Madison, WI · Remote
$600 - $720/day
Document risk adjustment (HCC coding) during patient visits * Close HEDIS care gaps during visits * Review medical history, medications, and preventive needs * Document visits using ICD-10 and CPT II ...
Madison, WI · Remote
$600 - $720/day
Document risk adjustment (HCC coding) during patient visits * Close HEDIS care gaps during visits * Review medical history, medications, and preventive needs * Document visits using ICD-10 and CPT II ...
Oregon, WI · On-site
$100 - $232/hr
Demonstrated knowledge of Medicare, Medicaid, or ACA risk adjustment methodologies, HCC models, healthcare claims and clinical data, and CMS regulatory requirements. * Experience at a health plan or ...
New
Oregon, WI · On-site
$100 - $232/hr
Demonstrated knowledge of Medicare, Medicaid, or ACA risk adjustment methodologies, HCC models, healthcare claims and clinical data, and CMS regulatory requirements. * Experience at a health plan or ...
New
Madison, WI · On-site
$41.85/hr
Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS requirements by analyzing physician documentation and interpreting into ICD10 diagnoses and HCC disease ...
Madison, WI · On-site
$41.85/hr
Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS requirements by analyzing physician documentation and interpreting into ICD10 diagnoses and HCC disease ...
WI · On-site
$100 - $232/hr
Demonstrated knowledge of Medicare, Medicaid, or ACA risk adjustment methodologies, HCC models, healthcare claims and clinical data, and CMS regulatory requirements. * Experience at a health plan or ...
New
WI · On-site
$100 - $232/hr
Demonstrated knowledge of Medicare, Medicaid, or ACA risk adjustment methodologies, HCC models, healthcare claims and clinical data, and CMS regulatory requirements. * Experience at a health plan or ...
New
WI · On-site
$100 - $232/hr
Demonstrated knowledge of Medicare, Medicaid, or ACA risk adjustment methodologies, HCC models, healthcare claims and clinical data, and CMS regulatory requirements. * Experience at a health plan or ...
New
WI · On-site
$100 - $232/hr
Demonstrated knowledge of Medicare, Medicaid, or ACA risk adjustment methodologies, HCC models, healthcare claims and clinical data, and CMS regulatory requirements. * Experience at a health plan or ...
New
WI · On-site
$100 - $232/hr
Demonstrated knowledge of Medicare, Medicaid, or ACA risk adjustment methodologies, HCC models, healthcare claims and clinical data, and CMS regulatory requirements. * Experience at a health plan or ...
New
WI · On-site
$100 - $232/hr
Demonstrated knowledge of Medicare, Medicaid, or ACA risk adjustment methodologies, HCC models, healthcare claims and clinical data, and CMS regulatory requirements. * Experience at a health plan or ...
New
WI · On-site
$100 - $232/hr
Demonstrated knowledge of Medicare, Medicaid, or ACA risk adjustment methodologies, HCC models, healthcare claims and clinical data, and CMS regulatory requirements. * Experience at a health plan or ...
New
WI · On-site
$100 - $232/hr
Demonstrated knowledge of Medicare, Medicaid, or ACA risk adjustment methodologies, HCC models, healthcare claims and clinical data, and CMS regulatory requirements. * Experience at a health plan or ...
New
Oregon, WI · On-site
$100 - $232/hr
Demonstrated knowledge of Medicare, Medicaid, or ACA risk adjustment methodologies, HCC models, healthcare claims and clinical data, and CMS regulatory requirements. * Experience at a health plan or ...
New
Oregon, WI · On-site
$100 - $232/hr
Demonstrated knowledge of Medicare, Medicaid, or ACA risk adjustment methodologies, HCC models, healthcare claims and clinical data, and CMS regulatory requirements. * Experience at a health plan or ...
New
WI · On-site
$100 - $232/hr
Demonstrated knowledge of Medicare, Medicaid, or ACA risk adjustment methodologies, HCC models, healthcare claims and clinical data, and CMS regulatory requirements. * Experience at a health plan or ...
New
WI · On-site
$100 - $232/hr
Demonstrated knowledge of Medicare, Medicaid, or ACA risk adjustment methodologies, HCC models, healthcare claims and clinical data, and CMS regulatory requirements. * Experience at a health plan or ...
New
WI · On-site
$100 - $232/hr
Demonstrated knowledge of Medicare, Medicaid, or ACA risk adjustment methodologies, HCC models, healthcare claims and clinical data, and CMS regulatory requirements. * Experience at a health plan or ...
New
WI · On-site
$100 - $232/hr
Demonstrated knowledge of Medicare, Medicaid, or ACA risk adjustment methodologies, HCC models, healthcare claims and clinical data, and CMS regulatory requirements. * Experience at a health plan or ...
New
WI · On-site
$100 - $232/hr
Demonstrated knowledge of Medicare, Medicaid, or ACA risk adjustment methodologies, HCC models, healthcare claims and clinical data, and CMS regulatory requirements. * Experience at a health plan or ...
New
WI · On-site
$100 - $232/hr
Demonstrated knowledge of Medicare, Medicaid, or ACA risk adjustment methodologies, HCC models, healthcare claims and clinical data, and CMS regulatory requirements. * Experience at a health plan or ...
New
... HCC Risk adjustment Coding Preferred Licenses & Certifications * Certified Professional Coder (CPC) Upon Hire Required or * Certified Outpatient Coder (COC) Upon Hire Required or * Certified ...
... HCC Risk adjustment Coding Preferred Licenses & Certifications * Certified Professional Coder (CPC) Upon Hire Required or * Certified Outpatient Coder (COC) Upon Hire Required or * Certified ...
... HCC Risk adjustment Coding Preferred Licenses & Certifications * Certified Professional Coder (CPC) Upon Hire Required or * Certified Outpatient Coder (COC) Upon Hire Required or * Certified ...
... HCC Risk adjustment Coding Preferred Licenses & Certifications * Certified Professional Coder (CPC) Upon Hire Required or * Certified Outpatient Coder (COC) Upon Hire Required or * Certified ...
... HCC Risk adjustment Coding Preferred Licenses & Certifications * Certified Professional Coder (CPC) Upon Hire Required or * Certified Outpatient Coder (COC) Upon Hire Required or * Certified ...
... HCC Risk adjustment Coding Preferred Licenses & Certifications * Certified Professional Coder (CPC) Upon Hire Required or * Certified Outpatient Coder (COC) Upon Hire Required or * Certified ...
Middleton, WI · On-site
$28.21 - $42.32/hr
... HCC Risk adjustment Coding Preferred Licenses & Certifications * Certified Professional Coder (CPC) Upon Hire Required or * Certified Outpatient Coder (COC) Upon Hire Required or * Certified ...
Middleton, WI · On-site
$28.21 - $42.32/hr
... HCC Risk adjustment Coding Preferred Licenses & Certifications * Certified Professional Coder (CPC) Upon Hire Required or * Certified Outpatient Coder (COC) Upon Hire Required or * Certified ...
Develop deep expertise in MedInsight's risk adjustment software and analytics, and in the surrounding market (CMS-HCC models, RADV, quality programs, value-based care, and the competitive landscape ...
Develop deep expertise in MedInsight's risk adjustment software and analytics, and in the surrounding market (CMS-HCC models, RADV, quality programs, value-based care, and the competitive landscape ...
Develop deep expertise in MedInsight's risk adjustment software and analytics, and in the surrounding market (CMS-HCC models, RADV, quality programs, value-based care, and the competitive landscape ...
Develop deep expertise in MedInsight's risk adjustment software and analytics, and in the surrounding market (CMS-HCC models, RADV, quality programs, value-based care, and the competitive landscape ...
Develops educational materials for providers in relation to diagnostic coding and risk adjustment ... Category (HCC) coding required Will consider years of experience in lieu of bachelor's degree.
Develops educational materials for providers in relation to diagnostic coding and risk adjustment ... Category (HCC) coding required Will consider years of experience in lieu of bachelor's degree.
Develops educational materials for providers in relation to diagnostic coding and risk adjustment ... Category (HCC) coding required Will consider years of experience in lieu of bachelor's degree.
Develops educational materials for providers in relation to diagnostic coding and risk adjustment ... Category (HCC) coding required Will consider years of experience in lieu of bachelor's degree.
Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more About the Job: We are currently recruiting RNs, LPNs, MA's, Certified Coders ...
Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more About the Job: We are currently recruiting RNs, LPNs, MA's, Certified Coders ...
$11.1K - $27.5K
0% of jobs
$27.5K - $44K
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$44K - $60.4K
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$60.4K - $76.8K
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$93.2K - $109.7K
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$109.7K - $126.1K
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$130.5K is the 25th percentile. Wages below this are outliers.
$126.1K - $142.5K
92% of jobs
$142.5K - $158.9K
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$175.4K - $191.8K
8% of jobs
$11.1K
$143.7K
$191.8K
To excel in HCC Risk Adjustment, you need a solid understanding of medical coding, clinical documentation, healthcare regulations, and disease management, usually coupled with experience in coding certifications like CPC or CRC. Familiarity with Hierarchical Condition Category (HCC) models, data analytics tools, and electronic health record (EHR) systems is essential. Attention to detail, analytical thinking, and strong communication skills make a candidate stand out in this role. These skills ensure accurate risk adjustment coding and documentation, which are vital for appropriate reimbursement and compliance in the healthcare industry.
Professionals in HCC Risk Adjustment are typically responsible for reviewing medical records, ensuring accurate coding of diagnoses aligned with CMS guidelines, and collaborating with providers to improve documentation. The role often involves analyzing patient data to identify risk gaps and providing education to clinical staff on best practices for compliant coding. Team members regularly coordinate with data analysts, providers, and compliance teams to support accurate reporting and optimal reimbursement. Overall, attention to detail and clear communication are key to meeting the organization's compliance and financial objectives.
An HCC Risk Adjustment job involves reviewing medical records to ensure accurate coding of diagnoses under the Hierarchical Condition Category (HCC) model. This role helps determine risk scores for patients, which impact healthcare provider reimbursements in Medicare Advantage and other risk-adjusted programs. Professionals in this field, such as medical coders or auditors, analyze documentation to assign appropriate ICD-10-CM codes that reflect a patient's health status. Strong attention to detail and knowledge of coding guidelines are essential for success in this role.
For Hcc Risk Adjustment jobs in Wisconsin, the most frequently searched job titles are:
The top searched job categories for Hcc Risk Adjustment jobs in Wisconsin are:
$600 - $720/day
Part-time
Posted 22 days ago
Preferred Availability: We are looking for providers who can consistently work weekday/daytime hours, with Thursday and Friday availability strongly preferred.
Our client is a fast-growing healthcare organization supporting Medicare and Medicaid populations through virtual care.
What You'll DoYour work expands preventive care access for Medicare and Medicaid members.
You help close care gaps and improve quality scores across populations.
You like pace and ownership. You start, finish, follow through.
At Urrly, fairness matters. We use AI to review every application against the same clear requirements for the role. This means every candidate is evaluated on job-related factors like skills, certifications, and experience-not on personal attributes such as gender, race, age, or background. Our goal is to create a more objective, consistent, and equal opportunity hiring process for all applicants.
Apply today to work from home, set your own schedule, and earn strong daily pay delivering telehealth visits across Wisconsin.
Employment Type: PART_TIME
