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Flex Schedule Hcc Risk Adjustment Coding Jobs in Indiana

Humana

$17.75 - $23.75/hr

Risk Adjustment knowledge * Familiar with coding guidelines * Live in NC, SC, GA, VA, MD or TN ... Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of ...

Humana

Medical Coder

Valparaiso, IN · On-site +1

$18.75 - $25/hr

Risk Adjustment knowledge * Familiar with coding guidelines * Live in NC, SC, GA, VA, MD or TN ... Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of ...

Humana

$17.75 - $23.75/hr

Risk Adjustment knowledge * Familiar with coding guidelines * Live in NC, SC, GA, VA, MD or TN ... Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of ...

Humana

$17.75 - $23.75/hr

Risk Adjustment knowledge * Familiar with coding guidelines * Live in NC, SC, GA, VA, MD or TN ... Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of ...

Humana

Medical Coder

Valparaiso, IN · On-site +1

$18.75 - $25/hr

Risk Adjustment knowledge * Familiar with coding guidelines * Live in NC, SC, GA, VA, MD or TN ... Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of ...

Humana

Medical Coder

Valparaiso, IN · On-site +1

$18.75 - $25/hr

Risk Adjustment knowledge * Familiar with coding guidelines * Live in NC, SC, GA, VA, MD or TN ... Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of ...

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All JobsFlex Schedule Hcc Risk Adjustment Coding JobsFlex Schedule Hcc Risk Adjustment Coding Jobs in Indiana

Flex Schedule Hcc Risk Adjustment Coding information

What is Flex Schedule HCC Risk Adjustment Coding?

Flex Schedule HCC Risk Adjustment Coding refers to a medical coding position where professionals review patient records to identify and code diagnoses according to Hierarchical Condition Category (HCC) guidelines. The 'flex schedule' aspect means coders can work non-traditional or adjustable hours, often remotely. HCC coding is critical for accurate risk adjustment in Medicare Advantage and other value-based care programs, directly impacting reimbursement for healthcare providers. Coders in this role need specialized knowledge of HCC models, ICD-10-CM coding, and often have a background in medical billing or coding certification.

What are the key skills and qualifications needed to thrive as a Flex Schedule HCC Risk Adjustment Coder, and why are they important?

To thrive as a Flex Schedule HCC Risk Adjustment Coder, you need strong knowledge of ICD-10 coding, risk adjustment models, and healthcare regulations, typically supported by a coding certification such as CPC, CRC, or CCS. Familiarity with electronic health record (EHR) systems, coding software, and audit tools is essential. Attention to detail, analytical thinking, and effective communication skills help coders accurately interpret medical records and collaborate with providers. These abilities ensure precise documentation and coding, which are crucial for compliant risk adjustment and proper reimbursement.

How does a flexible schedule impact teamwork and communication in HCC risk adjustment coding roles?

In HCC risk adjustment coding roles, a flexible schedule allows coders to manage their work-life balance, but it also requires strong communication and coordination with team members. Most teams use digital platforms and regular virtual meetings to stay connected, ensuring that questions are addressed promptly and coding standards are consistently applied. Being proactive in communication and diligent in updating shared documentation are key to overcoming challenges associated with non-traditional hours. Flexibility can enhance productivity, but success depends on clear expectations and reliable collaboration tools.

What is the difference between Flex Schedule Hcc Risk Adjustment Coding vs Medical Coding Specialist?

AspectFlex Schedule Hcc Risk Adjustment CodingMedical Coding Specialist
CertificationsHCC Risk Adjustment Certification, CPC or CCSCPC, CCS, or equivalent
Work EnvironmentHealthcare organizations, insurance companiesHospitals, clinics, physician offices
Job FocusRisk adjustment, data analysis, coding for Medicare AdvantageMedical record coding, billing, documentation

Flex Schedule Hcc Risk Adjustment Coders focus on risk adjustment coding for insurance purposes, often with flexible hours. Medical Coding Specialists handle medical record coding across various healthcare settings. While both require coding certifications, their work environments and job focuses differ, with HCC coders emphasizing risk data and Medical Coding Specialists concentrating on clinical documentation.

What are popular job titles related to Flex Schedule Hcc Risk Adjustment Coding jobs in Indiana? For Flex Schedule Hcc Risk Adjustment Coding jobs in Indiana, the most frequently searched job titles are:
What job categories do people searching Flex Schedule Hcc Risk Adjustment Coding jobs in Indiana look for? The top searched job categories for Flex Schedule Hcc Risk Adjustment Coding jobs in Indiana are:
What cities in Indiana are hiring for Flex Schedule Hcc Risk Adjustment Coding jobs? Cities in Indiana with the most Flex Schedule Hcc Risk Adjustment Coding job openings:
Flex Schedule Hcc Risk Adjustment Coding jobs near you

Risk Adjustment Program Lead

SIHO HOLDING INC

Columbus, IN • On-site

Other

Posted 15 days ago

Job description

Job Title:         Risk Adjustment Program Lead
Reports To:      Vice President, MyTruAdvantage

The primary responsibility of the Risk Adjustment Program Lead is to serve as the subject matter expert for risk adjustment, maintaining oversight of all risk adjustment activities. This role will support Medicare Advantage and ACA risk adjustment programs.

Brief Description of Duties: 

  • Serve as the expert on Medicare Risk Adjustment models; monitor regulatory changes, ensuring adherence to CMS/HHS guidelines
  • Develop and monitor metrics and KPIs to track the success of solutions and improvements; develop dashboards to share risk adjustment trends to key stakeholders; communicate risk adjustment impacts across all levels of the company
  • Conduct comprehensive research and analysis to identify trends and areas of opportunity related to risk adjustment; contribute to the development and implementation of strategic initiatives and a risk adjustment work plan; collaborate with plan partners to leverage a lean team and all possible resources to improve risk adjustment outcomes
  • Responsible for forecasting revenue and collaborating with finance team
  • Create and maintain department policies and procedures
  • Ensure plan readiness and compliance for RAD-V and CMS audits
  • Own vendor oversight of data integration and coding accuracy for Encounter Data Submissions and risk analytics

Minimum Skills Requirement:

  • Minimum of 5 years of experience in Medicare risk adjustment
  • Strong knowledge of CMS risk adjustment models/methodologies and HCC coding
  • Strong analytical, organizational, problem-solving, vendor management, and critical thinking skills
  • Ability to work independently and manage multiple projects involving cross-functional teams and external vendors
  • Ability to interpret and analyze complex data and translate this into meaningful, actionable information
  • High standards of quality and accuracy
  • Advanced skills in Microsoft Excel
  • Commitment to maintaining confidentiality in compliance with HIPAA

All positions are subject to change based on the needs of the business

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