Houston, TX · On-site
$25.30 - $35.74/hr
... health tools on both a retroactive and prospective basis to identify, assess, monitor, and review network coding opportunities as it pertains to risk adjustment and HCC. Validate the accuracy and ...
Houston, TX · On-site
$25.30 - $35.74/hr
... health tools on both a retroactive and prospective basis to identify, assess, monitor, and review network coding opportunities as it pertains to risk adjustment and HCC. Validate the accuracy and ...
Houston, TX · Remote
$19 - $22/hr
Responsible for coding 2 Charts per hour. * Perform accurate HCC risk adjustment coding for Medicare populations * Review and code medical records in accordance with ICD and risk adjustment ...
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Houston, TX · Remote
$19 - $22/hr
Responsible for coding 2 Charts per hour. * Perform accurate HCC risk adjustment coding for Medicare populations * Review and code medical records in accordance with ICD and risk adjustment ...
Houston, TX · On-site
$18 - $23.75/hr
... health tools on both a retroactive and prospective basis to identify, assess, monitor, and review network coding opportunities as it pertains to risk adjustment and HCC. Validate the accuracy and ...
Houston, TX · On-site
$18 - $23.75/hr
... health tools on both a retroactive and prospective basis to identify, assess, monitor, and review network coding opportunities as it pertains to risk adjustment and HCC. Validate the accuracy and ...
Houston, TX · Remote
$18 - $21/hr
Exposure to Medicaid HCC Coding Insight Global is seeking experienced HCC Risk Adjustment Medical Coders for a high-volume seasonal project supporting Medicare risk adjustment initiatives. This role ...
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Houston, TX · Remote
$18 - $21/hr
Exposure to Medicaid HCC Coding Insight Global is seeking experienced HCC Risk Adjustment Medical Coders for a high-volume seasonal project supporting Medicare risk adjustment initiatives. This role ...
Houston, TX · Remote
$18 - $22/hr
Exposure to Medicaid HCC Coding Insight Global is seeking experienced HCC Risk Adjustment Medical Coders for a high-volume seasonal project supporting Medicare risk adjustment initiatives. This role ...
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Houston, TX · Remote
$18 - $22/hr
Exposure to Medicaid HCC Coding Insight Global is seeking experienced HCC Risk Adjustment Medical Coders for a high-volume seasonal project supporting Medicare risk adjustment initiatives. This role ...
Houston, TX · On-site
$76K - $104K/yr
Master's degree preferred. ● Minimum of 7 years of experience in risk adjustment, clinical documentation improvement, or health plan coding operations. ● Minimum of 3 years in a people management ...
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Houston, TX · On-site
$76K - $104K/yr
Master's degree preferred. ● Minimum of 7 years of experience in risk adjustment, clinical documentation improvement, or health plan coding operations. ● Minimum of 3 years in a people management ...
Houston, TX · On-site
$76K - $104K/yr
Master's degree preferred. • Minimum of 7 years of experience in risk adjustment, clinical documentation improvement, or health plan coding operations. • Minimum of 3 years in a people management ...
Houston, TX · On-site
$76K - $104K/yr
Master's degree preferred. • Minimum of 7 years of experience in risk adjustment, clinical documentation improvement, or health plan coding operations. • Minimum of 3 years in a people management ...
Bachelor's Degree in health care management, nursing or related field or an Associate Degree with relevant experience in CDI, coding, coding management, or HCC Risk Adjustment required. * Minimum of ...
Bachelor's Degree in health care management, nursing or related field or an Associate Degree with relevant experience in CDI, coding, coding management, or HCC Risk Adjustment required. * Minimum of ...
Bachelor's Degree in health care management, nursing or related field or an Associate Degree with relevant experience in CDI, coding, coding management, or HCC Risk Adjustment required. * Minimum of ...
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Bachelor's Degree in health care management, nursing or related field or an Associate Degree with relevant experience in CDI, coding, coding management, or HCC Risk Adjustment required. * Minimum of ...
Bachelor's Degree in health care management, nursing or related field or an Associate Degree with relevant experience in CDI, coding, coding management, or HCC Risk Adjustment required. * Minimum of ...
Bachelor's Degree in health care management, nursing or related field or an Associate Degree with relevant experience in CDI, coding, coding management, or HCC Risk Adjustment required. * Minimum of ...
CRC - Cert Risk Adjustment Coder by the American Academy of Professional Coders (AAPC) * RHIA - Cert-Reg Health Inform. Admins by the American Health Information Management Association (AHIMA) * RHIT ...
CRC - Cert Risk Adjustment Coder by the American Academy of Professional Coders (AAPC) * RHIA - Cert-Reg Health Inform. Admins by the American Health Information Management Association (AHIMA) * RHIT ...
... risk adjustment, population health analytics, and practice operations-empowering primary care ... Required Credentials (One or More) • Certified Risk Adjustment Coder (CRC) - demonstrates ...
... risk adjustment, population health analytics, and practice operations-empowering primary care ... Required Credentials (One or More) • Certified Risk Adjustment Coder (CRC) - demonstrates ...
CRC - Cert Risk Adjustment Coder by the American Academy of Professional Coders (AAPC) * RHIA - Cert-Reg Health Inform. Admins by the American Health Information Management Association (AHIMA) * RHIT ...
CRC - Cert Risk Adjustment Coder by the American Academy of Professional Coders (AAPC) * RHIA - Cert-Reg Health Inform. Admins by the American Health Information Management Association (AHIMA) * RHIT ...
Position Overview Apex Health Solutions is seeking a high-caliber Practice Performance Manager (PPM ... Certified Risk Adjustment Coder (CRC) -- demonstrates expertise in HCC methodology and risk ...
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Position Overview Apex Health Solutions is seeking a high-caliber Practice Performance Manager (PPM ... Certified Risk Adjustment Coder (CRC) -- demonstrates expertise in HCC methodology and risk ...
Houston, TX · On-site
$56K - $76K/yr
... risk adjustment, population health analytics, and practice operations--empowering primary care ... Required Credentials (One or More) • Certified Risk Adjustment Coder (CRC) -- demonstrates ...
Houston, TX · On-site
$56K - $76K/yr
... risk adjustment, population health analytics, and practice operations--empowering primary care ... Required Credentials (One or More) • Certified Risk Adjustment Coder (CRC) -- demonstrates ...
Pearland, TX · On-site +1
$18 - $32/hr
... part of the Optum family of businesses. Work with one of the nation's leading health care ... CRC (Certified Risk Adjustment Coder) * ICD-10-CM Coding knowledge * Proven analytical. High ...
Pearland, TX · On-site +1
$18 - $32/hr
... part of the Optum family of businesses. Work with one of the nation's leading health care ... CRC (Certified Risk Adjustment Coder) * ICD-10-CM Coding knowledge * Proven analytical. High ...
Pearland, TX · On-site +1
$18 - $32/hr
... part of the Optum family of businesses. Work with one of the nation's leading health care ... CRC (Certified Risk Adjustment Coder) * ICD-10-CM Coding knowledge * Proven analytical. High ...
New
Pearland, TX · On-site +1
$18 - $32/hr
... part of the Optum family of businesses. Work with one of the nation's leading health care ... CRC (Certified Risk Adjustment Coder) * ICD-10-CM Coding knowledge * Proven analytical. High ...
New
Pearland, TX · On-site +1
$18 - $32/hr
... part of the Optum family of businesses. Work with one of the nation's leading health care ... CRC (Certified Risk Adjustment Coder) * ICD-10-CM Coding knowledge * Proven analytical. High ...
Pearland, TX · On-site +1
$18 - $32/hr
... part of the Optum family of businesses. Work with one of the nation's leading health care ... CRC (Certified Risk Adjustment Coder) * ICD-10-CM Coding knowledge * Proven analytical. High ...
Pearland, TX · On-site
$159K - $273K/yr
... healthcare economics, risk adjustment, affordability (cost of care), payor performance and ... Experience within Optum, UnitedHealthcare, or similar managed care environment * Systems experience ...
Pearland, TX · On-site
$159K - $273K/yr
... healthcare economics, risk adjustment, affordability (cost of care), payor performance and ... Experience within Optum, UnitedHealthcare, or similar managed care environment * Systems experience ...
Pearland, TX · On-site
$159K - $273K/yr
... healthcare economics, risk adjustment, affordability (cost of care), payor performance and ... Experience within Optum, UnitedHealthcare, or similar managed care environment * Systems experience ...
Pearland, TX · On-site
$159K - $273K/yr
... healthcare economics, risk adjustment, affordability (cost of care), payor performance and ... Experience within Optum, UnitedHealthcare, or similar managed care environment * Systems experience ...
| Aspect | Internship Optum Health Coding Risk Adjustment | Medical Coding Specialist |
|---|---|---|
| Certifications | Typically none or basic coding certifications | Certified Professional Coder (CPC) or equivalent often required |
| Work Environment | Internship setting, training-focused, healthcare company | Healthcare facilities, outpatient clinics, or insurance companies |
| Employer & Industry | Optum Health, healthcare and insurance industry | Hospitals, clinics, insurance providers |
| Search & Comparison Intent | Entry-level, training, risk adjustment coding | Professional coding, billing, compliance |
Internship Optum Health Coding Risk Adjustment roles are typically entry-level, training-focused positions within Optum Health, emphasizing risk adjustment coding with minimal certifications. Medical Coding Specialists are more experienced professionals with certifications like CPC, working in healthcare facilities or insurance companies. The internship provides foundational exposure, while the specialist role involves independent coding and billing tasks.
The most popular types of Optum Health Coding Risk Adjustment jobs in Houston, TX are:
For Internship Optum Health Coding Risk Adjustment jobs in Houston, TX, the most frequently searched job titles are:
The top searched job categories for Internship Optum Health Coding Risk Adjustment jobs in Houston, TX are:
Houston, TX • On-site
$25.30 - $35.74/hr
Other
Re-posted 14 days ago
Job Summary and Responsibilities
The Value Based Coder II is an experienced professional within the Quality Management/Risk team, responsible for independently reviewing patient medical records to identify, assess, monitor, and review coding opportunities, with a growing emphasis on Hierarchical Condition Categories (HCC). This role focuses on developing and delivering provider education and contributing to process improvement initiatives. The Value Based Coder II acts as a valuable resource in identifying clinically appropriate risk-adjusting conditions and supporting provider documentation improvement.
Comprehensive Record Review & HCC Expertise: Independently review patient medical record information via population health tools on both a retroactive and prospective basis to identify, assess, monitor, and review network coding opportunities as it pertains to risk adjustment and HCC. Validate the accuracy and completeness of HCC documentation and coding.
Advanced Documentation Improvement & Education: Analyze clinical documentation across the network to identify patterns, trends, and opportunities for improvement related to HCC capture. Develop and deliver effective education materials and tools to help network providers improve clinical documentation and support Hierarchical Condition Category coding capture. Provide targeted provider 1:1 education on documentation best practices, HCC guidelines, and risk adjustment principles.
Compliance & Regulatory Insight: Continuously monitor and interpret evolving HCC coding guidelines, CMS regulations, and compliance trends within the risk adjustment landscape, applying this knowledge to daily coding and education efforts. Champion a culture of compliance by advocating for best practices and providing robust provider support to ensure CommonSpirit adheres to all federal and coding guidelines pertaining to HCC and risk adjustment. Safeguard medical records and preserve the confidentiality of personal health information through adherence to all relevant policies (release of medical record information, record retention, HIPAA privacy and security).
Process Improvement & Collaboration: Actively participate in network performance improvement initiatives, offering insights and solutions based on coding expertise. Collaborate with providers and office staff to address documentation deficiencies and coding gaps.
Job Requirements
● 2+ years of experience in outpatient coding
● 2+ years focused on risk adjustment and HCC principles.
● Advanced knowledge of CPT and ICD-10 coding, with significant expertise in HCC codingguidelines and risk adjustment models.
● Strong understanding of federal and state guidelines on all coding systems and sponsored programs.
● Proficiency in developing and delivering educational content.
● Effective interpersonal, communication, and presentation skills (both verbal and written).
● Ability to manage multiple priorities and work independently.
● Computer literacy in medical information systems, records management software, and encoder software.
Preferred/Desired Experience
● 4+ years of experience in outpatient coding,
● 3+ years focused on risk adjustment and HCC principles
Where You'll Work
Baylor St. Luke’s Medical Center is an 881-bed quaternary care academic medical center that is a joint venture between Baylor College of Medicine and CHI St. Luke’s Health. Located in the Texas Medical Center, the hospital is the home of the Texas Heart® Institute, a cardiovascular research and education institution founded in 1962 by Denton A. Cooley, MD. The hospital was the first facility in Texas and the Southwest designated a Magnet® hospital for Nursing Excellence by the American Nurses Credentialing Center, receiving the award five consecutive times. Baylor St. Luke’s also has three community emergency centers offering adult and pediatric care for the Greater Houston area.
Pay Range
$25.30 - $35.74 /hour
We are an equal opportunity/affirmative action employer.
Sourced by ZipRecruiter
We believe all lives should be filled with health and well-being; that each person should have the knowledge and resources to make the best and healthiest choices for themselves and their families, with access to care and services that make acting on these choices easy. And you deserve personal attention from people who acknowledge and understand your frustrations and work to eliminate them. It means working together because that’s the way we all improve. Catholic Health Initiatives offers expertise, convenience, resources and best-in-class care from a foundation of togetherness. To serve communities better, we’ve grown into the third-largest nonprofit health system in the nation. And we’re not done yet. We currently offer care in 18 states through 101 hospitals and clinics, including three academic health centers and major teaching hospitals as well as 29 critical-access facilities, community health-service organizations, and nursing colleges. We connect agencies, communities and facilities with a goal of bringing everyone the care they need where they need it.
Hospitals
10,000+ Employees
Englewood, CO, US
1995
