OH · Remote
Familiarity with HCC coding, risk adjustment, STAR ratings, and HEDIS quality measures * Background ... healthcare team to deliver virtual, physician‑led care for medically complex Medicaid and Dual ...
Quick apply
OH · Remote
Familiarity with HCC coding, risk adjustment, STAR ratings, and HEDIS quality measures * Background ... healthcare team to deliver virtual, physician‑led care for medically complex Medicaid and Dual ...
Risk Adjustment Compliance Manager Risk Adjustment Compliance Manager Location: This role requires ... FRD > Compliance Please be advised that Elevance Health only accepts resumes for compensation from ...
Risk Adjustment Compliance Manager Risk Adjustment Compliance Manager Location: This role requires ... FRD > Compliance Please be advised that Elevance Health only accepts resumes for compensation from ...
Wyoming, OH · On-site
$100 - $231.54/hr
Knowledge of Medicaid Risk Adjustment * Working with Medicaid Risk models * Master's degree (e.g., Health Informatics, Data Science, Actuarial, Statistics, or MBA) preferred * Experience working ...
Wyoming, OH · On-site
$100 - $231.54/hr
Knowledge of Medicaid Risk Adjustment * Working with Medicaid Risk models * Master's degree (e.g., Health Informatics, Data Science, Actuarial, Statistics, or MBA) preferred * Experience working ...
Wyoming, OH · On-site
$100 - $232/hr
... code and processes Preferred Qualifications * Demonstrated knowledge of Medicare, Medicaid, or ACA risk adjustment methodologies, HCC models, healthcare claims and clinical data, and CMS regulatory ...
New
Wyoming, OH · On-site
$100 - $232/hr
... code and processes Preferred Qualifications * Demonstrated knowledge of Medicare, Medicaid, or ACA risk adjustment methodologies, HCC models, healthcare claims and clinical data, and CMS regulatory ...
New
Risk Adjustment Compliance Manager Location: This role requires associates to be in-office 1 day ... Please be advised that Elevance Health only accepts resumes for compensation from agencies that ...
Risk Adjustment Compliance Manager Location: This role requires associates to be in-office 1 day ... Please be advised that Elevance Health only accepts resumes for compensation from agencies that ...
Wyoming, OH · On-site
$100 - $232/hr
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... Lead enterprise risk adjustment analytics supporting risk score completeness, accuracy, engagement ...
New
Wyoming, OH · On-site
$100 - $232/hr
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... Lead enterprise risk adjustment analytics supporting risk score completeness, accuracy, engagement ...
New
Columbus, OH · On-site
$41.85/hr
Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS ... Registered Health Information Technician (RHIT) Preferred * None SKILLS * Critical Thinking
Columbus, OH · On-site
$41.85/hr
Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS ... Registered Health Information Technician (RHIT) Preferred * None SKILLS * Critical Thinking
Serves as the primary resource and subject matter expert on all CMS Risk Adjustment and quality ... health plan success. * Participate in peer review of medical documentation for completed visits ...
Serves as the primary resource and subject matter expert on all CMS Risk Adjustment and quality ... health plan success. * Participate in peer review of medical documentation for completed visits ...
Most visits will be conducted in the member's home; visits may occasionally take place in the ... Experience with risk adjustment, HCC coding, and clinical documentation standards (DSP/MEAT ...
Most visits will be conducted in the member's home; visits may occasionally take place in the ... Experience with risk adjustment, HCC coding, and clinical documentation standards (DSP/MEAT ...
$18 - $24.25/hr
Company Description HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national ... with Risk Adjustment. Provide overall coding expertise as well as administrative and technical ...
$18 - $24.25/hr
Company Description HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national ... with Risk Adjustment. Provide overall coding expertise as well as administrative and technical ...
Dayton, OH · On-site
... health system. This role focuses on optimizing case mix index (CMI ... risk adjustment, and clinical documentation excellence through collaboration with the CDI, Coding ...
Dayton, OH · On-site
... health system. This role focuses on optimizing case mix index (CMI ... risk adjustment, and clinical documentation excellence through collaboration with the CDI, Coding ...
Dayton, OH · On-site
... risk adjustment, and clinical documentation excellence through collaboration with the CDI, Coding ... Health's patient population. Key Responsibilities 1. Clinical Documentation Integrity (CDI ...
Dayton, OH · On-site
... risk adjustment, and clinical documentation excellence through collaboration with the CDI, Coding ... Health's patient population. Key Responsibilities 1. Clinical Documentation Integrity (CDI ...
Dayton, OH · On-site
... health system. This role focuses on optimizing case mix index (CMI ... risk adjustment, and clinical documentation excellence through collaboration with the CDI, Coding ...
Dayton, OH · On-site
... health system. This role focuses on optimizing case mix index (CMI ... risk adjustment, and clinical documentation excellence through collaboration with the CDI, Coding ...
... health system. This role focuses on optimizing case mix index (CMI ... risk adjustment, and clinical documentation excellence through collaboration with the CDI, Coding ...
... health system. This role focuses on optimizing case mix index (CMI ... risk adjustment, and clinical documentation excellence through collaboration with the CDI, Coding ...
Dayton, OH · On-site
... risk adjustment, and clinical documentation excellence through collaboration with the CDI, Coding ... Health's patient population. Key Responsibilities 1. Clinical Documentation Integrity (CDI ...
Dayton, OH · On-site
... risk adjustment, and clinical documentation excellence through collaboration with the CDI, Coding ... Health's patient population. Key Responsibilities 1. Clinical Documentation Integrity (CDI ...
Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs ... Travel to and from patients' homes. * Perform comprehensive, non-invasive physical assessments.
Quick apply
Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs ... Travel to and from patients' homes. * Perform comprehensive, non-invasive physical assessments.
Description Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk ... Travel to and from patients' homes. * Perform comprehensive, non-invasive physical assessments.
Description Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk ... Travel to and from patients' homes. * Perform comprehensive, non-invasive physical assessments.
Columbus, OH · On-site
$99K - $135K/yr
Experience with risk adjustment, HCC coding, and clinical documentation standards (DSP/MEAT ... Often, they deal with an unequal healthcare system and wind up seeking basic care from emergency ...
Columbus, OH · On-site
$99K - $135K/yr
Experience with risk adjustment, HCC coding, and clinical documentation standards (DSP/MEAT ... Often, they deal with an unequal healthcare system and wind up seeking basic care from emergency ...
... accurate risk adjustment. Most visits will be conducted in the member's home; visits may ... Conduct comprehensive member assessments including Health Risk Assessment (HRA), depression ...
... accurate risk adjustment. Most visits will be conducted in the member's home; visits may ... Conduct comprehensive member assessments including Health Risk Assessment (HRA), depression ...
Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs ... Travel to and from patients' homes. * Perform comprehensive, non-invasive physical assessments.
Quick apply
Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs ... Travel to and from patients' homes. * Perform comprehensive, non-invasive physical assessments.
| Aspect | From Home Optum Health Coding Risk Adjustment | From Home Optum Health Medical Coding |
|---|---|---|
| Certifications | CCS, CPC, or RHIT/RHIA | CCS, CPC, or RHIT/RHIA |
| Work Environment | Remote, home-based | Remote, home-based |
| Industry Usage | Health insurance, risk adjustment programs | Healthcare providers, hospital coding |
| Job Focus | Risk adjustment coding for insurance accuracy | Clinical coding for medical records |
While both roles involve medical coding from home, From Home Optum Health Coding Risk Adjustment focuses on coding for insurance risk adjustment programs, requiring specific risk adjustment knowledge. In contrast, From Home Optum Health Medical Coding emphasizes clinical coding for medical records, often in hospital or provider settings. Both roles require similar certifications and offer remote work, but their primary focus and industry applications differ.
For From Home Optum Health Coding Risk Adjustment jobs in Ohio, the most frequently searched job titles are:
The top searched job categories for From Home Optum Health Coding Risk Adjustment jobs in Ohio are:
Cities in Ohio with the most From Home Optum Health Coding Risk Adjustment job openings:
Full-time
Posted 5 days ago
Qualifications
RequiredJoin our client's innovative healthcare team to deliver virtual, physician‑led care for medically complex Medicaid and Dual Eligible patients across Delaware. This role offers flexibility, autonomy, and the opportunity to help launch a new market focused on proactive, home‑based care that improves patient outcomes and reduces avoidable hospitalizations.
Key Responsibilities
