MEDICAL DIRECTOR MSSP ACO
Dallas, TX · On-site
Ensure timely and accurate completion of documentation, coding, and risk adjustment activities to optimize accuracy in CMS reporting and attribution. Physician Engagement & Education * Build strong ...
Dallas, TX · On-site
Ensure timely and accurate completion of documentation, coding, and risk adjustment activities to optimize accuracy in CMS reporting and attribution. Physician Engagement & Education * Build strong ...
Dallas, TX · On-site
Ensure timely and accurate completion of documentation, coding, and risk adjustment activities to optimize accuracy in CMS reporting and attribution. Physician Engagement & Education * Build strong ...
Dallas, TX · Remote
Ensure timely and accurate completion of documentation, coding, and risk adjustment activities to optimize accuracy in CMS reporting and attribution. Physician Engagement & Education * Build strong ...
Dallas, TX · Remote
Ensure timely and accurate completion of documentation, coding, and risk adjustment activities to optimize accuracy in CMS reporting and attribution. Physician Engagement & Education * Build strong ...
Plano, TX · On-site
$94K - $111K/yr
Tokio Marine HCC - Surety Group, a member of the Tokio Marine Group of Companies, has an ... Prepare bond execution and Financial Adjustment Notices (FAN) reports. * Approve within given ...
Plano, TX · On-site
$94K - $111K/yr
Tokio Marine HCC - Surety Group, a member of the Tokio Marine Group of Companies, has an ... Prepare bond execution and Financial Adjustment Notices (FAN) reports. * Approve within given ...
Dallas, TX · On-site
... clinical pillars - Risk Adjustment, Care Management, Utilization Management, and Quality ... Familiarity with quality metrics, HCC coding, AWV workflows, annual wellness visit implementation ...
Dallas, TX · On-site
... clinical pillars - Risk Adjustment, Care Management, Utilization Management, and Quality ... Familiarity with quality metrics, HCC coding, AWV workflows, annual wellness visit implementation ...
Total Cost of Care, MLR, risk adjustment / HCC, utilization management, and quality programs. Fluency with clinical pathway design, evidence-based standardization, clinical analytics, and physician ...
Total Cost of Care, MLR, risk adjustment / HCC, utilization management, and quality programs. Fluency with clinical pathway design, evidence-based standardization, clinical analytics, and physician ...
Total Cost of Care, MLR, risk adjustment / HCC, utilization management, and quality programs. Fluency with clinical pathway design, evidence-based standardization, clinical analytics, and physician ...
Total Cost of Care, MLR, risk adjustment / HCC, utilization management, and quality programs. Fluency with clinical pathway design, evidence-based standardization, clinical analytics, and physician ...
Accurately and on a timely basis document encounters and diagnoses in eCW, ensuring complete and compliant coding for risk adjustment * Participate in multidisciplinary meetings and quality ...
Accurately and on a timely basis document encounters and diagnoses in eCW, ensuring complete and compliant coding for risk adjustment * Participate in multidisciplinary meetings and quality ...
Mansfield, TX · On-site
$250K - $300K/yr
Accurately and on a timely basis document encounters and diagnoses in eCW, ensuring complete and compliant coding for risk adjustment * Participate in multidisciplinary meetings and quality ...
Quick apply
Mansfield, TX · On-site
$250K - $300K/yr
Accurately and on a timely basis document encounters and diagnoses in eCW, ensuring complete and compliant coding for risk adjustment * Participate in multidisciplinary meetings and quality ...
Dallas, TX · On-site
$250K - $300K/yr
Accurately and on a timely basis document encounters and diagnoses in eCW, ensuring complete and compliant coding for risk adjustment * Participate in multidisciplinary meetings and quality ...
Quick apply
Dallas, TX · On-site
$250K - $300K/yr
Accurately and on a timely basis document encounters and diagnoses in eCW, ensuring complete and compliant coding for risk adjustment * Participate in multidisciplinary meetings and quality ...
Mansfield, TX · On-site
Accurately and on a timely basis document encounters and diagnoses in eCW, ensuring complete and compliant coding for risk adjustment * Participate in multidisciplinary meetings and quality ...
Mansfield, TX · On-site
Accurately and on a timely basis document encounters and diagnoses in eCW, ensuring complete and compliant coding for risk adjustment * Participate in multidisciplinary meetings and quality ...
Accurately and on a timely basis document encounters and diagnoses in eCW, ensuring complete and compliant coding for risk adjustment * Participate in multidisciplinary meetings and quality ...
Accurately and on a timely basis document encounters and diagnoses in eCW, ensuring complete and compliant coding for risk adjustment * Participate in multidisciplinary meetings and quality ...
Desoto, TX · On-site
Accurately and on a timely basis document encounters and diagnoses in eCW, ensuring complete and compliant coding for risk adjustment * Participate in multidisciplinary meetings and quality ...
Desoto, TX · On-site
Accurately and on a timely basis document encounters and diagnoses in eCW, ensuring complete and compliant coding for risk adjustment * Participate in multidisciplinary meetings and quality ...
Plano, TX · On-site +1
Risk adjustment and member stratification * Provider performance and network optimization * Apply ... Hands-on experience with healthcare claims datasets and coding systems. * Solid understanding of ...
Plano, TX · On-site +1
Risk adjustment and member stratification * Provider performance and network optimization * Apply ... Hands-on experience with healthcare claims datasets and coding systems. * Solid understanding of ...
Risk adjustment and member stratification * Provider performance and network optimization * Apply ... Hands‑on experience with healthcare claims datasets and coding systems. * Solid understanding of ...
Quick apply
Risk adjustment and member stratification * Provider performance and network optimization * Apply ... Hands‑on experience with healthcare claims datasets and coding systems. * Solid understanding of ...
Dallas, TX · On-site
The focus of the Quality Review Nurse will be on identifying and capturing methodology-specific risk variables (Vizient, HCC's, Elixhauser) on a post-discharge, pre-coding/billing basis, as well as ...
Dallas, TX · On-site
The focus of the Quality Review Nurse will be on identifying and capturing methodology-specific risk variables (Vizient, HCC's, Elixhauser) on a post-discharge, pre-coding/billing basis, as well as ...
$34.50 - $46.25/hr
Proven applicable CPT and ICD-10 coding experience; APR-DRG, MS-DRG and HCC assignment * Other ... risk adjustment * Has strong interpersonal skills to collaborate with clinicians, physicians, NP ...
$34.50 - $46.25/hr
Proven applicable CPT and ICD-10 coding experience; APR-DRG, MS-DRG and HCC assignment * Other ... risk adjustment * Has strong interpersonal skills to collaborate with clinicians, physicians, NP ...
Plano, TX · On-site +1
$94K - $111K/yr
TokioMarine HCC - Surety Group, a member of theTokioMarine Group of Companies, has an opportunity ... Prepare bond execution and Financial Adjustment Notices (FAN) reports. * Approve within given ...
Plano, TX · On-site +1
$94K - $111K/yr
TokioMarine HCC - Surety Group, a member of theTokioMarine Group of Companies, has an opportunity ... Prepare bond execution and Financial Adjustment Notices (FAN) reports. * Approve within given ...
Fort Worth, TX · On-site
Supports accurate reporting of CMI, SOI/ROM, risk adjustment, quality metrics, and value-based care initiatives. * Promotes a culture of ethical coding, accountability, and transparency. * Ensures ...
Fort Worth, TX · On-site
Supports accurate reporting of CMI, SOI/ROM, risk adjustment, quality metrics, and value-based care initiatives. * Promotes a culture of ethical coding, accountability, and transparency. * Ensures ...
Irving, TX · On-site
... Risk Adjustment, Operations (claims and encounters). Delivers provider specific metrics and coach ... ICD-9 coding Ability to multi-task Ability to work in a fast paced environment with changing ...
Irving, TX · On-site
... Risk Adjustment, Operations (claims and encounters). Delivers provider specific metrics and coach ... ICD-9 coding Ability to multi-task Ability to work in a fast paced environment with changing ...
Dallas, TX · On-site
The focus of the Quality Review Nurse will be on identifying and capturing methodology-specific risk variables (Vizient, HCC's, Elixhauser) on a post-discharge, pre-coding/billing basis, as well as ...
Dallas, TX · On-site
The focus of the Quality Review Nurse will be on identifying and capturing methodology-specific risk variables (Vizient, HCC's, Elixhauser) on a post-discharge, pre-coding/billing basis, as well as ...
$13.26 - $15.99
0% of jobs
$15.99 - $18.73
17% of jobs
$20.05 is the 25th percentile. Wages below this are outliers.
$18.73 - $21.46
17% of jobs
The median wage is $23.81 / hr.
$21.46 - $24.19
19% of jobs
$24.19 - $26.93
9% of jobs
$26.93 - $29.66
7% of jobs
$31.45 is the 75th percentile. Wages above this are outliers.
$29.66 - $32.39
8% of jobs
$32.39 - $35.13
6% of jobs
$35.13 - $37.86
4% of jobs
$37.86 - $40.59
6% of jobs
$40.59 - $43.33
5% of jobs
$13
$27
$43
To thrive as an HCC Risk Adjustment Coder, you need a strong understanding of medical coding guidelines, ICD-10-CM codes, and risk adjustment principles, typically supported by a certification such as CPC, CRC, or CCS-P. Familiarity with electronic health record systems and risk adjustment software is essential for accurate coding and data analysis. Attention to detail, critical thinking, and effective communication skills are important soft skills for ensuring documentation integrity and collaborating with healthcare providers. These competencies are crucial to accurately capture patient complexity, optimize reimbursement, and support compliance in healthcare organizations.
HCC Risk Adjustment Coders often face challenges such as interpreting complex medical records, staying up-to-date with evolving coding guidelines, and ensuring thorough documentation to support accurate risk scoring. To overcome these challenges, coders should engage in continuous education, collaborate closely with healthcare providers for clarification, and utilize available coding resources and team support. Staying organized and maintaining a detail-oriented approach will also help ensure that codes are assigned correctly and all relevant conditions are captured. Working as part of a supportive team can further ease the process, providing opportunities for knowledge sharing and professional development.
An HCC Risk Adjustment Coding job involves reviewing medical records to assign Hierarchical Condition Category (HCC) codes based on documented diagnoses. Coders ensure accurate risk adjustment by following ICD-10-CM coding guidelines, which impact reimbursement for healthcare providers and insurance plans. This role requires knowledge of medical terminology, compliance regulations, and risk adjustment models used in Medicare Advantage and other programs.
