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Remote Hcc Risk Adjustment Coding Jobs in Colorado

Technology Services Senior Engineer

Denver, CO · On-site +1

$107.60K - $147.70K/yr

Technology Services Senior Engineer | USA | Pax8 | Remote As a senior member of Pax8's internal ... Leverage tools such as low-code/no-code platforms, custom scripts, and AI-enabled workflows to ...

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Composes technical documents for knowledge persistence, risk management, and technical review ...

Apply Job Type Part-time Description About TrackVia TrackVia is a low-code application platform ... Own TrackVia's security program end-to-end: governance, risk, compliance, application security ...

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Remote Hcc Risk Adjustment Coding information

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 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 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 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 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:
Benefits Advisor Lead - Benefits Program Performance

Benefits Advisor Lead - Benefits Program Performance

USAA

Colorado Springs, CO • On-site, Remote

$57.20K - $71.90K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 6 days ago


USAA rating

8.2

Company rating: 8.2 out of 10

Based on 250 frontline employees who took The Breakroom Quiz

37th of 141 rated banks


Job description

Why USAA?

At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.

Embrace a fulfilling career at USAA, where our core values - honesty, integrity, loyalty and service - define how we treat each other and our members. Be part of what truly makes us special and impactful.

We are proud to support active-duty military spouses. USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with applicable policy and business needs.

The Opportunity

As a dedicated Benefits Advisor Lead for Benefit Program Performance, you will be responsible for the assessment of benefit plans, programs, and services to ensures program performance is aligned with the total rewards philosophy and HR strategy. Provide data-based strategic insights and design solutions covering a wide range of benefit programs including health & welfare, retirement, work-life, total health management, voluntary benefits and time off programs. Leads efforts to monitor enterprise risk regarding benefit programs and services associated with legislative, regulatory, market and expense trends.

We offer a flexible work environment that requires an individual to be in the office 4 days per week.

This position can be based in one of the following locations: San Antonio, TX, Plano, TX, Phoenix, AZ, Colorado Springs, CO, Charlotte, NC, or Tampa, FL.

Relocation assistance is not available for this position.

What you'll do:

  • Applies expert knowledge to provide strategic guidance in the design, development, assessment, implementation and administration of benefit plans, programs, and services.

  • Directs the analysis of organizational trends, market data, and industry practices to identify root causes and address benefit issues.

  • Oversees the daily management of programs, regulatory compliance, contract compliance and contracted suppliers.

  • Applies advanced principles, theories and concepts to determine optimal solutions.

  • Provides insight and guidance to senior leadership on complex issues.

  • Recommends changes to programs and success measures as appropriate.

  • Researches and recommends alternative benefits programs and initiatives.

  • Manages multifaceted programs with Enterprise wide risks.

  • Provides oversight of other complex programs to ensure integration and alignment with the Total Rewards philosophy.

  • Develops appropriate objectives for employee benefit programs to ensure program success and compliance with internal goals and external federal requirements.

  • Monitors and evaluates the effectiveness of benefit programs and suppliers against stated objectives by using metrics and best practices with an Enterprise-wide impact.

  • Ensures vendors are aligned with benefit program objectives and provide appropriate service levels to employees.

  • Advises senior leadership on the legal and regulatory environment that may impact current and/or future employee benefit offerings.

  • Evaluates and recommends changes and enhancements to programs to ensure compliance with federal regulations.

  • Monitors the work of team members and provides direct feedback and coaching as needed.

  • Develops a communication strategy around benefit plans, programs, and services to include open enrollment changes, pricing, plan details, and the various communication resources.

  • Serves as a primary resource for escalated issues of an unusual nature.

  • Monitors the annual benefits budget in partnership with Finance and vendors.

  • Develops and oversees measures to ensure costs are minimized and efficiencies are realized.

  • Analyzes financial impacts and recommends adjustments to programs to minimize financial risk.

  • Leads and motivates cross-functional team members in designing business solutions for benefit plans, programs, and services with an enterprise-wide impact.

  • Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.

What you have:

  • Bachelor's degree; OR 4 years of related experience (in addition to the minimum years of experience required) may be substituted in lieu of degree.

  • 8 years of experience in employee/retiree benefits including financial analysis, performance metric development, health and welfare, defined benefit and defined contribution plans, wellness and work life.

  • Experience with benefits supplier contract management, regulatory compliance and day-to-day operations.

  • Extensive project management experience to include requirement development and implementation.

  • Knowledge of and ability to uphold the organization's and industry's HR standards, procedures and policies regarding human resources management.

  • Knowledge of health and group insurance products, market segments and marketplaces; ability to apply this knowledge to meet specific business goals and objectives.

  • Demonstrated knowledge of executive benefits programs, processes, issues and considerations; ability to design and implement special benefits programs targeted at an organization's executives.

  • Understanding of outsourced benefits administration and how to provide oversight of outsourced functions and programs.

  • Experience with documenting processes and identifying required controls; to include recommending and implementing solutions and responding effectively to sensitive inquires and complaints.

  • Advanced knowledge of defined benefit and defined contribution plans, deferred compensation and Health and Welfare plans.

  • Proficient knowledge of Microsoft Office tools to include Word, Excel, and PowerPoint.

  • Knowledge of federal laws, rules, and regulations to include: ERISA, COBRA, HIPAA, ACA, FMLA.

What sets you apart:

  • Strong actuarial or data analytics skills and experience.

  • Experience developing data insights that can be presented to influence action.

  • Experience managing a benefits data warehouse.

  • Track record of designing or enhancing benefit program design based on benefit data analysis.

  • Experience developing benefit dashboards to track program performance.

Compensation range: The salary range for this position is: $127,310.00 - $243,340.00.

USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.).

Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.

Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.

The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.

Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals.

For more details on our outstanding benefits, visit our benefits page on USAAjobs.com.

Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting.

USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.


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