Company Description Why You Should Work For Us: HealthCare Support Staffing, Inc. (HSS), is a ... CMS risk adjustment purposes. Codes, abstracts and analyzes inpatient and/or outpatient medical ...
Company Description Why You Should Work For Us: HealthCare Support Staffing, Inc. (HSS), is a ... CMS risk adjustment purposes. Codes, abstracts and analyzes inpatient and/or outpatient medical ...
Consulting Actuary - ACA Risk Adjustment
Jacksonville, FL · On-site
$143K - $229K/yr
Manage external partnerships with vendors, auditors, regulators, and health care providers ... Strong understanding of diagnosis coding (ICD-10-CM) , provider documentation practices, and their ...
Consulting Actuary - ACA Risk Adjustment
Jacksonville, FL · On-site
$143K - $229K/yr
Manage external partnerships with vendors, auditors, regulators, and health care providers ... Strong understanding of diagnosis coding (ICD-10-CM) , provider documentation practices, and their ...
Senior Practice Support Specialist
Tampa, FL · On-site
... to make healthcare better for everyone. At Optum, you'll have the clinical resources, data and ... Provide education and baseline support for risk adjustment documentation before coder SME ...
Senior Practice Support Specialist
Tampa, FL · On-site
... to make healthcare better for everyone. At Optum, you'll have the clinical resources, data and ... Provide education and baseline support for risk adjustment documentation before coder SME ...
HCC Risk Coder
Leesburg, FL · On-site
$16.75 - $22.25/hr
... Health Plans. • Help coordinate training sessions for Physicians and staff on relevant coding ... An active CRC (certified risk adjustment coder) or CPC (certified professional coder) preferred. 2. ...
HCC Risk Coder
Leesburg, FL · On-site
$16.75 - $22.25/hr
... Health Plans. • Help coordinate training sessions for Physicians and staff on relevant coding ... An active CRC (certified risk adjustment coder) or CPC (certified professional coder) preferred. 2. ...
Director of MRA Coding and Clinical Documentation
Orlando, FL · On-site
$90K - $120K/yr
... centered healthcare. Our dedicated team of providers and professionals strives to treat every ... As the Director of Medical Risk Adjustment (MRA) and Clinical Documentation , you will play a key ...
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Director of MRA Coding and Clinical Documentation
Orlando, FL · On-site
$90K - $120K/yr
... centered healthcare. Our dedicated team of providers and professionals strives to treat every ... As the Director of Medical Risk Adjustment (MRA) and Clinical Documentation , you will play a key ...
HCC Coder
$13.75 - $18.50/hr
Minimum 2+ years of HCC/Risk Adjustment coding experience (required) * Strong knowledge of CMS risk ... Health coverage + Sick-N-Well membership * Health Savings Account (HSA) * Life insurance * Paid ...
HCC Coder
$13.75 - $18.50/hr
Minimum 2+ years of HCC/Risk Adjustment coding experience (required) * Strong knowledge of CMS risk ... Health coverage + Sick-N-Well membership * Health Savings Account (HSA) * Life insurance * Paid ...
HCC Coder
$13.75 - $18.50/hr
Minimum 2+ years of HCC/Risk Adjustment coding experience (required) * Strong knowledge of CMS risk ... Health coverage + Sick-N-Well membership * Health Savings Account (HSA) * Life insurance * Paid ...
HCC Coder
$13.75 - $18.50/hr
Minimum 2+ years of HCC/Risk Adjustment coding experience (required) * Strong knowledge of CMS risk ... Health coverage + Sick-N-Well membership * Health Savings Account (HSA) * Life insurance * Paid ...
HCC Coder
$13.75 - $18.50/hr
Minimum 2+ years of HCC/Risk Adjustment coding experience (required) * Strong knowledge of CMS risk ... Health coverage + Sick-N-Well membership * Health Savings Account (HSA) * Life insurance * Paid ...
HCC Coder
$13.75 - $18.50/hr
Minimum 2+ years of HCC/Risk Adjustment coding experience (required) * Strong knowledge of CMS risk ... Health coverage + Sick-N-Well membership * Health Savings Account (HSA) * Life insurance * Paid ...
Job Summary Provides senior level support for implementation of health plan provider engagement strategies and activities to drive necessary quality and risk adjustment outcomes Uses a consultative ...
Job Summary Provides senior level support for implementation of health plan provider engagement strategies and activities to drive necessary quality and risk adjustment outcomes Uses a consultative ...
HCC Coder (Lecanto)
$13.75 - $18.50/hr
Minimum 2+ years of HCC/Risk Adjustment coding experience (required) * Strong knowledge of CMS risk ... Health coverage + Sick-N-Well membership * Health Savings Account (HSA) * Life insurance * Paid ...
HCC Coder (Lecanto)
$13.75 - $18.50/hr
Minimum 2+ years of HCC/Risk Adjustment coding experience (required) * Strong knowledge of CMS risk ... Health coverage + Sick-N-Well membership * Health Savings Account (HSA) * Life insurance * Paid ...
Job Summary Provides senior level support for implementation of health plan provider engagement strategies and activities to drive necessary quality and risk adjustment outcomes Uses a consultative ...
Job Summary Provides senior level support for implementation of health plan provider engagement strategies and activities to drive necessary quality and risk adjustment outcomes Uses a consultative ...
Job Summary Provides senior level support for implementation of health plan provider engagement strategies and activities to drive necessary quality and risk adjustment outcomes Uses a consultative ...
Job Summary Provides senior level support for implementation of health plan provider engagement strategies and activities to drive necessary quality and risk adjustment outcomes Uses a consultative ...
Job Summary Provides senior level support for implementation of health plan provider engagement strategies and activities to drive necessary quality and risk adjustment outcomes Uses a consultative ...
Job Summary Provides senior level support for implementation of health plan provider engagement strategies and activities to drive necessary quality and risk adjustment outcomes Uses a consultative ...
Job Summary Provides senior level support for implementation of health plan provider engagement strategies and activities to drive necessary quality and risk adjustment outcomes Uses a consultative ...
Job Summary Provides senior level support for implementation of health plan provider engagement strategies and activities to drive necessary quality and risk adjustment outcomes Uses a consultative ...
Summary The Medical Coder ensures accurate coding and billing capture for primary care, specialty ... Risk Adjustment experience; quality improvement experience preferred. * Healthcare and insurance ...
Summary The Medical Coder ensures accurate coding and billing capture for primary care, specialty ... Risk Adjustment experience; quality improvement experience preferred. * Healthcare and insurance ...
HCC Coder
Lecanto, FL · On-site
$13.75 - $18.50/hr
Minimum 2+ years of HCC/Risk Adjustment coding experience (required) * Strong knowledge of CMS risk ... Health coverage + Sick-N-Well membership * Health Savings Account (HSA) * Life insurance * Paid ...
HCC Coder
Lecanto, FL · On-site
$13.75 - $18.50/hr
Minimum 2+ years of HCC/Risk Adjustment coding experience (required) * Strong knowledge of CMS risk ... Health coverage + Sick-N-Well membership * Health Savings Account (HSA) * Life insurance * Paid ...
Clinical Documentation Improvement Specialist
Tampa, FL · On-site +1
$60K - $75K/yr
Certified Risk Adjustment Coder (CRC) certification, Risk Adjustment Coding (RAC) or related risk certification required Minimum of 2 years of experience in healthcare coding, with a focus on ...
Clinical Documentation Improvement Specialist
Tampa, FL · On-site +1
$60K - $75K/yr
Certified Risk Adjustment Coder (CRC) certification, Risk Adjustment Coding (RAC) or related risk certification required Minimum of 2 years of experience in healthcare coding, with a focus on ...
Coding Specialist II
Fort Myers, FL · On-site
Summary The Medical Coder ensures accurate coding and billing capture for primary care, specialty ... Risk Adjustment experience; quality improvement experience preferred. * Healthcare and insurance ...
Coding Specialist II
Fort Myers, FL · On-site
Summary The Medical Coder ensures accurate coding and billing capture for primary care, specialty ... Risk Adjustment experience; quality improvement experience preferred. * Healthcare and insurance ...
BA/BS in Health Care or Business preferred. * Experience with the most current CMS Risk Adjustment Model strongly preferred * AAPC Certified Risk Adjustment Coder (CRC) is preferred. Job Level:
BA/BS in Health Care or Business preferred. * Experience with the most current CMS Risk Adjustment Model strongly preferred * AAPC Certified Risk Adjustment Coder (CRC) is preferred. Job Level:
... to make healthcare better for everyone. At Optum, you'll have the clinical resources, data and ... Provide education and baseline support for risk adjustment documentation before coder SME ...
... to make healthcare better for everyone. At Optum, you'll have the clinical resources, data and ... Provide education and baseline support for risk adjustment documentation before coder SME ...
Optum Health Coding Risk Adjustment information
What are the typical daily responsibilities of an Optum Health Coding Risk Adjustment specialist?
On a daily basis, Optum Health Coding Risk Adjustment specialists review medical records to identify and accurately code diagnoses, ensuring completeness and compliance with risk adjustment requirements. They collaborate closely with clinical teams and other coders to clarify documentation and resolve discrepancies. The role often involves conducting chart audits, submitting coding queries, and staying updated on the latest coding guidelines and regulatory changes. Attention to deadlines and maintaining data quality are key parts of the job, making it both detail-oriented and highly collaborative.
What is an Optum Health Coding Risk Adjustment job?
An Optum Health Coding Risk Adjustment job involves reviewing medical records to assign appropriate diagnosis codes that impact risk adjustment programs. These coders ensure accurate documentation of chronic conditions to support healthcare reimbursement models. They work with providers to improve coding accuracy and compliance with regulatory guidelines. Strong knowledge of ICD-10-CM coding, risk adjustment models, and healthcare regulations is essential.
What are the key skills and qualifications needed to thrive in the Optum Health Coding Risk Adjustment position, and why are they important?
To thrive as an Optum Health Coding Risk Adjustment professional, you need a strong understanding of ICD-10-CM coding, risk adjustment methodologies, and medical terminology, often supported by certifications like CPC, CRC, or CCS-P. Familiarity with electronic medical record (EMR) systems, coding software, and compliance tools is essential. Attention to detail, analytical thinking, and effective communication are valuable soft skills in this role. These competencies ensure accurate coding, regulatory compliance, and optimal risk adjustment, directly impacting healthcare quality and reimbursement.
Contractor
Medical, Dental, Vision, Retirement, PTO
Posted 20 days ago
Job description
Why You Should Work For Us:
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Codes, abstracts and analyzes inpatient and/or outpatient medical records using International Classification of Diseases, Ninth Revision (ICD-9) for CMS risk adjustment purposes.
Codes, abstracts and analyzes inpatient and/or outpatient medical records using International Classification of Diseases, Ninth Revision (ICD-9). Always coding to the highest level of specificity
Follows the Official ICD-9 guidelines for Coding and Reporting and has a complete understanding of these guidelines
Follows CMS risk adjustment guidelines and has a complete understanding of these guidelines
Understands the impact of ICD-9 codes on the CMS HCC risk adjustment model
Ability to meet productivity and accuracy standards
Ability to defend coding decisions to both internal and external audits
A High School or GED Required
2+ years of experience in professional coding experience either in a hospital or physician setting
Knowledge of medical terminology and/or experience with CPT and ICD-9 coding
Ability to work independently
Other Working knowledge of CMS risk adjustment model Intermediate
Hours for this Position:
Monday-Friday 8:00am am-5:00pmÂ
Advantages of this Opportunity:Â
Competitive salaryÂ
Excellent Medical benefits Offered, Medical, Dental, Vision, 401k, and PTOÂ
Growth potentialÂ
Fun and positive work environment
About Healthcare Support
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HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
Industry
Recruiting and staffing services
Company size
201 - 500 Employees
Headquarters location
Maitland, FL, US
Year founded
2003