Strong knowledge of Medicare Advantage, HCC coding, and risk adjustment * Proficient in EMR documentation and medical coding best practices * Excellent communication and patient engagement skills ...
Strong knowledge of Medicare Advantage, HCC coding, and risk adjustment * Proficient in EMR documentation and medical coding best practices * Excellent communication and patient engagement skills ...
Certified Professional Coder (CPC) or Certified Coding Specialist (CCS). Detail-oriented; skilled ... Preferred Qualifications Familiar with the Hierarchical Condition Categories (HCC) risk adjustment ...
New
Certified Professional Coder (CPC) or Certified Coding Specialist (CCS). Detail-oriented; skilled ... Preferred Qualifications Familiar with the Hierarchical Condition Categories (HCC) risk adjustment ...
New
VP, Risk Adjustment
$137K - $184K/yr
Drives organizational risk adjustment policy, program standards, and performance, and maintains ... coding results, encounter submission rates, HCC documentation outcomes, and performance against ...
VP, Risk Adjustment
$137K - $184K/yr
Drives organizational risk adjustment policy, program standards, and performance, and maintains ... coding results, encounter submission rates, HCC documentation outcomes, and performance against ...
VP, Risk Adjustment
Long Beach, CA · On-site +1
$137K - $184K/yr
Drives organizational risk adjustment policy, program standards, and performance, and maintains ... coding results, encounter submission rates, HCC documentation outcomes, and performance against ...
VP, Risk Adjustment
Long Beach, CA · On-site +1
$137K - $184K/yr
Drives organizational risk adjustment policy, program standards, and performance, and maintains ... coding results, encounter submission rates, HCC documentation outcomes, and performance against ...
Senior Specialist, Coding (Remote)
Long Beach, CA · On-site +1
$49K - $107K/yr
... Professional Coder (CPC) or Certified Coding Specialist (CCS). • Detail-oriented; skilled in ... HCC) risk adjustment model. • Background in supporting risk adjustment management activities and ...
New
Senior Specialist, Coding (Remote)
Long Beach, CA · On-site +1
$49K - $107K/yr
... Professional Coder (CPC) or Certified Coding Specialist (CCS). • Detail-oriented; skilled in ... HCC) risk adjustment model. • Background in supporting risk adjustment management activities and ...
New
Hierarchical Condition Category (HCC) Coding Specialist
Sacramento, CA · On-site
$41.85/hr
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 ...
Hierarchical Condition Category (HCC) Coding Specialist
Sacramento, CA · On-site
$41.85/hr
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 ...
Analyze Hierarchical Condition Category (HCC) coding and Risk Adjustment Factor (RAF) scores to identify documentation gaps and ensure alignment with CMS risk adjustment models. * Support provider ...
Analyze Hierarchical Condition Category (HCC) coding and Risk Adjustment Factor (RAF) scores to identify documentation gaps and ensure alignment with CMS risk adjustment models. * Support provider ...
Analyze Hierarchical Condition Category (HCC) coding and Risk Adjustment Factor (RAF) scores to identify documentation gaps and ensure alignment with CMS risk adjustment models. * Support provider ...
Analyze Hierarchical Condition Category (HCC) coding and Risk Adjustment Factor (RAF) scores to identify documentation gaps and ensure alignment with CMS risk adjustment models. * Support provider ...
MSO PHYSICIAN REVIEWER
Burlingame, CA · On-site
$285K - $332K/yr
Analyze Hierarchical Condition Category (HCC) coding and Risk Adjustment Factor (RAF) scores to identify documentation gaps and ensure alignment with CMS risk adjustment models. * Support provider ...
MSO PHYSICIAN REVIEWER
Burlingame, CA · On-site
$285K - $332K/yr
Analyze Hierarchical Condition Category (HCC) coding and Risk Adjustment Factor (RAF) scores to identify documentation gaps and ensure alignment with CMS risk adjustment models. * Support provider ...
Certified Risk Adjustment Coder (CRC), Certified Professional Coder (CPC), Certified Coding ... Requires an in-depth understanding of risk adjustment models (CMS-HCC, HHS-HCC), Official Coding ...
Certified Risk Adjustment Coder (CRC), Certified Professional Coder (CPC), Certified Coding ... Requires an in-depth understanding of risk adjustment models (CMS-HCC, HHS-HCC), Official Coding ...
Telehealth Nurse Practitioner
Los Angeles, CA · Remote
$600 - $720/day
Document HCC (risk adjustment) during visits * Close HEDIS (quality measures) care gaps * Review history, meds, preventive needs * Code with ICD-10 and CPT II * Deliver care plans and follow-up * ...
Telehealth Nurse Practitioner
Los Angeles, CA · Remote
$600 - $720/day
Document HCC (risk adjustment) during visits * Close HEDIS (quality measures) care gaps * Review history, meds, preventive needs * Code with ICD-10 and CPT II * Deliver care plans and follow-up * ...
Risk Adjustment Director
Scotts Valley, CA · On-site
Direct the Risk Adjustment Department, act as a subject matter expert, and provide executive-level advice and guidance on coding and risk adjustment methodologies and overall business operations
Risk Adjustment Director
Scotts Valley, CA · On-site
Direct the Risk Adjustment Department, act as a subject matter expert, and provide executive-level advice and guidance on coding and risk adjustment methodologies and overall business operations
Risk Adjustment Director
Santa Cruz, CA · On-site
Direct the Risk Adjustment Department, act as a subject matter expert, and provide executive-level advice and guidance on coding and risk adjustment methodologies and overall business operations
Risk Adjustment Director
Santa Cruz, CA · On-site
Direct the Risk Adjustment Department, act as a subject matter expert, and provide executive-level advice and guidance on coding and risk adjustment methodologies and overall business operations
Certified Coder
Victorville, CA · On-site
$23.31 - $24.92/hr
Conduct Risk Adjustment Data Validation (RADV) audits as requested by HCC Manager. * Orient ... Certified Professional Coder (CPC). Must maintain certification * Completion of anatomy course ...
Certified Coder
Victorville, CA · On-site
$23.31 - $24.92/hr
Conduct Risk Adjustment Data Validation (RADV) audits as requested by HCC Manager. * Orient ... Certified Professional Coder (CPC). Must maintain certification * Completion of anatomy course ...
Certified Coder
Victorville, CA · On-site
$23.31 - $24.92/hr
Conduct Risk Adjustment Data Validation (RADV) audits as requested by HCC Manager. * Orient ... Certified Professional Coder (CPC). Must maintain certification * Completion of anatomy course ...
Certified Coder
Victorville, CA · On-site
$23.31 - $24.92/hr
Conduct Risk Adjustment Data Validation (RADV) audits as requested by HCC Manager. * Orient ... Certified Professional Coder (CPC). Must maintain certification * Completion of anatomy course ...
Risk Adjustment Director
Mariposa, CA · On-site
Direct the Risk Adjustment Department, act as a subject matter expert, and provide executive-level advice and guidance on coding and risk adjustment methodologies and overall business operations
Risk Adjustment Director
Mariposa, CA · On-site
Direct the Risk Adjustment Department, act as a subject matter expert, and provide executive-level advice and guidance on coding and risk adjustment methodologies and overall business operations
Risk Adjustment Director
Merced, CA · On-site
Direct the Risk Adjustment Department, act as a subject matter expert, and provide executive-level advice and guidance on coding and risk adjustment methodologies and overall business operations
Risk Adjustment Director
Merced, CA · On-site
Direct the Risk Adjustment Department, act as a subject matter expert, and provide executive-level advice and guidance on coding and risk adjustment methodologies and overall business operations
Risk Adjustment Director
Hollister, CA · On-site
Direct the Risk Adjustment Department, act as a subject matter expert, and provide executive-level advice and guidance on coding and risk adjustment methodologies and overall business operations
Risk Adjustment Director
Hollister, CA · On-site
Direct the Risk Adjustment Department, act as a subject matter expert, and provide executive-level advice and guidance on coding and risk adjustment methodologies and overall business operations
Risk Adjustment Director
Salinas, CA · On-site
Direct the Risk Adjustment Department, act as a subject matter expert, and provide executive-level advice and guidance on coding and risk adjustment methodologies and overall business operations
Risk Adjustment Director
Salinas, CA · On-site
Direct the Risk Adjustment Department, act as a subject matter expert, and provide executive-level advice and guidance on coding and risk adjustment methodologies and overall business operations
Coding Supervisor
Los Angeles, CA · On-site
$65K - $130K/yr
CPMA (Certified Professional Medical Auditor), CHC (Certified in Healthcare Compliance), HCC (Risk Adjustment Coding Certification) or Specialty Certification * Familiarity with revenue cycle ...
Coding Supervisor
Los Angeles, CA · On-site
$65K - $130K/yr
CPMA (Certified Professional Medical Auditor), CHC (Certified in Healthcare Compliance), HCC (Risk Adjustment Coding Certification) or Specialty Certification * Familiarity with revenue cycle ...
Internship Hcc Risk Adjustment Coder information
What is the difference between Internship Hcc Risk Adjustment Coder vs Hcc Risk Adjustment Coder?
| Aspect | Internship Hcc Risk Adjustment Coder | Hcc Risk Adjustment Coder |
|---|---|---|
| Credentials | Typically none or basic certifications | Certifications like CPC, CCS, or RHIT often required |
| Work Environment | Internship setting, training-focused | Full-time professional setting, independent work |
| Employer & Industry | Hospitals, healthcare providers, training programs | Healthcare organizations, insurance companies |
| Search & Comparison Intent | Learning, entry-level roles, training | Professional, experienced roles, career advancement |
The Internship Hcc Risk Adjustment Coder is an entry-level position designed for training and gaining experience, often without requiring certifications. In contrast, the Hcc Risk Adjustment Coder is a full-time professional role that typically requires relevant certifications and experience. Both roles are within the healthcare industry, but they differ significantly in responsibilities, expectations, and career progression.
- Independent Contractor Anesthesia Coder
- Seasonal Hcc Risk Adjustment Coding
- From Home Optum Health Coding Risk Adjustment
- Remote Va Medical Coder
- Seasonal Medical Coder Auditor
- Trainee Va Medical Coder
- Remote Flexible Risk Adjustment Coder
- Remote Hcc Risk Adjustment Coding
- Hourly Remote Cpc Coder
- Remote Hcc Coder
$110K - $143K/yr
Full-time
Medical, Dental, Vision, Life, Retirement
Re-posted 8 days ago
Job description
Choice Medical Group has been serving the local area for over 30 years and has a network of over 200+ physicians. Choice Medical Group is physician owned and located in Apple Valley, CA. We are seeking a compassionate and detail-oriented Nurse Practitioner or Physician Assistant to join our care team. This role focuses on delivering high-quality preventive care through Annual Wellness Visits (AWVs), accurate HCC (Hierarchical Condition Category) recapture, and comprehensive medication reconciliation. Youll play a critical role in improving patient outcomes and supporting value-based care initiatives.
you will have a full staff, full benefits, including Medical, Dental, Vision, Life, and a very generous 401k offering.
QUALIFICATIONS:
Must have valid, and kept current/in good standing throughout employment:
CA Registered Nursing License
CA Nurse Practitioner License
CA Nurse Practitioner Furnishing License
CA Physcian Assistant License
DEA
BLS
ACLS
Must not be on OIG/GSA exclusion list (qualified to see Medicare patients)
Minimum 1 year of clinical experience (HCC or primary care experience preferred)
- Strong knowledge of Medicare Advantage, HCC coding, and risk adjustment
- Proficient in EMR documentation and medical coding best practices
- Excellent communication and patient engagement skills
Preferred Skills
- CRC (Certified Risk Adjustment Coder) certification
- Bilingual (Spanish/English)
- Experience with in-home assessments or mobile care, willing to travel to local clinic sites within the Victorville, Apple Valley, Phelan, Hesperia.
Key Responsibilities
- Conduct Annual Wellness Exams (AWVs) in accordance with CMS guidelines
- Identify and accurately document chronic conditions for HCC risk adjustment
- Perform thorough medication reconciliation and patient education
- Collaborate with primary care providers and care coordinators to ensure continuity of care
- Utilize EMR systems to document findings and support coding accuracy
- Participate in quality improvement initiatives and compliance audits
As an Equal opportunity employer, DBA Choice Medical Group is committed to a diverse workforce. Employment decisions regarding recruitment and selection will be made without discrimination based on race, color, religion, national origin gender, age sexual orientation, physical or mental disability, genetic information or characteristic, gender identity, and expression, veteran status, or other non-job related characteristics or other prohibited grounds specified in applicable federal, state and local laws. In order to ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Era Veterans Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact this post for assistance.
For more information about equal employment opportunity protections, please view the EEO is the Law poster.
NOTICE: EMPLOYEE POLYGRAPH PROTECTION ACT
YOUR RIGHTS UNDER THE FAMILY AND MEDICAL LEAVE ACT
PAY TRANSPARENCY NONDISCRIMINATION PROVISION
Our environment respects individual differences and recognizes each employee as an integral member of our company. Our workforce reflects these values and celebrates the individuals who make up our growing team.
Choice Medical Group provides a work environment free of harassment and prohibited conduct. We promote and support individual differences and diversity of thoughts and opinion.
Job Type: Full-time
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Health insurance
- Life insurance
- Vision insurance
Work Location: In person