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Internship Remote Risk Adjustment Coder Jobs in California

Humana

Medical Coder

Vacaville, CA · On-site +1

$21.25 - $28.25/hr

Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...

Humana

Medical Coder

Vacaville, CA · On-site +1

$21.25 - $28.25/hr

Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...

Humana

Medical Coder

Vacaville, CA · On-site +1

$21.25 - $28.25/hr

Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...

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All JobsRisk Adjustment Coder JobsInternship Remote Risk Adjustment Coder JobsInternship Remote Risk Adjustment Coder Jobs in California

Internship Remote Risk Adjustment Coder information

What are some typical challenges faced by remote risk adjustment coding interns, and how can they effectively overcome them?

Remote risk adjustment coding interns often face challenges such as limited direct supervision, adapting to coding software, and maintaining accuracy while working independently. To overcome these, it's important to proactively seek feedback from mentors, participate in virtual team meetings, and utilize available training resources. Keeping organized notes and establishing a consistent work routine also help interns manage their workload and ensure coding quality. Engaging with the team through regular check-ins fosters a sense of connection and support, which is vital for professional development in a remote environment.

What is the difference between Internship Remote Risk Adjustment Coder vs Remote Risk Adjustment Coder?

AspectInternship Remote Risk Adjustment CoderRemote Risk Adjustment Coder
CredentialsTypically in training, may have basic coding certificationsUsually certified, such as CPC or CCS
Work EnvironmentRemote, internship setting, supervised learningRemote, full-time professional role
Employer UsageTraining programs, entry-level positionsEstablished companies, healthcare organizations
Search IntentLearning, entry-level opportunitiesProfessional coding, risk adjustment tasks

The Internship Remote Risk Adjustment Coder is an entry-level, supervised role designed for training and gaining experience in risk adjustment coding. In contrast, the Remote Risk Adjustment Coder is a full-fledged professional responsible for accurate coding and risk adjustment tasks independently. The internship offers a stepping stone into the industry, while the full role requires certification and experience.

What is an Internship Remote Risk Adjustment Coder?

An Internship Remote Risk Adjustment Coder is a trainee position where individuals learn to review and code medical records from a remote location to support risk adjustment programs. These coders assign diagnosis codes to patient records to ensure accurate documentation for health plans, which impacts reimbursement and compliance. Interns typically gain hands-on experience with coding guidelines, electronic health records, and industry software while working under the supervision of experienced coders. The remote aspect allows flexibility and access to positions regardless of geographic location.

What are the key skills and qualifications needed to thrive as an Internship Remote Risk Adjustment Coder, and why are they important?

To thrive as an Internship Remote Risk Adjustment Coder, you need a solid understanding of medical coding, anatomy, and healthcare documentation, usually supported by coursework in medical coding or a related certification such as CPC or CRC. Familiarity with coding software, electronic health records (EHRs), and risk adjustment systems is commonly required. Attention to detail, strong analytical skills, and effective communication are essential soft skills for interpreting complex records and collaborating remotely. These competencies ensure accurate coding, regulatory compliance, and effective risk adjustment processes critical to healthcare reimbursement.
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Internship Remote Risk Adjustment Coder jobs near you
HEALTH CODER - HCC & RISK ADJUSTMENT

HEALTH CODER - HCC & RISK ADJUSTMENT

NORTH EAST MEDICAL SERVICES

Burlingame, CA • Remote

$42.79 - $48.75/hr

Other

Posted yesterday

Job description

The Healthcare Coder plays a critical role in supporting accurate and compliant coding for NEMS MSO operations with a focus on Medicare Risk Adjustment (RA) programs. This position ensures accurate capture of Hierarchical Condition Category (HCC) coding and improves risk adjustment scores by conducting chart audits, providing provider education, and supporting clinical documentation improvement (CDI) initiatives. The Healthcare Coder will collaborate closely with providers, clinical staff, and leadership to improve coding accuracy and compliance, directly impacting the organization’s quality outcomes and financial performance.

ESSENTIAL JOB FUNCTIONS:

  • HCC Coding and Risk Adjustment (RA) Program Support
    • Perform comprehensive review of patient charts to identify and validate diagnosis codes in alignment with HCC and risk adjustment guidelines.
    • Ensure all coding adheres to CMS and ICD-10 guidelines, focusing on accuracy, completeness, and compliance.
    • Conduct prospective and retrospective chart audits to assess risk adjustment coding accuracy.
  • Provider Training and Clinical Documentation Improvement (CDI)
  • Develop and deliver provider education sessions and materials on best practices for clinical documentation and HCC/RA coding.
  • Provide one-on-one and group training to providers and clinical staff to improve documentation quality and accuracy.
  • Serve as a resource and subject matter expert on HCC, risk adjustment, and related coding standards.
  • Data Analysis and Reporting
    • Analyze coding data to identify trends, documentation gaps, and opportunities for improvement.
    • Generate reports and dashboards to track coding performance and documentation accuracy.
    • Collaborate with the Quality and Analytics teams to optimize risk adjustment processes.
  • Compliance and Continuous Improvement
    • Stay up to date with changes in coding, risk adjustment, and Medicare regulations.
    • Assist in the development and implementation of internal coding policies and procedures.
    • Participate in quality improvement initiatives related to coding and documentation.
    • Performs other job duties as required by manager/supervisor
  • Education & Certification:
    • BS/BA Degree in Health Science or General Education is required. 
    • Certified Professional Coder (CPC), Certified Risk Adjustment Coder (CRC), or equivalent coding certification is required.
    • Additional CDI or auditing certifications (CCDS, CDEO, CPMA) are preferred.
  • Experience:
    • Minimum of 3 years of experience in medical coding with a focus on HCC, risk adjustment, and Medicare Advantage programs.
    • Experience in provider education, clinical documentation improvement (CDI), and chart audits.
    • Previous experience working in an IPA, managed care organization, or similar setting is strongly preferred.
  • Skills & Competencies:
    • Excellent communication, presentation, and interpersonal skills.
    • Strong understanding of CMS guidelines for Medicare Advantage and risk adjustment program.
    • Exceptional knowledge of ICD-10-CM coding and HCC risk adjustment coding methodologies.
    • Proficiency in electronic health records (EHR) and coding software.
    • Strong analytical and problem-solving skills.

LANGUAGE:

  • Must be able to fluently speak, read and write English.
  • Fluency in other languages is an asset.

STATUS:

  • This is an FLSA Non-exempt position.
  • This is not an OSHA high-risk position.
  • This a full-time position. 

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