433 risk adjustment jobs found

PedIM Healthcare is seeking a proactive HCC Coder to join our Primary Care team. You will review records, identify RAF/HCC opportunities, and ensure accurate coding to support compliant risk adjustment under CMS guidelines. Operate within a multi-disciplinary environment, collaborate with clinical teams, and stay current with regulatory updates to optimize RAF scores and documentation quality. #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

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

RELI Group in Windsor Mill, MD is seeking an experienced Medical Coder to support Risk Adjustment and Medicare Part C audits. You will code inpatient, outpatient, and physician office records according to ICD-9-CM/ICD-10-CM guidelines, while maintaining high accuracy and productivity. The role requires a minimum of 1 year of coding experience, active credentials (CPC/CCS/RHIA/RHIT), and proficiency with Microsoft Office. CRC certification is a plus. #J-18808-Ljbffr

A healthcare organization in California is seeking a Medical Coder to perform chart reviews, coding audits, and provide training on ICD-10 codes. The ideal candidate will have an AA or AS degree, relevant coding credentials, and two years of healthcare experience. Responsibilities include coding audits, maintaining knowledge of coding guidelines, and assisting with billing inquiries. This role offers competitive benefits including free medical, dental, and vision insurance. #J-18808-Ljbffr

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

PedIM Healthcare in Lecanto, Florida is looking for a proactive HCC Coder to join their Primary Care team. This critical role supports accurate risk adjustment and compliance with CMS guidelines while ensuring high-quality patient outcomes. The ideal candidate will have at least 2 years of experience in HCC/Risk Adjustment coding and possess strong analytical skills. Enjoy a supportive workplace with comprehensive benefits aimed at employee well-being and development. #J-18808-Ljbffr

Datavant is seeking an HCC Auditor to review medical records coded in ICD-10, ensuring accurate representation of patient conditions for risk adjustment and reimbursement. You will translate clinical documentation into precise codes and confirm the accuracy of the work. You will audit charts assigned by the quality supervisor, maintain a high-quality standard, and participate in weekly coding project review meetings. A remote-friendly environment and strong communication skills help you succeed. #J-18808-Ljbffr

Porter is looking for a certified Risk Adjustment Coder to join our team in Pompano Beach, FL. This role is crucial for ensuring the accuracy of coding related to in-home health assessments, requiring strong expertise in risk adjustment coding, as well as the ability to handle multiple clients' specific needs. The ideal candidate will maintain a minimum coding accuracy of 98%, ensuring compliance with CMS guidelines while collaborating with clinical teams to provide insights on documentation improvements. Working hours are Monday to Friday with potential for some weekends and overtime. Join Porter to make a meaningful impact on healthcare delivery! #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

Porter is hiring a Risk Adjustment Coder to support in-home health assessments. The ideal candidate will have a CPC or CSS certification and at least 5 years of risk adjustment coding experience, ensuring 98% coding accuracy and compliance with CMS guidelines. Responsibilities include coding documentation, managing provider queries, and providing feedback for improved coding practices. This position is based in Pompano Beach, FL and includes competitive benefits and opportunities for professional growth. #J-18808-Ljbffr

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...

Risk Adjustment CoderPorter 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 OverviewWe are seeking a certified coder with expertise in risk adjustment coding and a specialization in in-home...

Porter is hiring a Risk Adjustment Coder to join our Team! Position Overview We are seeking a certified coder with expertise in risk adjustment coding and a specialization in in‑home health assessments. The ideal candidate will have a strong understanding of CMS risk adjustment and quality initiatives, exceptional attention to coding quality, and experience managing the provider query process. This role also requires the ability to handle multiple clients each with unique coding requirements while ensuring accuracy and compliance. Proficiency in utilizing coding clinics for provider education and feedback is essential. This role will be instrumental in ensuring the accuracy of coding and improving the efficiency of our assessment workflows. A key expectation is that the Risk Adjustment Coder will maintain 98% coding accuracy. Schedule: Monday - Friday (some weekends and overtime) Start: 8am-8:30am ET On-site: Pompano Beach, FL *This is not a lead or manager position Key...

The MRA Coder role at DaMar Staffing focuses on coordinating retrospective and concurrent chart reviews using HCC coding to translate, input, extract and validate medical record data. You will review medical histories and reports to ensure diagnoses are supported by documentation, schedule chart reviews with physician practices, and help obtain records for audits. Fluency in English and Spanish, a CPC/CPMA/CRC/CCS-P/CCS credential, and expert Excel skills are required to support compliant risk #J-18808-Ljbffr

Cano Health is seeking an ACO Coding Auditor to review medical records and ensure Medicare Risk Adjustment codes are captured accurately for CMS and Commercial ACOs. You will act as a consultant to practices, driving quality improvements and compliance across coding procedures. The role requires on-site and remote audits, with travel to clinics as needed. The ideal candidate has CPC/CRC/CCS-P/CCS-H/RHIT certification and 3+ years in Medicare Risk Adjustment, plus strong ICD-10/CPT expertise. #J-18808-Ljbffr

ClareMedica in Florida seeks a detail-oriented Medical Coder to join our team. You will review medical records, identify and code office procedures, and ensure documentation supports risk adjustment models. Must maintain certifications and stay current with coding guidelines. Join a collaborative environment that values accuracy, compliance, and professional growth, with opportunities for ongoing training and career advancement. #J-18808-Ljbffr

Liberty Healthcare Management in Wilmington, North Carolina seeks an experienced Risk Adjustment Coder to perform ICD-10-CM code abstraction from medical records, ensuring codes are accurate and clinically supported. You will identify chart level impairments, develop review processes, advise on documentation improvements, and help leadership meet CMS requirements while maintaining high audit accuracy in a remote environment. #J-18808-Ljbffr

Astrana Health Management is seeking a Risk Adjustment Coding Specialist II to support the Orange County market. Candidates should have 3-5 years of risk adjustment coding experience and be able to travel up to 75% for the role. You will review provider documentation, conduct education sessions, and ensure compliance with coding regulations. AAPC or AHIMA certification is required. The role offers a competitive salary range of $70,000 - $85,000 per year. #J-18808-Ljbffr

Astrana Health is seeking a Risk Adjustment Coding Specialist to support Orange County operations. You will conduct high-volume chart reviews to identify coding gaps, then translate findings into education for providers and practice leaders, driving HCC recapture and KPI improvements. olla You will travel to provider offices up to 75% and collaborate with IPA teams, offering auditing and education to ensure CMS, Medicare and payer guidelines are met while staying current on ICD-10/HCC updates. #J-18808-Ljbffr

Risk Adjustment Coder Come explore career opportunities with Liberty Healthcare Management, a dynamic leader in the healthcare industry. Join us! We are currently seeking an experienced: RISK ADJUSTMENT CODER Job Summary: Perform code abstraction of medical records to ensure ICD-10-CM codes are accurately assigned and supported by clinical documentation Identify diagnosis and chart level impairments and documentation improvement opportunities for provider education Develop process for chart review Assist coding leadership and clinical team by making recommendations for process improvements to further enhance coding goals and outcomes Maintain current knowledge of ICD-10-CM codes, CMS documentation requirements, and state and federal regulations Consistently maintain a minimum 95% accuracy on coding quality audits Meet minimum productivity requirements Ability to work independently in a remote environment Handle other related duties as required or...

Risk Adjustment CoderCome explore career opportunities with Liberty Healthcare Management, a dynamic leader in the healthcare industry. Join us!We are currently seeking an experienced:RISK ADJUSTMENT CODERJob Summary:Perform code abstraction of medical records to ensure ICD-10-CM codes are accurately assigned and supported by clinical documentationIdentify diagnosis and chart level impairments and documentation improvement opportunities for provider educationDevelop process for chart reviewAssist coding leadership and clinical team by making recommendations for process improvements to further enhance coding goals and outcomesMaintain current knowledge of ICD-10-CM codes, CMS documentation requirements, and state and federal regulationsConsistently maintain a minimum 95% accuracy on coding quality auditsMeet minimum productivity requirementsAbility to work independently in a remote environmentHandle other related duties as required or assignedJob Requirements:1 year of production...