Medical Coder CPC / CCS
$18 - $24.25/hr
... Risk Adjustment initiatives. May require some travel to various provider partner locations Performs on-going chart reviews and abstracts diagnoses codes under the HCC Model. Develop an understanding ...
Medical Coder CPC / CCS
$18 - $24.25/hr
... Risk Adjustment initiatives. May require some travel to various provider partner locations Performs on-going chart reviews and abstracts diagnoses codes under the HCC Model. Develop an understanding ...
HIM Coder - Professional
Portsmouth, OH · On-site
Must apply HCC/risk coding concepts to ensure the appropriate risk score is assigned to each patient. Must understand the basic ICD-10 diagnosis and CPT procedure coding rules and guidelines.
HIM Coder - Professional
Portsmouth, OH · On-site
Must apply HCC/risk coding concepts to ensure the appropriate risk score is assigned to each patient. Must understand the basic ICD-10 diagnosis and CPT procedure coding rules and guidelines.
HIM Coder - Professional
Portsmouth, OH · On-site
Must apply HCC/risk coding concepts to ensure the appropriate risk score is assigned to each patient. Must understand the basic ICD-10 diagnosis and CPT procedure coding rules and guidelines.
HIM Coder - Professional
Portsmouth, OH · On-site
Must apply HCC/risk coding concepts to ensure the appropriate risk score is assigned to each patient. Must understand the basic ICD-10 diagnosis and CPT procedure coding rules and guidelines.
... HCC Mode; or any combination of education and experience, which would provide an equivalent ... Prefer AAPC Certified Risk Adjustment Coder (CRC) certification. Job Level: Manager Workshift: 1st ...
... HCC Mode; or any combination of education and experience, which would provide an equivalent ... Prefer AAPC Certified Risk Adjustment Coder (CRC) certification. Job Level: Manager Workshift: 1st ...
... HCC Mode; or any combination of education and experience, which would provide an equivalent ... Prefer AAPC Certified Risk Adjustment Coder (CRC) certification. Please be advised that Elevance ...
... HCC Mode; or any combination of education and experience, which would provide an equivalent ... Prefer AAPC Certified Risk Adjustment Coder (CRC) certification. Please be advised that Elevance ...
Experience with risk adjustment, HCC coding, and clinical documentation standards (DSP/MEAT criteria) candidates without this background will receive structured training. * Multi-setting background ...
Experience with risk adjustment, HCC coding, and clinical documentation standards (DSP/MEAT criteria) candidates without this background will receive structured training. * Multi-setting background ...
Internal Medicine, Quality Advanced Practice Provider
Columbus, OH · Remote
$94K - $128K/yr
Experience with risk adjustment, HCC coding, and clinical documentation standards (DSP/MEAT criteria)candidates without this background will receive structured training. * Multi-setting background ...
Internal Medicine, Quality Advanced Practice Provider
Columbus, OH · Remote
$94K - $128K/yr
Experience with risk adjustment, HCC coding, and clinical documentation standards (DSP/MEAT criteria)candidates without this background will receive structured training. * Multi-setting background ...
Nurse Practitioner - Family Practice/Primary Care job available in Cleveland, Ohio
Cleveland, OH · Remote
Experience with risk adjustment, HCC coding, and clinical documentation standards (DSP/MEAT criteria)--candidates without this background will receive structured training. * Multi-setting background ...
Nurse Practitioner - Family Practice/Primary Care job available in Cleveland, Ohio
Cleveland, OH · Remote
Experience with risk adjustment, HCC coding, and clinical documentation standards (DSP/MEAT criteria)--candidates without this background will receive structured training. * Multi-setting background ...
Experience with risk adjustment, HCC coding, and clinical documentation standards (DSP/MEAT criteria)-candidates without this background will receive structured training. * Multi-setting background ...
Experience with risk adjustment, HCC coding, and clinical documentation standards (DSP/MEAT criteria)-candidates without this background will receive structured training. * Multi-setting background ...
Community Based Quality Advanced Practice Provider - 3001
Columbus, OH · On-site
$99K - $135K/yr
Experience with risk adjustment, HCC coding, and clinical documentation standards (DSP/MEAT criteria)-candidates without this background will receive structured training. * Multi-setting background ...
Community Based Quality Advanced Practice Provider - 3001
Columbus, OH · On-site
$99K - $135K/yr
Experience with risk adjustment, HCC coding, and clinical documentation standards (DSP/MEAT criteria)-candidates without this background will receive structured training. * Multi-setting background ...
Experience with risk adjustment, HCC coding, and clinical documentation standards (DSP/MEAT criteria)--candidates without this background will receive structured training. * Multi-setting background ...
Experience with risk adjustment, HCC coding, and clinical documentation standards (DSP/MEAT criteria)--candidates without this background will receive structured training. * Multi-setting background ...
Compliance Educator
Columbus, OH · Hybrid
Certified Risk Adjustment Coder (CRC) or Certified Documentation Integrity Practitioner (CDIP), preferred. Skills: * Proficiency with LMS platforms and virtual training tools. * Proficiency with EPIC ...
Compliance Educator
Columbus, OH · Hybrid
Certified Risk Adjustment Coder (CRC) or Certified Documentation Integrity Practitioner (CDIP), preferred. Skills: * Proficiency with LMS platforms and virtual training tools. * Proficiency with EPIC ...
Compliance Educator
Columbus, OH · On-site
Certified Risk Adjustment Coder (CRC) or Certified Documentation Integrity Practitioner (CDIP), preferred. Skills: * Proficiency with LMS platforms and virtual training tools. * Proficiency with EPIC ...
Compliance Educator
Columbus, OH · On-site
Certified Risk Adjustment Coder (CRC) or Certified Documentation Integrity Practitioner (CDIP), preferred. Skills: * Proficiency with LMS platforms and virtual training tools. * Proficiency with EPIC ...
This role focuses on optimizing case mix index (CMI), risk adjustment, and clinical documentation excellence through collaboration with the CDI, Coding, and Quality teams. The Physician Advisor ...
This role focuses on optimizing case mix index (CMI), risk adjustment, and clinical documentation excellence through collaboration with the CDI, Coding, and Quality teams. The Physician Advisor ...
This role focuses on optimizing case mix index (CMI), risk adjustment, and clinical documentation excellence through collaboration with the CDI, Coding, and Quality teams. The Physician Advisor ...
This role focuses on optimizing case mix index (CMI), risk adjustment, and clinical documentation excellence through collaboration with the CDI, Coding, and Quality teams. The Physician Advisor ...
PHYSICIAN ADVISOR
Dayton, OH · On-site
This role focuses on optimizing case mix index (CMI), risk adjustment, and clinical documentation excellence through collaboration with the CDI, Coding, and Quality teams. The Physician Advisor ...
PHYSICIAN ADVISOR
Dayton, OH · On-site
This role focuses on optimizing case mix index (CMI), risk adjustment, and clinical documentation excellence through collaboration with the CDI, Coding, and Quality teams. The Physician Advisor ...
PHYSICIAN ADVISOR
Dayton, OH · On-site
This role focuses on optimizing case mix index (CMI), risk adjustment, and clinical documentation excellence through collaboration with the CDI, Coding, and Quality teams. The Physician Advisor ...
PHYSICIAN ADVISOR
Dayton, OH · On-site
This role focuses on optimizing case mix index (CMI), risk adjustment, and clinical documentation excellence through collaboration with the CDI, Coding, and Quality teams. The Physician Advisor ...
Billing Specialist
$19 - $26/hr
The Medical Billing Specialist ensures accurate coding, timely claim submission, and efficient ... Knowledge of risk adjustment (HCC), HEDIS-quality documentation, and prior auth workflows.
Billing Specialist
$19 - $26/hr
The Medical Billing Specialist ensures accurate coding, timely claim submission, and efficient ... Knowledge of risk adjustment (HCC), HEDIS-quality documentation, and prior auth workflows.
Billing Specialist
Columbus, OH · On-site
$19 - $26/hr
The Medical Billing Specialist ensures accurate coding, timely claim submission, and efficient ... Knowledge of risk adjustment (HCC), HEDIS-quality documentation, and prior auth workflows.
Billing Specialist
Columbus, OH · On-site
$19 - $26/hr
The Medical Billing Specialist ensures accurate coding, timely claim submission, and efficient ... Knowledge of risk adjustment (HCC), HEDIS-quality documentation, and prior auth workflows.
Senior Consultant - Clinical Documentation Specialist
Cincinnati, OH · On-site
$33.25 - $44.75/hr
Proven applicable CPT and ICD-10 coding experience; APR-DRG, MS-DRG and HCC assignment * Other ... risk adjustment * Has strong interpersonal skills to collaborate with clinicians, physicians, NP ...
Senior Consultant - Clinical Documentation Specialist
Cincinnati, OH · On-site
$33.25 - $44.75/hr
Proven applicable CPT and ICD-10 coding experience; APR-DRG, MS-DRG and HCC assignment * Other ... risk adjustment * Has strong interpersonal skills to collaborate with clinicians, physicians, NP ...
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 Ohio? The most popular types of Hcc Risk Adjustment Coder jobs in Ohio are:
What are popular job titles related to Freelance Hcc Risk Adjustment Coder jobs in Ohio? For Freelance Hcc Risk Adjustment Coder jobs in Ohio, the most frequently searched job titles are:
What job categories do people searching Freelance Hcc Risk Adjustment Coder jobs in Ohio look for? The top searched job categories for Freelance Hcc Risk Adjustment Coder jobs in Ohio are:
What cities in Ohio are hiring for Freelance Hcc Risk Adjustment Coder jobs? Cities in Ohio with the most Freelance Hcc Risk Adjustment Coder job openings:
$18 - $24.25/hr
Other
Re-posted 11 days ago
Job description
Company Description
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Job Description
Company Job Description/Day to Day Duties:
Job Summary
Directly responsible and accountable for performing chart reviews, physician education, and development of tools to ensure that our provider partners are compliant with Risk Adjustment. Provide overall coding expertise as well as administrative and technical oversight to ensure successful integration of Molina Medicare's Risk Adjustment initiatives. May require some travel to various provider partner locations
Performs on-going chart reviews and abstracts diagnoses codes under the HCC Model.Â
Develop an understanding of current billing practices in provider offices to ensure that diagnoses codes are submitted accordingly.Â
Documents results/findings from chart reviews and provides feedback to management, providers, and office staff.Â
Responsible for administrative duties such as planning, scheduling of chart reviews, obtaining of medical records, and provider training and education.Â
Monitor HCC Coding Accuracy at various levels of detail (e.g., by state, by product, by demographic segmentations). Extract information necessary to identify where there are low performing physicians; follow up with plan for education and training. Continue to audit to ensure training is implemented.Â
Resolve and track escalated issues. Track any coding issues identified either at the provider level (including Molina sites) or vendor; manage any non-compliance situation or potential fraud or abuse.Â
Utilize discretion and autonomy to select provider for further training or audits; coordinate efforts with internal clients such as Coding Manager, RAMP Director, State Medicare Directors and Provider Services.Â
Determine coding quality as it relates to CMS standards; selects physicians or vendors that require an audit.Â
Qualifications
Minimum Education/Qualifications/Licensures:
Coding Certification - Active CCS, CCS-P, or CPC credentialing
Coding guidelines knowledge
Travel required (with mileage)
Claims experience
Additional Information
Employment Type: Contract 6 months. With possibility of going perm.
About Healthcare Support
Sourced by ZipRecruiter
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
Industry
Recruiting and staffing services
Company size
201 - 500 Employees
Headquarters location
Maitland, FL, US
Year founded
2003