Commercial Risk Adjustment, Medicare Advantage Risk Adjustment, and HHS and Medicare RADV (Risk Adjustment Data Validation). This is an onsite position with a remote option.Responsibilities:Perform Medical Record reviews and audits based on organizational priorities. These can include both prospective and concurrent Clinical Documentation Improvement (CDI) workflows as well as retrospective auditing. Review and audits may lead to the addition, deletion,...

Hcc Risk Adjustment Medical Coder Required Skills & Experience-Medicare HCC experience is required -18 mo+ as a risk adjustment coder -CCS certified (AHIMA) or CPC certified (AAPC),Job DescriptionInsight Global is seeking experienced HCC Risk Adjustment Medical Coders for a high-volume seasonal project supporting Medicare risk adjustment initiatives. Responsible for coding 2 Charts per hour. Perform accurate HCC risk adjustment coding for Medicare populations Review and code medical records in accordance with ICD and risk adjustment guidelines Meet established quality standards and productivity metrics Complete coding work while maintaining an average throughput of approximately 2 charts per hour #J-18808-Ljbffr

Altegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to-end solutions to help improve payment integrity data, to support accreditation programs, and to meet regulatory requirements. Altegra's nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in: 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more Job Description These are a remote/home based temporary positions forecast to run through the end of 2015 and Coders will be paid by the chart. Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and Altegra Health Flagged Event. Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines). Responsibilities Abstract pertinent information from patient medical records. Assign appropriate...

Coding Auditor SeniorLocation: Any PulsePoint office. St. Louis, MO preferred.Virtual: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office.Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law.The Coding Auditor Senior is responsible for auditing diagnosis data collected from physician and hospital medical records to ensure proper ICD-9/ICD-10 coding and compliance with risk adjustment requirements.How you will make an impact:Audits diagnosis data retrieved from physician and...

The CERIS Certified Coder reverse codes previously coded medical bills to determine coding accuracy. This role is responsible for making claim-related recommendations and communicating status of the claim to involved stakeholders. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claim and processes based on state rules and regulations Determines validity and compensability of the claim using CorVel proprietary programs Makes recommendations and communicates claim status to to referring office Read and comprehend all medical reports Adhere to client and carrier guidelines and participate in claims review as needed Assists other claims professionals with more complex or problematic claims as necessary Maintain HIPAA compliance Additional duties as assigned KNOWLEDGE & SKILLS: Ability to learn rapidly to develop knowledge and understanding of claims practices Strong organizational skills Ability to meet or exceed...