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Full Time Remote Risk Adjustment Coder Jobs in South Carolina

University Medical Center of Southern Nevada

$24.15 - $37.43/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... Type: Full Time Remote Employment: Remote Optional Job Number: 26-OCQ3 Department: HEALTH INFO ... Identifies and reports coding opportunities and recommendation for improvement. Monitors and ...

University Medical Center of Southern Nevada

$28.24 - $43.78/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... Las Vegas, NV Job Type: Full Time Remote Employment: Remote Optional Job Number: 26_IP_Q1 ... Identifies and reports coding opportunities and recommendation for improvement. Monitors and ...

CEI

Inpatient Medical Coder/Auditor

Columbia, SC · Remote

$36/hr

Remote ok, but hybrid preferred Pay: $36 /hour + optional medical, dental, vision, 401(k) match ... Coordinates rate adjustments with claims areas and provides monthly and quarterly reports outlining ...

Monogram Health

Market Physician Executive

Charleston, SC · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This position will be remote within the designated market with occasional in-home patient treatment ... risk adjustment. * Current state medical license without restrictions to practice and free of ...

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All JobsRisk Adjustment Coder JobsFull Time Remote Risk Adjustment Coder JobsFull Time Remote Risk Adjustment Coder Jobs in South Carolina

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 South Carolina?

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

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

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

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

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

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

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

Full Time Remote Risk Adjustment Coder jobs near you

Risk Adjustment Coder Professional Billing II, FT, Days, - Remote

Prisma Health

Greenville, SC • On-site, Remote

Full-time

Posted 29 days ago

Prisma Health rating

7.1

Company rating: 7.1 out of 10

Based on 349 frontline employees who took The Breakroom Quiz

381st of 887 rated healthcare providers

Job description

Inspire health. Serve with compassion. Be the difference.
Job Summary
Conducts prospective review to abstract Hierarchical Condition Categories (HCC's) codes to report for the calendar year. Communicates (via Epic and in person) with providers on any outstanding HCC capture opportunities. Conducts retrospective reviews to ensure that documentation supports reporting the Hierarchical Condition Category code prior to payor submission.
Essential Functions
  • All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference.
  • Conducts prospective review of charts to identify HCC opportunity.
  • Conducts retrospective review of charts to confirm documentation supports reporting.
  • Utilizes payor specific software to assist in capturing HCCs.
  • Communicates with providers about HCC opportunities for improvement.
  • Identifies suspect conditions that would potentially support reporting an HCC.
  • Participates in education offerings
  • Participates in monthly meetings
  • Performs other duties as assigned.

Supervisory/Management Responsibilities
  • This is a non-management job that will report to a supervisor, manager, director or executive.

Minimum Requirements
  • Education - High School diploma or equivalent or post-high school diploma / highest degree earned. Associate degree preferred
  • Experience - Five (5) years professional fee coding experience

In Lieu Of
  • NA

Required Certifications, Registrations, Licenses
  • Certified Professional Coder (CPC), and
  • Certified Risk Adjustment Coder (CRC)

Knowledge, Skills and Abilities
  • Knowledge of office equipment (fax/copier)
  • Proficient computer skills including word processing, spreadsheets, database
  • Data entry skills
  • Mathematical skills

Work Shift
Day (United States of America)
Location
Patewood Memorial Hospital
Facility
7002 Value-Based Care and Network Services
Department
70028459 HCC Coding Services
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

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