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Remote Flexible Risk Adjustment Coder Jobs in Illinois

Bannerhealth

Physician Practice Coder Oncology

Banner, IL · Remote

$18 - $24/hr

REMOTE, Banner provides equipment Schedule: Full time; Training 8am-5pm AZ time. Flexible scheduling after training completed. Ideal Candidate: * Minimum 6 months recent experience in E/M coding ...

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All JobsRisk Adjustment Coder JobsRemote Flexible Risk Adjustment Coder JobsRemote Flexible Risk Adjustment Coder Jobs in Illinois

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 Illinois? For Remote Flexible Risk Adjustment Coder jobs in Illinois, the most frequently searched job titles are:
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Remote Flexible Risk Adjustment Coder jobs near you

Director, Coding

Zing Health Holdings, Inc.

Chicago, IL • Remote

Full-time

Posted 3 days ago

Job description

COMPANY OVERVIEW

Zing Health is a tech-enabled insurance company making Medicare Advantage the best it can be for those 65-and-over. Zing Health has a community-based approach that recognizes the importance of the social determinants of health in keeping individuals and communities healthy. Zing Health aims to return the physician and the member to the center of the health care equation. Members receive individualized assistance to make their transition to Zing Health as easy as possible. Zing Health offers members the ability to personalize their plans, access to facilities designed to help them better meet their healthcare needs and a dedicated care team. For more information on Zing Health, visit www.myzinghealth.com.

SUMMARY DESCRIPTION:

As the Director of Coding, you will maintain responsibility for accurate coding and abstracting of clinical information from the medical record. You will also set coding guidelines and maintain highest coding data quality and integrity. You will work to set up a coding team as the team expands to support prospective and retrospective chart reviews. You will continuously track and train the staff to ensure accuracy and completion of coding. You will work with contracted provider groups to provide training and guidance for coding. Experience working with Medicare Health plans is a must.

ESSENTIAL FUNCTIONS: 

  • Ensure coding practices and health plan coding guidelines meet national coding and compliance guidelines
  • Hire and train new coding staff members in the team
  • Provides necessary education for coding staff including ICD10, CPT2 and other necessary standards
  • Continuously monitor and audit team's work on coding accuracy and completion metrics.
  • Build training and audit framework to support provider organizations managing our members
  • Work closely with full risk provider organizations to ensure highest quality charts and adherence to plan's coding guidelines
  • Work closely with vendors providing chart extraction or health assessment capabilities to ensure highest quality adherence to coding guidelines
  • Help other departments with coding reviews, questions and clarifications.


QUALIFICATIONS AND REQUIREMENTS:

JOB REQUIREMENTS:

Required Qualifications

  • Thorough knowledge of ICD-10-CM and CPT coding principles and rules
  • Must be Certified Coder (AAPC or AHIMA)
  • Experience with encoders and computerized abstracting systems
  • Capacity to work independently
  • Effective written and verbal communication skills
  • Minimum 15+ years of coding experience
  • Knowledge and experience of Medicare Risk Adjustment guidelines

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