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Remote Hcc Risk Adjustment Jobs in Florida (NOW HIRING)

Lee Health

HCC Coding Educator

Fort Myers, FL · Remote

$27.57 - $35.84/hr

Shift 1/ to Minimum to Midpoint Pay Rate: $27.57 - $35.84 / hour Summary The HCC Coding Educator is responsible for improving the accuracy, completeness, and compliance of risk-adjustment ...

Lee Health

HCC Coding Educator

Fort Myers, FL · On-site +1

$27.57 - $35.84/hr

Shift 1/ to Minimum to Midpoint Pay Rate: $27.57 - $35.84 / hour Summary The HCC Coding Educator is responsible for improving the accuracy, completeness, and compliance of risk-adjustment ...

Oscar Health

Auditor, Risk Adjustment

Miami, FL · Remote

$82K - $108K/yr

You will report into the Manager, Risk Adjustment. Work Location ... This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas.

Lee Health

Coder I - E/M

Cape Coral, FL · Remote

$20 - $25.45/hr

Remote - Florida Department: Coding Work Type: Full Time Shift: Shift 1/8:00:00AM to 4:30:00PM ... Risk Adjustment Coder) required -or- CIC (Certified Inpatient Coder) required -or- RHIT (Registered ...

New

Lee Health

Coder I - E/M

Cape Coral, FL · On-site +1

$20 - $25.45/hr

Remote - Florida Department: Coding Work Type: Full Time Shift: Shift 1/8:00:00 AM to 4:30:00 PM ... Risk Adjustment Coder) required -or- CIC (Certified Inpatient Coder) required -or- RHIT (Registered ...

New

Phsorg

$45K - $68K/yr

... HCC documentation, and first-year Medicare Advantage retention. This position also conducts specialized outreach to address risk adjustment and satisfaction drivers, such as CAHPS and HOS measures ...

Lee Health

Coder II - ProFee Surgery

Cape Coral, FL · Remote

$20.50 - $27.85/hr

Remote - FL Department: Coding Work Type: Full Time Shift: Shift 1/8:00:00 AM to 4:30:00 PM Minimum ... Risk Adjustment Coder) required -or- CIC (Certified Inpatient Coder) required -or- RHIT (Registered ...

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Remote Hcc Risk Adjustment information

What is the difference between Remote Hcc Risk Adjustment vs Remote Medical Coder?

AspectRemote Hcc Risk AdjustmentRemote Medical Coder
CertificationsHCC Certification, CPC or CCSCPC, CCS, or RHIT
Work EnvironmentHealthcare insurance, risk adjustment teamsMedical facilities, billing departments
Industry UsageHealth plans, Medicare/MedicaidHospitals, clinics, billing companies

Remote Hcc Risk Adjustment specialists focus on analyzing patient data to optimize risk scores for insurance purposes, while Remote Medical Coders translate medical records into billing codes. Both roles require healthcare certifications and involve remote work, but they serve different functions within the healthcare industry.

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Remote Hcc Risk Adjustment jobs near you
Manager Risk Adjustment Program

Manager Risk Adjustment Program

BayCare Health System

Tampa, FL • On-site, Remote

Full-time

Posted 22 days ago

BayCare Health System rating

7.4

Company rating: 7.4 out of 10

Based on 382 frontline employees who took The Breakroom Quiz

251st of 870 rated healthcare providers

Job description

At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that's built on a foundation of trust, dignity, respect, responsibility and clinical excellence.
Position details:
Location: Tampa, FL (Remote - Must Reside in the State of Florida)
Status: Full Time, Salaried
Shift Hours: M-F, 8:00 am - 5:00 pm
The Manager Risk Adjustment Program:
  • Leads and implements risk adjustment strategies, operations and program development across BayCare PHSO and BayCare Plus consistent with BayCare goals and objectives.
  • Uses provider performance metrics and data to identify program/provider opportunities and gaps.
  • Works with physician/facility practices and key stakeholders to provide measurable and actionable solutions to meet and maintain best-practice documentation and HCC (Hierarchical Condition Category) and ICD-10 coding practices.
  • As a subject matter expert and preceptor, provides on-going supervision, education and training of risk adjustment team members related to coding and documentation responsibilities.
  • Works with BayCare Leadership to evaluate and adopt risk adjustment technology solutions.

Minimum Qualifications:
Required Education and Credentials: Bachelor's degree in business, technology, healthcare OR related disciplines required; and at least one of the following active certifications: Certified Professional Coder (CPC); Certified Risk Adjustment Coder (CRC); Certified Coding Specialist (CCS); or Registered Health Information Technician (RHIT).
Preferred Education and Credentials: Master's degree in business, technology, healthcare OR related disciplines
Required Experience: Minimum of three (3) years of relevant experience managing a risk adjustment program OR department with direct supervisory responsibility and budgetary accountability required, and minimum of five (5) years of management/leadership experience for a healthcare organization.
Preferred Experience: Two (2) or more years of experience in a lead risk adjustment role working with OR for Medicare Advantage health plans.
*Any equivalent combination of education and experience that provides the required knowledge, skills, and abilities to perform the essential duties and responsibilities of the position.
BayCare Values: Demonstrate a consistent commitment to BayCare Health System's core values of trust, respect, and dignity in all interactions with patients, families, team members, and the community, supporting our shared responsibility to achieve excellence in the communities we serve.
Leadership Competencies
  • Communication: Communicates in a clear, authentic, and transparent manner to meet the needs of others to ensure messages are received and mutually understood.
  • Emotional Intelligence: Demonstrates self-awareness and manages one's emotions. Recognizes and responds constructively to others' emotions and builds meaningful relationships.
  • Talent and Team Development: Develops team members and teams by empowering them, setting clear expectations, providing learning opportunities, and supporting ongoing growth.
  • Change Champion: Demonstrates a commitment to enhance performance by engaging and promoting change, continuous improvement, adaptability, and innovation.
  • Collaboration: Collaborates by sharing responsibility, transparent exchange of information, and collective problem-solving to achieve mutually beneficial solutions.
  • Results Driven: Takes ownership of outcomes by setting clear, measurable goals and aligning team efforts and resources to achieve them.
  • Inclusion and Belonging: Creates an inclusive environment that values all perspectives, respects individuality, and fosters an environment where all feel a sense of belonging.

Equal Opportunity Employer Veterans/Disabled

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