Certified Risk Adjustment Coder Senior
$22 - $30/hr
Regularly reviews Epic HCC and payer reports. * Queries and provides feedback and education to physicians when identifying documentation deficiencies to improve accuracy of risk adjustment coding.
$22 - $30/hr
Regularly reviews Epic HCC and payer reports. * Queries and provides feedback and education to physicians when identifying documentation deficiencies to improve accuracy of risk adjustment coding.
$22 - $30/hr
Regularly reviews Epic HCC and payer reports. * Queries and provides feedback and education to physicians when identifying documentation deficiencies to improve accuracy of risk adjustment coding.
Miami Beach, FL · On-site
$22.25 - $30.25/hr
Regularly reviews Epic HCC and payer reports. * Queries and provides feedback and education to physicians when identifying documentation deficiencies to improve accuracy of risk adjustment coding.
Miami Beach, FL · On-site
$22.25 - $30.25/hr
Regularly reviews Epic HCC and payer reports. * Queries and provides feedback and education to physicians when identifying documentation deficiencies to improve accuracy of risk adjustment coding.
$22.25 - $30.25/hr
Regularly reviews Epic HCC and payer reports. * Queries and provides feedback and education to physicians when identifying documentation deficiencies to improve accuracy of risk adjustment coding.
$22.25 - $30.25/hr
Regularly reviews Epic HCC and payer reports. * Queries and provides feedback and education to physicians when identifying documentation deficiencies to improve accuracy of risk adjustment coding.
The Risk Adjustment Coding Specialist supports the retrospective risk adjustment supplemental filing, CMS-HCC Medicare Advantage Risk Adjustment, HHS-Risk Adjustment Data Validation (RADV) audit and ...
New
The Risk Adjustment Coding Specialist supports the retrospective risk adjustment supplemental filing, CMS-HCC Medicare Advantage Risk Adjustment, HHS-Risk Adjustment Data Validation (RADV) audit and ...
New
Oakland, CA · On-site
$111.54K - $167.42K/yr
Assign ICD-10-CM codes, including Hierarchical Condition Categories (HCC), based on thorough review ... Office Environment - roles involving part to full time schedule in Office Environment. Based in our ...
Oakland, CA · On-site
$111.54K - $167.42K/yr
Assign ICD-10-CM codes, including Hierarchical Condition Categories (HCC), based on thorough review ... Office Environment - roles involving part to full time schedule in Office Environment. Based in our ...
OR · Remote
$44K - $74K/yr
High School Diploma or equivalent * 3+ years HCC Risk Adjustment Coding. * CPC or CRC certification from AAPC * EMR experience * Must maintain credential throughout employment * Strong working ...
OR · Remote
$44K - $74K/yr
High School Diploma or equivalent * 3+ years HCC Risk Adjustment Coding. * CPC or CRC certification from AAPC * EMR experience * Must maintain credential throughout employment * Strong working ...
San Bernardino, CA · On-site
$30 - $34/hr
Knowledge of CMS Risk Adjustment methodology, HCC documentation requirements, and RAF score principles. * Understanding of Medicare Advantage Risk Adjustment, coding compliance, and documentation ...
San Bernardino, CA · On-site
$30 - $34/hr
Knowledge of CMS Risk Adjustment methodology, HCC documentation requirements, and RAF score principles. * Understanding of Medicare Advantage Risk Adjustment, coding compliance, and documentation ...
San Bernardino, CA · On-site
$30 - $34/hr
Knowledge of CMS Risk Adjustment methodology, HCC documentation requirements, and RAF score principles. * Understanding of Medicare Advantage Risk Adjustment, coding compliance, and documentation ...
San Bernardino, CA · On-site
$30 - $34/hr
Knowledge of CMS Risk Adjustment methodology, HCC documentation requirements, and RAF score principles. * Understanding of Medicare Advantage Risk Adjustment, coding compliance, and documentation ...
... coding credential. Minimally Required Experience 7-10 years of experience in an HMO or MCO with direct HCC risk adjustment experience. At least 2 years of management experience. Experience with ...
... coding credential. Minimally Required Experience 7-10 years of experience in an HMO or MCO with direct HCC risk adjustment experience. At least 2 years of management experience. Experience with ...
Springfield, MA · On-site
... coding credential. Minimally Required Experience 7-10 years of experience in an HMO or MCO with direct HCC risk adjustment experience. At least 2 years of management experience. Experience with ...
Springfield, MA · On-site
... coding credential. Minimally Required Experience 7-10 years of experience in an HMO or MCO with direct HCC risk adjustment experience. At least 2 years of management experience. Experience with ...
San Bernardino, CA · On-site +1
$30 - $34/hr
Knowledge of CMS Risk Adjustment methodology, HCC documentation requirements, and RAF score principles. * Understanding of Medicare Advantage Risk Adjustment, coding compliance, and documentation ...
San Bernardino, CA · On-site +1
$30 - $34/hr
Knowledge of CMS Risk Adjustment methodology, HCC documentation requirements, and RAF score principles. * Understanding of Medicare Advantage Risk Adjustment, coding compliance, and documentation ...
Denver, CO · Remote
$85.50K - $104K/yr
Works closely with Director of Risk Adjustment Coding operations and coding leads to identify HCC and ProFee coding trends or issues for providers and team members. * Provides additional oversight of ...
Denver, CO · Remote
$85.50K - $104K/yr
Works closely with Director of Risk Adjustment Coding operations and coding leads to identify HCC and ProFee coding trends or issues for providers and team members. * Provides additional oversight of ...
Newark, NJ · On-site
$44.13 - $57.36/hr
The HCC Coding Auditor Senior will be involved with activities of quality assurance auditing and risk adjustment code abstraction for the following programs: including but not limited to Medicare ...
Newark, NJ · On-site
$44.13 - $57.36/hr
The HCC Coding Auditor Senior will be involved with activities of quality assurance auditing and risk adjustment code abstraction for the following programs: including but not limited to Medicare ...
The Senior Risk Adjustment Factor (RAF) Specialist supports Vivant's risk adjustment initiatives ... Review and analyze clinical documentation and diagnosis coding to ensure compliance with CMS-HCC ...
The Senior Risk Adjustment Factor (RAF) Specialist supports Vivant's risk adjustment initiatives ... Review and analyze clinical documentation and diagnosis coding to ensure compliance with CMS-HCC ...
Leesburg, FL · On-site
$16.75 - $22.25/hr
Administrative responsibilities, professional written and verbal communication, typing skills. 3. Documented training in Medicare Risk Adjustment (MRA), HCC coding documentation guidelines, rules ...
Leesburg, FL · On-site
$16.75 - $22.25/hr
Administrative responsibilities, professional written and verbal communication, typing skills. 3. Documented training in Medicare Risk Adjustment (MRA), HCC coding documentation guidelines, rules ...
Newark, NJ · On-site
$44.13 - $57.36/hr
The HCC Coding Auditor Senior will be involved with activities of quality assurance auditing and risk adjustment code abstraction for the following programs: including but not limited to Medicare ...
Newark, NJ · On-site
$44.13 - $57.36/hr
The HCC Coding Auditor Senior will be involved with activities of quality assurance auditing and risk adjustment code abstraction for the following programs: including but not limited to Medicare ...
Danville, CA · Remote
$35.50 - $47.75/hr
The Risk Adjustment & Coding Expert will advise clinical leaders on proper HCC (Hierarchical Condition Category) coding practices, ensure documentation integrity across Avail's care programs, and ...
Quick apply
Danville, CA · Remote
$35.50 - $47.75/hr
The Risk Adjustment & Coding Expert will advise clinical leaders on proper HCC (Hierarchical Condition Category) coding practices, ensure documentation integrity across Avail's care programs, and ...
Danville, CA · On-site +1
$40.75 - $54.75/hr
The Risk Adjustment & Coding Expert will advise clinical leaders on proper HCC (Hierarchical Condition Category) coding practices, ensure documentation integrity across Avail's care programs, and ...
Danville, CA · On-site +1
$40.75 - $54.75/hr
The Risk Adjustment & Coding Expert will advise clinical leaders on proper HCC (Hierarchical Condition Category) coding practices, ensure documentation integrity across Avail's care programs, and ...
San Bernardino, CA · On-site
$90K - $100K/yr
The HCC Trainer oversees opportunities of assessing risk adjustment needs among the assigned ... Experience in chronic condition diagnostic coding, clinical lab results and pharmacy interactions.
San Bernardino, CA · On-site
$90K - $100K/yr
The HCC Trainer oversees opportunities of assessing risk adjustment needs among the assigned ... Experience in chronic condition diagnostic coding, clinical lab results and pharmacy interactions.
Job Summary: The Risk Adjustment Factor (RAF) Specialist supports Vivant's risk adjustment ... Review and analyze clinical documentation and diagnosis coding to ensure compliance with CMS-HCC ...
Job Summary: The Risk Adjustment Factor (RAF) Specialist supports Vivant's risk adjustment ... Review and analyze clinical documentation and diagnosis coding to ensure compliance with CMS-HCC ...
$16.83 - $17.44
4% of jobs
$17.44 - $18.05
6% of jobs
$18.05 - $18.66
11% of jobs
$18.84 is the 25th percentile. Wages below this are outliers.
$18.66 - $19.27
11% of jobs
$19.27 - $19.89
7% of jobs
The median wage is $20.41 / hr.
$19.89 - $20.50
11% of jobs
$20.50 - $21.11
7% of jobs
$21.11 - $21.72
11% of jobs
$21.99 is the 75th percentile. Wages above this are outliers.
$21.72 - $22.33
11% of jobs
$22.33 - $22.95
7% of jobs
$22.95 - $23.56
11% of jobs
$16
$20
$23
| Aspect | Flex Schedule Hcc Risk Adjustment Coding | Medical Coding Specialist |
|---|---|---|
| Certifications | HCC Risk Adjustment Certification, CPC or CCS | CPC, CCS, or equivalent |
| Work Environment | Healthcare organizations, insurance companies | Hospitals, clinics, physician offices |
| Job Focus | Risk adjustment, data analysis, coding for Medicare Advantage | Medical 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.
$22 - $30/hr
Full-time
Medical, Life, Retirement, PTO
Posted 14 days ago
As Mount Sinai grows, so does our legacy in high-quality health care.
Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers.
Culture of Caring: The Sinai Way
Our hardworking, tight-knit community of more than 4,000 dedicated employees fosters an environment of care and compassion. Each member plays a vital role in our collective mission to deliver excellent healthcare through innovation, education, and research. At Mount Sinai, we take pride in our achievements, aiming to be a beacon of quality healthcare in South Florida. We welcome all healthcare professionals to join our thriving community and contribute to our pursuit for clinical excellence.
Department:
CC019053 Population Health Clinical OpsJob Description Summary:
Position ResponsibilitiesDemonstrates knowledge of coding and documentation standards as well as CMS Risk Adjustment Program guidelines and HCCs (hierarchical condition categories).
Reviews medical record to ensure all diagnosis codes are documented for the assignment of a valid and accurate HCC for each episode of care.
Regularly reviews Epic HCC and payer reports.
Queries and provides feedback and education to physicians when identifying documentation deficiencies to improve accuracy of risk adjustment coding.
Demonstrates understanding of risk adjustment payment models.
Uses clinical reasoning and critical thinking skills to discern the financial impact of a query in order to prioritize efforts most efficiently.
Completes patient medical chart review upon visit completion by protocol, using the hospital resources (i.e. EPIC, Care Everywhere and Suspects reports provided by the Health plan).
Performs coding and abstracting with an accuracy rate higher than 95%.
Maintains log of activities as required for weekly and/or monthly reports (i.e. productivity and time management reports).
Provides the primary source of data and information used in health care.
Promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement.
Maintains effective interpersonal skills and positive working relationship with co-workers and physicians.
Promotes clear and accurate communications among the working team and with other related parties.
Maintains information organized and ready for easy and quick access.
Assists IMED physicians in understanding the CMS HCC Risk Adjustment Program as it relates to payment methodology and the importance of proper medical documentation of procedures and diagnosis coding.
Assists providers and other professional staff in retrieving and compiling data for research, diagnosis, and teaching purposes.
Utilizes analytics, identifies and target IMED physicians for Medicare Risk Adjustment training and documentation/coding resources.
Other duties as assigned.
CRC, CDEO, CPC, CPMA Certifications Required.
High school graduate.
Five plus years' experience in Coding and Billing, Knowledge of ICD-10-CM and CPT.
Benefits:
We believe in the physical and mental well-being of our employees and are committed to offering comprehensive benefits that fit their personal needs:
Degree Requirements:
Certification: