Expert level knowledge of CMS-HCC models V24 and V28, claims data lifecycle, submission systems, regulation, compliance, and audits related to risk adjustment * Strong understanding of healthcare ...
Quick apply
Expert level knowledge of CMS-HCC models V24 and V28, claims data lifecycle, submission systems, regulation, compliance, and audits related to risk adjustment * Strong understanding of healthcare ...
Quick apply
Expert level knowledge of CMS-HCC models V24 and V28, claims data lifecycle, submission systems, regulation, compliance, and audits related to risk adjustment * Strong understanding of healthcare ...
Denver, CO ยท On-site +1
$35.75 - $48/hr
Experience in ICD-10 coding and documentation requirements and risk adjustment. * Knowledge of compliant query writing/process. * Ability to perform a comprehensive chart review of 20-30 medical ...
Denver, CO ยท On-site +1
$35.75 - $48/hr
Experience in ICD-10 coding and documentation requirements and risk adjustment. * Knowledge of compliant query writing/process. * Ability to perform a comprehensive chart review of 20-30 medical ...
Denver, CO ยท On-site +1
$35.75 - $48/hr
Experience in ICD-10 coding and documentation requirements and risk adjustment. * Knowledge of compliant query writing/process. * Ability to perform a comprehensive chart review of 20-30 medical ...
Denver, CO ยท On-site +1
$35.75 - $48/hr
Experience in ICD-10 coding and documentation requirements and risk adjustment. * Knowledge of compliant query writing/process. * Ability to perform a comprehensive chart review of 20-30 medical ...
Denver, CO ยท On-site +1
$35.75 - $48/hr
Experience in ICD-10 coding and documentation requirements and risk adjustment. * Knowledge of compliant query writing/process. * Ability to perform a comprehensive chart review of 20-30 medical ...
Denver, CO ยท On-site +1
$35.75 - $48/hr
Experience in ICD-10 coding and documentation requirements and risk adjustment. * Knowledge of compliant query writing/process. * Ability to perform a comprehensive chart review of 20-30 medical ...
PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health ...
PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health ...
PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health ...
PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health ...
Denver, CO ยท On-site
PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health ...
Denver, CO ยท On-site
PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health ...
PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health ...
PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health ...
PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health ...
PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health ...
Denver, CO ยท On-site
$250/wk
PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health ...
Denver, CO ยท On-site
$250/wk
PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health ...
PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health ...
PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health ...
PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health ...
PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health ...
Denver, CO ยท On-site
$250/wk
PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health ...
Denver, CO ยท On-site
$250/wk
PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health ...
Denver, CO ยท On-site
$250/wk
PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health ...
Denver, CO ยท On-site
$250/wk
PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health ...
PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health ...
PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health ...
$115.38 - $144.23/hr
PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health ...
$115.38 - $144.23/hr
PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health ...
$240K - $300K/yr
PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health ...
$240K - $300K/yr
PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health ...
Thornton, CO ยท On-site
$240K - $300K/yr
PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health ...
Thornton, CO ยท On-site
$240K - $300K/yr
PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health ...
Thornton, CO ยท On-site
$240K - $300K/yr
PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health ...
Thornton, CO ยท On-site
$240K - $300K/yr
PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health ...
$104K - $156K/yr
... HCC coding guidelines in Primary Care 2 years of experience working in a managed care health plan environment Knowledge of Value Based Care Model HEDIS, Coding, Risk Adjustment knowledge The salary ...
$104K - $156K/yr
... HCC coding guidelines in Primary Care 2 years of experience working in a managed care health plan environment Knowledge of Value Based Care Model HEDIS, Coding, Risk Adjustment knowledge The salary ...
$26.2K - $32.1K
5% of jobs
$34.1K is the 25th percentile. Wages below this are outliers.
$32.1K - $37.9K
59% of jobs
$37.9K - $43.8K
9% of jobs
$44.2K is the 75th percentile. Wages above this are outliers.
$43.8K - $49.6K
17% of jobs
$49.6K - $55.5K
4% of jobs
$55.5K - $61.3K
2% of jobs
$61.3K - $67.2K
3% of jobs
$67.2K - $73K
0% of jobs
$73K - $78.9K
0% of jobs
$78.9K - $84.7K
0% of jobs
$84.7K - $90.6K
0% of jobs
$26.2K
$43.8K
$90.6K
| 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.

Full-time
Posted 18 days ago
Job Title: Sr Manager, Risk Adjustment Analyticsย
Job Location: Denver,ย COย
Job Type: Full Timeย
Job Description:ย ย
Provide strategic leadership and management for the IKC Risk Adjustment Accuracyย
Create and maintain leadership reports on IKC revenue financials and estimating impact IKC initiatives had on Medical Loss Ratio (MLR)ย
Write SQL queries against data warehouses containing clinical operations and medical claims data to support analytic requests and deliver insights to various stakeholdersย
Monitor evolving regulations and policies to ensure all processes and reporting meet compliance requirementsย
Partner with clinical, financial, operational, legal, compliance, and IT teams to improve risk adjustment accuracyย
Serve as a subject matter expert on CMS risk adjustment for the enterprise and stay current on the latest industry trendsย
Other duties as assignedย
Required Experience:ย
3 or more yearsโ professional experience with healthcare data, specifically medical claims and/or encounter data using SQLย
3 or more yearsโ experience in healthcare financial management, healthcare consulting, medical economics, population health, and/or similar experienceย ย
At least a yearโs experience in creation, implementation, and impact estimation of prospective and retrospective risk adjustment initiatives, including CMS RAPS/Encounter data submissionsย
Experience developing and managing direct reportsย
Skills and knowledge needed to succeed in this role:ย
Expert level knowledge of CMS-HCC models V24 and V28, claims data lifecycle, submission systems, regulation, compliance, and audits related to risk adjustmentย
Strong understanding of healthcare economics, population health, and value based careย
Ability to work collaboratively in a cross functional team environment and communicate effectively with teammates at all levels in an organizationย
Comfortable presenting complex analysis and insights to executive audienceย
Intellectual curiosity, strategic thinking and strong project management skillsย
Comfort with ambiguous, ever-changing situationsย
Strong entrepreneurial mindset with the motivation to continuously improve the status quo and drive this independentlyย
Must-havesย
Experience developing and managing direct reports Expert level knowledge of CMS-HCC models V24 and V28, claims data lifecycle, submission systems, regulation, compliance, and audits related to risk adjustment Strong understanding of healthcare economics, population health, and value based care Ability to work collaboratively in a cross functional team environment and communicate effectively with teammates at all levels in an organization Comfortable presenting complex analysis and insights to executive audience Intellectual curiosity, strategic thinking and strong project management skills Comfort with ambiguous, ever-changing situations Strong entrepreneurial mindset with the motivation to continuously improve the status quo and drive this independentlyย
Sourced by ZipRecruiter
Recruiting and staffing services
51 - 200 Employees
Atlanta, GA, US
2016