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Part Time Remote Risk Adjustment Coder Jobs in Washington

This is a part-time, remote position with flexible scheduling, ideal for experienced professionals ... Key Responsibilities Ensure adherence to CMS RADV payment and risk adjustment policies. Provide ...

We are looking for a Risk Adjustment Analyst to join our team to train AI models. You will measure ... Benefits Full-time or part-time remote position Choose which projects you want to work on Flexible ...

Remote Certified Medical Coder (VA)

Lanham, MD · Remote

$22.50 - $30.75/hr

VECRA Inc in Maryland is seeking Certified Medical Coders (Full-Time & Part-Time) to provide expert coding services for the Department of Veterans Affairs (VA). This remote role requires proficiency ...

For each coding problem, you must be able to explain how your solution solves the problem. Benefits This is a full-time or part-time REMOTE position You'll be able to choose which projects you want ...

For each coding problem, you must be able to explain how your solution solves the problem.BenefitsThis is a full-time or part-time REMOTE positionYou'll be able to choose which projects you want to ...

Maintain payroll-related liability accounts Journal Entries & Adjustments * Prepare and post ... Hourly rate commensurate with experience * Part-time, remote position Ideal Candidate This role is ...

Frontend Engineer

Alexandria, VA · Remote

$40 - $75/hr

... of remote work and setting your own schedule. We are looking for a proficient Coder (part-time work from home) to help advance AI development. As a member of DataAnnotation's coding team, you'll be ...

Full Stack Engineer

Washington, DC · Remote

$40 - $75/hr

... of remote work and setting your own schedule. We are looking for a proficient Coder (part-time work from home) to help advance AI development. As a member of DataAnnotation's coding team, you'll be ...

... of remote work and setting your own schedule. We are looking for a proficient Coder (part-time work from home) to help advance AI development. As a member of DataAnnotation's coding team, you'll be ...

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Part Time Remote Risk Adjustment Coder information

What is the difference between Part Time Remote Risk Adjustment Coder vs Part Time Remote Medical Coder?

AspectPart Time Remote Risk Adjustment CoderPart Time Remote Medical Coder
CertificationsAHIMA or AAPC Risk Adjustment certificationsCPR, CPC, or CCS certifications
Work EnvironmentRemote, healthcare insurance companiesRemote, hospitals, clinics, or healthcare facilities
Industry UsageHealth insurance, Medicare Advantage, MedicaidHospitals, clinics, outpatient facilities
Job FocusRisk adjustment data, coding for reimbursement accuracyMedical diagnoses, procedures, billing, and coding

The main difference is that Part Time Remote Risk Adjustment Coders focus on coding for health insurance risk adjustment programs, requiring specific certifications and working primarily in insurance settings. In contrast, Part Time Remote Medical Coders handle a broader range of medical coding tasks in clinical environments. Both roles are remote and require coding certifications, but their industry focus and job responsibilities differ significantly.

What are the most commonly searched types of Remote Risk Adjustment Coder jobs in Washington? The most popular types of Remote Risk Adjustment Coder jobs in Washington are:
What are popular job titles related to Part Time Remote Risk Adjustment Coder jobs in Washington? For Part Time Remote Risk Adjustment Coder jobs in Washington, the most frequently searched job titles are:
What job categories do people searching Part Time Remote Risk Adjustment Coder jobs in Washington look for? The top searched job categories for Part Time Remote Risk Adjustment Coder jobs in Washington are:
What cities in Washington are hiring for Part Time Remote Risk Adjustment Coder jobs? Cities in Washington with the most Part Time Remote Risk Adjustment Coder job openings:
Coding Compliance Specialist

Coding Compliance Specialist

J29, Inc.

Millersville, MD • Remote

Part-time

Posted 19 days ago


Job description

Candidate must have direct experience working on the Centers for Medicare & Medicaid Services Risk Adjustment Data Validation (CMS RADV) contract. Day time availability is required due to meetings. Position Summary TheCoding ComplianceSpecialist is responsible for overseeing and evaluating assigned Risk Adjustment Data Validation (RADV) medical record review (MRR) work performed under the contract.

This role ensures compliance with CMS RADV guidelines, coding standards, and risk adjustment policies while maintaining the highest quality and accuracy in medical record documentation. This is a part-time, remote position with flexible scheduling, ideal for experienced professionals seeking autonomy and work-life balance. Key Responsibilities Ensure adherence to CMS RADV payment and risk adjustment policies.

Provide expert guidance on coding and documentation standards, including ICD-CM, HCC, and Risk Adjustment. Review escalated Medicare RADV medical record cases and resolve complex issues. Maintain quality assurance and compliance across all RADV review activities.

Collaborate with stakeholders to improve processes and ensure contractual obligations are met. Conduct medical record, coding, and policy research. Develop and deliver training programs related to RADV and coding compliance.

Perform medical record reviews involving PHI/PII, identify conflicting documentation, and provide coding clarifications. Experience Requirements Prior experience working directly on the CMS RADV contract is required Minimum 5 years of supervisory experience in medical record review, preferably RADV. Proven expertise in reviewing escalated Medicare RADV medical record cases.

In-depth knowledge of RADV Medical Record Review (MRR) processes, ICD-CM coding standards, CMS RADV payment and risk adjustment policies, and documentation guidelines. Education & Certification Medical Coding Certification from an accredited entity (e.g., AAPC, AHIMA). RHIT, RHIA, CCS, CPC, CRC Advanced knowledge of coding systems and compliance regulations.

Strong analytical and problem-solving skills. Excellent communication and leadership abilities. Detail-oriented with a commitment to accuracy and compliance.

Ability to manage multiple priorities and meet deadlines. #J-18808-Ljbffr


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About J29

Sourced by ZipRecruiter

Industry

Business management consulting

Company size

1 - 10 Employees

Headquarters location

Millersville, MD, US

Year founded

2017