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Remote Hcc Risk Adjustment Jobs in Seattle, WA (NOW HIRING)

Commercial Counsel - AI Products

Seattle, WA · On-site +1

$140K - $165K/yr

Crunchbase has a remote-first approach, and is open to hiring in residents of these states ... The Commercial Counsel exercises strong judgment in balancing legal risk with business objectives ...

Senior Billing Revenue Analyst

Seattle, WA · Remote

$91.60K - $119.50K/yr

This is a fully remote position open to candidates based in the United States. We offer competitive ... Manage renewals, adjustments, and amendments in Zuora, ensuring all billing actions are executed ...

Case Manager I (MSW/RN) Medicare/DSNP

Seattle, WA · On-site +1

$37.96 - $58.84/hr

This position is remote. We are targeting an individual who lives in the Seattle area and is ... Uses the assessment information to assign the appropriate risk and complexity level, and create and ...

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 job categories do people searching Remote Hcc Risk Adjustment jobs in Seattle, WA look for? The top searched job categories for Remote Hcc Risk Adjustment jobs in Seattle, WA are:
Documentation & Coding Consultant

Documentation & Coding Consultant

CommonSpirit Health

Seattle, WA • Remote

Full-time

Posted 27 days ago


CommonSpirit Health rating

7.0

Company rating: 7.0 out of 10

Based on 500 frontline employees who took The Breakroom Quiz

403rd of 864 rated healthcare providers


Job description


Job Summary and Responsibilities

As our Documentation & Coding Consultant, you will design, implement, and manage ongoing organizational monitoring activities and educational programs. This ensures proper reimbursement and compliance with all regulatory statutes.
Every day you will work in a consulting capacity, identifying compliance issues and analyzing practice patterns. You will verify charges, ensure optimal reimbursement for the organization, and interpret regulatory changes.
To be successful in this role, you will implement the necessary changes and modify VMMC's policies, conveying these changes to the clinical departments. You will possess a strong command of coding guidelines and educate staff thoroughly on compliance requirements.

As a remote employee, we will provide you with the equipment needed to work from home, including a laptop, docking station, dual monitors, and accessories.

Job Requirements

Required

  • Bachelor's degree or equivalent plus credentialed as a Certified Professional Coder (CPC) or Certified Coding Specialist-Physician based (CCS-P)
  • One (1) year of CPT and diagnosis coding experience in a healthcare provider or a third party payer
  • Demonstrated interpersonal, organizational, analytical, and problem-solving skills
  • Ability to interact tactfully yet assertively with physicians and other professional staff
  • Strong presentation skills and comfort in settings ranging from one-on-one (1:1) communications to large groups
  • Good written and verbal communication skills

Preferred

  • Five (5) years of Current Procedural Terminology (CPT) and diagnosis coding experience in a healthcare provider or a third party payer and three (3) years of experience as an instructor/trainer
  • Clinical knowledge and exposure to risk adjustment coding
  • Experience with Radiation Oncology coding
Where You'll Work

Virginia Mason Franciscan Health has a rich history of providing exceptional healthcare, dating back to 1891. Building upon a legacy of compassionate care and innovation, our organization has evolved over the years through strategic partnerships and integrations to expand our reach and services across the Puget Sound area.
Today, as Virginia Mason Franciscan Health, we remain deeply committed to healing the whole person – body, mind, and spirit – in the communities we serve. This commitment is strengthened by the diverse expertise and shared values brought together through our growth.
Our dedicated providers offer a full spectrum of health care services, from routine wellness to complex disease management, all grounded in rigorous research and education. Our comprehensive network of 10 hospitals and nearly 300 care sites strategically located across the greater Puget Sound region reflects our ongoing commitment to accessibility and comprehensive care.
We are proud of our pioneering medical advances and numerous awards and accreditations that reflect our dedication to excellence. When you join Virginia Mason Franciscan Health, you become part of a team that delivers top-quality, professional healthcare in modern, well-equipped facilities, and contributes to a legacy of service built on collaboration and shared purpose.

Qualifications:

Required

  • Bachelor's degree or equivalent plus credentialed as a Certified Professional Coder (CPC) or Certified Coding Specialist-Physician based (CCS-P)
  • One (1) year of CPT and diagnosis coding experience in a healthcare provider or a third party payer
  • Demonstrated interpersonal, organizational, analytical, and problem-solving skills
  • Ability to interact tactfully yet assertively with physicians and other professional staff
  • Strong presentation skills and comfort in settings ranging from one-on-one (1:1) communications to large groups
  • Good written and verbal communication skills

Preferred

  • Five (5) years of Current Procedural Terminology (CPT) and diagnosis coding experience in a healthcare provider or a third party payer and three (3) years of experience as an instructor/trainer
  • Clinical knowledge and exposure to risk adjustment coding
  • Experience with Radiation Oncology coding
Employment Type: Full Time

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