Prefer AAPC Certified Risk Adjustment Coder (CRC) certification. Job Level: Manager Workshift: 1st Shift (United States of America) Job Family: MED > Licensed Nurse
New
Prefer AAPC Certified Risk Adjustment Coder (CRC) certification. Job Level: Manager Workshift: 1st Shift (United States of America) Job Family: MED > Licensed Nurse
New
Prefer AAPC Certified Risk Adjustment Coder (CRC) certification. Job Level: Manager Workshift: 1st Shift (United States of America) Job Family: MED > Licensed Nurse
New
Prefer AAPC Certified Risk Adjustment Coder Job Level: Non-Management Exempt Workshift: 1st Shift (United States of America) Job Family: MED > Licensed Nurse Please be advised that Elevance Health ...
New
Prefer AAPC Certified Risk Adjustment Coder Job Level: Non-Management Exempt Workshift: 1st Shift (United States of America) Job Family: MED > Licensed Nurse Please be advised that Elevance Health ...
New
Nashville, TN · Remote
$600 - $720/day
Document risk adjustment (HCC coding) during patient visits * Close HEDIS care gaps during visits * Review medical history, medications, and preventive needs * Document visits using ICD-10 and CPT II ...
Nashville, TN · Remote
$600 - $720/day
Document risk adjustment (HCC coding) during patient visits * Close HEDIS care gaps during visits * Review medical history, medications, and preventive needs * Document visits using ICD-10 and CPT II ...
Nashville, TN · Remote
$600 - $720/hr
Document risk adjustment (HCC coding) during patient visits * Close HEDIS care gaps during visits * Review medical history, medications, and preventive needs * Document visits using ICD-10 and CPT II ...
Quick apply
Nashville, TN · Remote
$600 - $720/hr
Document risk adjustment (HCC coding) during patient visits * Close HEDIS care gaps during visits * Review medical history, medications, and preventive needs * Document visits using ICD-10 and CPT II ...
Nashville, TN · On-site
Identify and communicate documentation deficiencies to providers to improve documentation to accurate risk adjustment coding and compliance * Evaluate and optimize end to tend practice clinical ...
Nashville, TN · On-site
Identify and communicate documentation deficiencies to providers to improve documentation to accurate risk adjustment coding and compliance * Evaluate and optimize end to tend practice clinical ...
Nashville, TN · On-site
$26.25 - $30/hr
Assists with National and Targeted Risk Adjustment Data Validation audits. * Participates and ... Medical Coder certification from accredited source (e.g. American Health Information Management ...
New
Nashville, TN · On-site
$26.25 - $30/hr
Assists with National and Targeted Risk Adjustment Data Validation audits. * Participates and ... Medical Coder certification from accredited source (e.g. American Health Information Management ...
New
Nashville, TN · On-site
$26.25 - $30/hr
Assists with National and Targeted Risk Adjustment Data Validation audits. * Participates and ... Medical Coder certification from accredited source (e.g. American Health Information Management ...
New
Nashville, TN · On-site
$26.25 - $30/hr
Assists with National and Targeted Risk Adjustment Data Validation audits. * Participates and ... Medical Coder certification from accredited source (e.g. American Health Information Management ...
New
Risk Adjustment and Revenue Performance: * Develop and maintain models to forecast risk-adjusted ... Analyze historical risk score trends, RAF accuracy, and coding opportunities to identify gaps and ...
Risk Adjustment and Revenue Performance: * Develop and maintain models to forecast risk-adjusted ... Analyze historical risk score trends, RAF accuracy, and coding opportunities to identify gaps and ...
Risk Adjustment and Revenue Performance: * Develop and maintain models to forecast risk-adjusted ... Analyze historical risk score trends, RAF accuracy, and coding opportunities to identify gaps and ...
Risk Adjustment and Revenue Performance: * Develop and maintain models to forecast risk-adjusted ... Analyze historical risk score trends, RAF accuracy, and coding opportunities to identify gaps and ...
Nashville, TN · On-site
$33.50 - $45.25/hr
... risk adjustment * Has strong interpersonal skills to collaborate with clinicians, physicians, NP/PAs, ancillary departments, Quality, Case Management, Finance, Revenue Cycle, and Coders * Other ...
Nashville, TN · On-site
$33.50 - $45.25/hr
... risk adjustment * Has strong interpersonal skills to collaborate with clinicians, physicians, NP/PAs, ancillary departments, Quality, Case Management, Finance, Revenue Cycle, and Coders * Other ...
$16.50 - $19.50/hr
Machine Operator I is an entry-level machine operator position responsible for safely operating and ... Perform machine adjustments based on product specifications, packaging requirements, and operating ...
Quick apply
$16.50 - $19.50/hr
Machine Operator I is an entry-level machine operator position responsible for safely operating and ... Perform machine adjustments based on product specifications, packaging requirements, and operating ...
$16.50 - $19.50/hr
Machine Operator I is an entry-level machine operator position responsible for safely operating and ... Perform machine adjustments based on product specifications, packaging requirements, and operating ...
Quick apply
$16.50 - $19.50/hr
Machine Operator I is an entry-level machine operator position responsible for safely operating and ... Perform machine adjustments based on product specifications, packaging requirements, and operating ...
$16.50 - $19.50/hr
Machine Operator I is an entry-level machine operator position responsible for safely operating and ... Perform machine adjustments based on product specifications, packaging requirements, and operating ...
Quick apply
$16.50 - $19.50/hr
Machine Operator I is an entry-level machine operator position responsible for safely operating and ... Perform machine adjustments based on product specifications, packaging requirements, and operating ...
$16.50 - $19.50/hr
Machine Operator I is an entry-level machine operator position responsible for safely operating and ... Perform machine adjustments based on product specifications, packaging requirements, and operating ...
Quick apply
$16.50 - $19.50/hr
Machine Operator I is an entry-level machine operator position responsible for safely operating and ... Perform machine adjustments based on product specifications, packaging requirements, and operating ...
Nashville, TN · On-site
This position performs entry-level professional accounting work, assists with reviewing and ... and other adjustments; escalate complex items as appropriate. • Assist with the timely ...
Nashville, TN · On-site
This position performs entry-level professional accounting work, assists with reviewing and ... and other adjustments; escalate complex items as appropriate. • Assist with the timely ...
Nashville, TN · On-site
$90 - $130/hr
... and risk management. * Continually works to improve company and individual performance through ... Practices and adhere to the "Code of Conduct" philosophy and "Mission and Value Statement
New
Nashville, TN · On-site
$90 - $130/hr
... and risk management. * Continually works to improve company and individual performance through ... Practices and adhere to the "Code of Conduct" philosophy and "Mission and Value Statement
New
Nashville, TN · On-site
$55K - $187K/yr
Industry/Sector Not Applicable Specialism IFS - Risk & Quality (R&Q) Management Level Senior ... code of conduct, and independence requirements. The Opportunity As part of the Bankruptcy ...
Nashville, TN · On-site
$55K - $187K/yr
Industry/Sector Not Applicable Specialism IFS - Risk & Quality (R&Q) Management Level Senior ... code of conduct, and independence requirements. The Opportunity As part of the Bankruptcy ...
Hopkinsville, KY · On-site
$7.25/hr
Participates in quality improvement, care management, risk management, peer review, utilization ... adjustments, mild depression, anxiety, and loss/grief issues, and continuity of care with the VAMC ...
Hopkinsville, KY · On-site
$7.25/hr
Participates in quality improvement, care management, risk management, peer review, utilization ... adjustments, mild depression, anxiety, and loss/grief issues, and continuity of care with the VAMC ...
Participates in quality improvement, care management, risk management, peer review, utilization ... adjustments, mild depression, anxiety, and loss/grief issues, and continuity of care with the VAMC ...
Participates in quality improvement, care management, risk management, peer review, utilization ... adjustments, mild depression, anxiety, and loss/grief issues, and continuity of care with the VAMC ...
... CPT) codes and within his/her skills and training. * Function as the point of entry into the VA ... Participates in quality improvement, care management, risk management, peer review, utilization ...
... CPT) codes and within his/her skills and training. * Function as the point of entry into the VA ... Participates in quality improvement, care management, risk management, peer review, utilization ...
$15.93 is the 25th percentile. Wages below this are outliers.
$13.79 - $15.98
26% of jobs
$15.98 - $18.16
9% of jobs
$18.16 - $20.35
12% of jobs
The median wage is $21.44 / hr.
$20.35 - $22.53
9% of jobs
$22.53 - $24.72
11% of jobs
$24.72 - $26.90
5% of jobs
$28.54 is the 75th percentile. Wages above this are outliers.
$26.90 - $29.09
6% of jobs
$29.09 - $31.27
5% of jobs
$31.27 - $33.46
5% of jobs
$33.46 - $35.64
3% of jobs
$35.64 - $37.83
10% of jobs
$13
$23
$37
An Entry Level Risk Adjustment Coder reviews medical records to identify and assign accurate diagnosis codes for risk adjustment purposes. Their work ensures healthcare organizations receive appropriate reimbursement based on patient health conditions. They typically use ICD-10-CM codes and follow guidelines from CMS and other regulatory bodies. This role requires strong attention to detail, knowledge of medical terminology, and an understanding of risk adjustment models. Entry-level coders may work in various healthcare settings, including insurance companies, hospitals, or coding firms.
To thrive as an Entry Level Risk Adjustment Coder, you need a strong understanding of medical terminology, anatomy, and ICD-10-CM coding guidelines, typically supported by completion of a coding training program or relevant coursework. Familiarity with coding software, electronic medical records (EMR) systems, and coding certification such as CPC or CRC is often preferred. Attention to detail, analytical thinking, and effective communication are essential soft skills for this role. These skills and qualifications ensure the accurate coding of diagnoses for risk adjustment, compliance with regulations, and contribute to optimal healthcare reimbursement.
A typical day for an entry level risk adjustment coder involves reviewing patient medical records to identify and assign appropriate diagnostic codes based on clinical documentation. You’ll use specialized coding software and electronic health record systems to ensure accuracy and compliance with federal guidelines. Collaboration with senior coders, team leads, and occasionally clinicians is common when clarification or additional documentation is needed. Most entry level coders work in an office or remote environment and spend much of their day analyzing records, updating databases, and participating in training sessions to stay current on coding updates.
Nashville, TN • On-site
Other
Posted 2 days ago
New
7.7
Based on 349 frontline employees who took The Breakroom Quiz
201st of 303 rated insurance
Manager Clinical Performance & Quality Coding
LOCATION: The position requires that you be in the office 3x per week. You must be within a commutable distance of one of our eligible offices.
HOURS: General business hours, Monday through Friday (8-5 central)
Hybrid 2: This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace.
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.
Responsible for leading the quality documentation and value capture for all provider visit medical encounters to ensure application of accurate diagnosis codes (ICD-10 codes).
Primary duties include but not limited to:
Required Qualifications
Preferred Qualifications
Job Level: Manager
Workshift: 1st Shift (United States of America)
Job Family: MED > Licensed Nurse
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Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. A Fortune 20 company with a longstanding history in the healthcare industry, we are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?
Health care and social assistance
10,000+ Employees
Indianapolis, IN, US
2004