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Full Time Remote Risk Adjustment Coder Jobs in Ohio

Bowling Green State University

ETL Developer

Bowling Green, OH · On-site +1

$47.75 - $62.50/hr

Main Campus (BG), OH Job Type: Full-Time Remote Employment: Flexible/Hybrid Job Number: BGSU01604 ... Knowledge of SQL coding for relational databases * Knowledge of dimensional data models and Ralph ...

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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.

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Full Time Remote Risk Adjustment Coder jobs near you
Coding Auditing Supervisor - Remote

Coding Auditing Supervisor - Remote

Trinity Health

Columbus, OH • On-site, Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 11 hours ago

Trinity Health rating

6.5

Company rating: 6.5 out of 10

Based on 348 frontline employees who took The Breakroom Quiz

594th of 864 rated healthcare providers

Job description

Employment Type:
Full timeShift:
Description:
Excellence in care takes the dedication and commitment of not only our front-line care teams, but of the specialized professionals that support all aspects of our mission. Colleagues in Finance, HR, Marketing and more keep Mount Carmel operating at the highest standard. And we provide leading education training and development opportunities to keep you working at yours.
Position Purpose:
The Specialty Medical Coding Supervisor provides daily operational oversight and leadership for specialty coding teams. This role ensures accurate, compliant, and timely coding of professional services across designated specialty areas (e.g., Cardiology, General Surgery, Orthopedics, Neurology, Oncology, OB-GYN). The supervisor supports coder performance, quality, productivity, and education, and serves as a key resource for providers, billing teams, and leadership.
What You Will Do:
  • Ensure staff understand expectations and have the tools to meet those expectations
    • Productivity
    • Time gaps
    • Schedules
    • Coverage
    • Educating/working with providers on gaps
    • WQ aging
    • WQ ownership
  • Ensure that you know what each of your colleagues works on daily, weekly...etc.
  • Ensure colleague understands how to prioritize work
    • Provide guidance
  • Ensure they understand what they own and are accountable for
  • Ensure colleague understands expectations of how to assess problems, take action, and when to escalate
  • Ensure colleague understands the team objectives/goals
  • Set individual goals for them
  • Meet monthly with individuals
  • Meet with specialty groups biweekly or monthly
  • Make sure they understand what "success" looks like
  • Always assess capacity (Inflow/Outflow)
    • Can they take more, do they have too much, do they have the right volume, are they using effective time management skills

Minimum Qualifications:
  • Education: High School graduate or GED required
  • Licensure / Certification: Certification in Procedural Coding with a comprehensive knowledge of CPT, ICD-9 coding and CMS regulations required
  • Experience: Minimum of 5 years experience in coding and auditing/documentation review
  • Effective Communication Skills
  • Excellent verbal and written communication skills.
  • Thorough working knowledge of Federal, State and payer regulations

Position Highlights and Benefits:
  • Competitive compensation and benefits packages including medical, dental, and vision with coverage starting on day one.
  • Retirement savings account with employer match starting on day one.
  • Generous paid time off programs.
  • Employee recognition programs.
  • Tuition/professional development reimbursement starting on day one.
  • RN to BSN tuition 100% paid at Mount Carmel's College of Nursing.
  • Relocation assistance (geographic and position restrictions apply).
  • Employee Referral Rewards program.
  • Mount Carmel offers DailyPay - if you're hired as an eligible colleague, you'll be able to see how much you've made every day and transfer your money any time before payday. You deserve to get paid every day!
  • Opportunity to join Diversity, Equity, and Inclusion Colleague Resource Groups.

Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

What Trinity Health employees say

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About Trinity Health

Sourced by ZipRecruiter

Trinity Health Ann Arbor is a 537 -bed teaching hospital located on 340 acre campus. Recognized by IBM Watson as a Top 100 Hospital and #1 Teaching Hospital, Trinity Health Ann Arbor has been a leading health care provider for more than 100 years. Trinity Health has received numerous local and national awards in recognition of our leadership, quality outcomes, and clinical excellence.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Livonia, MI, US

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