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Remote Hcc Risk Adjustment Coding Jobs in Oregon

Senior Financial Analyst, Risk Adjustment

$85K - $106K/yr

Join HealthEdge as a Senior FP&A Analyst - Risk Adjustment and play a vital role in shaping our ... Work across multiple time zones in a hybrid or remote work environment. * Long periods of time ...

Remote Department/Specialty: Clinical Documentation Integrity Schedule: Full Time | Days Salary ... coding integrity, and risk adjustment capture, while supporting training, compliance, and data ...

Coding Compliance Auditor

OR · Remote

$75K - $90K/yr

... risk-bearing provider. This highly visible role supports ongoing compliance and operational ... remote-first, high-growth environment. * Review medical records and clinical documentation to ...

Remote Department/Specialty: Chief Legal Counsel Schedule: Full time, days Salary: $146,000.00 ... risk adjustment compliance. * Advising on disputes and litigation related to payer payment and ...

Data Systems Analyst

$90K - $120K/yr

... and risk adjustment data, alongside internal systems such as EMR , CRM, HR etc. to maintain a ... Work Environment Remote Travel may be required up to 15% locally or nationally Pay Transparency $90 ...

All full-time positions are hybrid, with many eligible to be completely remote * Fully Paid by ... Dais Technology, a subsidiary of Origami Risk, provides a no-code platform that revolutionizes ...

Senior Data Engineer

$117K - $146K/yr

NET code to a scalable, cloud-native architecture on AWS and expanding into our Databricks ... to be completely remote * Fully Paid by Origami Risk - Vision insurance, Short & Long-Term ...

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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 Oregon? The most popular types of Hcc Risk Adjustment Coding jobs in Oregon are:
What are popular job titles related to Remote Hcc Risk Adjustment Coding jobs in Oregon? For Remote Hcc Risk Adjustment Coding jobs in Oregon, the most frequently searched job titles are:
What job categories do people searching Remote Hcc Risk Adjustment Coding jobs in Oregon look for? The top searched job categories for Remote Hcc Risk Adjustment Coding jobs in Oregon are:
What cities in Oregon are hiring for Remote Hcc Risk Adjustment Coding jobs? Cities in Oregon with the most Remote Hcc Risk Adjustment Coding job openings:
Senior Financial Analyst, Risk Adjustment

Senior Financial Analyst, Risk Adjustment

HealthEdge

On-site, Remote

$85K - $106K/yr

Full-time

Posted 15 days ago


Job description

Overview

Position Overview:

Join HealthEdge as a Senior FP&A Analyst - Risk Adjustment and play a vital role in shaping our financial future. In this position, you will be responsible for preparing and analyzing financial forecasts, providing insightful recommendations, and contributing to strategic decision-making supporting the Risk Adjustment organization. This role will combine strong financial acumen with advanced analytical and data capabilities to improve forecasting accuracy, reporting efficiency, and scalable decision support.

About Center of Excellence:

Centers of Excellence (COE) are teams whose primary goal is to provide expertise in a specific field. COEs will usually provide support through training, research, and skilled leaders. In the case of HealthEdge, our Centers of Excellence incorporate the Human Resources, IT, Legal and Financial fields, all of which provide support to our Product divisions and allow the enterprise to move forward and achieve its goals.

What You Will Do:

  • Serve as an FP&A business partner to leaders within the Risk Adjustment organization
  • Prepare monthly revenue and expense forecasts for HealthEdge's Risk Adjustment P&L
  • Build, maintain, and enhance complex financial models to support monthly forecasts, annual budgets, and long-range planning
  • Prepare and deliver monthly and year-to-date management reporting packages, including KPI tracking and variance analysis
  • Assist with financial analyses, executive commentary, and presentation materials for monthly executive and operational reviews
  • Provide deep technical and analytical expertise when responding to complex, ad-hoc reporting and data requests
  • Partner with Finance, IT, and business stakeholders on system implementations, upgrades, and migrations impacting financial planning and reporting
  • Design and enhance automated reporting, dashboards, and data models to reduce manual effort and improve accuracy and timeliness
  • Develop and maintain a quantitative and qualitative analytics framework that integrates financial, operational, and performance data
  • Identify opportunities for process standardization, automation, and efficiency gains across forecasting, reporting, and analysis workflows
  • Support continuous improvement initiatives that enable FP&A to scale effectively with the growth of the business

What You Bring:

  • 3-5 years of experience in Corporate FP&A, finance business partnering, or related analytical roles
  • Bachelor's degree in finance, Economics or similar subject area; Master's degree preferred
  • Strong understanding of P&L with an ability to link operational drivers to financial outcomes and communicate insights clearly to non-financial audiences
  • Solid understanding of GAAP accounting principles and financial reporting
  • Exceptional communication skills (written, verbal, and presentation) with demonstrated experience supporting cross-functional stakeholders at all levels within an organization; experience partnering with Product, Operations, or Healthcare-related teams is a plus
  • Ability to prioritize tasks, work on multiple engagements and manage rapidly changing assignments in a team environment; taking an action-oriented and solution-focused approach
  • Highly organized with a focus on building standardized, efficient, and scalable processes to enable meeting tight deadlines in a fast-paced environment
  • Experience supporting or participating in financial system implementations, migrations, or planning tool enhancements a plus
  • Advanced Microsoft Excel (financial modeling, complex formulas, large datasets); experience with SQL, BI tools, or automation platforms is a strong plus
  • Experience using Oracle Enterprise Performance Management (EPM) / Planning and Budgeting Cloud Solution strongly preferred

HealthEdge commits to building an environment and culture that supports the diverse representation of our teams. We aspire to have an inclusive workplace. We aspire to be a place where all employees have the opportunity to belong, make an impact and deliver excellent software and services to our customers.

Geographic Responsibility: While HealthEdge is located in Boston, MA you may live anywhere in the US

Type of Employment: Full-time, permanent

Work Environment: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job:

  • The employee is occasionally required to move around the office. Specific vision abilities required by this job include close vision, color vision, peripheral vision, depth perception, and ability to adjust focus.
  • Work across multiple time zones in a hybrid or remote work environment.
  • Long periods of time sitting and/or standing in front of a computer using video technology.
  • May require travel dependent on company needs.

The above statements are intended to describe the general nature and level of the job being performed by the individual(s) assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required. HealthEdge reserves the right to modify, add, or remove duties and to assign other duties as necessary. In addition, reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position in compliance with the Americans with Disabilities Act of 1990. Candidates may be required to go through a pre-employment criminal background check.

HealthEdge is an equal opportunity employer. We are committed to workforce diversity and actively encourage all qualified persons to seek employment with us, including, but not limited to, racial and ethnic minorities, women, veterans and persons with disabilities.

#LI-Remote

**The annual US base salary range for this position is $102,000 to $108,000. This salary range may cover multiple career levels at HealthEdge. Final compensation will bedeterminedduring the interview process and is based on a combination of factors including, but not limited to,your skills, experience,qualificationsand education. 

Employment Type: FULL_TIME

HealthEdge logo

About HealthEdge

Sourced by ZipRecruiter

Health Edge ® provides modern, disruptive technology that delivers for the first time, a suite of products that enables healthcare payors to leverage new business models, improve outcomes, drastically reduce administrative costs and connect everyone in the healthcare delivery cycle. Our next-generation enterprise product suite, HealthRules ®, is built on modern, patented technology and is delivered to customers via the HealthEdge Cloud or on-site deployment. An award-winning company, HealthEdge empowers payors to capitalize on the innovations, challenges and opportunities that await in the new healthcare economy. For more information, visit .

Industry

Computer and computer peripheral equipment and software wholesalers

Company size

201 - 500 Employees

Headquarters location

Burlington, MA, US

Year founded

2005

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