OH · Remote
Familiarity with HCC coding, risk adjustment, STAR ratings, and HEDIS quality measures * Background ... healthcare team to deliver virtual, physician‑led care for medically complex Medicaid and Dual ...
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OH · Remote
Familiarity with HCC coding, risk adjustment, STAR ratings, and HEDIS quality measures * Background ... healthcare team to deliver virtual, physician‑led care for medically complex Medicaid and Dual ...
Risk Adjustment Compliance Manager Risk Adjustment Compliance Manager Location: This role requires ... Requires a BA/BS and minimum of 6 years health care, regulatory, ethics, compliance or privacy ...
Risk Adjustment Compliance Manager Risk Adjustment Compliance Manager Location: This role requires ... Requires a BA/BS and minimum of 6 years health care, regulatory, ethics, compliance or privacy ...
Minimum of two years of experience in risk adjustment, clinical documentation integrity, provider education, medical coding, clinical practice, nursing, or a related healthcare field. * Certified ...
Minimum of two years of experience in risk adjustment, clinical documentation integrity, provider education, medical coding, clinical practice, nursing, or a related healthcare field. * Certified ...
Columbus, OH · On-site
$18 - $24.25/hr
Company Description HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national ... with Risk Adjustment. Provide overall coding expertise as well as administrative and technical ...
Columbus, OH · On-site
$18 - $24.25/hr
Company Description HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national ... with Risk Adjustment. Provide overall coding expertise as well as administrative and technical ...
Dayton, OH · On-site
... health system. This role focuses on optimizing case mix index (CMI), risk adjustment, and clinical documentation excellence through collaboration with the CDI, Coding, and Quality teams. The ...
Dayton, OH · On-site
... health system. This role focuses on optimizing case mix index (CMI), risk adjustment, and clinical documentation excellence through collaboration with the CDI, Coding, and Quality teams. The ...
Dayton, OH · On-site
... health system. This role focuses on optimizing case mix index (CMI), risk adjustment, and clinical documentation excellence through collaboration with the CDI, Coding, and Quality teams. The ...
Dayton, OH · On-site
... health system. This role focuses on optimizing case mix index (CMI), risk adjustment, and clinical documentation excellence through collaboration with the CDI, Coding, and Quality teams. The ...
Dayton, OH · On-site
... health system. This role focuses on optimizing case mix index (CMI), risk adjustment, and clinical documentation excellence through collaboration with the CDI, Coding, and Quality teams. The ...
Dayton, OH · On-site
... health system. This role focuses on optimizing case mix index (CMI), risk adjustment, and clinical documentation excellence through collaboration with the CDI, Coding, and Quality teams. The ...
Experience with risk adjustment, HCC coding, and clinical documentation standards (DSP/MEAT ... health in the assigned market
Experience with risk adjustment, HCC coding, and clinical documentation standards (DSP/MEAT ... health in the assigned market
Dayton, OH · On-site
$137.76/hr
Your primary objective will be to assess the overall health and well-being of member beneficiaries to ensure accurate and comprehensive risk adjustment coding, leading to greater value-based care.
Dayton, OH · On-site
$137.76/hr
Your primary objective will be to assess the overall health and well-being of member beneficiaries to ensure accurate and comprehensive risk adjustment coding, leading to greater value-based care.
Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Cleveland, OH. This unique opportunity adapts to your ...
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Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Cleveland, OH. This unique opportunity adapts to your ...
Description Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Springfield, OH. This unique opportunity ...
Description Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Springfield, OH. This unique opportunity ...
Description Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Mansfield, OH. This unique opportunity ...
Description Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Mansfield, OH. This unique opportunity ...
Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Mansfield, OH. This unique opportunity adapts to your ...
Quick apply
Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Mansfield, OH. This unique opportunity adapts to your ...
Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Winchester, OH. This unique opportunity adapts to your ...
Quick apply
Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Winchester, OH. This unique opportunity adapts to your ...
Description Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Winchester, OH. This unique opportunity ...
Description Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Winchester, OH. This unique opportunity ...
Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Springfield, OH. This unique opportunity adapts to ...
Quick apply
Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Springfield, OH. This unique opportunity adapts to ...
Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Fairfield, OH. This unique opportunity adapts to your ...
Quick apply
Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Fairfield, OH. This unique opportunity adapts to your ...
Columbus, OH · On-site
$99K - $135K/yr
Conduct comprehensive member assessments including Health Risk Assessment (HRA), depression ... Experience with risk adjustment, HCC coding, and clinical documentation standards (DSP/MEAT ...
Columbus, OH · On-site
$99K - $135K/yr
Conduct comprehensive member assessments including Health Risk Assessment (HRA), depression ... Experience with risk adjustment, HCC coding, and clinical documentation standards (DSP/MEAT ...
Columbus, OH · Remote
$94K - $128K/yr
Experience with risk adjustment, HCC coding, and clinical documentation standards (DSP/MEAT ... health in the assigned market
Columbus, OH · Remote
$94K - $128K/yr
Experience with risk adjustment, HCC coding, and clinical documentation standards (DSP/MEAT ... health in the assigned market
Conduct comprehensive member assessments including Health Risk Assessment (HRA), depression ... Experience with risk adjustment, HCC coding, and clinical documentation standards (DSP/MEAT ...
Conduct comprehensive member assessments including Health Risk Assessment (HRA), depression ... Experience with risk adjustment, HCC coding, and clinical documentation standards (DSP/MEAT ...
$14.63 - $16.58
4% of jobs
$16.58 - $18.53
10% of jobs
$18.53 - $20.48
11% of jobs
$20.53 is the 25th percentile. Wages below this are outliers.
$20.48 - $22.44
22% of jobs
The median wage is $22.97 / hr.
$22.44 - $24.39
12% of jobs
$24.39 - $26.34
11% of jobs
$27.42 is the 75th percentile. Wages above this are outliers.
$26.34 - $28.30
11% of jobs
$28.30 - $30.25
10% of jobs
$30.25 - $32.20
5% of jobs
$32.20 - $34.16
3% of jobs
$34.16 - $36.11
2% of jobs
$14
$25
$36
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.
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.
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.
The most popular types of Optum Health Coding Risk Adjustment jobs in Ohio are:
For Optum Health Coding Risk Adjustment jobs in Ohio, the most frequently searched job titles are:
The top searched job categories for Optum Health Coding Risk Adjustment jobs in Ohio are:
OH • Remote
Full-time
Posted 18 days ago
Qualifications
RequiredJoin our client's innovative healthcare team to deliver virtual, physician‑led care for medically complex Medicaid and Dual Eligible patients across Delaware. This role offers flexibility, autonomy, and the opportunity to help launch a new market focused on proactive, home‑based care that improves patient outcomes and reduces avoidable hospitalizations.
Key Responsibilities
