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Remote Hcc Risk Adjustment Jobs in Texas (NOW HIRING)

Altegra Health

Remote Certified Coder

Dallas, TX · Remote

$22.25 - $30.50/hr

Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more These are a remote/home based temporary positions forecast to run through the ...

Altegra Health

Remote Certified Coder

Dallas, TX · On-site +1

$22.25 - $30.50/hr

Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more These are a remote/home based temporary positions forecast to run through the ...

Oscar Health

Auditor, Risk Adjustment

Dallas, TX · 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.

St. Luke's Health

Value Based Coder II

Houston, TX · On-site +1

$25.30 - $35.74/hr

Provide targeted provider 1:1 education on documentation best practices, HCC guidelines, and risk adjustment principles. 3. Compliance & Regulatory Insight: Continuously monitor and interpret ...

Oscar Health

Senior Actuarial Analyst

Dallas, TX · Remote

$91K - $120K/yr

This role will own the maintenance and review of actuarial models used to develop risk adjustment ... This is a remote position, open to candidates who reside in: Dallas, TX. You will be fully remote ...

UT Southwestern Medical Center

CDI Audit Educator RN

Dallas, TX · On-site +1

$34.50 - $46.25/hr

Experience Experience working in a remote environment. * Licenses and Certifications AHIMA-Approved ... CDI audits specific to PDx, POA, query compliance, risk adjustments variables, clinical substance ...

U2801

CDI Audit Educator RN

Dallas, TX · On-site +1

$34.50 - $46.25/hr

Experience Experience working in a remote environment. * Licenses and Certifications AHIMA-Approved ... CDI audits specific to PDx, POA, query compliance, risk adjustments variables, clinical substance ...

UT Southwestern Medical Center

CDI Audit Educator RN

Dallas, TX · On-site +1

$34.50 - $46.25/hr

Experience Experience working in a remote environment. * Licenses and Certifications AHIMA-Approved ... CDI audits specific to PDx, POA, query compliance, risk adjustments variables, clinical substance ...

UT Southwestern Medical Center

CDI Audit Educator RN

Dallas, TX · On-site +1

$34.50 - $46.25/hr

Experience Experience working in a remote environment. * Licenses and Certifications AHIMA-Approved ... CDI audits specific to PDx, POA, query compliance, risk adjustments variables, clinical substance ...

Oscar Health

Senior Actuarial Analyst

Dallas, TX · Remote

$91K - $120K/yr

This role will own the maintenance and review of actuarial models used to develop risk adjustment ... This is a remote position, open to candidates who reside in: Dallas, TX. You will be fully remote ...

Datavant

Payer Coding Ops Hourly

Dallas, TX · Remote

$25 - $26.70/hr

... HCC (Hierarchical Condition Category) coder you will review medical records to identify and code ... for risk adjustment and reimbursement purposes. You will play a critical role in translating ...

UTMB Health

Senior Coder - RCO Coding (Remote)

Galveston, TX · On-site +1

$21.50 - $28.50/hr

CRC - Certified Risk Adjustment Coder (AAPC) JOB SUMMARY: Properly codes and/or audits professional ... Remote, Monday through Friday, Full-Time Position. Equal Employment Opportunity UTMB Health strives ...

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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.

What are the most commonly searched types of Hcc Risk Adjustment jobs in Texas? The most popular types of Hcc Risk Adjustment jobs in Texas are:
What are popular job titles related to Remote Hcc Risk Adjustment jobs in Texas? For Remote Hcc Risk Adjustment jobs in Texas, the most frequently searched job titles are:
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Remote Hcc Risk Adjustment jobs near you
Remote Certified Coder

Remote Certified Coder

Altegra Health

Dallas, TX • Remote

$22.25 - $30.50/hr

Other

Posted 16 days ago

Job description

Company Description

Altegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to-end solutions to help improve payment integrity data, to support accreditation programs, and to meet regulatory requirements. Altegra's nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in:

1. CMS HCC Risk Adjustment

2. HEDIS

3. Medical Record Reviews (Accreditation)

4. And more


Job Description

These are a remote/home based temporary positions forecast to run through the end of 2015 and Coders will be paid by the chart. Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and Altegra Health Flagged Event. Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines).


Responsibilities:  

Abstract pertinent information from patient medical records. Assign appropriate ICD-9-CM codes, creating HCC and/or RxHCC group assignments as applicable.

Assign Altegra Health Flagged Event codes when documentation in the record is inadequate, ambiguous, or otherwise unclear for medical coding purposes.

Remain current on medical coding guidelines and reimbursement reporting requirements.

Check chart assignments every day and report accurately all hours worked on a weekly basis.

Report work-related concerns to assigned Coder Advocate and if not adequately addressed to Sr. Manager of Clinical Operations. 

Comply with the Standards of Ethical Coding as set forth by the American Health Information Management Association and adhere to official coding guidelines.

Comply with HIPAA laws and regulations.

Participate in testing and training as required by the Company.

Qualifications:  

Active nursing license (RN or LPN) and/or certified coder certification through AHIMA or AAPC required

At least one years' experience as a medical coder/abstractor.

Extensive knowledge of ICD-9-CM outpatient diagnosis coding guidelines (with knowledge and demonstrated understanding of CMS HCC Risk Adjustment coding and data validation requirements is preferred);

Ability to code using an ICD-9-CM code book (without using an encoder);

Strong clinical skills related to chronic illness diagnosis, treatment and management;

Reliability and a commitment to meeting tight deadlines (24-hour turnaround time on all assigned charts);

Personal discipline to work remotely without direct supervision;

Exemplary attention to detail and completeness-all medical coders must maintain minimum QA passing requirements based on HCC scoring model(HCCx < or equal to 5 and HCCm < or equal to 5);

Computer proficiency (including MS Windows, MS Office, and the Internet);

Must have high-speed Internet access, a home computer with a current Windows operating system, MS Internet Explorer (version 6.0.2 or better), and Adobe 6.0 or better;

Strong organization skills; interpersonal and customer service skills; written and oral communication skills; and analytical skills;

Knowledge of HIPAA, recognizing a commitment to privacy, security and confidentiality of all medical chart documentation.


Qualifications

1 year of certified coding experience

Additional Information

All your information will be kept confidential according to EEO guidelines.

Apply