80 risk adjustment medical coder jobs found

Practice Resources LLC, a multi-specialty practice management company, experiencing dynamic growth, is looking for an experienced Risk Adjustment Medical Coder. This is a fully remote position. The pay range for this position is $18.00-$30.00 per hour.Job Description:Apply in-depth knowledge of coding principles to validate missing, incomplete, or incorrect CPT and diagnosis codes, abstracts, or sequencesCode chronic disease that meets HCC and Risk Adjustment criteriaAssign diagnosis and procedures codes according to CMS HCC and all CPT and ICD 9 and 10 guidelines.Validate missed coding opportunitiesDemonstrate advanced knowledge of medical terminology, anatomy, and physiologyCommunicate with physicians about documentation and codingReliability and a commitment to meeting tight deadlines on all assigned chartsKnowledge of HIPAA recognizing a commitment to privacy, security, and confidentiality of all medical charts.Benefits:AAPC/AHIMA membership fees coveredSubscription to APPC...

Please email if you are a candidate seeking a reasonable accommodation for the application and/or interview process.Schedule: RemoteCompensation:$64,600 - $96,800Jump into the new world of health insurance:At Blue Cross & Blue Shield of Rhode Island (BCBSRI), our business is healthcare. But our focus is on improving lives. Be part of a team that is large enough to make a difference but small enough to be innovative. Work in a rapidly changing field. Take a chance to be creative. Move outside the status quo. Shape new ideas with the power of a national brand behind you.Join others who know diversity is strength:We appreciate and celebrate everything that makes us unique: age, national origin, citizenship status, perspectives, experiences, physical or mental disability, military status, race, ethnicity, religion, gender, sexual orientation, gender identity and/or expression. Our diversity strengthens us as an organization and helps us better serve an increasingly diverse Rhode...

Are you an experienced coder looking for your next career move and not just the next contract position? Do you want to fast-track your career by working for one of the most innovative and reputable healthcare companies in the world? Do you enjoy working from home and the having the opportunity to make overtime pay occasionally? Then please keep reading! The CSI Companies is hiring a Remote Sr. Risk Adjustment Coding Consultant for our Fortune 100 healthcare client. This job can be worked from anywhere in the US as long as you have high speed internet and a distraction-free home office area.As one of the most respected and innovative healthcare companies in the world, you will receive state of the art training within a compassionate company culture, that will allow you to expand your skillset for the future of your career. When future employees see this experience on your resume, you will be a step ahead of the rest. Title of Job: Sr. Risk Adjustment Coder - Remote Pay:...

Are you an experienced coder looking for your next career move and not just the next contract position? Do you want to fast-track your career by working for one of the most innovative and reputable healthcare companies in the world? Do you enjoy working from home and the having the opportunity to make overtime pay occasionally? Then please keep reading! The CSI Companies is hiring a Remote Sr. Risk Adjustment Coding Consultant for our Fortune 100 healthcare client. This job can be worked from anywhere in the US as long as you have high speed internet and a distraction-free home office area.As one of the most respected and innovative healthcare companies in the world, you will receive state of the art training within a compassionate company culture, that will allow you to expand your skillset for the future of your career. When future employees see this experience on your resume, you will be a step ahead of the rest Title of Job: Sr. Risk Adjustment Coder - Remote Pay:...

Are you an experienced coder looking for your next career move and not just the next contract position? Do you want to fast-track your career by working for one of the most innovative and reputable healthcare companies in the world? Do you enjoy working from home and the having the opportunity to make overtime pay occasionally? Then please keep reading! The CSI Companies is hiring a Remote Sr. Risk Adjustment Coding Consultant for our Fortune 100 healthcare client. This job can be worked from anywhere in the US as long as you have high speed internet and a distraction-free home office area.As one of the most respected and innovative healthcare companies in the world, you will receive state of the art training within a compassionate company culture, that will allow you to expand your skillset for the future of your career. When future employees see this experience on your resume, you will be a step ahead of the rest. Title of Job: Sr. Risk Adjustment Coder - Remote Pay:...

The Senior Care division at BCBST is looking to add a Risk Adjustment Medical Record Coder to our team. Expertise in HCC Coding with a background in MA and ACA is strongly preferred. In this role, youll complete first past reviews of member medical Medical, Coder, Risk, Insurance, Healthcare, Assessment

Are you an experienced coder looking for your next career move and not just the next contract position? Do you want to fast-track your career by working for one of the most innovative and reputable healthcare companies in the world? Do you enjoy working from home and the having the opportunity to make overtime pay occasionally? Then please keep reading! The CSI Companies is hiring a Remote Sr. Risk Adjustment Coding Consultant for our Fortune 100 healthcare client. This job can be worked from anywhere in the US as long as you have high speed internet and a distraction-free home office area.As one of the most respected and innovative healthcare companies in the world, you will receive state of the art training within a compassionate company culture, that will allow you to expand your skillset for the future of your career. When future employees see this experience on your resume, you will be a step ahead of the rest Title of Job: Sr. Risk Adjustment Coder - Remote Pay:...

Job Description Job Description Description: Certified Coder reviews medical records to assure proper billing. Participates in audits to evaluate if all selected codes are accurate and develops methodologies to improve coding issues identified. Codes must meet QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines). Requirements: Essential Job Functions: CPC certification required through AAPC Excellent written and verbal communication skills Good interpersonal skills and team oriented Well organized and detail oriented Positive attitude, enthusiastic and energetic. At least one year of previous medical billing experience Previous primary care experience a plus Ability to perform well in a fast-paced team environment and to manage time effectively. In-depth knowledge of medical terminology, anatomy, physiology, and disease process. Comprehensive understanding of ICD-10-CM classification systems. Ability to read and analyze patient records...

Job Description Job Description SUMMARY The Certified Risk Adjustment Coder is responsible for accurately abstracting provider services into ICD-10 codes from medical documentation. This role adheres to the coding ethics of organizations such as the American Academy of Procedural Coders (AAPC), American Health Information Management Association (AHIMA), and the National Alliance of Medical Auditing Specialists (NAMAS), as well as payer guidelines. The coder conducts concurrent, prospective, and retrospective reviews of medical record documentation to ensure the accurate and complete capture of the clinical picture, severity of illness, and complexity of patients. Additional duties include provider communication and education to support the closure of both risk adjustment and quality care gaps, as well as providing ongoing feedback to physicians regarding coding guidelines and requirements. ESSENTIAL JOB FUNCTIONS Perform coding quality audits of medical records to...

Job Description Job Description A certified professional coder and biller accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications. Researches and analyzes data needs for reimbursement. Analyzes medical records and identifies documentation deficiencies. She/he will also need to manage insurance claims, invoices and payments. At least 1 year of experience in the field is preferred. Training and on-going support provided. CPC certification and annual CME reimbursed. Must possess the following qualities: Detail oriented Analytical Possess technical skills Have integrity Have excellent communication skills. CPC certified, RISK Adjustment Certification a plus We offer competitive benefits including robust health, dental and vision insurance, free uniform, 401K with match, paid holiday time and paid time off after completion of probationary period, bonuses and much more! We are a team...

Job Description Job Description This is a remote role At AAPC Services, we’re driven by the idea of delivering simple, intuitive solutions that solve challenges. Do you value quality work? Are you an organized, team player who takes pride in excellence? Then, this may be the opportunity for you!   We are seeking a highly motivated and dedicated coding professionals to join our team as a contractor. The ideal candidate must have a CPC certification and at least 3 years of Risk Adjustment coding experience for Medicare Advantage and Medicaid (full code capture) services. The position requires one to be resourceful, organized, and extremely driven.   What You’ll Do: Code medical records to validate ICD-10-CM codes for Risk Adjustment Research regulatory guidelines for supporting documentation Meet customer and AAPC production and quality standards Prepare oral and/or written reports of work activity to Project Lead Be responsible and accountable for maintaining...

Job Description Job Description Bienvivir All-Inclusive Senior Health (“Bienvivir”) is a community-based, patient-centered, comprehensive health care delivery system that advocates and promotes quality of life, optimum independence, dignity, and choices in a nurturing environment for frail seniors. Since 1987, Bienvivir has served the frail seniors of El Paso, Texas through the provision of the Program of All-Inclusive Care for the Elderly (“PACE”). PACE is a unique managed care benefit for frail seniors (referred to as participants) age 55 and older who are certified by the state as needing nursing home level care and who reside in a PACE service area. PACE programs coordinate and provide comprehensive medical and support services so that participants can remain independent and stay in their homes for as long as safely possible. BENEFITS for Full and Part-time employees who work 30 or more hours per week: We pay 100% of the MEDICAL monthly premiums for Employee Only...

Description: Medical Coding Specialist Location: Citrus County, FL Company: PedIM Healthcare About Us PedIM Healthcare is a local, privately-owned company recognized as one of the best healthcare providers in Citrus County. We prioritize patient care, ethical practices, and work-life balance. At PedIM Healthcare, we leverage cutting-edge medical practices, tools, and software to deliver exceptional care. Our team thrives on respect, support, and growth, offering: Strong leadership Extensive training programs Comprehensive benefits Flexible schedules Position Overview We are currently seeking a Medical Coding Specialist to join our team. In this role, you will be responsible for translating patient medical records into the proper codes used by insurers to process claims. Your work ensures accurate and efficient billing, helping us maintain the highest standards of care and service. Key Responsibilities Assigning and sequencing codes accurately according to government and...

Job Description Job Description Job Title: HCC Coder Department: Risk Adjustment Hours per week: 40 F/T or P/T status: Full time Schedule/Hours : M-F, 8 am - 5 pm Job Summary Coordinates/Supports retrospective and concurrent chart reviews using knowledge of Hierarchical Condition Categories (HCC) risk adjustment coding to translate, input, extract and validate medical record data. Minimum Qualifications: High school diploma or equivalent (GED). AAPC/AHIMA certification. CRC ® certification required within 1 year of employment. Job Posted by ApplicantPro

Job Description Job Description Description: The Value Based Risk Adjustment Coding Advisor supports coding accuracy, medical record documentation, quality gap closure and provider education in the Community Health Clinics (CHC’s) participating in the CHPA Accountable Care Organization. The personnel in this position will use their knowledge of risk adjustment coding, documentation guidelines, and report generation to assist in any coding and auditing related functions determined by their direct supervisor or CHPA leadership. Responsibilities: The Value Based Coding Advisor will interact with operational and clinical leadership to assist in the identification of Risk Adjustment/HCC coding opportunities, and will provide targeted education to CHC providers, billers, coders, and support staff to support value-based contract initiatives. Risk Adjustment/HCC Coding Support and Education Educates providers and staff on coding regulations and changes as they pertain to risk...

City/State Virginia Beach, VA Work Shift First (Days) Overview: Sentara Health is seeking to hire a qualified individual to join our team as Risk Adjustment Coder. Position Status : Full-time, Day Shift Position Location: Hybrid work model - 1 day week on-site in Virginia Beach; initial onboarding & training will be in-office Standard Working Hours : 8:00AM to 5:00PM Overview This role consists of educating primary & specialty care providers and staff on appropriate HCC coding & documentation, via virtual sessions and in-person site visits. Duties include retrospective auditing to ensure compliance with appropriate HCC coding & documentation guidelines. Education Associate degree required in healthcare administration, nursing, health information management, accounting, finance, or other related field or Iin lieu of associate's degree, 4 years of medical coding experience is required Certification/Licensure One...

Job Description Job Description Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses...

Job Description Job Description Position Location: 100% Remote This is a full-time, remote position that offers a flexible schedule.   Description: MedKoder, LLC is seeking a remote Professional HCC Risk Adjustment Coder who will apply both technical and specialized expertise to help healthcare programs remain compliant with government regulations while identifying opportunities for increased financial success.  The HCC Risk Adjustment Coder provides coding services to health systems and insurance plans utilizing MedKoder’s coding platform. The primary function of this position is to perform ICD-10-CM coding for risk adjustment-eligible encounters. The HCC Risk Adjustment Coder ensures compliance with ICD-10-CM coding guidelines, AMA Coding Clinic guidance, and client-specific requirements. The HCC Risk Adjustment Coder must prioritize daily duties, communicate effectively, and make the decisions necessary to complete all assigned tasks and accomplish their goals....

Job Description Job Description Job Summary As an MRA Comprehensive Review Coder, you will play a vital role in ensuring accurate and complete medical documentation coding for Medicare Risk Adjustment (MRA) purposes. Your primary responsibility will be reviewing medical records, extracting relevant information, and assigning appropriate diagnosis codes following established guidelines. Your coding expertise will directly impact the accuracy of risk adjustment data, which is crucial for proper reimbursement and quality reporting. Attention to detail, proficiency in coding systems, and adherence to compliance regulations are essential for success in this role. Job Responsibilities: Review and analyze medical records to identify diagnoses, procedures, and relevant clinical information necessary for MRA coding. Complete a sample audit of progress notes, populate information in Excel spreadsheet and provide feedback to physician regarding the documentation and coding...

Job Description Job Summary: The Coder 1 - Risk Adjustment is responsible for concurrent, prospective, and retrospective clinical documentation review as it pertains to Risk Adjustment Data Validation (RADV) timelines, with an emphasis on completeness and accuracy of provider documentation related to severity of illness and supporting clinical care plan(s) for the validation of Hierarchical Condition Category (HCC) diagnoses. Initiates communication, verbal and written, with providers to facilitate clarification of need for greater specificity, clinical support, and/or completeness of the progress notes. Provides compliant education related to documentation integrity, completeness, and consistency. Keeps providers up to date on CMS, ICD-10-CM, AHA Coding, health plan etc. guidelines as it pertains to Risk Adjustment for the purpose of, documentation trends and opportunities for improvement related to documentation integrity. Performs other duties as needed. Education and...

Job Description Job Description Hi, we're Oscar. We're hiring a Risk Adjustment Coder Specialist to join our Risk Adjustment team. Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role The Senior Specialist, Risk Adjustment for Medicare Advantage (MA) and Affordable Care Act (ACA) lines of business will work with management to meet communicated single and departmental goals, deadlines set forth by Centers for Medicare & Medicaid Services (CMS) and Health and Human Services (HHS) , and be active and engaged in establishing Risk Adjustment processes. You will report to the Risk Adjustment Coding Lead. Work Location: Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our...

Job Description Job Description Description: The HCC Coding Specialist will be responsible for partnering with providers and clinic operations staff to support the High Desert PACE (HDP) Revenue Cycle with a primary focus on hierarchical condition category (HCC) coding to optimize risk adjustment factor (RAF) scores. The Coding Specialist is responsible for understanding and optimizing the revenue cycle through accurate and specific diagnostic coding. This includes maintaining a comprehensive understanding of HCC coding methodology, CMS risk adjustment models, and ensuring accurate documentation to support assigned codes. The Coding Specialist provides critical support to providers and clinic staff for diagnostic specificity in ICD-10-CM coding, with particular emphasis on chronic conditions impacting risk scores. The specialist serves as a liaison between the delivery sites and compliance operations to support the Provider Services Monitoring Program and related educational...

Job Description Job Description About Optima: Optima Medical is an Arizona-based medical group consisting of 27 locations and 110+ medical providers, who care for more than 120,000 patients statewide. Our mission is to improve the quality of life throughout Arizona by helping communities “Live Better, Live Longer” through personalized healthcare, with a focus on preventing the nation’s top leading causes of death. We go beyond primary care with a full spectrum of services including cardiovascular health services, behavioral health, allergy testing and immunotherapy, in-house lab testing, imaging, chronic disease management and other specialty health services. We aspire to aid the growth of our company by welcoming the most qualified and deserving candidates aboard. Optima is currently seeking a HCC Risk Coder Specialist to join our team. As the Risk Adjustment Coder you will perform medical record diagnosis code abstraction based upon clinical documentation, ICD-10-CM...

Job Description Job Description Company Description The University of Maryland Medical System (UMMS) is an academic private health system, focused on delivering compassionate, high-quality care and putting discovery and innovation into practice at the bedside. Partnering with the University of Maryland School of Medicine, University of Maryland School of Nursing and University of Maryland, Baltimore who educate the state’s future health care professionals, UMMS is an integrated network of care, delivering 25 percent of all hospital care in urban, suburban and rural communities across the state of Maryland. UMMS puts academic medicine within reach through primary and specialty care delivered at 11 hospitals, including the flagship University of Maryland Medical Center, the System’s anchor institution in downtown Baltimore, as well as through a network of University of Maryland Urgent Care centers and more than 150 other locations in 13 counties. For more information, visit...