Clinical Documentation Specialist (40 hrs/Temple Physicians Inc.)
Philadelphia, PA · On-site
$35 - $47.25/hr
... Auditor Preferred Cert Risk Adjustment Coder Preferred
Philadelphia, PA · On-site
$35 - $47.25/hr
... Auditor Preferred Cert Risk Adjustment Coder Preferred
Philadelphia, PA · On-site
$35 - $47.25/hr
... Auditor Preferred Cert Risk Adjustment Coder Preferred
$24 - $40/hr
This role is focused on accurate and compliant coding of assigned encounters under the direction of the Manager of Risk Adjustment and Encounter Coding. This is a task-oriented, entry-level role ...
$24 - $40/hr
This role is focused on accurate and compliant coding of assigned encounters under the direction of the Manager of Risk Adjustment and Encounter Coding. This is a task-oriented, entry-level role ...
Develops educational materials for providers in relation to diagnostic coding and risk adjustment ... Three years' experience required in a health insurance, nursing, compliance, or auditing related ...
Develops educational materials for providers in relation to diagnostic coding and risk adjustment ... Three years' experience required in a health insurance, nursing, compliance, or auditing related ...
Develops educational materials for providers in relation to diagnostic coding and risk adjustment ... Three years' experience required in a health insurance, nursing, compliance, or auditing related ...
Develops educational materials for providers in relation to diagnostic coding and risk adjustment ... Three years' experience required in a health insurance, nursing, compliance, or auditing related ...
Newark, NJ · On-site
This position is accountable for accurately reviewing, interpreting, auditing, coding and analyzing ... This position supports Annual Commercial (ACA) and Medicare Advantage Risk Adjustment Data ...
Newark, NJ · On-site
This position is accountable for accurately reviewing, interpreting, auditing, coding and analyzing ... This position supports Annual Commercial (ACA) and Medicare Advantage Risk Adjustment Data ...
CPC - Certified Professional Coder, HCC - Hierarchical Condition Category Coder, CRC - Certified Risk Adjustment Coder, or CPMA Certified Professional Medical Auditor.Additional Credential Info:
CPC - Certified Professional Coder, HCC - Hierarchical Condition Category Coder, CRC - Certified Risk Adjustment Coder, or CPMA Certified Professional Medical Auditor.Additional Credential Info:
San Juan, PR · On-site
Entry Level Staff Auditor We are seeking a highly motivated and detail-oriented individual to join ... Participate in planning and risk assessment activities for financial statement audits, internal ...
New
San Juan, PR · On-site
Entry Level Staff Auditor We are seeking a highly motivated and detail-oriented individual to join ... Participate in planning and risk assessment activities for financial statement audits, internal ...
New
... Risk Adjustment Coder - American Academy of Professional Coders (AAPC) or CPMA - Certified Professional Medical Auditor - American Academy of Professional Coders (AAPC). Working Conditions and ...
... Risk Adjustment Coder - American Academy of Professional Coders (AAPC) or CPMA - Certified Professional Medical Auditor - American Academy of Professional Coders (AAPC). Working Conditions and ...
... Risk Adjustment Coder - American Academy of Professional Coders (AAPC) or CPMA - Certified Professional Medical Auditor - American Academy of Professional Coders (AAPC). Working Conditions and ...
... Risk Adjustment Coder - American Academy of Professional Coders (AAPC) or CPMA - Certified Professional Medical Auditor - American Academy of Professional Coders (AAPC). Working Conditions and ...
Austin, TX · On-site
The Coding Analyst Sr. is responsible for reviewing, auditing, and coding medical records for the ... AAPC Certified Risk Adjustment Coder (CRC) is highly preferred. * Knowledge of medical terminology ...
New
Austin, TX · On-site
The Coding Analyst Sr. is responsible for reviewing, auditing, and coding medical records for the ... AAPC Certified Risk Adjustment Coder (CRC) is highly preferred. * Knowledge of medical terminology ...
New
Mars, PA · On-site
The Coding Analyst Sr. is responsible for reviewing, auditing, and coding medical records for the ... AAPC Certified Risk Adjustment Coder (CRC) is highly preferred. * Knowledge of medical terminology ...
New
Mars, PA · On-site
The Coding Analyst Sr. is responsible for reviewing, auditing, and coding medical records for the ... AAPC Certified Risk Adjustment Coder (CRC) is highly preferred. * Knowledge of medical terminology ...
New
Doral, FL · On-site
The Coding Analyst Sr. is responsible for reviewing, auditing, and coding medical records for the ... Experience with the most current CMS Risk Adjustment Model/version is strongly preferred. * AAPC ...
New
Doral, FL · On-site
The Coding Analyst Sr. is responsible for reviewing, auditing, and coding medical records for the ... Experience with the most current CMS Risk Adjustment Model/version is strongly preferred. * AAPC ...
New
Dallas, TX · Remote
$22.25 - $30.50/hr
Company Description Altegra Health is a total solutions partner for healthcare data auditing and ... Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ...
Dallas, TX · Remote
$22.25 - $30.50/hr
Company Description Altegra Health is a total solutions partner for healthcare data auditing and ... Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ...
Eden Prairie, MN · On-site +1
$24 - $43/hr
... Risk Adjustment experience (HCC coding) with proficient knowledge of CMSHCC model and guidelines * 1+ years of recent experience in a coding auditor role- auditing the work of other coders
Eden Prairie, MN · On-site +1
$24 - $43/hr
... Risk Adjustment experience (HCC coding) with proficient knowledge of CMSHCC model and guidelines * 1+ years of recent experience in a coding auditor role- auditing the work of other coders
$23 - $31.50/hr
Remote Certified Coder Altegra Health is a total solutions partner for healthcare data auditing and ... CMS HCC Risk Adjustment * HEDIS * Medical Record Reviews (Accreditation) * And more These are ...
$23 - $31.50/hr
Remote Certified Coder Altegra Health is a total solutions partner for healthcare data auditing and ... CMS HCC Risk Adjustment * HEDIS * Medical Record Reviews (Accreditation) * And more These are ...
Memphis, TN · Remote
$21.75 - $29.75/hr
Company Description Altegra Health is a total solutions partner for healthcare data auditing and ... Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ...
Memphis, TN · Remote
$21.75 - $29.75/hr
Company Description Altegra Health is a total solutions partner for healthcare data auditing and ... Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ...
Eden Prairie, MN · Remote
$24 - $43/hr
... Risk Adjustment experience (HCC coding) with proficient knowledge of CMSHCC model and guidelines * 1 years of recent experience in a coding auditor role- auditing the work of other coders * Compliant ...
Eden Prairie, MN · Remote
$24 - $43/hr
... Risk Adjustment experience (HCC coding) with proficient knowledge of CMSHCC model and guidelines * 1 years of recent experience in a coding auditor role- auditing the work of other coders * Compliant ...
Atlantic City, NJ · Remote
$22.50 - $31/hr
Company Description Altegra Health is a total solutions partner for healthcare data auditing and ... Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ...
Atlantic City, NJ · Remote
$22.50 - $31/hr
Company Description Altegra Health is a total solutions partner for healthcare data auditing and ... Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ...
Dallas, TX · On-site +1
$22.25 - $30.50/hr
Company Description Altegra Health is a total solutions partner for healthcare data auditing and ... Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ...
Dallas, TX · On-site +1
$22.25 - $30.50/hr
Company Description Altegra Health is a total solutions partner for healthcare data auditing and ... Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ...
Gatesville, TX · On-site
$105K/yr
... risk management, debt management and internal audit functions for the County. * The County Auditor ... Evaluates Auditor's office employee's performance, recommend salary adjustments, promotions and ...
Gatesville, TX · On-site
$105K/yr
... risk management, debt management and internal audit functions for the County. * The County Auditor ... Evaluates Auditor's office employee's performance, recommend salary adjustments, promotions and ...
$30.5K - $38.4K
4% of jobs
$38.4K - $46.3K
14% of jobs
$48.6K is the 25th percentile. Wages below this are outliers.
$46.3K - $54.2K
24% of jobs
The median wage is $60.8K / yr.
$54.2K - $62.1K
9% of jobs
$62.1K - $70K
7% of jobs
$70K - $78K
6% of jobs
$78K - $85.9K
6% of jobs
$92.3K is the 75th percentile. Wages above this are outliers.
$85.9K - $93.8K
4% of jobs
$93.8K - $101.7K
6% of jobs
$101.7K - $109.6K
6% of jobs
$109.6K - $117.5K
12% of jobs
$30.5K
$72.6K
$117.5K
| Aspect | Entry Level Risk Adjustment Auditor | Risk Adjustment Analyst |
|---|---|---|
| Certifications | Typically requires certifications like CPC, CCS, or RHIT | Often requires similar certifications, with some roles preferring advanced credentials |
| Work Environment | Performs audits in healthcare settings, insurance companies, or remote | Analyzes data and reports in healthcare or insurance offices |
| Employer & Industry Usage | Common in health insurance companies, healthcare providers, and consulting firms | Found in insurance companies, healthcare organizations, and analytics firms |
Both roles involve working with healthcare data and require similar certifications. The main difference is that Entry Level Risk Adjustment Auditors focus on reviewing and auditing medical records for compliance, while Risk Adjustment Analysts analyze data trends to improve risk models. The roles often overlap in industry and work environment, but auditors are more compliance-focused, whereas analysts emphasize data analysis and reporting.
Philadelphia, PA • On-site
$35 - $47.25/hr
Full-time
Posted 17 days ago
8.1
Based on 76 frontline employees who took The Breakroom Quiz
69th of 881 rated healthcare providers
Responsible for accurately transposing and reconciling clinical documentation from the EMR into the payer specific systems to provide information for proper risk adjustment of patients and increase revenue to the health plans and internal organization. This position necessitates a strong understanding of progress note components, the ability to recognize medical conditions and medications, and their relevance to specific diagnoses. The specialist provides valuable feedback to management for provider education and correction purposes, ensuring that patient records are complete and compliant with payer guidelines in a timely matter.
Provides feedback to management for provider education and correction purposes. Ensures that the patient records are complete in a timely manner according to the payer specific guidelines. Must be ICD-10 proficient.
Education
Associate's Degree Required or
Combination of relevant education and experience may be considered in lieu of degree Required
Experience
3 years experience in clinical documentation, billing and coding, or health information management Required
Licenses
Certified Professional Coder Preferred
Cert Profess Medical Auditor Preferred
Cert Risk Adjustment Coder Preferred
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Temple Health is a major Philadelphia-based academic health system that is driving medical advances through clinical innovation, pioneering research and world-class education. The health system’s 1,550+ physicians and scientists share a common mission of bringing tomorrow’s treatments to the bedside today, helping them achieve outcomes once thought impossible.
Hospitals
5,001 - 10,000 Employees
Philadelphia, PA, US
1995