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Full Time Remote Risk Adjustment Coder Jobs in Ohio

Familiarity with HCC coding, risk adjustment, STAR ratings, and HEDIS quality measures * Background ... and remote monitoring * Collaborate with physicians, RNs, social workers, therapists, caregivers ...

Clinical Data Coder

Cincinnati, OH · On-site +1

$18 - $22.75/hr

Job Summary Our corporate activities are growing rapidly, and we are currently seeking a full-time, office-based Clinical Data Coder to join our Clinical Coding & Support team in Cincinnati, OH. This ...

Segment Risk Specialist

Columbus, OH · On-site +1

$92K/yr

Remote roles will also have the opportunity to come together in our offices for moments that matter ... Applicants must be currently authorized to work in the United States on a full-time basis.

Segment Risk Specialist

Columbus, OH · On-site +1

$92K/yr

Remote roles will also have the opportunity to come together in our offices for moments that matter ... Applicants must be currently authorized to work in the United States on a full-time basis.

Segment Risk Specialist

Columbus, OH · On-site +1

$95K/yr

Remote roles will also have the opportunity to come together in our offices for moments that matter ... Applicants must be currently authorized to work in the United States on a full-time basis.

Segment Risk Specialist

Columbus, OH · On-site +1

$95K/yr

Remote roles will also have the opportunity to come together in our offices for moments that matter ... Applicants must be currently authorized to work in the United States on a full-time basis.

Segment Risk Specialist

Columbus, OH · On-site +1

$95K/yr

Remote roles will also have the opportunity to come together in our offices for moments that matter ... Applicants must be currently authorized to work in the United States on a full-time basis.

Segment Risk Specialist

Columbus, OH · On-site +1

$92K/yr

Remote roles will also have the opportunity to come together in our offices for moments that matter ... Applicants must be currently authorized to work in the United States on a full-time basis.

Segment Risk Specialist

Columbus, OH · On-site +1

$92K/yr

Remote roles will also have the opportunity to come together in our offices for moments that matter ... Applicants must be currently authorized to work in the United States on a full-time basis.

Segment Risk Specialist

Columbus, OH · On-site +1

$92K/yr

Remote roles will also have the opportunity to come together in our offices for moments that matter ... Applicants must be currently authorized to work in the United States on a full-time basis.

Segment Risk Specialist

Columbus, OH · On-site +1

$92K/yr

Remote roles will also have the opportunity to come together in our offices for moments that matter ... Applicants must be currently authorized to work in the United States on a full-time basis.

Segment Risk Specialist

Columbus, OH · On-site +1

$95K/yr

Remote roles will also have the opportunity to come together in our offices for moments that matter ... Applicants must be currently authorized to work in the United States on a full-time basis.

Segment Risk Specialist

Columbus, OH · On-site +1

$92K/yr

Remote roles will also have the opportunity to come together in our offices for moments that matter ... Applicants must be currently authorized to work in the United States on a full-time basis.

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Full Time Remote Risk Adjustment Coder information

What is the difference between Full Time Remote Risk Adjustment Coder vs Full Time Remote Medical Coder?

AspectFull Time Remote Risk Adjustment CoderFull Time Remote Medical Coder
CertificationsRHIT, RHIA, CCS, CPCCPC, CCS, RHIT
Work EnvironmentRemote, healthcare insurance companies, risk adjustment teamsRemote, hospitals, clinics, healthcare facilities
Industry UsageHealth insurance, risk adjustment programsHospitals, clinics, healthcare providers
Job FocusAnalyzing diagnoses for risk scores, coding for risk adjustmentMedical record coding, billing, and documentation

The main difference is that Full Time Remote Risk Adjustment Coders focus on analyzing diagnoses to support risk scores for insurance reimbursement, often requiring specific certifications like RHIT or CCS. Full Time Remote Medical Coders handle general medical coding for billing and documentation, with certifications like CPC or CCS. Both roles are remote but serve different purposes within the healthcare industry.

What are the most commonly searched types of Remote Risk Adjustment Coder jobs in Ohio?

The most popular types of Remote Risk Adjustment Coder jobs in Ohio are:

What are popular job titles related to Full Time Remote Risk Adjustment Coder jobs in Ohio?

For Full Time Remote Risk Adjustment Coder jobs in Ohio, the most frequently searched job titles are:

What job categories do people searching Full Time Remote Risk Adjustment Coder jobs in Ohio look for?

The top searched job categories for Full Time Remote Risk Adjustment Coder jobs in Ohio are:

What cities in Ohio are hiring for Full Time Remote Risk Adjustment Coder jobs?

Cities in Ohio with the most Full Time Remote Risk Adjustment Coder job openings:

Remote Nurse Practitioner

Purposelink Recruitment

OH • Remote

Full-time

Posted 10 days ago


Job description

Qualifications

Required
  • Master's degree or higher in Nursing or a related clinical field
  • 2+ years of experience in any of the following:
    • Telemedicine Care
    • Minimum 2 years of telephone triage experience
    • Care Management
  • Active clinical licensureany of the following:
    • Nurse Practitioner (NP) – Ohio
    • Family Nurse Practitioner (FNP) – Ohio
  • OR any of the following nationally recognized NP certifications:
    • Family Nurse Practitioner (FNP)
    • Nurse Practitioner (NP)
    • Gerontological Nurse Practitioner (GNP)
Preferred
  • 1+ years of Managed Care experience, especially with Medicaid or Dual Eligible (D‑SNP) populations
  • Experience working in interdisciplinary care teams
  • Familiarity with HCC coding, risk adjustment, STAR ratings, and HEDIS quality measures
  • Background in home‑based care, transitional care, or chronic disease management
Overview Salary 135k

Join 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
  • Provide comprehensive care management for medically complex Medicaid and D‑SNP patients through telehealth and remote monitoring
  • Collaborate with physicians, RNs, social workers, therapists, caregivers, PCPs, managed care organizations, and community partners
  • Guide patients and caregivers through care transitions, including hospital‑to‑home coordination and advance care planning
  • Support quality initiatives through accurate clinical documentation, including HCC coding, risk adjustment, and closure of STAR/HEDIS gaps
  • Contribute to the development of care pathways, workflows, and best practices as the Delaware program expands
  • Build strong, trusting relationships with patients, families, caregivers, and interdisciplinary team members
Schedule & Shift Details
  • Participate in a shared 24/7 clinical triage rotation to prevent avoidable emergency department visits and hospitalizations