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Remote Hcc Risk Adjustment Jobs (NOW HIRING)

Urrly

Telehealth Nurse Practitioner

Atlanta, GA · Remote

$600 - $720/day

HCC risk adjustment documentation experience Perks & pay * $600-$720 daily earning potential * 1099 contractor flexibility * Fully remote work - no commute * Consistent visit flow and structured ...

Urrly

Telehealth Nurse Practitioner

Los Angeles, CA · Remote

$600 - $720/day

CA Remote (no travel) * $600-$720/day (1099) * Minimum 24 hrs/week Flexible schedule * Own your ... Document HCC (risk adjustment) during visits * Close HEDIS (quality measures) care gaps * Review ...

Molina Healthcare

VP, Risk Adjustment

Long Beach, CA · On-site +1

$137K - $184K/yr

... HCC) methodology, Medicaid risk adjustment guidelines, and ACA Marketplace risk adjustment ... requirements as applicable. * Owns and governs the end-to-end data flow from coding vendor output ...

US Tech Solutions

Medical Billing Coder

Wellesley, MA · Remote

$20.50 - $27.50/hr

... on-site, remote and/or in-house) in support of the Medicare risk adjustment retrospective ... for HCC risk adjustment related activities including Medicare Advantage and Commercial Risk ...

Urrly

Telehealth Nurse Practitioner

Baton Rouge, LA · Remote

$600 - $720/day

Complete HCC risk adjustment documentation * Close HEDIS care gaps during patient visits * Document ... Fully remote - no commute or travel * Consistent visit flow and structured workflows Schedule ...

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 ...

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All JobsRemote Hcc Risk Adjustment Jobs

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
Infographic showing various Remote Hcc Risk Adjustment job openings in the United States as of June 2026, with employment types broken down into 2% Locum Tenens, 6% As Needed, 46% Full Time, 43% Part Time, 2% Temporary, and 1% Nights. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution.
Risk Adjustment Coding Manager

Risk Adjustment Coding Manager

Intermountain Health

Broomfield, CO • On-site, Remote

$38.55 - $59.49/hr

Full-time

Posted 6 days ago

Intermountain Health rating

7.2

Company rating: 7.2 out of 10

Based on 832 frontline employees who took The Breakroom Quiz

328th of 875 rated healthcare providers

Job description

Job Description:
The Manager of Risk Adjustment Coding is responsible for the oversight of the HCC Coding Analyst team. The manager plays a critical role in development and execution of coding policies and compliance with government regulations.
This position is required to work in a matrixed environment and is responsible for HCC coding activities to support accurate and complete coding within our network provider community. Additional responsibilities including goal setting, business planning and contributing participation in strategic initiatives
Responsibilities to include:
  • Sets team direction, resolves problems and provides guidance to members of team
  • Provides key input to other departments responsible for coding education
  • Works with risk adjustment leadership to develop strategies and processes for all risk adjustment models.
  • Monitor productivity and implement solutions to optimization coding department
  • Quantify ROI on coding products and projects
  • Develops, deploys & monitors coding policies and procedures, standards, best practice models for complete, accurate, consistent and timely coding that results in
  • Conduct HCC coding roundtable discussion as needed
  • Hire, oversight all coding caregivers within team

Manages all aspects of retrospective review process including oversight of third party contracted vendor, chart abstraction projects and compliance oversight
Primary accountable contact for vendor contracts supporting HCC coding including contract negotiation, setting goals, and tracking performance, and analyzing ROI
Develop team metrics that align with organization strategic initiatives and drive performance
Engage staff in problem solving and process improvement activities to ensure use of resources, and optimal, accurate diagnosis HCC capture
Improve monitoring and auditing protocols to ensure internal and vendor compliance with all applicable regulations and risk adjustment data validation audits (RADV). Respond to and oversee CMS Risk Adjustment Data Validation (RADV) audit requests
Responsible for development of competencies for measuring staff performance and implements action plans based on findings of education/reviews
Cultivates and maintains partnerships and collaborations with internal and external business partners
Minimum Qualifications
  • Certified Coding certification through AHIIMA or AAPC
  • Demonstrated risk adjustment coding experience
  • Demonstrated experience in HCC coding

Preferred Qualifications
  • Previous managerial experience
  • Bachelor's degree
  • Demonstrated experience in a Leadership role

Physical Requirements
To see the physical requirements needed to perform the essential functions of this job, please click here.
Location:
Broomfield Clinic
Work City:
Broomfield
Work State:
Colorado
Scheduled Weekly Hours:
40
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$38.55 - $59.49
We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits package here.
Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.
All positions subject to close without notice.

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