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Remote Flexible Risk Adjustment Coder Jobs in Arizona

Oscar Health

Auditor, Risk Adjustment

Tempe, AZ · Remote

$82K - $108K/yr

Quality audits are specific to ICD-10 code abstraction relative to accuracy, completeness, and ... This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas.

ZION CARE LLC

Risk Manager

Show Low, AZ · Remote

$80K/yr

Flexible Scheduling * Competitive Compensation Job Summary We are seeking a Risk Manager to join ... High level of integrity and ethics This is a remote position.

Banner Health

Profee Coder GI Trauma Surgery

Phoenix, AZ · Remote

$17.75 - $20.25/hr

REMOTE, Banner provides equipment Schedule: Full time; Flexible scheduling after training completed Ideal Candidates: * Minimum 1 year recent experience in Gen Surg, Trauma, and/or GI coding (clearly ...

Phoenix Staff

Senior Data & AI Engineer

Phoenix, AZ · On-site +1

$50 - $60/hr

Phoenix, AZ (hybrid remote) Type: 6-month contract to hire Pay: $50-60/hr We're looking for a ... Experience with Epic or Cerner integrations, HEDIS or risk adjustment programs, MLOps tools such as ...

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Remote Flexible Risk Adjustment Coder information

What are the key skills and qualifications needed to thrive as a Remote Flexible Risk Adjustment Coder, and why are they important?

To thrive as a Remote Flexible Risk Adjustment Coder, you need a strong grasp of medical coding standards (ICD-10-CM), risk adjustment models, and a certification such as CPC, CRC, or CCS. Proficiency with coding software, EHR systems, and secure remote communication tools is typically required. Attention to detail, time management, and strong analytical and communication skills help ensure accuracy and effective remote collaboration. These skills are vital for precise coding, regulatory compliance, and supporting accurate healthcare reimbursements in a remote work environment.

What is the difference between Remote Flexible Risk Adjustment Coder vs Remote Risk Adjustment Coder?

AspectRemote Flexible Risk Adjustment CoderRemote Risk Adjustment Coder
CertificationsAHIMA or AAPC certifications, CPC or CCSSame certifications as flexible role
Work EnvironmentFlexible hours, remote workPrimarily remote, with some flexibility
Employer UsageHealth plans, insurance companies, healthcare providersSimilar employer types, often overlapping
Search IntentFlexible scheduling, remote work optionsGeneral risk adjustment coding roles

The Remote Flexible Risk Adjustment Coder offers more scheduling flexibility compared to the standard Remote Risk Adjustment Coder, while both roles require similar credentials and are used in comparable healthcare settings. The flexible role is ideal for those seeking adaptable hours within the same industry.

How does a Remote Flexible Risk Adjustment Coder typically collaborate with healthcare providers and other coding professionals?

As a Remote Flexible Risk Adjustment Coder, collaboration often occurs through secure digital platforms, regular virtual meetings, and shared documentation tools. You may work closely with healthcare providers to clarify medical records and ensure coding accuracy, as well as coordinate with other coders to maintain consistency and compliance. Strong communication skills and responsiveness are essential, as much of the interaction is asynchronous and relies on clear documentation. This teamwork helps ensure accurate risk adjustment coding, supporting healthcare organizations in meeting regulatory and reimbursement standards.

What is a Remote Flexible Risk Adjustment Coder?

A Remote Flexible Risk Adjustment Coder is a healthcare professional who reviews and assigns diagnostic codes to patient records from a remote location, often with flexible hours. Their main role is to ensure that medical diagnoses are accurately captured for risk adjustment purposes, which helps healthcare organizations receive appropriate reimbursement from insurers. They typically analyze electronic health records, identify relevant conditions, and code them based on established guidelines. This job requires knowledge of medical terminology, coding systems like ICD-10, and a strong attention to detail. Working remotely allows for a flexible schedule, making it a popular option for experienced coders.
What are popular job titles related to Remote Flexible Risk Adjustment Coder jobs in Arizona? For Remote Flexible Risk Adjustment Coder jobs in Arizona, the most frequently searched job titles are:
What job categories do people searching Remote Flexible Risk Adjustment Coder jobs in Arizona look for? The top searched job categories for Remote Flexible Risk Adjustment Coder jobs in Arizona are:
What cities in Arizona are hiring for Remote Flexible Risk Adjustment Coder jobs? Cities in Arizona with the most Remote Flexible Risk Adjustment Coder job openings:
Remote Flexible Risk Adjustment Coder jobs near you
Certified Coder (Risk Adjustment Experience Required) - REMOTE

Certified Coder (Risk Adjustment Experience Required) - REMOTE

Molina Healthcare

Tucson, AZ • Remote

$19.84 - $38.69/hr

Full-time

Posted 10 days ago

Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 192 frontline employees who took The Breakroom Quiz

143rd of 277 rated insurance

Job description

JOB DESCRIPTION Job SummaryProvides support for medical coding activities, including ensuring that ICD-10 and CPT codes are reported accurately to maintain compliance, and minimize risk and denials. Contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
• Performs on-going member medical chart reviews. Abstracts and reports ICD-10 and CPT diagnosis codes accurately and in compliance with established coding and billing principles - minimizing risk and denials.
• Demonstrates understanding of current provider office billing practices - ensuring that diagnosis and CPT codes are submitted accurately.
• Documents results/findings from chart reviews and provides feedback to leadership, providers and office staff.
• Provides training and education to provider network regarding risk adjustment and coding updates related to risk adjustment.
• Builds positive relationships between providers and the business by providing coding assistance as needed.
• Facilitates administrative duties such as planning, chart reviews scheduling, medical records procurement, provider training and education.
• Assists in coordination of management activities with other departments including finance, revenue analytics, claims, encounters and enterprise/plan medical directors.
• Maintains professional and technical knowledge by attending educational workshops, reviewing professional publications, establishing personal networks and participating in professional societies related to medical coding in the managed care industry.
Required Qualifications• At least 2 years medical coding experience, or equivalent combination of relevant education and experience.
• Certified Professional Coder (CPC).
• Certified Coding Specialist (CCS).
• Latest Centers for Medicare and Medicaid Services (CMS) and American Hospital Association (AHA) clinic coding knowledge.
• Ability to maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA).
• Ability to effectively interface with staff, clinicians, and management.
• Excellent verbal and written communication skills.
• Ability to establish and maintain positive and effective work relationships with coworkers, members, providers and all other customers.
• Strong verbal and written communication skills.
• Microsoft Office suite/applicable software program(s) proficiency.
Preferred Qualifications
• Certified Risk Adjustment Coder (CRC).
• Certified Professional Payer – Payer (CPC-P).
• Certified Coding Specialist – Physician Based (CCS-P).
• Familiar with HCC (Hierarchical Condition Categories) Risk Adjustment Model.
• Background in supporting risk adjustment management activities and clinical informatics.
• Experience with risk adjustment data validation.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $19.84 - $38.69 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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About Molina Healthcare

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Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

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