Expert level knowledge of CMS-HCC models V24 and V28, claims data lifecycle, submission systems, regulation, compliance, and audits related to risk adjustment * Strong understanding of healthcare ...
Quick apply
Expert level knowledge of CMS-HCC models V24 and V28, claims data lifecycle, submission systems, regulation, compliance, and audits related to risk adjustment * Strong understanding of healthcare ...
Quick apply
Expert level knowledge of CMS-HCC models V24 and V28, claims data lifecycle, submission systems, regulation, compliance, and audits related to risk adjustment * Strong understanding of healthcare ...
PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health ...
PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health ...
PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health ...
PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health ...
PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health ...
PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health ...
PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health ...
PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health ...
Denver, CO · On-site
PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health ...
Denver, CO · On-site
PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health ...
PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health ...
PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health ...
PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health ...
PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health ...
Denver, CO · On-site
$250/wk
PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health ...
Denver, CO · On-site
$250/wk
PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health ...
Denver, CO · On-site
$250/wk
PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health ...
Denver, CO · On-site
$250/wk
PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health ...
$104K - $156K/yr
Experience with HCC coding guidelines in Primary Care * 2 years of experience working in a managed care health plan environment * Knowledge of Value Based Care Model * HEDIS, Coding, Risk Adjustment ...
$104K - $156K/yr
Experience with HCC coding guidelines in Primary Care * 2 years of experience working in a managed care health plan environment * Knowledge of Value Based Care Model * HEDIS, Coding, Risk Adjustment ...
Colorado Springs, CO · On-site
$104K - $156K/yr
Experience with HCC coding guidelines in Primary Care * 2 years of experience working in a managed care health plan environment * Knowledge of Value Based Care Model * HEDIS, Coding, Risk Adjustment ...
Colorado Springs, CO · On-site
$104K - $156K/yr
Experience with HCC coding guidelines in Primary Care * 2 years of experience working in a managed care health plan environment * Knowledge of Value Based Care Model * HEDIS, Coding, Risk Adjustment ...
$115.38 - $144.23/hr
PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health ...
$115.38 - $144.23/hr
PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health ...
Golden, CO · On-site
$104K - $156K/yr
... HCC coding guidelines in Primary Care 2 years of experience working in a managed care health plan environment Knowledge of Value Based Care Model HEDIS, Coding, Risk Adjustment knowledge The salary ...
Golden, CO · On-site
$104K - $156K/yr
... HCC coding guidelines in Primary Care 2 years of experience working in a managed care health plan environment Knowledge of Value Based Care Model HEDIS, Coding, Risk Adjustment knowledge The salary ...
Golden, CO · On-site
$104K - $156K/yr
... with HCC coding guidelines in Primary Care • 2 years of experience working in a managed care health plan environment • Knowledge of Value Based Care Model • HEDIS, Coding, Risk Adjustment ...
Golden, CO · On-site
$104K - $156K/yr
... with HCC coding guidelines in Primary Care • 2 years of experience working in a managed care health plan environment • Knowledge of Value Based Care Model • HEDIS, Coding, Risk Adjustment ...
Thornton, CO · On-site
$240K - $300K/yr
PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health ...
Thornton, CO · On-site
$240K - $300K/yr
PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health ...
Thornton, CO · On-site
$240K - $300K/yr
PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health ...
Thornton, CO · On-site
$240K - $300K/yr
PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health ...
PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health ...
PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health ...
Thornton, CO · On-site
$240K - $300K/yr
PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health ...
Thornton, CO · On-site
$240K - $300K/yr
PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health ...
Denver, CO · On-site
$104K - $156K/yr
Experience with HCC coding guidelines in Primary Care * 2 years of experience working in a managed care health plan environment * Knowledge of Value Based Care Model * HEDIS, Coding, Risk Adjustment ...
Denver, CO · On-site
$104K - $156K/yr
Experience with HCC coding guidelines in Primary Care * 2 years of experience working in a managed care health plan environment * Knowledge of Value Based Care Model * HEDIS, Coding, Risk Adjustment ...
| 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.

Full-time
Re-posted 5 days ago
Job Title: Sr Manager, Risk Adjustment Analytics
Job Location: Denver, CO
Job Type: Full Time
Job Description:
Provide strategic leadership and management for the IKC Risk Adjustment Accuracy
Create and maintain leadership reports on IKC revenue financials and estimating impact IKC initiatives had on Medical Loss Ratio (MLR)
Write SQL queries against data warehouses containing clinical operations and medical claims data to support analytic requests and deliver insights to various stakeholders
Monitor evolving regulations and policies to ensure all processes and reporting meet compliance requirements
Partner with clinical, financial, operational, legal, compliance, and IT teams to improve risk adjustment accuracy
Serve as a subject matter expert on CMS risk adjustment for the enterprise and stay current on the latest industry trends
Other duties as assigned
Required Experience:
3 or more years’ professional experience with healthcare data, specifically medical claims and/or encounter data using SQL
3 or more years’ experience in healthcare financial management, healthcare consulting, medical economics, population health, and/or similar experience
At least a year’s experience in creation, implementation, and impact estimation of prospective and retrospective risk adjustment initiatives, including CMS RAPS/Encounter data submissions
Experience developing and managing direct reports
Skills and knowledge needed to succeed in this role:
Expert level knowledge of CMS-HCC models V24 and V28, claims data lifecycle, submission systems, regulation, compliance, and audits related to risk adjustment
Strong understanding of healthcare economics, population health, and value based care
Ability to work collaboratively in a cross functional team environment and communicate effectively with teammates at all levels in an organization
Comfortable presenting complex analysis and insights to executive audience
Intellectual curiosity, strategic thinking and strong project management skills
Comfort with ambiguous, ever-changing situations
Strong entrepreneurial mindset with the motivation to continuously improve the status quo and drive this independently
Must-haves
Experience developing and managing direct reports Expert level knowledge of CMS-HCC models V24 and V28, claims data lifecycle, submission systems, regulation, compliance, and audits related to risk adjustment Strong understanding of healthcare economics, population health, and value based care Ability to work collaboratively in a cross functional team environment and communicate effectively with teammates at all levels in an organization Comfortable presenting complex analysis and insights to executive audience Intellectual curiosity, strategic thinking and strong project management skills Comfort with ambiguous, ever-changing situations Strong entrepreneurial mindset with the motivation to continuously improve the status quo and drive this independently
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Recruiting and staffing services
51 - 200 Employees
Atlanta, GA, US
2016