Strong knowledge of Medicare Advantage, HCC coding, and risk adjustment * Proficient in EMR documentation and medical coding best practices * Excellent communication and patient engagement skills ...
Strong knowledge of Medicare Advantage, HCC coding, and risk adjustment * Proficient in EMR documentation and medical coding best practices * Excellent communication and patient engagement skills ...
Certified Professional Coder (CPC) or Certified Coding Specialist (CCS). Detail-oriented; skilled ... Preferred Qualifications Familiar with the Hierarchical Condition Categories (HCC) risk adjustment ...
Certified Professional Coder (CPC) or Certified Coding Specialist (CCS). Detail-oriented; skilled ... Preferred Qualifications Familiar with the Hierarchical Condition Categories (HCC) risk adjustment ...
Senior Specialist, Coding (Remote)
Long Beach, CA · On-site +1
$49K - $107K/yr
... Professional Coder (CPC) or Certified Coding Specialist (CCS). • Detail-oriented; skilled in ... HCC) risk adjustment model. • Background in supporting risk adjustment management activities and ...
Senior Specialist, Coding (Remote)
Long Beach, CA · On-site +1
$49K - $107K/yr
... Professional Coder (CPC) or Certified Coding Specialist (CCS). • Detail-oriented; skilled in ... HCC) risk adjustment model. • Background in supporting risk adjustment management activities and ...
VP, Risk Adjustment
$137K - $184K/yr
Drives organizational risk adjustment policy, program standards, and performance, and maintains ... coding results, encounter submission rates, HCC documentation outcomes, and performance against ...
VP, Risk Adjustment
$137K - $184K/yr
Drives organizational risk adjustment policy, program standards, and performance, and maintains ... coding results, encounter submission rates, HCC documentation outcomes, and performance against ...
VP, Risk Adjustment
Long Beach, CA · On-site +1
$137K - $184K/yr
Drives organizational risk adjustment policy, program standards, and performance, and maintains ... coding results, encounter submission rates, HCC documentation outcomes, and performance against ...
VP, Risk Adjustment
Long Beach, CA · On-site +1
$137K - $184K/yr
Drives organizational risk adjustment policy, program standards, and performance, and maintains ... coding results, encounter submission rates, HCC documentation outcomes, and performance against ...
MSO PHYSICIAN REVIEWER
Burlingame, CA · On-site
Analyze Hierarchical Condition Category (HCC) coding and Risk Adjustment Factor (RAF) scores to identify documentation gaps and ensure alignment with CMS risk adjustment models. * Support provider ...
MSO PHYSICIAN REVIEWER
Burlingame, CA · On-site
Analyze Hierarchical Condition Category (HCC) coding and Risk Adjustment Factor (RAF) scores to identify documentation gaps and ensure alignment with CMS risk adjustment models. * Support provider ...
MSO PHYSICIAN REVIEWER
Burlingame, CA · On-site
$285K - $332K/yr
Analyze Hierarchical Condition Category (HCC) coding and Risk Adjustment Factor (RAF) scores to identify documentation gaps and ensure alignment with CMS risk adjustment models. * Support provider ...
MSO PHYSICIAN REVIEWER
Burlingame, CA · On-site
$285K - $332K/yr
Analyze Hierarchical Condition Category (HCC) coding and Risk Adjustment Factor (RAF) scores to identify documentation gaps and ensure alignment with CMS risk adjustment models. * Support provider ...
Analyze Hierarchical Condition Category (HCC) coding and Risk Adjustment Factor (RAF) scores to identify documentation gaps and ensure alignment with CMS risk adjustment models. * Support provider ...
Analyze Hierarchical Condition Category (HCC) coding and Risk Adjustment Factor (RAF) scores to identify documentation gaps and ensure alignment with CMS risk adjustment models. * Support provider ...
Telehealth Nurse Practitioner
Los Angeles, CA · Remote
$600 - $720/day
Document HCC (risk adjustment) during visits * Close HEDIS (quality measures) care gaps * Review history, meds, preventive needs * Code with ICD-10 and CPT II * Deliver care plans and follow-up * ...
Telehealth Nurse Practitioner
Los Angeles, CA · Remote
$600 - $720/day
Document HCC (risk adjustment) during visits * Close HEDIS (quality measures) care gaps * Review history, meds, preventive needs * Code with ICD-10 and CPT II * Deliver care plans and follow-up * ...
Certified Risk Adjustment Coder (CRC), Certified Professional Coder (CPC), Certified Coding ... Requires an in-depth understanding of risk adjustment models (CMS-HCC, HHS-HCC), Official Coding ...
Certified Risk Adjustment Coder (CRC), Certified Professional Coder (CPC), Certified Coding ... Requires an in-depth understanding of risk adjustment models (CMS-HCC, HHS-HCC), Official Coding ...
Certified Coder
Victorville, CA · On-site
$23.31 - $24.92/hr
Conduct Risk Adjustment Data Validation (RADV) audits as requested by HCC Manager. * Orient ... Certified Professional Coder (CPC). Must maintain certification * Completion of anatomy course ...
Certified Coder
Victorville, CA · On-site
$23.31 - $24.92/hr
Conduct Risk Adjustment Data Validation (RADV) audits as requested by HCC Manager. * Orient ... Certified Professional Coder (CPC). Must maintain certification * Completion of anatomy course ...
Coding Supervisor
Los Angeles, CA · Remote
$65K - $130K/yr
CPMA (Certified Professional Medical Auditor), CHC (Certified in Healthcare Compliance), HCC (Risk Adjustment Coding Certification) or Specialty Certification * Familiarity with revenue cycle ...
Coding Supervisor
Los Angeles, CA · Remote
$65K - $130K/yr
CPMA (Certified Professional Medical Auditor), CHC (Certified in Healthcare Compliance), HCC (Risk Adjustment Coding Certification) or Specialty Certification * Familiarity with revenue cycle ...
Healthcare Data Analyst
Orange, CA · On-site
$85K - $115K/yr
Knowledge of HCC risk adjustment, RAF methodologies, capitation payment model, DOFR, claim processing, bid design, and CMS regulatory requirements. * Experience analyzing pharmacy adherence metrics ...
Healthcare Data Analyst
Orange, CA · On-site
$85K - $115K/yr
Knowledge of HCC risk adjustment, RAF methodologies, capitation payment model, DOFR, claim processing, bid design, and CMS regulatory requirements. * Experience analyzing pharmacy adherence metrics ...
Required Qualifications At least 3 years of coding, medical record chart review, and risk adjustment data validation experience, or equivalent combination of relevant education and experience.
Required Qualifications At least 3 years of coding, medical record chart review, and risk adjustment data validation experience, or equivalent combination of relevant education and experience.
Experience with the risk adjustment and reimbursement landscape (Medicare Advantage, ACA, Medicaid managed care, HCC coding, RAF optimization, RADV, and documentation/compliance) is strongly ...
Experience with the risk adjustment and reimbursement landscape (Medicare Advantage, ACA, Medicaid managed care, HCC coding, RAF optimization, RADV, and documentation/compliance) is strongly ...
Healthcare Data Analyst
$85K - $115K/yr
Knowledge of HCC risk adjustment, RAF methodologies, capitation payment model, DOFR, claim processing, bid design, and CMS regulatory requirements. * Experience analyzing pharmacy adherence metrics ...
Healthcare Data Analyst
$85K - $115K/yr
Knowledge of HCC risk adjustment, RAF methodologies, capitation payment model, DOFR, claim processing, bid design, and CMS regulatory requirements. * Experience analyzing pharmacy adherence metrics ...
Auditor, Risk Adjustment (Remote)
Long Beach, CA · On-site +1
$49K - $107K/yr
Required Qualifications • At least 3 years of coding, medical record chart review, and risk adjustment data validation experience, or equivalent combination of relevant education and experience ...
Auditor, Risk Adjustment (Remote)
Long Beach, CA · On-site +1
$49K - $107K/yr
Required Qualifications • At least 3 years of coding, medical record chart review, and risk adjustment data validation experience, or equivalent combination of relevant education and experience ...
Experience with the risk adjustment and reimbursement landscape (Medicare Advantage, ACA, Medicaid managed care, HCC coding, RAF optimization, RADV, and documentation/compliance) is strongly ...
Experience with the risk adjustment and reimbursement landscape (Medicare Advantage, ACA, Medicaid managed care, HCC coding, RAF optimization, RADV, and documentation/compliance) is strongly ...
Experience with the risk adjustment and reimbursement landscape (Medicare Advantage, ACA, Medicaid managed care, HCC coding, RAF optimization, RADV, and documentation/compliance) is strongly ...
Experience with the risk adjustment and reimbursement landscape (Medicare Advantage, ACA, Medicaid managed care, HCC coding, RAF optimization, RADV, and documentation/compliance) is strongly ...
Experience with the risk adjustment and reimbursement landscape (Medicare Advantage, ACA, Medicaid managed care, HCC coding, RAF optimization, RADV, and documentation/compliance) is strongly ...
Experience with the risk adjustment and reimbursement landscape (Medicare Advantage, ACA, Medicaid managed care, HCC coding, RAF optimization, RADV, and documentation/compliance) is strongly ...
Freelance Hcc Risk Adjustment Coder information
What are the key skills and qualifications needed to thrive as a Freelance HCC Risk Adjustment Coder, and why are they important?
To thrive as a Freelance HCC Risk Adjustment Coder, you need a solid understanding of medical coding, ICD-10-CM classification, and risk adjustment models, typically backed by a coding certification such as CPC, CRC, or CCS. Familiarity with Electronic Health Record (EHR) systems, coding software, and payer-specific risk adjustment platforms is essential. Attention to detail, time management, and strong analytical and communication skills help you accurately review records and collaborate with healthcare providers. These skills ensure precise coding, optimize reimbursement, and maintain compliance in a remote, deadline-driven environment.
How does a Freelance HCC Risk Adjustment Coder typically collaborate with healthcare providers and coding teams remotely?
As a Freelance HCC Risk Adjustment Coder, you will often work independently but maintain regular communication with healthcare providers, auditors, and coding managers through secure online platforms, emails, or virtual meetings. You may be responsible for clarifying documentation, discussing complex coding scenarios, and providing feedback to providers to ensure accurate risk adjustment coding. Effective collaboration and clear communication are essential to resolve discrepancies and maintain compliance with regulatory standards. Most clients provide access to their electronic health record (EHR) systems and expect timely deliverables, so strong organizational and time management skills are important.
What is a Freelance HCC Risk Adjustment Coder?
A Freelance HCC Risk Adjustment Coder is a healthcare professional who works independently to review medical records and assign appropriate ICD-10 codes based on Hierarchical Condition Categories (HCC). Their work supports accurate risk adjustment for insurance plans, particularly Medicare Advantage, by ensuring that patient diagnoses are properly documented and coded. This helps health plans receive correct reimbursement for the care of high-risk patients. Freelance coders have the flexibility to work with multiple clients and often work remotely.
What is the difference between Freelance Hcc Risk Adjustment Coder vs Hcc Risk Adjustment Coder?
| Aspect | Freelance Hcc Risk Adjustment Coder | Hcc Risk Adjustment Coder |
|---|---|---|
| Credentials | Certifications in medical coding, HCC coding experience | Certifications in medical coding, HCC coding experience |
| Work Environment | Remote, independent contracting | Typically employed by healthcare organizations or coding companies |
| Employer & Industry Usage | Freelance platforms, independent practice | Hospitals, insurance companies, healthcare providers |
| Search & Comparison Intent | Looking for freelance opportunities or contract work | Seeking full-time or staff coding roles |
Both roles require similar certifications and skills in HCC coding. The main difference is that a Freelance Hcc Risk Adjustment Coder works independently on a contract basis, often remotely, while an Hcc Risk Adjustment Coder is typically employed full-time by healthcare organizations. Your choice depends on your preferred work environment and employment type.
What are the most commonly searched types of Hcc Risk Adjustment Coder jobs in California? The most popular types of Hcc Risk Adjustment Coder jobs in California are:
What are popular job titles related to Freelance Hcc Risk Adjustment Coder jobs in California? For Freelance Hcc Risk Adjustment Coder jobs in California, the most frequently searched job titles are:
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What cities in California are hiring for Freelance Hcc Risk Adjustment Coder jobs? Cities in California with the most Freelance Hcc Risk Adjustment Coder job openings:
$110K - $143K/yr
Full-time
Medical, Dental, Vision, Life, Retirement
Re-posted 14 days ago
Job description
Choice Medical Group has been serving the local area for over 30 years and has a network of over 200+ physicians. Choice Medical Group is physician owned and located in Apple Valley, CA. We are seeking a compassionate and detail-oriented Nurse Practitioner or Physician Assistant to join our care team. This role focuses on delivering high-quality preventive care through Annual Wellness Visits (AWVs), accurate HCC (Hierarchical Condition Category) recapture, and comprehensive medication reconciliation. Youll play a critical role in improving patient outcomes and supporting value-based care initiatives.
you will have a full staff, full benefits, including Medical, Dental, Vision, Life, and a very generous 401k offering.
QUALIFICATIONS:
Must have valid, and kept current/in good standing throughout employment:
CA Registered Nursing License
CA Nurse Practitioner License
CA Nurse Practitioner Furnishing License
CA Physcian Assistant License
DEA
BLS
ACLS
Must not be on OIG/GSA exclusion list (qualified to see Medicare patients)
Minimum 1 year of clinical experience (HCC or primary care experience preferred)
- Strong knowledge of Medicare Advantage, HCC coding, and risk adjustment
- Proficient in EMR documentation and medical coding best practices
- Excellent communication and patient engagement skills
Preferred Skills
- CRC (Certified Risk Adjustment Coder) certification
- Bilingual (Spanish/English)
- Experience with in-home assessments or mobile care, willing to travel to local clinic sites within the Victorville, Apple Valley, Phelan, Hesperia.
Key Responsibilities
- Conduct Annual Wellness Exams (AWVs) in accordance with CMS guidelines
- Identify and accurately document chronic conditions for HCC risk adjustment
- Perform thorough medication reconciliation and patient education
- Collaborate with primary care providers and care coordinators to ensure continuity of care
- Utilize EMR systems to document findings and support coding accuracy
- Participate in quality improvement initiatives and compliance audits
As an Equal opportunity employer, DBA Choice Medical Group is committed to a diverse workforce. Employment decisions regarding recruitment and selection will be made without discrimination based on race, color, religion, national origin gender, age sexual orientation, physical or mental disability, genetic information or characteristic, gender identity, and expression, veteran status, or other non-job related characteristics or other prohibited grounds specified in applicable federal, state and local laws. In order to ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Era Veterans Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact this post for assistance.
For more information about equal employment opportunity protections, please view the EEO is the Law poster.
NOTICE: EMPLOYEE POLYGRAPH PROTECTION ACT
YOUR RIGHTS UNDER THE FAMILY AND MEDICAL LEAVE ACT
PAY TRANSPARENCY NONDISCRIMINATION PROVISION
Our environment respects individual differences and recognizes each employee as an integral member of our company. Our workforce reflects these values and celebrates the individuals who make up our growing team.
Choice Medical Group provides a work environment free of harassment and prohibited conduct. We promote and support individual differences and diversity of thoughts and opinion.
Job Type: Full-time
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Health insurance
- Life insurance
- Vision insurance
Work Location: In person