458 risk adjustment coder jobs found

Datavant is a data collaboration platform committed to securing and enabling access to health data for healthcare organizations. As an HCC coder, you will review medical records to identify and code diagnoses using client guidelines, translating clinical documentation into precise ICD-10 codes for risk adjustment and reimbursement. You will ensure compliance with ICD-10-CM and DRG guidelines, maintain a 95% accuracy rate, and support multiple client projects in a remote work environment while #J-18808-Ljbffr

Florida Blue Group is seeking a Risk Adjustment Coder to work remotely, collaborating with a dynamic team to ensure accurate diagnosis coding for risk adjustment. You will review records and apply ICD-10 codes in a compliant and timely manner. Under the Sr. Manager Risk Adjustment Audit, you will meet production targets while upholding 95% quality in coding and participate in process improvements. A strong medical terminology background and remote-work capability are essential. #J-18808-Ljbffr

GuideWell invites a Risk Adjustment Coder to work remotely, reviewing medical records and applying ICD-10 diagnosis codes for risk adjustment, while collaborating with the team to meet production targets with high accuracy. The role requires CPC/CCSP or AHIMA certification, 2+ years of experience, and strong ICD-10-CM proficiency. The company offers competitive pay and comprehensive benefits in a remote work environment. #J-18808-Ljbffr

Cano Health is seeking a Risk Adjustment Coder III to accurately assign ICD-10-CM codes and review medical records to ensure proper HCC capture in a compliant environment. The role requires five years of risk adjustment coding experience, CPC/CCS certification, and strong ICD-10-CM knowledge. You will collaborate with clinical teams and support audits in a fast-paced, high-volume setting. #J-18808-Ljbffr

Porter Cares, Inc. is hiring a Risk Adjustment Coder to improve coding accuracy and facilitate effective in-home health assessments. The ideal candidate will possess a CPC or CSS certification and have a minimum of 5 years of risk adjustment coding experience. Responsibilities include coding assignments, managing documentation accuracy, and supporting coding education initiatives. The position offers a competitive wage between $50,000 - $54,000 annually with opportunities for professional growth. #J-18808-Ljbffr

Mosaic Health, LLC. is seeking a healthcare coder to review medical records and validate diagnosis codes for risk adjustment. The role emphasizes documentation support, accuracy, and compliance within established guidelines under supervision. The position requires an active coding credential (AAPC/AHIMA) and at least one year of related experience, with knowledge of ICD-10-CM and EHR systems. Salary ranges are provided and the company operates across the United States healthcare network. #J-18808-Ljbffr

Datavant is seeking an experienced HCC coder to review medical records and code diagnoses using ICD-10 CM guidelines to support risk adjustment and reimbursement. You will ensure compliance with coding standards, DRGs, and payer policies while maintaining high accuracy. The role requires at least 2 years of HCC coding experience, strong terminology knowledge, and the ability to work independently in a remote, fast-paced environment. #J-18808-Ljbffr

Galen Medical Group is seeking an EMR Coding Auditor II to improve documentation quality and ensure HCC coding accuracy. You will review charts, validate chronic conditions, and coordinate with physicians to maintain up-to-date problem lists in the EMR. You will train new staff and support the team under the Population Health Manager. The role requires expertise in ICD-10/CPT, strong communication skills, and a commitment to quality and compliance. #J-18808-Ljbffr

Datavant is seeking an experienced HCC coder to review and code diagnoses from patient records, ensuring accurate risk adjustment coding per client guidelines. You will apply ICD-10-CM rules and DRG guidelines while maintaining high accuracy in a fast-paced, remote work environment. Mandatory credentials (RHIA/RHIT/CCS or CRC/CPC) and at least 2 years of HCC coding experience are required. The role offers hourly compensation, with a focus on accuracy and compliance across multiple client #J-18808-Ljbffr

Datavant, the data collaboration platform for healthcare, is seeking an HCC coder to review medical records and code diagnoses using ICD-10 CM guidelines, ensuring accurate reflection of patient conditions for risk adjustment and reimbursement. The role requires a minimum of 2 years' HCC coding, extensive ICD-10 knowledge, and AHIMA or AAPC credentials. You must be able to work remotely, manage time efficiently, and thrive in a fast-paced environment. #J-18808-Ljbffr

Florida Blue is seeking a Risk Adjustment Coder who can work remotely, reviewing medical records and applying ICD-10-CM codes to ensure risk adjustment accuracy while collaborating with a multidisciplinary team. The role emphasizes meeting production targets with high quality audits and supporting education during audits, with opportunities to contribute to process improvements and documentation enhancements. #J-18808-Ljbffr

CareFirst BlueCross BlueShield seeks an experienced Risk Adjustment Coding Specialist to support retrospective risk adjustment, RADV audits, and related coding functions. The role involves reviewing medical records, ensuring compliance with coding guidelines, and developing Commercial Risk Adjustment coding guidelines. The position requires 3 years of HCC coding experience, RHIT/RHIA preferred, and CCS/CCS-P or CRC upon hire. #J-18808-Ljbffr

Astrana Health is seeking a Risk Adjustment Coding Specialist to support Medicare Advantage, ACA, and Commercial coding initiatives. The role reports to the Sr. Manager - Risk Adjustment and requires frequent travel to provider sites. Strong collaboration with physicians and staff is essential to ensure CMS guidelines are followed. Responsibilities include reviewing records for HCC coding, conducting audits, training staff, and providing process improvements. #J-18808-Ljbffr

Datavant is seeking an HCC coder to review medical records and assign diagnoses using ICD-10 CM guidelines for risk adjustment and reimbursement. You will code according to client-specific rules and ensure regulatory compliance. Role requires 2+ years in HCC coding, strong medical terminology knowledge, and the ability to work remotely on multiple client projects with high accuracy and deadlines. #J-18808-Ljbffr

Millennium Physician Group seeks a Level II Risk Adjustment Coding Specialist to abstract ICD-10-CM codes from encounter documentation, conduct audits, and contribute to VBAT and MRA analyses in New York. The role requires 2+ years of coding experience, including 1 year of HCC coding, and strong knowledge of ICD-10-CM conventions, with proficiency in MS Office and EMR systems. You will collaborate with leadership to meet accuracy and productivity targets. #J-18808-Ljbffr

Insight Global is seeking a Senior Medical Coder specializing in Risk Adjustment coding to review clinical data and assign ICD-10-CM codes that support risk adjustment and HCC reporting. The role requires meticulous chart review, strong coding compliance, and familiarity with CMS and Medicare Advantage rules. Collaboration with providers will enhance documentation quality and coding accuracy. #J-18808-Ljbffr

Datavant is a data collaboration platform committed to securing and enabling access to health data for healthcare organizations. As an HCC coder, you will review medical records to identify and code diagnoses using client guidelines, translating clinical documentation into precise ICD-10 codes for risk adjustment and reimbursement. You will ensure compliance with ICD-10-CM and DRG guidelines, maintain a 95% accuracy rate, and support multiple client projects in a remote work environment while #J-18808-Ljbffr

Astrana Health in Monterey Park, CA is seeking a Risk Adjustment coder to review and ensure accurate ICD-10-CM/HCC documentation across Medicare Advantage, ACA, and commercial lines. You will educate providers and work with IPAs to improve coding quality. You will travel up to 75% and balance on-site fieldwork with hybrid support, maintaining up-to-date knowledge of CMS guidelines and payer requirements while meeting productivity targets. #J-18808-Ljbffr

Risk Adjustment Coder II The Risk Adjustment Coder II provides advanced support for complex medical record reviews to ensure the correct capture of chronic conditions and complexities to calculate a patient's risk score, by mapping diagnoses to Hierarchical Condition Categories (HCCs) while adhering to CMS guidelines and internal coding policies for the following programs: including, but not limited to, Commercial Risk Adjustment, Medicare Risk Adjustment, and HHS and Medicare RADV (Risk Adjustment Data Validation). The Risk Adjustment Coder II will serve as a subject matter expert for risk adjustment and will assist in the development of team trainings, quality assurance audits, and collaborating with multiple departments across the organization. Job Specifications and Core Competencies: Provide advanced complex medical records reviews to identify and code all relevant diagnoses, including chronic conditions, utilizing ICD-10 coding guidelines for Commercial and Medicare risk...

Community Health Network, Inc. is seeking a Remote Risk Adjustment Coder to review patient charts, ensure outpatient HCC coding accuracy, and support CMS compliance from home. Reporting to the CDI Manager, you will use various platforms to complete workflows across eligible states. The role requires 3+ years in outpatient risk adjustment and coding, with preferences for population health experience and relevant certifications. This is a remote role with growth opportunities within the CDI team. #J-18808-Ljbffr

Remote / Work from Home / Virtual / Hybrid Department CDI Team Schedule Full-time Facility Shadeland Station Shadeland Ave Indianapolis , IN 46256 United States Community Health Network 8.14K subscribers Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, “community” is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state-of-the-art technology. It means getting involved in the communities we serve through volunteer opportunities and benefits initiatives. It means ensuring our dedicated caregivers can learn and grow to stay at the top of their fields and to better serve our patients. And above all, it means exceptional care, simply delivered — and we couldn’t do it without you. Partner with Community Health Network and Deaconess Health System – IHCI The Innovative Healthcare Collaborative of Indiana LLC (IHCI) is a company formed through the partnership of Community...

It's rewarding to be on a team of people that truly believe in making an impact!We are committed to building the best primary care environment for patients and are seeking healthcare enthusiasts to join us.Job SummaryThe Risk Adjustment Coder III is responsible for the accurate and timely assignment of medical diagnosis codes in accordance with established risk adjustment models, coding guidelines, and organizational standards. This role performs high-volume, production-based coding and chart review activities, following defined policies and procedures to ensure compliance and data accuracy. This position applies advanced coding knowledge but operates within established guidelines, with work subject to quality review and audit.Duties & ResponsibilitiesEssential Duties & ResponsibilitiesMedical Coding and DocumentationAssign ICD-10-CM diagnosis codes based on medical records, clinical documentation, and encounter data in accordance with established coding guidelines.Perform...

HealthPartners in Minnesota is seeking a Risk Adjustment Coding Analyst Senior to review diagnosis coding and oversee vendor coding quality assurance. The role ensures that plan performance and revenue reflect the population's care needs and risks. The position requires strong chart review skills, knowledge of CPT/ICD coding, and experience with revenue cycle processes. Collaboration with providers and vendors is essential to maintain compliant coding practices. #J-18808-Ljbffr

Datavant is seeking a remote HCC coder to review medical records, identify, and code diagnoses using ICD-10 guidelines for risk adjustment and reimbursement. You will ensure accuracy and compliance while working in a fast-paced production environment. The role requires at least 2 years of HCC coding experience, AHIMA/AAPC credentials, and the ability to manage multiple client projects remotely. Expect a 40-hour work week with competitive base pay. #J-18808-Ljbffr