Medicare Provider Advocate
$36.05 - $38.46/hr
Certification(s) Certification in Coding, Billing, or Risk Adjustment Coding (e.g., CPC, CRC, CCS or equivalent) preferred. Skills, Knowledge & Abilities Knowledge of Risk Adjustment principles ...
$36.05 - $38.46/hr
Certification(s) Certification in Coding, Billing, or Risk Adjustment Coding (e.g., CPC, CRC, CCS or equivalent) preferred. Skills, Knowledge & Abilities Knowledge of Risk Adjustment principles ...
$36.05 - $38.46/hr
Certification(s) Certification in Coding, Billing, or Risk Adjustment Coding (e.g., CPC, CRC, CCS or equivalent) preferred. Skills, Knowledge & Abilities Knowledge of Risk Adjustment principles ...
Fresno, CA · On-site
$36.05 - $38.46/hr
Certification(s) Certification in Coding, Billing, or Risk Adjustment Coding (e.g., CPC, CRC, CCS or equivalent) preferred. Skills, Knowledge & Abilities · Knowledge of Risk Adjustment principles ...
Fresno, CA · On-site
$36.05 - $38.46/hr
Certification(s) Certification in Coding, Billing, or Risk Adjustment Coding (e.g., CPC, CRC, CCS or equivalent) preferred. Skills, Knowledge & Abilities · Knowledge of Risk Adjustment principles ...
Fresno, CA · On-site
$36.05 - $38.46/hr
Certification(s) Certification in Coding, Billing, or Risk Adjustment Coding (e.g., CPC, CRC, CCS or equivalent) preferred. Skills, Knowledge & Abilities • Knowledge of Risk Adjustment principles ...
Fresno, CA · On-site
$36.05 - $38.46/hr
Certification(s) Certification in Coding, Billing, or Risk Adjustment Coding (e.g., CPC, CRC, CCS or equivalent) preferred. Skills, Knowledge & Abilities • Knowledge of Risk Adjustment principles ...
Fresno, CA · On-site
Accurately document diagnoses with attention to proper coding practices, supporting risk adjustment and quality reporting metrics. * Provide coverage for the 24/7 on-call rotation, addressing ...
Quick apply
Fresno, CA · On-site
Accurately document diagnoses with attention to proper coding practices, supporting risk adjustment and quality reporting metrics. * Provide coverage for the 24/7 on-call rotation, addressing ...
$42K - $52K/yr
... entry-level positions. Screens applicants, schedules appointments, and determines eligibility for ... Interviews clients to determine nutritional risk and refers for further assessment to the ...
$42K - $52K/yr
... entry-level positions. Screens applicants, schedules appointments, and determines eligibility for ... Interviews clients to determine nutritional risk and refers for further assessment to the ...
Madera, CA · On-site
$42K - $52K/yr
... entry-level positions. * Screens applicants, schedules appointments, and determines eligibility for ... Interviews clients to determine nutritional risk and refers for further assessment to the ...
Madera, CA · On-site
$42K - $52K/yr
... entry-level positions. * Screens applicants, schedules appointments, and determines eligibility for ... Interviews clients to determine nutritional risk and refers for further assessment to the ...
$14.75 - $18/hr
Adheres to Menzies' uniform guidelines and code of conduct * Performs other duties as assigned ... In all areas of our business there is a potential risk to the health, safety and welfare to ...
$14.75 - $18/hr
Adheres to Menzies' uniform guidelines and code of conduct * Performs other duties as assigned ... In all areas of our business there is a potential risk to the health, safety and welfare to ...
$46.79 - $52.63/hr
Display an entry level ability in diagnostic evaluation and assessment, treatment planning ... code of conduct, compliance program requirements, and performance obligations. • Complete ...
Quick apply
$46.79 - $52.63/hr
Display an entry level ability in diagnostic evaluation and assessment, treatment planning ... code of conduct, compliance program requirements, and performance obligations. • Complete ...
Fresno, CA · On-site
$14.75 - $18/hr
Adheres to Menzies' uniform guidelines and code of conduct * Performs other duties as assigned ... In all areas of our business there is a potential risk to the health, safety and welfare to ...
Fresno, CA · On-site
$14.75 - $18/hr
Adheres to Menzies' uniform guidelines and code of conduct * Performs other duties as assigned ... In all areas of our business there is a potential risk to the health, safety and welfare to ...
$18.20 is the 25th percentile. Wages below this are outliers.
$15.75 - $18.25
26% of jobs
$18.25 - $20.74
9% of jobs
$20.74 - $23.24
12% of jobs
The median wage is $24.49 / hr.
$23.24 - $25.73
9% of jobs
$25.73 - $28.23
11% of jobs
$28.23 - $30.72
5% of jobs
$32.60 is the 75th percentile. Wages above this are outliers.
$30.72 - $33.22
6% of jobs
$33.22 - $35.72
5% of jobs
$35.72 - $38.21
5% of jobs
$38.21 - $40.71
3% of jobs
$40.71 - $43.20
10% of jobs
$15
$27
$43
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.
$36.05 - $38.46/hr
Other
Re-posted 3 days ago
Description
JOB SUMMARY:
The Medicare Provider Advocate supports the implementation, execution, and optimization of Risk Adjustment strategies across the LaSalle provider network. This role collaborates with internal teams, health plan partners, and provider offices to ensure accurate, timely, and compliant capture of risk adjustment data.
The position serves as a key resource for education, performance monitoring, and operational support related to Medicare Risk Adjustment initiatives, with regular field engagement and cross-functional coordination.
Requirements
MINIMUM & PREFERRED QUALIFICATIONS:
Education/Training
Minimum: High School Diploma or equivalent.
Preferred: Associate's or Bachelor's degree in healthcare, business, or related field
Experience
Minimum: Two (2) years of experience in healthcare or health plan experience.
Preferred: Experience in Risk Adjustment, healthcare analytics, or managed care. Experience working with provider groups and/or Medicare populations.
Any combination of educational and work experience that would be equivalent to the stated minimum requirements would qualify for consideration of this position.
Certification(s)
Certification in Coding, Billing, or Risk Adjustment Coding (e.g., CPC, CRC, CCS or equivalent) preferred.
Skills, Knowledge & Abilities
Knowledge of Risk Adjustment principles, coding guidelines, and regulatory requirements
Understanding of Medicare data collection, encounter data, and reporting processes
Strong analytical and problem-solving skills with the ability to manage complex issues
Excellent organizational skills with the ability to prioritize and manage multiple tasks
Proficiency in Microsoft Office and general computer applications
Strong written and verbal communication skills
Ability to build effective working relationships with internal and external stakeholders
Ability to work independently with minimal supervision
Valid driver's license and ability to travel using personal vehicle
PHYSICAL, MENTAL & ENVIRONMENTAL REQUIREMENTS:
The physical, mental, and environmental demands described here are representative of those required to successfully perform the essential functions of this job. The role requires frequent travel to provider offices and operational sites, along with the ability to sit, stand, and walk for extended periods. The position involves regular use of standard office equipment and computer systems, as well as the ability to manage multiple priorities in a fast-paced environment. The individual must be able to work standard business hours (8:00 AM - 5:00 PM) with flexibility as needed.
PAY RANGE
$36.05 - $38.46 / hourly