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Freelance Hcc Risk Adjustment Coder Jobs in Indiana

Humana

$17.75 - $23.75/hr

Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you will * Arrange educational sessions with assigned providers aimed at quality of care and ...

Humana

Medical Coder

Valparaiso, IN · On-site +1

$18.75 - $25/hr

Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you will * Arrange educational sessions with assigned providers aimed at quality of care and ...

Humana

$17.75 - $23.75/hr

Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you will * Arrange educational sessions with assigned providers aimed at quality of care and ...

Humana

Medical Coder

Valparaiso, IN · On-site +1

$18.75 - $25/hr

Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you will * Arrange educational sessions with assigned providers aimed at quality of care and ...

Humana

$17.75 - $23.75/hr

Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you will * Arrange educational sessions with assigned providers aimed at quality of care and ...

Humana

Medical Coder

Valparaiso, IN · On-site +1

$18.75 - $25/hr

Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you will * Arrange educational sessions with assigned providers aimed at quality of care and ...

Strive Health

Nurse Practitioner

Merrillville, IN · On-site

Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and address care gaps related to HEDIS and preventative care. * Presents patient cases and provides ...

Strive Health

Nurse Practitioner

Schererville, IN · On-site

Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and address care gaps related to HEDIS and preventative care. * Presents patient cases and provides ...

Strive Health

Nurse Practitioner

Merrillville, IN

$112K - $140K/yr

Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and address care gaps related to HEDIS and preventative care. * Presents patient cases and provides ...

Strive Health

Nurse Practitioner

Schererville, IN

$112K - $140K/yr

Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and address care gaps related to HEDIS and preventative care. * Presents patient cases and provides ...

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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?

AspectFreelance Hcc Risk Adjustment CoderHcc Risk Adjustment Coder
CredentialsCertifications in medical coding, HCC coding experienceCertifications in medical coding, HCC coding experience
Work EnvironmentRemote, independent contractingTypically employed by healthcare organizations or coding companies
Employer & Industry UsageFreelance platforms, independent practiceHospitals, insurance companies, healthcare providers
Search & Comparison IntentLooking for freelance opportunities or contract workSeeking 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 popular job titles related to Freelance Hcc Risk Adjustment Coder jobs in Indiana? For Freelance Hcc Risk Adjustment Coder jobs in Indiana, the most frequently searched job titles are:
What job categories do people searching Freelance Hcc Risk Adjustment Coder jobs in Indiana look for? The top searched job categories for Freelance Hcc Risk Adjustment Coder jobs in Indiana are:
What cities in Indiana are hiring for Freelance Hcc Risk Adjustment Coder jobs? Cities in Indiana with the most Freelance Hcc Risk Adjustment Coder job openings:
Freelance Hcc Risk Adjustment Coder 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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