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Remote Hcc Risk Adjustment Coding Jobs in Colorado

DaVita, Inc.

Nurse Practitioner Educator

Denver, CO · On-site +1

Fully remote with the ability to travel as needed to present in-person training (travel is 2-4 ... Experience in ICD-10 coding and documentation requirements and risk adjustment. * Knowledge of ...

DaVita, Inc.

Nurse Practitioner Educator

Denver, CO · On-site +1

Fully remote with the ability to travel as needed to present in-person training (travel is 2-4 ... Experience in ICD-10 coding and documentation requirements and risk adjustment. * Knowledge of ...

Ennoble Care

Actuary - Value-Based Care

Denver, CO · Remote

$150/hr

Ennoble Care offers a variety of programs including, remote patient monitoring, behavioral health ... Thorough understanding of and hands-on experience with Medicare risk adjustment and CMS-HCC models

USAA

Tax Analyst Senior

Colorado Springs, CO · On-site +1

$93K - $179K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... adjustments, and completing required forms and schedules. * Leads high-risk tax audit issues in ...

USAA

Tax Analyst Senior

Colorado Springs, CO · On-site +1

$93K - $179K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... adjustments, and completing required forms and schedules. * Leads high-risk tax audit issues in ...

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Remote Hcc Risk Adjustment Coding information

What is the difference between Remote Hcc Risk Adjustment Coding vs Remote Hcc Risk Adjustment Coding?

AspectRemote Hcc Risk Adjustment Coding

Since the comparison is with itself, the roles are identical. Both involve coding for HCC risk adjustment, require similar credentials like coding certifications, and are performed remotely within healthcare insurance environments. The primary difference lies in specific employer requirements or specialization, but generally, these roles are the same in scope and industry usage.

What are some common challenges faced by remote HCC Risk Adjustment Coders, and how can they be addressed?

Remote HCC Risk Adjustment Coders often encounter challenges such as interpreting complex medical records without direct access to providers for clarification, staying updated on frequent coding guideline changes, and managing productivity expectations in a home-based environment. To address these, coders benefit from strong communication skills to clarify documentation through digital channels, participating in ongoing education and training, and utilizing coding software or company-provided resources efficiently. Employers typically support coders with regular team meetings, access to compliance specialists, and robust knowledge-sharing platforms to help overcome these hurdles.

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

To thrive as a Remote HCC Risk Adjustment Coder, you need in-depth knowledge of ICD-10-CM coding guidelines, HCC risk adjustment models, and a coding certification such as CPC, CRC, or CCS. Familiarity with electronic health record (EHR) systems, coding software, and secure remote work platforms is essential. Attention to detail, analytical thinking, and strong organizational skills help coders ensure accuracy and compliance. These skills are vital for precise diagnosis coding, optimizing risk scores, and supporting reimbursement and quality initiatives in healthcare organizations.

What is remote HCC risk adjustment coding?

Remote HCC risk adjustment coding involves reviewing patient medical records from a remote location to identify and assign Hierarchical Condition Category (HCC) codes. These codes help determine the risk score of patients, which affects healthcare reimbursements for organizations. HCC coders must have a strong understanding of medical terminology, coding guidelines, and compliance regulations. They typically work from home, using secure software to ensure patient data privacy and accuracy in coding.
What are the most commonly searched types of Hcc Risk Adjustment Coding jobs in Colorado? The most popular types of Hcc Risk Adjustment Coding jobs in Colorado are:
What are popular job titles related to Remote Hcc Risk Adjustment Coding jobs in Colorado? For Remote Hcc Risk Adjustment Coding jobs in Colorado, the most frequently searched job titles are:
What job categories do people searching Remote Hcc Risk Adjustment Coding jobs in Colorado look for? The top searched job categories for Remote Hcc Risk Adjustment Coding jobs in Colorado are:
What cities in Colorado are hiring for Remote Hcc Risk Adjustment Coding jobs? Cities in Colorado with the most Remote Hcc Risk Adjustment Coding job openings:
Remote Hcc Risk Adjustment Coding jobs near you
Nurse Practitioner Educator

Nurse Practitioner Educator

DaVita, Inc.

Denver, CO • On-site, Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 6 days ago

DaVita rating

6.9

Company rating: 6.9 out of 10

Based on 1,159 frontline employees who took The Breakroom Quiz

449th of 885 rated healthcare providers

Job description

Posting Date
07/10/2026
2000 16th St, Denver, Colorado, 80202-5117, United States of America
We are in need of a detail-oriented, clinically trained Advanced Practice Provider (APP) that can provide expertise, education, coaching, and guidance on clinical practice and documentation to improve our clinical outcomes and increase the quality of provider documentation for diagnosis evaluation and quality metrics. This individual will serve as a role model and facilitator within the clinical documentation integrity team and support the leadership team with the execution of the department's strategic goals. They are self-directed and possess advanced analytical skills, critical thinking, creativity, and the ability to anticipate and identify opportunities and potential problems.
Key Responsibilities:
  • Performs clinical chart reviews to ensure documentation accuracy by applying established clinical criteria for diagnosing medical conditions.
  • Applies their clinical knowledge to evaluate how provider documentation, lab results, diagnostic information, and treatment plans translate into coded data.
  • Analyzes and interprets clinical data to identify gaps, inconsistencies, and/or opportunities for improvement in the clinical documentation and queries the provider using a concurrent query process following ACDIS/AHIMA Guidelines for Compliant Query Writing.
  • Communicate with providers and other healthcare team members to clarify information or provide additional documentation when needed.
  • Work directly with clinicians to improve the overall quality and completeness of documentation through the query process and/or provider education (correct disease processes and disease severity, complexity, and acuity with an eye towards accurate medical coding).
  • Collaborates with team members as part of the clinical review process to promote high accuracy and consistency of results.
  • Meets accuracy and productivity metrics to ensure the team achieves established departmental goals.
  • Communicates with DaVita leaders to address documentation issues and trends.
  • Actively participates in all department meetings as scheduled.
  • Conduct individual and large group educational sessions for clinicians and medical coders (or other staff as applicable).
  • Partner with data analytics, coding, compliance and education departments for onboarding, ongoing and targeted education for all IKC APPs and IKC partner providers on documentation requirements for Medicare risk adjustment.
  • Flexible and able to adapt to change based on departmental needs.
  • Excellent analytical and critical thinking skills.
  • Excellent verbal/written communication and interpersonal skills.
  • Ability to work independently and as part of a team in a fast-paced environment.
  • Fully remote with the ability to travel as needed to present in-person training (travel is 2-4 times per year).

Preferred Qualifications:
  • Master's degree with a current active clinical license (APRN or PA) (required)
  • Current Nurse Practitioner (NP) or Physician Assistant (PA) licensure without restriction in state of residence (required)
  • CCDS-O or CDIP (required or must be obtained within six months of hire)
  • CRC (required or must be obtained within one year of hire)
  • 5+ years of clinical experience as a Nurse Practitioner (adult-geriatric or family) or Physician Assistant (preferred)
  • 3+ years of clinical documentation improvement experience, coding experience, or equivalent (required)
  • 1+ year of experience working with advanced practice providers as well as other clinical and non-clinical staff (required)
  • Solid clinical background in evidence-based medicine, including chronic disease management and prevention.
  • Experience in ICD-10 coding and documentation requirements and risk adjustment.
  • Knowledge of compliant query writing/process.
  • Ability to perform a comprehensive chart review of 20-30 medical records daily, with workload variations based on daily tasks.
  • Technical experience using EMR systems.
  • Proficiency in MS applications (Excel, Outlook, Teams, PowerPoint, Word)
  • Ability to travel for on-site meetings 2-4 times per year.
  • Motivated self-starter and creative problem-solver who is comfortable working in a fast-paced, dynamic environment.
  • Candidate will reside or work Mountain Standard Time (MST) or Pacific Standard Time (PST) (preferred), IF EST or CST needs to be open to 1-2 days a week on MST/PST.

A Shining Star for our Clinical Documentation Integrity (CDI) APP will have:
  • Expert-level knowledge of Medicare risk adjustment, documentation, and coding requirements.
  • 2+ years experience of experience providing risk adjustment education or management.
  • 4+ years experience developing educational content for clinical professionals, including NPs, PAs, RNs, and/or physicians, pharmacists, etc.
  • Master's degree in Business, Education, Instructional design, Nursing or related fields.
  • Doctoral degree may include but is not limited to: Doctor of Nursing Practice (DNP); Doctoral Degree in Nursing; Doctorate of Education (Ed.D) or other education Preferred
  • Comfortable presenting via Teams or in-person
  • Possess strong technical skills, including Excel, Word, PowerPoint and Outlook.
  • Coding certification from AAPC or AHIMA professional coding association or additional coursework/experience in coding and Risk Adjustment. These include but are not limited to:
  • CPC, CRC, CCDS-O or CDIP.
  • Expert experience working with Medicare Advantage programs and CMS Risk Adjustment model.
  • Previous work experience in clinical documentation review or a clinical quality program.
  • Experience developing and delivering clinical education and training.

What We'll Provide:
More than just pay, our DaVita Rewards package connects teammates to what matters most. Teammates are eligible to begin receiving benefits on the first day of the month following or coinciding with one month of continuous employment. Below are some of our benefit offerings.
  • Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out
  • Support for you and your family: Family resources, EAP counseling sessions, access Headspace®, backup child and elder care, maternity/paternity leave and more
  • Professional development programs: DaVita offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through DaVita's online training platform StarLearning.

#LI-CM5
At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic.
This position will be open for a minimum of three days.
The Salary Range for the role is $98,000.00 - $155,000.00 per year.
If a candidate is hired, they will be paid at least the minimum wage according to their geographical jurisdiction and the exemption status for the position.
New York Exempt: New York City and Long Island: $66,300.00/year, Nassau, Suffolk, and Westchester counties: $66,300.00/year, Remainder of New York state: $62,353.20/year New York Non-exempt: New York City and Long Island: $17.00/hour, Nassau, Suffolk, and Westchester counties: $17.00/hour, Remainder of New York state: $16.00/hour
Washington Exempt: $80,168.40/year Washington Non-exempt: Bellingham: $19.13/hour, Burien: $21.71/hour, Everette: $20.77/hour, Unincorporated King County: $20.82/hour, Renton: $21.57/hour, Seattle: $21.30/hour, Tukwila: $21.65/hour, Remainder of Washington state: $17.13/hour
For location-specific minimum wage details, see the following link: DaVita.jobs/WageRates
Compensation for the role will depend on a number of factors, including a candidate's qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.davita.com/benefits
Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.

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About DaVita

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DaVita is a healthcare company that provides compassionate, quality healthcare. The company’s mission is to be the Provider, Partner, and Employer of Choice. DaVita serves more than 200,000 dialysis patients in 10 countries outside the U.S. and has over 55,000 teammates in the U.S. Since 2011, DaVita teammates have donated $11 million to local nonprofits and have volunteered over 180,000 hours since 2006. DaVita has been on Fortune’s list of the world’s most admired companies for 15 years in a row.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Denver, CO, US

Year founded

1994

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