Stuart, FL · On-site
$38 - $49/hr
... Medicare Skilled home health physical therapy Skilled in: • Gait training and balance rehabilitation • Fall risk assessment and prevention • Functional mobility and discharge planning • Post ...
Stuart, FL · On-site
$38 - $49/hr
... Medicare Skilled home health physical therapy Skilled in: • Gait training and balance rehabilitation • Fall risk assessment and prevention • Functional mobility and discharge planning • Post ...
Stuart, FL · On-site
$39.75 - $51.25/hr
... Medicare Skilled home health physical therapy Skilled in: • Gait training and balance rehabilitation • Fall risk assessment and prevention • Functional mobility and discharge planning • Post ...
Stuart, FL · On-site
$39.75 - $51.25/hr
... Medicare Skilled home health physical therapy Skilled in: • Gait training and balance rehabilitation • Fall risk assessment and prevention • Functional mobility and discharge planning • Post ...
Stuart, FL · On-site
$38 - $49/hr
... Medicare Skilled home health physical therapy Skilled in: • Gait training and balance rehabilitation • Fall risk assessment and prevention • Functional mobility and discharge planning • Post ...
Stuart, FL · On-site
$38 - $49/hr
... Medicare Skilled home health physical therapy Skilled in: • Gait training and balance rehabilitation • Fall risk assessment and prevention • Functional mobility and discharge planning • Post ...
Miami, FL · On-site
... Medicare Advantage, and commercial health plan obligations. Audit Oversight - Health Plans ... Conduct enterprise risk assessments and maintain the organization's risk register. * Identify ...
Quick apply
Miami, FL · On-site
... Medicare Advantage, and commercial health plan obligations. Audit Oversight - Health Plans ... Conduct enterprise risk assessments and maintain the organization's risk register. * Identify ...
Miami, FL · On-site
$120K/yr
... Medicare Advantage, and commercial health plan obligations. Audit Oversight - Health Plans ... Conduct enterprise risk assessments and maintain the organization's risk register. * Identify ...
Miami, FL · On-site
$120K/yr
... Medicare Advantage, and commercial health plan obligations. Audit Oversight - Health Plans ... Conduct enterprise risk assessments and maintain the organization's risk register. * Identify ...
Lead internal audits and risk assessments to identify potential areas of compliance, vulnerability ... Deep understanding of regulatory frameworks including CMS, HIPAA, and state Medicaid/Medicare ...
Lead internal audits and risk assessments to identify potential areas of compliance, vulnerability ... Deep understanding of regulatory frameworks including CMS, HIPAA, and state Medicaid/Medicare ...
... rules, Medicare, Medicaid, HIPAA, and other applicable regulations. * Assists in Incident Management and CAPA process. * Assists Compliance Manager in conducting enterprise-wide Risk Assessment.
... rules, Medicare, Medicaid, HIPAA, and other applicable regulations. * Assists in Incident Management and CAPA process. * Assists Compliance Manager in conducting enterprise-wide Risk Assessment.
Maitland, FL · On-site +1
... rules, Medicare, Medicaid, HIPAA, and other applicable regulations. * Assists in Incident Management and CAPA process. * Assists Compliance Manager in conducting enterprise-wide Risk Assessment.
Maitland, FL · On-site +1
... rules, Medicare, Medicaid, HIPAA, and other applicable regulations. * Assists in Incident Management and CAPA process. * Assists Compliance Manager in conducting enterprise-wide Risk Assessment.
$28.25 - $36.25/hr
MDS Coordinator administers patient assessments and overseas the assessment process, setting the ... Start Medicare coverage for newly qualified patients and remain updated on changes in Medicare ...
Quick apply
$28.25 - $36.25/hr
MDS Coordinator administers patient assessments and overseas the assessment process, setting the ... Start Medicare coverage for newly qualified patients and remain updated on changes in Medicare ...
$29.75 - $38/hr
MDS Coordinator administers patient assessments and overseas the assessment process, setting the ... Start Medicare coverage for newly qualified patients and remain updated on changes in Medicare ...
Quick apply
$29.75 - $38/hr
MDS Coordinator administers patient assessments and overseas the assessment process, setting the ... Start Medicare coverage for newly qualified patients and remain updated on changes in Medicare ...
S. seniors are polychronic, significantly increasing their risk of serious foot issues like ... Schedule in-home health assessments for seniors with Belle's trained technicians. * Overcome ...
S. seniors are polychronic, significantly increasing their risk of serious foot issues like ... Schedule in-home health assessments for seniors with Belle's trained technicians. * Overcome ...
Saint Cloud, FL · On-site
$90K - $100K/yr
... assessments are accurate, timely, clinically supported, and compliant with Medicare, Medicaid ... Conduct scheduled and focused audits based on facility risk, survey findings, denials, quality ...
Saint Cloud, FL · On-site
$90K - $100K/yr
... assessments are accurate, timely, clinically supported, and compliant with Medicare, Medicaid ... Conduct scheduled and focused audits based on facility risk, survey findings, denials, quality ...
S. seniors are polychronic, significantly increasing their risk of serious foot issues like ... Schedule in-home health assessments for seniors with Belle's trained technicians. * Overcome ...
S. seniors are polychronic, significantly increasing their risk of serious foot issues like ... Schedule in-home health assessments for seniors with Belle's trained technicians. * Overcome ...
S. seniors are polychronic, significantly increasing their risk of serious foot issues like ... Schedule in-home health assessments for seniors with Belle's trained technicians. * Overcome ...
S. seniors are polychronic, significantly increasing their risk of serious foot issues like ... Schedule in-home health assessments for seniors with Belle's trained technicians. * Overcome ...
... Medicare Secondary Payor (MSP) Compliance offerings to help us exceed our ambitious sales and ... assess and price risk with speed and precision Claims Solutions -- supports end-to-end claims ...
... Medicare Secondary Payor (MSP) Compliance offerings to help us exceed our ambitious sales and ... assess and price risk with speed and precision Claims Solutions -- supports end-to-end claims ...
... Medicare Secondary Payor (MSP) Compliance offerings to help us exceed our ambitious sales and ... assess and price risk with speed and precision Claims Solutions - supports end-to-end claims ...
New
... Medicare Secondary Payor (MSP) Compliance offerings to help us exceed our ambitious sales and ... assess and price risk with speed and precision Claims Solutions - supports end-to-end claims ...
New
$70K - $82K/yr
MDS Coordinator/Director LPN or R.N administers patient assessments and oversees the assessment ... Start Medicare coverage for newly qualified patients or send out denial letters and remain updated ...
Quick apply
$70K - $82K/yr
MDS Coordinator/Director LPN or R.N administers patient assessments and oversees the assessment ... Start Medicare coverage for newly qualified patients or send out denial letters and remain updated ...
$33.87 - $57.68/hr
Conducts in depth health risk assessment and/or comprehensive needs assessment which include, but ... Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid ...
$33.87 - $57.68/hr
Conducts in depth health risk assessment and/or comprehensive needs assessment which include, but ... Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid ...
North Palm Beach, FL · On-site
Support model governance, documentation, audit readiness, and AI risk assessment activities ... Centers for Medicare & Medicaid Services (CMS), or other federal healthcare environments.
New
North Palm Beach, FL · On-site
Support model governance, documentation, audit readiness, and AI risk assessment activities ... Centers for Medicare & Medicaid Services (CMS), or other federal healthcare environments.
New
Jacksonville, FL · On-site
$119K - $158K/yr
Lead the execution of the Medicare Part D Stars strategy in alignment with organizational goals and ... and risk assessments. * Monitor measure trends and identify emerging risks or improvement ...
New
Jacksonville, FL · On-site
$119K - $158K/yr
Lead the execution of the Medicare Part D Stars strategy in alignment with organizational goals and ... and risk assessments. * Monitor measure trends and identify emerging risks or improvement ...
New
$17.26 is the 25th percentile. Wages below this are outliers.
$14.91 - $18.14
34% of jobs
The median wage is $20.16 / hr.
$18.14 - $21.38
25% of jobs
$21.38 - $24.61
0% of jobs
$24.61 - $27.84
0% of jobs
$27.84 - $31.08
6% of jobs
$31.08 - $34.31
2% of jobs
$34.31 - $37.54
5% of jobs
$38.62 is the 75th percentile. Wages above this are outliers.
$37.54 - $40.78
6% of jobs
$40.78 - $44.01
8% of jobs
$44.01 - $47.24
10% of jobs
$47.24 - $50.48
2% of jobs
$14
$28
$50
A Medicare Risk Assessment job involves evaluating patients' health conditions to determine risk scores that impact Medicare Advantage plan reimbursements. Professionals in this role collect and analyze medical data, review patient histories, and ensure accurate coding of diagnoses. Their work helps healthcare providers and insurers understand patient risks and deliver appropriate care. Strong knowledge of ICD-10 coding, healthcare regulations, and medical terminology is essential for this role.
One common challenge in Medicare Risk Assessment is staying up to date with frequently changing Medicare regulations and coding requirements, which directly affect risk scoring and patient documentation. Handling large volumes of patient data while ensuring accuracy and compliance can also be demanding, as errors may impact reimbursement and care outcomes. Collaboration with clinicians, billing teams, and administrators is often necessary to clarify complex cases and ensure complete, compliant documentation. Successfully navigating these challenges requires ongoing learning, keen attention to detail, and effective communication skills.
To thrive in a Medicare Risk Assessment role, you need a strong understanding of healthcare regulations, Medicare guidelines, data analysis, and clinical assessment—often supported by a background in nursing, healthcare administration, or a related field. Proficiency with health risk assessment tools, electronic health records (EHRs), and data management systems is important, and certification such as Certified Risk Adjustment Coder (CRC) can be beneficial. Attention to detail, analytical thinking, and effective communication stand out as key soft skills in this position. These skills are crucial for accurately evaluating patient risk, ensuring compliance, and supporting optimal Medicare plan outcomes.
$38 - $49/hr
Other
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 19 days ago
Sourced by ZipRecruiter
Health care and social assistance
201 - 500 Employees
Boynton Beach, FL, US
2008
