... HCC) ratio goals and risk adjustment improvement initiatives. The auditor prepares customized ... Coding certification (such as CPC, CRC, or CCS) is preferred, or candidates must demonstrate a ...
... HCC) ratio goals and risk adjustment improvement initiatives. The auditor prepares customized ... Coding certification (such as CPC, CRC, or CCS) is preferred, or candidates must demonstrate a ...
Sr. Director, Risk Adjustment (0778)
Washington, DC · Remote
$146K - $183K/yr
Establish and maintain a comprehensive analytics infrastructure for HCC performance monitoring, coding completeness, and audit-readiness dashboards. * Partner with Finance to quantify risk adjustment ...
Quick apply
Sr. Director, Risk Adjustment (0778)
Washington, DC · Remote
$146K - $183K/yr
Establish and maintain a comprehensive analytics infrastructure for HCC performance monitoring, coding completeness, and audit-readiness dashboards. * Partner with Finance to quantify risk adjustment ...
Coding Auditor - University Health Network
Knoxville, TN · Remote
$23.50 - $26.75/hr
This role requires normal business hours Monday-Friday and is a remote position with occasional on ... Remains up to date with CMS and HHS HCC risk adjustment models * Ensures coding staff is current on ...
Coding Auditor - University Health Network
Knoxville, TN · Remote
$23.50 - $26.75/hr
This role requires normal business hours Monday-Friday and is a remote position with occasional on ... Remains up to date with CMS and HHS HCC risk adjustment models * Ensures coding staff is current on ...
Auditor, Risk Adjustment
Miami, FL · 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.
Quick apply
Auditor, Risk Adjustment
Miami, FL · 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.
Certified Risk Adjustment Coder (CRC) credential * Minimum of five years experience with diagnosis coding review as a certified coder * Demonstrated working knowledge of the revenue cycle process ...
New
Certified Risk Adjustment Coder (CRC) credential * Minimum of five years experience with diagnosis coding review as a certified coder * Demonstrated working knowledge of the revenue cycle process ...
New
Risk Adjustment, HCC or Inpatient coding experience required. Required Licenses, Certifications ... Work Environment Work primarily performed in office or remote environment. Travel may be required ...
Risk Adjustment, HCC or Inpatient coding experience required. Required Licenses, Certifications ... Work Environment Work primarily performed in office or remote environment. Travel may be required ...
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.
Quick apply
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.
Auditor, Risk Adjustment
Atlanta, GA · 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.
Quick apply
Auditor, Risk Adjustment
Atlanta, GA · 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.
Auditor, Risk Adjustment
Dallas, TX · 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.
Quick apply
Auditor, Risk Adjustment
Dallas, TX · 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.
Certified Risk Adjustment Coder (CRC) credential * Minimum of five years experience with diagnosis coding review as a certified coder * Demonstrated working knowledge of the revenue cycle process ...
New
Certified Risk Adjustment Coder (CRC) credential * Minimum of five years experience with diagnosis coding review as a certified coder * Demonstrated working knowledge of the revenue cycle process ...
New
What You Will Do The Risk Adjustment Reporting Specialist supports SCMG's Risk Adjustment program ... HCC suspect lists, coding close rates, chart retrieval/closure, and audit outcomes. Prepare and ...
What You Will Do The Risk Adjustment Reporting Specialist supports SCMG's Risk Adjustment program ... HCC suspect lists, coding close rates, chart retrieval/closure, and audit outcomes. Prepare and ...
What You Will Do The Risk Adjustment Reporting Specialist supports SCMG's Risk Adjustment program ... HCC suspect lists, coding close rates, chart retrieval/closure, and audit outcomes. Prepare and ...
What You Will Do The Risk Adjustment Reporting Specialist supports SCMG's Risk Adjustment program ... HCC suspect lists, coding close rates, chart retrieval/closure, and audit outcomes. Prepare and ...
Assists in Risk Adjustment related data audits (RAF, prevalence, clinical documentation improvement ... Technical School or courses that are required to become a certified coder. Specialized Skills: • ...
Assists in Risk Adjustment related data audits (RAF, prevalence, clinical documentation improvement ... Technical School or courses that are required to become a certified coder. Specialized Skills: • ...
Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS ... Certified Professional Coder (CPC), Certified Risk Coder (CRC), Certified Coding Specialist (CCS ...
Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS ... Certified Professional Coder (CPC), Certified Risk Coder (CRC), Certified Coding Specialist (CCS ...
Medical Coder - Remote
Menlo Park, CA · Remote
$30/hr
You enjoy working independently in a remote setting while staying connected to a collaborative ... Strong understanding of HCC / risk adjustment coding principles. * Excellent command of medical ...
Quick apply
Medical Coder - Remote
Menlo Park, CA · Remote
$30/hr
You enjoy working independently in a remote setting while staying connected to a collaborative ... Strong understanding of HCC / risk adjustment coding principles. * Excellent command of medical ...
Remote Ambulatory CDI Specialist HCC/Risk Adjustment
Brooklyn, NY · Remote
$36.75 - $49.50/hr
This remote position requires residency in KY or IN and involves evaluating documentation for coding accuracy and HCC coding. You will guide providers and staff on clinical documentation best ...
Remote Ambulatory CDI Specialist HCC/Risk Adjustment
Brooklyn, NY · Remote
$36.75 - $49.50/hr
This remote position requires residency in KY or IN and involves evaluating documentation for coding accuracy and HCC coding. You will guide providers and staff on clinical documentation best ...
Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS ... Certified Professional Coder (CPC), Certified Risk Coder (CRC), Certified Coding Specialist (CCS ...
Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS ... Certified Professional Coder (CPC), Certified Risk Coder (CRC), Certified Coding Specialist (CCS ...
Hierarchical Condition Category (HCC) Coding Specialist
New York, NY · Remote
$41.85/hr
Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS ... Certified Risk Coder (CRC) * Certified Coding Specialist (CCS) * Registered Health Information ...
Hierarchical Condition Category (HCC) Coding Specialist
New York, NY · Remote
$41.85/hr
Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS ... Certified Risk Coder (CRC) * Certified Coding Specialist (CCS) * Registered Health Information ...
Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS ... Certified Professional Coder (CPC), Certified Risk Coder (CRC), Certified Coding Specialist (CCS ...
Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS ... Certified Professional Coder (CPC), Certified Risk Coder (CRC), Certified Coding Specialist (CCS ...
Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS ... Certified Professional Coder (CPC), Certified Risk Coder (CRC), Certified Coding Specialist (CCS ...
Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS ... Certified Professional Coder (CPC), Certified Risk Coder (CRC), Certified Coding Specialist (CCS ...
Remote Hcc Risk Adjustment Coder information
See salary details
$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
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Full-time
Re-posted 6 days ago
University Of Nevada (Reno) rating
8.5
Based on 18 frontline employees who took The Breakroom Quiz
80th of 620 rated colleges and universities
Job description
POSITION SUMMARY/RESPONSIBILITIES
The Risk Adjustment Data Validation (RADV) Auditor is responsible for auditing medical records to validate ICD-10-CM coding accuracy and ensure compliance with Centers for Medicare and Medicaid (CMS) and RADV guidelines. This role focuses on performing detailed audits, analyzing data, and collaborating with providers and internal teams to support Hierarchical Condition Categories (HCC) ratio goals and risk adjustment improvement initiatives. The auditor prepares customized reports based on data analysis and provides actionable recommendations to enhance operational and clinical performance. Additionally, the position assists in managing data collection processes and develops procedures for monitoring, validating, and reconciling data for accuracy. Working closely with cross-functional teams, the auditor supports compliance, quality assurance, and risk mitigation strategies while contributing to the development of tools and processes to improve coding accuracy and audit efficiency.
EDUCATION/EXPERIENCE
Bachelor’s degree required. Coding certification (such as CPC, CRC, or CCS) is preferred, or candidates must demonstrate a willingness to obtain certification within 6–12 months of hire. Applicants should have 1–2 years of healthcare experience; prior coding experience is preferred. Strong analytical and problem-solving skills, coupled with attention to detail, are essential. Candidates must possess the ability to learn and apply ICD-10-CM coding principles, exhibit excellent communication and organizational skills. Proficiency in health information systems, electronic health records (EHRs), HEDIS, RADV, and claims data analysis is a plus.
LICENSURE/CERTIFICATION
Coding certification within 2 years of employment (e.g., Certified Professional Coder - CPC, Certified Risk Adjustment Coder-CRC)
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