Are you an experienced HCC Coding professional looking for a flexible, remote opportunity that fits ... Follow Risk Adjustment Data Abstraction Rules. * Ensure individual compliance with all privacy and ...
Are you an experienced HCC Coding professional looking for a flexible, remote opportunity that fits ... Follow Risk Adjustment Data Abstraction Rules. * Ensure individual compliance with all privacy and ...
$93K - $123K/yr
The work is real, the scope is broad, and your decisions directly affect coder productivity and ... HIM Coding * HCC Coding Resources * Blog * All Blog Posts * Real-World Data * HIPAA Privacy
$93K - $123K/yr
The work is real, the scope is broad, and your decisions directly affect coder productivity and ... HIM Coding * HCC Coding Resources * Blog * All Blog Posts * Real-World Data * HIPAA Privacy
$79K - $105K/yr
... HCC risk score projections, including RATP, MA MYRA/FYRA accruals, and RADV financial impacts.* Perform or support data analytics and reporting to inform risk adjustment operations, strategy ...
$79K - $105K/yr
... HCC risk score projections, including RATP, MA MYRA/FYRA accruals, and RADV financial impacts.* Perform or support data analytics and reporting to inform risk adjustment operations, strategy ...
Be a resource for HCC coding team members by having a deep understanding of the project and coding guidelines. Follow Risk Adjustment Data Abstraction Rules. Assist with the creation of PowerPoints ...
Be a resource for HCC coding team members by having a deep understanding of the project and coding guidelines. Follow Risk Adjustment Data Abstraction Rules. Assist with the creation of PowerPoints ...
Risk Adjustment * HCC Coding * Medicare Advantage * Medicaid Managed Care * Quality Programs * Population Health * Value-Based Care * Demonstrated success meeting or exceeding sales quotas.
Risk Adjustment * HCC Coding * Medicare Advantage * Medicaid Managed Care * Quality Programs * Population Health * Value-Based Care * Demonstrated success meeting or exceeding sales quotas.
Design, build, and validate AI/ML and rules‑based algorithms that detect documentation and coding gaps affecting severity of illness, risk of mortality, HCC/risk adjustment, and quality measure ...
Design, build, and validate AI/ML and rules‑based algorithms that detect documentation and coding gaps affecting severity of illness, risk of mortality, HCC/risk adjustment, and quality measure ...
$45 - $65/hr
Experience with HCC or risk-adjustment coding * Prior AI/ML annotation or model evaluation work experience, with strong performance reviews AI evaluation Clinical reasoning Who this role may fit This ...
$45 - $65/hr
Experience with HCC or risk-adjustment coding * Prior AI/ML annotation or model evaluation work experience, with strong performance reviews AI evaluation Clinical reasoning Who this role may fit This ...
Deep familiarity with VBC metrics: risk adjustment (HCC coding, RAF scores), utilization (IP admissions, ED visits, readmissions), and cost (PMPM, total cost of care, benchmark vs. actual). * Strong ...
Deep familiarity with VBC metrics: risk adjustment (HCC coding, RAF scores), utilization (IP admissions, ED visits, readmissions), and cost (PMPM, total cost of care, benchmark vs. actual). * Strong ...
Clinical knowledge and exposure to risk adjustment coding Where You'll Work Virginia Mason Franciscan Health brings together two award winning health systems in Washington state - CHI Franciscan and ...
Clinical knowledge and exposure to risk adjustment coding Where You'll Work Virginia Mason Franciscan Health brings together two award winning health systems in Washington state - CHI Franciscan and ...
Working knowledge of risk adjustment models (HCC / RAF) and claims coding and grouping logic (DRG, HCPCS, episode groupers). * Superior Excel, data retrieval (SQL / SAS / Python), Word, and ...
Working knowledge of risk adjustment models (HCC / RAF) and claims coding and grouping logic (DRG, HCPCS, episode groupers). * Superior Excel, data retrieval (SQL / SAS / Python), Word, and ...
Field Nurse Practitioner - Daviess County, KY
Owensboro, KY · On-site
$100/hr
Your primary objective will be to assess the overall health and well-being of member beneficiaries to ensure accurate and comprehensive risk adjustment coding, leading to greater value-based care.
Field Nurse Practitioner - Daviess County, KY
Owensboro, KY · On-site
$100/hr
Your primary objective will be to assess the overall health and well-being of member beneficiaries to ensure accurate and comprehensive risk adjustment coding, leading to greater value-based care.
The Senior Clinical Coding Nurse Consultant (Sr. CCNC) represents the Risk Adjustment (RA ... Understanding of the CMS HCC Model, Medicare Advantage, and ICD-10-CM guidelines * Critical thinker ...
The Senior Clinical Coding Nurse Consultant (Sr. CCNC) represents the Risk Adjustment (RA ... Understanding of the CMS HCC Model, Medicare Advantage, and ICD-10-CM guidelines * Critical thinker ...
Develop and maintain analytic assets (reusable code modules, cohort builders, standardized outcome ... risk adjustment and segmentation (clinical risk, RAF/HCC, social risk proxies where permitted)
Develop and maintain analytic assets (reusable code modules, cohort builders, standardized outcome ... risk adjustment and segmentation (clinical risk, RAF/HCC, social risk proxies where permitted)
$233K - $302K/yr
Strong understanding of HCC risk adjustment, population health management, and utilization performance * Familiarity with payer performance, cost structures, and medical loss ratios * Experience ...
$233K - $302K/yr
Strong understanding of HCC risk adjustment, population health management, and utilization performance * Familiarity with payer performance, cost structures, and medical loss ratios * Experience ...
$66K - $145K/yr
Manages external audit execution and internal CMS Risk Adjustment Data Validation (RADV) readiness ... to validate HCC chronic condition support. * Query Compliance Oversight: Audits and enforces ...
$66K - $145K/yr
Manages external audit execution and internal CMS Risk Adjustment Data Validation (RADV) readiness ... to validate HCC chronic condition support. * Query Compliance Oversight: Audits and enforces ...
Certified Risk Adjustment Coder (CRC) preferred. Must maintain current certification and participate in continuing education. Experience: Minimum 5 years of medical coding experience, including 2 ...
Certified Risk Adjustment Coder (CRC) preferred. Must maintain current certification and participate in continuing education. Experience: Minimum 5 years of medical coding experience, including 2 ...
This role supports organizational initiatives related to Medicare Advantage, Medicaid, risk adjustment, HCC coding, quality incentive programs, STARS, HEDIS, and other population health reimbursement ...
This role supports organizational initiatives related to Medicare Advantage, Medicaid, risk adjustment, HCC coding, quality incentive programs, STARS, HEDIS, and other population health reimbursement ...
We are looking for a detail-oriented Professional Medical Coder to help streamline our charge ... Working knowledge of risk adjustment concepts and HCC validation where applicable to supported ...
We are looking for a detail-oriented Professional Medical Coder to help streamline our charge ... Working knowledge of risk adjustment concepts and HCC validation where applicable to supported ...
$25.75 - $34.50/hr
... codes and diagnostics-related groups (DRGs) to facilitate the accurate capture of diagnoses ... illness (SOI) and risk of mortality (ROM) indicators; and monitoring the documentation ...
$25.75 - $34.50/hr
... codes and diagnostics-related groups (DRGs) to facilitate the accurate capture of diagnoses ... illness (SOI) and risk of mortality (ROM) indicators; and monitoring the documentation ...
$41.30 - $51.62/hr
Skilled in developing and delivering coder education and clinical documentation training * High ... Familiarity with risk adjustment models, severity of illness (SOI), risk of mortality (ROM), and ...
$41.30 - $51.62/hr
Skilled in developing and delivering coder education and clinical documentation training * High ... Familiarity with risk adjustment models, severity of illness (SOI), risk of mortality (ROM), and ...
Freelance Hcc Risk Adjustment Coder information
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 are the key skills and qualifications needed to thrive as a freelance HCC risk adjustment coder?
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 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 Kentucky?
The most popular types of Hcc Risk Adjustment Coder jobs in Kentucky are:
What are popular job titles related to Freelance Hcc Risk Adjustment Coder jobs in Kentucky?
For Freelance Hcc Risk Adjustment Coder jobs in Kentucky, the most frequently searched job titles are:
What job categories do people searching Freelance Hcc Risk Adjustment Coder jobs in Kentucky look for?
The top searched job categories for Freelance Hcc Risk Adjustment Coder jobs in Kentucky are:
HCC Coding Specialist, Temporary (FT & PT)
On-site
Colorado Psychiatric
Other
Posted 13 days ago
Job description
Are you an experienced HCC Coding professional looking for a flexible, remote opportunity that fits your lifestyle? At Virtix Health, we're passionate about helping clients exceed their financial health goals through innovative solutions, clinical expertise, and industry-leading technology. We believe our people are our greatest asset, which is why we invest in your professional development, personal growth, and long-term career success.
What makes this opportunity stand out?- 100% Remote - Work from anywhere within the U.S.
- Full Time and Part Positions (20-40 hours per week)
- Flexible Hours - Enjoy greater scheduling flexibility once quality and productivity goals are achieved. Nights and Weekends available!
- Equipment and Coding Resources Provided
- Supportive Culture focused on professional growth and career development
- Minimum of 6 months of recent retrospective HCC coding experience, plus 1 year of coding experience
- Current AAPC or AHIMA credential required
- Accepted credentials: CPC, CRC, COC, RHIT, CCS, or CCS-P
- Apprenticeship designations are not accepted
- In this role, you'll leverage your expertise in retrospective HCC coding to review medical records, abstract ICD-10-CM codes, and accurately capture diagnoses that map to HCC, RxHCC, and ESRD models. You'll work with advanced coding tools, including encoder software and access to AHA Coding Clinic resources, while collaborating with a team committed to excellence and accountability.
- Will be required to maintain a quality score of 95% or higher.
- Will be required to maintain an ongoing productivity level based on project requirements.
- Review, analyze, and code patient medical records based on client specific guidelines.
- Follow ICD-10-CM Coding Guidelines and interpret coding guidelines for accurate code assignment.
- Follow Risk Adjustment Data Abstraction Rules.
- Ensure individual compliance with all privacy and security rules and regulations and commit to the protection of all Company confidential information, including but not limited to, Personal Health Information.
- Must have working knowledge and experience with systems such as EMRs, Billing systems, abstraction platforms, etc.
- Must have a phone and reliable internet connection.
- Team Member must be able to work from home and be independent in their coding skills.
- Must be proficient in Microsoft programs like Excel and Outlook.
- Excel: you should be able to open and add to a spreadsheet, perform basic formulas like adding or multiplying.
- Outlook: you should be able to manage emails and schedule and attend meetings.
- Ability to communicate effectively and professionally both verbally and written.
- Ability to coordinate, analyze, observe, make decisions, and meet deadlines.
- May be required to perform other duties as assigned by Leadership Team Member.
If you meet the qualifications, you will receive an email with the assessment link. Completing the assessment is the first step in the interviewing process.