Full Time Remote Risk Adjustment Coder Jobs in Brooklyn, NY

Remote Role Responsibilities * Lead risk adjustment and HCC coding operations across Medicare Advantage , Medicaid , and ACA risk adjustment programs. * Evaluate AI-generated HCC coding assignments ...

Remote Risk Consultant requires: * Annual/quarterly filings in multiple states within an employer ... Request and obtain payroll, class codes, hours, loss information, financial statements and other ...

Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS ... Certified Risk Coder (CRC) * Certified Coding Specialist (CCS) * Registered Health Information ...

Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS ... Certified Risk Coder (CRC) * Certified Coding Specialist (CCS) * Registered Health Information ...

... 5. Certified Risk Adjustment Coder (CRC). Experience: * Three (3) years' experience in medical coding/medical billing is required. * Working knowledge of Medicare and Medicaid is required.

Certified Risk Adjustment Coder (CRC) preferred * Experience working with managed care health organization and outpatient medical practice preferred * Ability to work independently and ...

... Risk Adjustment Coding • CAP Development & Closure • Regulatory Compliance • Data Analysis & Reporting • Project Management • Cross-Functional Collaboration Work Environment * Full-time | ...

Experience with HCC risk adjustment and outpatient CDI programs. * Background in RN , RHIA , CCS ... coding credential. * Familiarity with AI-assisted CDI tools (e.g., Nuance DAX , 3M M*Modal ) and ...

Full-time Remote Inpatient Coder JOB REQUIREMENTS The Jzanus Inpatient Coder will be responsible for accurately coding and abstracting diagnoses, procedures and clinical information from the medical ...

... risk adjustment. Manage vendor relationships and contracts to ensure audit vendors follow best ... and reducing coding errors; manage efforts to enhance RADV audit coordination workflows.

Remote: Team members who live within the U.S. but are not local within a commutable distance from ... Champion software craftsmanship, code quality, automated testing, observability, and operational ...

... risk adjustment. Pre-Visit Planning • Prepare and maintain Pre-Visit Checklists for upcoming ... coding and compliance. VBC Screening & Quality Support • Proactively identify patients due for ...

This position is primarily remote, candidates must reside in the Tri-State area. Note: There may be ... The AR Follow-Up Specialist III, Coding and Complex Denials is responsible for addressing and ...

This position is primarily remote, candidates must reside in the Tri-State area. Note: There may be ... The AR Follow-Up Specialist III, Coding and Complex Denials is responsible for addressing and ...

Remote / Telehealth Position Type: Full-Time Salary: $115,000-$120,000 per year with full benefits ... Recognize risk concerns and follow proper clinical response procedures Requirements * Active ...

Remote / Telehealth Position Type: Full-Time Salary: $115,000-$120,000 per year with full benefits ... Recognize risk concerns and follow proper clinical response procedures Requirements * Active ...

Remote / Telehealth Position Type: Full-Time Salary: $115,000-$120,000 per year with full benefits ... Recognize risk concerns and follow proper clinical response procedures Requirements * Active ...

Provide clinical input into product design, Medicare bids, risk adjustment, STARS, HEDIS, value-based arrangements, and clinical integration initiatives. * Communicate complex clinical, regulatory ...

Remote: Experity offers Team Members the opportunity to work remotely or in an office. Compensation ... Partner closely with Billing Operations, Coding, Denials, and AR teams to ensure consistent service ...

Fraud Engineer (Coding Agent Experience) Type: Contract Compensation: $80/hour Location: Remote Role Responsibilities * Use frontier AI coding agents to complete and evaluate complex fraud and risk ...