Certified Risk Adjustment Coder (CRC) credential * Minimum of five years experience with diagnosis coding review as a certified coder * Demonstrated working knowledge of the revenue cycle process ...
Certified Risk Adjustment Coder (CRC) credential * Minimum of five years experience with diagnosis coding review as a certified coder * Demonstrated working knowledge of the revenue cycle process ...
Certified Risk Adjustment Coder (CRC) credential * Minimum of five years experience with diagnosis coding review as a certified coder * Demonstrated working knowledge of the revenue cycle process ...
Certified Risk Adjustment Coder (CRC) credential * Minimum of five years experience with diagnosis coding review as a certified coder * Demonstrated working knowledge of the revenue cycle process ...
Identify under coding, over coding, missed charges, risk-adjustment and HCC opportunities ... Ability to work independently in a remote environment, manage competing priorities, and pivot ...
Quick apply
Identify under coding, over coding, missed charges, risk-adjustment and HCC opportunities ... Ability to work independently in a remote environment, manage competing priorities, and pivot ...
Professional Coder and Auditor
Hudson, WI · Remote
$28.25 - $32/hr
Identify under coding, over coding, missed charges, risk-adjustment and HCC opportunities ... Ability to work independently in a remote environment, manage competing priorities, and pivot ...
Professional Coder and Auditor
Hudson, WI · Remote
$28.25 - $32/hr
Identify under coding, over coding, missed charges, risk-adjustment and HCC opportunities ... Ability to work independently in a remote environment, manage competing priorities, and pivot ...
Senior Solution Sales Executive - Remote
Eden Prairie, MN · Remote
$90K - $195K/yr
Identify, promote, and sell the full suite of Risk Adjustment and Quality solutions to payers ... The salary for this role will range from $90,000 - $195,000 annually based on full-time employment.
Senior Solution Sales Executive - Remote
Eden Prairie, MN · Remote
$90K - $195K/yr
Identify, promote, and sell the full suite of Risk Adjustment and Quality solutions to payers ... The salary for this role will range from $90,000 - $195,000 annually based on full-time employment.
Senior Solution Sales Executive - Remote
Eden Prairie, MN · On-site +1
$90K - $195K/yr
Identify, promote, and sell the full suite of Risk Adjustment and Quality solutions to payers ... The salary for this role will range from $90,000 - $195,000 annually based on full-time employment.
Senior Solution Sales Executive - Remote
Eden Prairie, MN · On-site +1
$90K - $195K/yr
Identify, promote, and sell the full suite of Risk Adjustment and Quality solutions to payers ... The salary for this role will range from $90,000 - $195,000 annually based on full-time employment.
Senior Inpatient Medical Coder
Eden Prairie, MN · Remote
$19 - $24.25/hr
Previous success in a remote environment is preferred. We offer 4 weeks of training. The hours ... The hourly pay for this role will range from $23.41 to $41.83 per hour based on full-time ...
Senior Inpatient Medical Coder
Eden Prairie, MN · Remote
$19 - $24.25/hr
Previous success in a remote environment is preferred. We offer 4 weeks of training. The hours ... The hourly pay for this role will range from $23.41 to $41.83 per hour based on full-time ...
Senior Director - Prospective Program and Services - Remote
Eden Prairie, MN · Remote
$159K - $273K/yr
Strong background in payer, value-based care, risk adjustment, provider engagement, or health ... The salary for this role will range from $159,300 - $273,200 annually based on full-time employment.
Senior Director - Prospective Program and Services - Remote
Eden Prairie, MN · Remote
$159K - $273K/yr
Strong background in payer, value-based care, risk adjustment, provider engagement, or health ... The salary for this role will range from $159,300 - $273,200 annually based on full-time employment.
Senior Inpatient Medical Coder
Eden Prairie, MN · Remote
$19 - $24.25/hr
Adhere to the ethical standards of coding as established by AAPC and / or AHIMA * Adhere to and ... The salary for this role will range from $24 to $43 annually based on full-time employment. We ...
Senior Inpatient Medical Coder
Eden Prairie, MN · Remote
$19 - $24.25/hr
Adhere to the ethical standards of coding as established by AAPC and / or AHIMA * Adhere to and ... The salary for this role will range from $24 to $43 annually based on full-time employment. We ...
Senior Actuarial Consultant - Remote
Eden Prairie, MN · On-site +1
$91K - $163K/yr
Lead actuarial analyses supporting Medicare Advantage, Part D, and Risk Adjustment programs ... The salary for this role will range from $91,700 - $163,700 annually based on full-time employment.
Senior Actuarial Consultant - Remote
Eden Prairie, MN · On-site +1
$91K - $163K/yr
Lead actuarial analyses supporting Medicare Advantage, Part D, and Risk Adjustment programs ... The salary for this role will range from $91,700 - $163,700 annually based on full-time employment.
Senior Inpatient DRG Medical Coder
Saint Paul, MN · Remote
$24 - $43/hr
This position is full-time (40 hours/week) Monday-Friday, normal business hours. It may be ... Expert knowledge in Inpatient DRG Coding * Abstract additional data elements during the chart ...
Senior Inpatient DRG Medical Coder
Saint Paul, MN · Remote
$24 - $43/hr
This position is full-time (40 hours/week) Monday-Friday, normal business hours. It may be ... Expert knowledge in Inpatient DRG Coding * Abstract additional data elements during the chart ...
Senior Inpatient DRG Medical Coder
Eden Prairie, MN · Remote
$23.41 - $41.83/hr
ICD - 10 Coding replaces ICD - 9. Affordable Care adds new challenges and financial constraints ... SM This position is full-time (40 hours/week) Monday-Friday, normal business hours. It may be ...
Senior Inpatient DRG Medical Coder
Eden Prairie, MN · Remote
$23.41 - $41.83/hr
ICD - 10 Coding replaces ICD - 9. Affordable Care adds new challenges and financial constraints ... SM This position is full-time (40 hours/week) Monday-Friday, normal business hours. It may be ...
Senior Inpatient Medical Coder
Eden Prairie, MN · Remote
$23.89 - $42.69/hr
Adhere to the ethical standards of coding as established by AAPC and / or AHIMA * Adhere to and ... The hourly pay for this role will range from $23.89 to $42.69 per hour based on full-time ...
Senior Inpatient Medical Coder
Eden Prairie, MN · Remote
$23.89 - $42.69/hr
Adhere to the ethical standards of coding as established by AAPC and / or AHIMA * Adhere to and ... The hourly pay for this role will range from $23.89 to $42.69 per hour based on full-time ...
Coder 4
Saint Paul, MN · Remote
This is a full-time position (80 hours per pay period) and is benefit eligible . This role offers ... Identifies and resolves clinical documentation discrepancies to ensure accuracy in severity, risk ...
Coder 4
Saint Paul, MN · Remote
This is a full-time position (80 hours per pay period) and is benefit eligible . This role offers ... Identifies and resolves clinical documentation discrepancies to ensure accuracy in severity, risk ...
Senior Inpatient Medical Coder - Acute Edits & Denials
Eden Prairie, MN · Remote
$24 - $43/hr
MS- DRG and APR DRG (severity and risk of mortality) assignment, complication and comorbidity ... The hourly pay for this role will range from $24.00 to $43.00 per hour based on full-time ...
Senior Inpatient Medical Coder - Acute Edits & Denials
Eden Prairie, MN · Remote
$24 - $43/hr
MS- DRG and APR DRG (severity and risk of mortality) assignment, complication and comorbidity ... The hourly pay for this role will range from $24.00 to $43.00 per hour based on full-time ...
Clinical Risk Nurse
Blaine, MN · On-site +1
$90K - $120K/yr
This is a remote or hybrid, full-time position located in our Blaine, MN office depending on ... Familiarity with ICD-10, CPT, HCPCS coding systems and their application to claims and underwriting
Clinical Risk Nurse
Blaine, MN · On-site +1
$90K - $120K/yr
This is a remote or hybrid, full-time position located in our Blaine, MN office depending on ... Familiarity with ICD-10, CPT, HCPCS coding systems and their application to claims and underwriting
Risk and Safety Consultant
Bloomington, MN · On-site +1
$99K - $138K/yr
Minneapolis, MN (Remote) | Full-Time Pay: $99,200.00 to $138,800.00 Ranked #8 Top Workplace - Midsize Employer, MN About the Role: As a Risk and Safety Consultant , AKA Loss Prevention Specialist ...
Risk and Safety Consultant
Bloomington, MN · On-site +1
$99K - $138K/yr
Minneapolis, MN (Remote) | Full-Time Pay: $99,200.00 to $138,800.00 Ranked #8 Top Workplace - Midsize Employer, MN About the Role: As a Risk and Safety Consultant , AKA Loss Prevention Specialist ...
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.
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.
Senior Medical Coding Analyst
Eagan, MN · On-site +1
$90K - $120K/yr
This role focuses on analyzing, configuring, and maintaining medical coding and claims editing ... Teleworking is working full time remote. * Hybrid is a minimum of 2 days onsite. * Onsite is ...
Senior Medical Coding Analyst
Eagan, MN · On-site +1
$90K - $120K/yr
This role focuses on analyzing, configuring, and maintaining medical coding and claims editing ... Teleworking is working full time remote. * Hybrid is a minimum of 2 days onsite. * Onsite is ...
Consumer Finance Direct Portfolio/Risk Specialist
Minnetonka, MN · On-site +1
$57K - $113K/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.
Consumer Finance Direct Portfolio/Risk Specialist
Minnetonka, MN · On-site +1
$57K - $113K/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.
Full Time Remote Risk Adjustment Coder information
See Saint Paul, MN salary details
$17.50 - $18.10
7% of jobs
$18.67 is the 25th percentile. Wages below this are outliers.
$18.10 - $18.70
19% of jobs
$18.70 - $19.29
5% of jobs
$19.29 - $19.89
3% of jobs
$19.89 - $20.49
14% of jobs
The median wage is $20.64 / hr.
$20.49 - $21.09
6% of jobs
$21.09 - $21.68
0% of jobs
$21.68 - $22.28
0% of jobs
$22.28 - $22.88
0% of jobs
$23.35 is the 75th percentile. Wages above this are outliers.
$22.88 - $23.47
26% of jobs
$23.47 - $24.07
20% of jobs
$17
$21
$24
How much do full time remote risk adjustment coder jobs pay per hour?
What is the difference between Full Time Remote Risk Adjustment Coder vs Full Time Remote Medical Coder?
| Aspect | Full Time Remote Risk Adjustment Coder | Full Time Remote Medical Coder |
|---|---|---|
| Certifications | RHIT, RHIA, CCS, CPC | CPC, CCS, RHIT |
| Work Environment | Remote, healthcare insurance companies, risk adjustment teams | Remote, hospitals, clinics, healthcare facilities |
| Industry Usage | Health insurance, risk adjustment programs | Hospitals, clinics, healthcare providers |
| Job Focus | Analyzing diagnoses for risk scores, coding for risk adjustment | Medical 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
Posted 15 days ago
HealthPartners rating
7.5
Based on 138 frontline employees who took The Breakroom Quiz
233rd of 898 rated healthcare providers
Job description
HealthPartners is hiring a Risk Adjustment Coding Analyst Senior.
This position is responsible for diagnosis coding review and vendor coding quality assurance; working to ensure that plan performance and plan revenue is based on an accurate representation of our population's care needs and risks.
ACCOUNTABILITIES:
- Performs retrospective chart review for diagnosis coding accuracy.
- Identifies, analyzes, and reports coding error trends to inform risk adjustment analytics and deliver provider education.
- Reviews vendor coding and provide recurring feedback and education to vendor team.
- Participates in internal and CMS-mandated risk adjustment data validation review.
- Identifies, documents, and messages process improvements, clinical documentation improvements and/or other educational opportunities.
- Develops and performs training and educational seminars to physicians and advanced practice providers on risk adjustment topics.
- Increases collaborative efforts between HealthPartners Health Plan and HealthPartners Medical Group as it relates to optimization of diagnosis coding.
- Analyzes and organizes complex information for effective reporting to leadership.
- Conducts daily work consistent with HealthPartners core values and comply with all federal and state regulations.
- Maintains confidentiality of protected health information.
- Increases organizational efficiency in daily operations.
- Responsible for other duties as assigned.
REQUIRED QUALIFICATIONS:
- High School Diploma or GED or Associate's degree in a related field
- One of the following credentials required: RHIA, RHIT, CPC, CCS, CCS-P
- Certified Risk Adjustment Coder (CRC) credential
- Minimum of five years experience with diagnosis coding review as a certified coder
- Demonstrated working knowledge of the revenue cycle process, claims processing, retrospective chart review process, compliance and federal/state regulations, CPT, ICD-9, and ICD-10 coding
- Identify issues and formulate solutions relating to retrospective chart review process improvement initiatives
- Understand and communicate clinical documentation requirements for correct coding and to ensure integrity of the medical record
- Skill and experience in effectively collaborating with team members & others using oral, written and interpersonal communications
- PC skills in Microsoft Word and Excel
- Organize and prioritize multiple assignments
- Ability to deal with change and ambiguity
- Able to work, both, as a team member or independently
PREFERRED QUALIFICATIONS:
- Four year college degree
- Experience working with Epic
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