Coder 1-Risk Adjustment
Redlands, CA · On-site
Expertise in CMS Risk Adjustment Data Validation (RADV) for Medicare Advantage Plans, and medical coding, including but not limited to E/M, ICD-10, CPT, and HCC coding preferred. Able to keyboard 40 ...
Redlands, CA · On-site
Expertise in CMS Risk Adjustment Data Validation (RADV) for Medicare Advantage Plans, and medical coding, including but not limited to E/M, ICD-10, CPT, and HCC coding preferred. Able to keyboard 40 ...
Redlands, CA · On-site
Expertise in CMS Risk Adjustment Data Validation (RADV) for Medicare Advantage Plans, and medical coding, including but not limited to E/M, ICD-10, CPT, and HCC coding preferred. Able to keyboard 40 ...
Pompano Beach, FL · On-site
$50K - $54K/yr
Porter is hiring a Risk Adjustment Coder to join our Team! Porter combines the power of analytics with the power of care. Porter is a leading healthcare IT and services platform for care and coverage ...
Pompano Beach, FL · On-site
$50K - $54K/yr
Porter is hiring a Risk Adjustment Coder to join our Team! Porter combines the power of analytics with the power of care. Porter is a leading healthcare IT and services platform for care and coverage ...
San Antonio, TX · On-site
$19.50 - $26/hr
This role focuses on the Risk Adjustment process that supports the documentation of acuity ... It assists with medical record reviews for HCC diagnoses, correct usage of various coding ...
San Antonio, TX · On-site
$19.50 - $26/hr
This role focuses on the Risk Adjustment process that supports the documentation of acuity ... It assists with medical record reviews for HCC diagnoses, correct usage of various coding ...
San Antonio, TX · On-site
$19.50 - $26/hr
This role focuses on the Risk Adjustment process that supports the documentation of acuity ... It assists with medical record reviews for HCC diagnoses, correct usage of various coding ...
San Antonio, TX · On-site
$19.50 - $26/hr
This role focuses on the Risk Adjustment process that supports the documentation of acuity ... It assists with medical record reviews for HCC diagnoses, correct usage of various coding ...
$90K - $100K/yr
The HCC Trainer oversees opportunities of assessing risk adjustment needs among the assigned ... Experience in chronic condition diagnostic coding, clinical lab results and pharmacy interactions.
$90K - $100K/yr
The HCC Trainer oversees opportunities of assessing risk adjustment needs among the assigned ... Experience in chronic condition diagnostic coding, clinical lab results and pharmacy interactions.
Sacramento, CA · On-site
$28 - $34/hr
Job Summary: The Risk Adjustment Factor (RAF) Specialist supports Vivant's risk adjustment ... Review and analyze clinical documentation and diagnosis coding to ensure compliance with CMS-HCC ...
Sacramento, CA · On-site
$28 - $34/hr
Job Summary: The Risk Adjustment Factor (RAF) Specialist supports Vivant's risk adjustment ... Review and analyze clinical documentation and diagnosis coding to ensure compliance with CMS-HCC ...
Expertise in CMS Risk Adjustment Data Validation (RADV) for Medicare Advantage Plans, and medical coding, including but not limited to E/M, ICD-10, CPT, and HCC coding preferred. Able to keyboard 40 ...
Expertise in CMS Risk Adjustment Data Validation (RADV) for Medicare Advantage Plans, and medical coding, including but not limited to E/M, ICD-10, CPT, and HCC coding preferred. Able to keyboard 40 ...
Monterey Park, CA · On-site +1
$70K - $85K/yr
Additionally, you'll track and report on key performance metrics-such as HCC recapture rates, AWVs ... Supports coder training and orientation as requested by manager. * May assist or lead projects and ...
Monterey Park, CA · On-site +1
$70K - $85K/yr
Additionally, you'll track and report on key performance metrics-such as HCC recapture rates, AWVs ... Supports coder training and orientation as requested by manager. * May assist or lead projects and ...
Houston, TX · On-site
$70K - $85K/yr
Additionally, you'll track and report on key performance metrics-such as HCC recapture rates, AWVs ... Supports coder training and orientation as requested by manager. * May assist or lead projects and ...
Houston, TX · On-site
$70K - $85K/yr
Additionally, you'll track and report on key performance metrics-such as HCC recapture rates, AWVs ... Supports coder training and orientation as requested by manager. * May assist or lead projects and ...
San Bernardino, CA · On-site
$90K - $100K/yr
The HCC Trainer oversees opportunities of assessing risk adjustment needs among the assigned ... Experience in chronic condition diagnostic coding, clinical lab results and pharmacy interactions.
San Bernardino, CA · On-site
$90K - $100K/yr
The HCC Trainer oversees opportunities of assessing risk adjustment needs among the assigned ... Experience in chronic condition diagnostic coding, clinical lab results and pharmacy interactions.
$13.75 - $18.50/hr
The Role We are seeking a proactive and compassionate HCC Coder to join our Primary Care team ... This role is critical to ensuring accurate risk adjustment, complete documentation, and compliance ...
$13.75 - $18.50/hr
The Role We are seeking a proactive and compassionate HCC Coder to join our Primary Care team ... This role is critical to ensuring accurate risk adjustment, complete documentation, and compliance ...
Monterey Park, CA · Remote
$70K - $85K/yr
Additionally, you'll track and report on key performance metrics-such as HCC recapture rates, AWVs ... Supports coder training and orientation as requested by manager. * May assist or lead projects and ...
Monterey Park, CA · Remote
$70K - $85K/yr
Additionally, you'll track and report on key performance metrics-such as HCC recapture rates, AWVs ... Supports coder training and orientation as requested by manager. * May assist or lead projects and ...
San Bernardino, CA · On-site
$30 - $34/hr
Knowledge of CMS Risk Adjustment methodology, HCC documentation requirements, and RAF score principles. * Understanding of Medicare Advantage Risk Adjustment, coding compliance, and documentation ...
San Bernardino, CA · On-site
$30 - $34/hr
Knowledge of CMS Risk Adjustment methodology, HCC documentation requirements, and RAF score principles. * Understanding of Medicare Advantage Risk Adjustment, coding compliance, and documentation ...
... Coder preferred • Experience with Hierarchical Coding Category (HCC) Risk Adjustment Model preferred • HCC diagnosis coding and clinical record(s) review process preferred • Strong knowledge of ...
... Coder preferred • Experience with Hierarchical Coding Category (HCC) Risk Adjustment Model preferred • HCC diagnosis coding and clinical record(s) review process preferred • Strong knowledge of ...
San Bernardino, CA · On-site +1
$30 - $34/hr
Knowledge of CMS Risk Adjustment methodology, HCC documentation requirements, and RAF score principles. * Understanding of Medicare Advantage Risk Adjustment, coding compliance, and documentation ...
San Bernardino, CA · On-site +1
$30 - $34/hr
Knowledge of CMS Risk Adjustment methodology, HCC documentation requirements, and RAF score principles. * Understanding of Medicare Advantage Risk Adjustment, coding compliance, and documentation ...
San Bernardino, CA · On-site
$30 - $34/hr
Knowledge of CMS Risk Adjustment methodology, HCC documentation requirements, and RAF score principles. * Understanding of Medicare Advantage Risk Adjustment, coding compliance, and documentation ...
San Bernardino, CA · On-site
$30 - $34/hr
Knowledge of CMS Risk Adjustment methodology, HCC documentation requirements, and RAF score principles. * Understanding of Medicare Advantage Risk Adjustment, coding compliance, and documentation ...
Houston, TX · Remote
$70K - $85K/yr
Additionally, you'll track and report on key performance metrics--such as HCC recapture rates, AWVs ... Supports coder training and orientation as requested by manager. * May assist or lead projects and ...
Quick apply
Houston, TX · Remote
$70K - $85K/yr
Additionally, you'll track and report on key performance metrics--such as HCC recapture rates, AWVs ... Supports coder training and orientation as requested by manager. * May assist or lead projects and ...
Oakland, CA · On-site
$111K - $167K/yr
Assign ICD-10-CM codes, including Hierarchical Condition Categories (HCC), based on thorough review ... For most teams, this means coming into the office two days per week. * Employees living more than ...
Oakland, CA · On-site
$111K - $167K/yr
Assign ICD-10-CM codes, including Hierarchical Condition Categories (HCC), based on thorough review ... For most teams, this means coming into the office two days per week. * Employees living more than ...
... Coder preferred • Experience with Hierarchical Coding Category (HCC) Risk Adjustment Model preferred • HCC diagnosis coding and clinical record(s) review process preferred • Strong knowledge of ...
... Coder preferred • Experience with Hierarchical Coding Category (HCC) Risk Adjustment Model preferred • HCC diagnosis coding and clinical record(s) review process preferred • Strong knowledge of ...
Houston, TX · Remote
$70K - $85K/yr
Additionally, you'll track and report on key performance metrics-such as HCC recapture rates, AWVs ... Supports coder training and orientation as requested by manager. * May assist or lead projects and ...
Houston, TX · Remote
$70K - $85K/yr
Additionally, you'll track and report on key performance metrics-such as HCC recapture rates, AWVs ... Supports coder training and orientation as requested by manager. * May assist or lead projects and ...
$15.87 - $17.55
6% of jobs
$18.74 is the 25th percentile. Wages below this are outliers.
$17.55 - $19.23
26% of jobs
The median wage is $20.19 / hr.
$19.23 - $20.91
31% of jobs
$20.91 - $22.60
7% of jobs
$23.31 is the 75th percentile. Wages above this are outliers.
$22.60 - $24.28
11% of jobs
$24.28 - $25.96
6% of jobs
$25.96 - $27.64
5% of jobs
$27.64 - $29.33
3% of jobs
$29.33 - $31.01
2% of jobs
$31.01 - $32.69
1% of jobs
$32.69 - $34.38
1% of jobs
$15
$22
$34
8.1
Based on 86 frontline employees who took The Breakroom Quiz
108th of 995 rated hospitals
Please Note: This is a hybrid position; however, applicants must reside in California and live within a 2-hour radius of Redlands, CA to be considered.
Department: UHC: Managed Care
Job Summary: The Coder 1 Risk Adjustment is responsible for concurrent, prospective, and retrospective clinical documentation review as it pertains to Risk Adjustment Data Validation (RADV) timelines, with an emphasis on completeness and accuracy of provider documentation related to severity of illness and supporting clinical care plan(s) for the validation of Hierarchical Condition Category (HCC) diagnoses. Initiates communication, verbal and written, with providers to facilitate clarification of need for greater specificity, clinical support, and/or completeness of the progress notes. Provides compliant education related to documentation integrity, completeness, and consistency. Keeps providers up to date on CMS, ICD-10-CM, AHA Coding, health plan etc. guidelines as it pertains to Risk Adjustment for the purpose of, documentation trends and opportunities for improvement related to documentation integrity. Performs other duties as needed.
Education and Experience: Bachelor's degree in Health Information Management or other clinical/healthcare degree preferred; however, an equivalent combination of education and experience that provides proficiency in the areas of responsibility, may be substituted for the stated education and experience requirements.2+ years overall combined clinical/medical experience with at least 1+ year of Risk Adjustment coding specific experience or Clinical Documentation Improvement/Specialist equivalent.
Knowledge and Skills: Comprehensive understanding of the contents of a typical electronic medical record, medical terminology, abbreviations, ICD-10-CM coding conventions. Expertise in CMS Risk Adjustment Data Validation (RADV) for Medicare Advantage Plans, and medical coding, including but not limited to E/M, ICD-10, CPT, and HCC coding preferred. Able to keyboard 40 wpm. Able to read; write legibly; speak in English with professional quality; use computer, printer and software programs necessary to the position; operate/troubleshoot basic office equipment require for the position. Able to relate and communicate positively, effectively, and professionally with others; be assertive and consistent in following or enforcing policies; work calmly and respond courteously when under pressure; collaborate; and accept direction. Able to communicate effectively in English in person, in writing, and on the telephone; think critically; work independently with minimal supervision; performs basic math functions; manage multiple assignments effectively; work well under pressure; problem solve; organize and prioritize workload; recall information with accuracy; pay close attention to detail. Able to distinguish colors as necessary; hear sufficiently for general conversation in person and on the telephone; identify and distinguish various sounds associated with the workplace; see adequately to read computer screens, medical records, and written documents necessary to position.
Licensures and Certifications: Certified Risk Adjustment Coder (CRC) required; Certified Clinical Documentation Specialist (CCDS) preferred. An equivalent combination of Risk Adjustment Coding work experience and other relevant American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA) certification may be substituted for the stated certification requirements.
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Loma Linda University Health (LLUH) is an esteemed healthcare organization situated in Loma Linda, California, US. Established in 1905, it was initially known as the College of Medical Evangelists, and it operated as the official medical institution of the Seventh-day Adventist Church until the name was changed to LLUH in 1961. LLUH is very much active in the healthcare and education sectors, providing a vast range of services such as medical treatment, research, and health education. The organization’s core mission is "to continue the teaching and healing ministry of Jesus Christ", which underlines its binding values of compassion, integrity, excellence, freedom, and justice.
Health care and social assistance and hospitality services
10,000+ Employees
Loma Linda, CA, US