ZipRecruiter

Log In

2

Remote Medicare Risk Adjustment Jobs in Arizona (NOW HIRING)

Solari

Crisis Specialist I

Tempe, AZ · Remote

$22.12 - $24.45/hr

Remote - Must live in Arizona Positions are full-time with opportunities for shift differential ... and risk. * Utilize knowledge of healthcare industry standards and clinical assessment and ...

Corvel

CareIQ Service Coordinator I

Phoenix, AZ · Remote

$15.61 - $23.82/hr

This is a remote position requiring a wired connection to your modem from a broadband internet ... The level may impact the salary range and these adjustments would be clarified during the offer ...

Corvel

CareIQ Service Coordinator I

Phoenix, AZ · On-site +1

$15.61 - $23.82/hr

This is a remote position requiring a wired connection to your modem from a broadband internet ... The level may impact the salary range and these adjustments would be clarified during the offer ...

Corvel

Telehealth Coordinator Lead

Phoenix, AZ · Remote

$19.24 - $31.04/hr

This is a remote role but requires residency in Arizona or Virginia. The work schedule for this ... The level may impact the salary range and these adjustments would be clarified during the offer ...

Arizona Department of Administration

$90K/yr

REMOTE OPTIONS, PHOENIX Categories: Accounting/Auditing, Administrative Support/Customer Service ... Arizona's Rural Health Transformation Program is supported by the Centers for Medicare & Medicaid ...

Arizona Department of Administration

$70K - $79K/yr

REMOTE OPTIONS, PHOENIX Categories: Communication/Community Relations, Marketing/Pub Info, Misc ... adjustments, resolve production rider conflicts, and handle escalated structural, technical, or ...

previous pagenext page

Showing results 21-40

All JobsMedicare Risk Adjustment JobsRemote Medicare Risk Adjustment JobsRemote Medicare Risk Adjustment Jobs in Arizona

Remote Medicare Risk Adjustment information

What is the difference between Remote Medicare Risk Adjustment vs Remote Medical Coding Specialist?

AspectRemote Medicare Risk AdjustmentRemote Medical Coding Specialist
CertificationsCPR, CPC, or RAC certifications often preferredCPC, CCS, or CCS-P certifications
Work EnvironmentHealthcare insurance companies, Medicare plansHospitals, clinics, insurance companies
Industry UsagePrimarily in Medicare risk adjustment programsMedical billing and coding across various healthcare settings

Remote Medicare Risk Adjustment and Remote Medical Coding Specialist roles share certifications and healthcare industry usage but differ in focus. Medicare Risk Adjustment involves analyzing patient data to optimize Medicare plan reimbursements, while Medical Coding Specialists translate medical records into billing codes. Both roles require healthcare knowledge but serve distinct functions within the healthcare revenue cycle.

What are popular job titles related to Remote Medicare Risk Adjustment jobs in Arizona?

For Remote Medicare Risk Adjustment jobs in Arizona, the most frequently searched job titles are:

What job categories do people searching Remote Medicare Risk Adjustment jobs in Arizona look for?

The top searched job categories for Remote Medicare Risk Adjustment jobs in Arizona are:

What cities in Arizona are hiring for Remote Medicare Risk Adjustment jobs?

Cities in Arizona with the most Remote Medicare Risk Adjustment job openings:

Remote Medicare Risk Adjustment jobs near you
Infographic showing various Remote Medicare Risk Adjustment job openings in Arizona as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution.

Workflow Specialist - RN Required

Emblem Healthcare Home Health & Hospice

Phoenix, AZ • Remote

Full-time

Re-posted 4 days ago

Job description

Join a Team That Puts YOU First! At Emblem Home Health & Hospice, we do things differently. Our philosophy is simple: our team comes first. When you feel supported, empowered, and valued, you deliver the kind of care that changes lives. That's why we invest in your growth from day one, through mentorship, ongoing education, and a culture that encourages intelligent risk-taking and innovation. If you're passionate about making a difference and want a career that grows with you, Emblem is the place to be!

*This is a full-time, remote opportunity working Monday-Friday, 8am-5pm. Must reside in Maricopa or Pinal County.*

The Workflow Specialist (RN) is responsible for coordinating and managing key clinical and operational processes to ensure efficient home health services and regulatory compliance. This role serves as a central resource for plan of care, orders, OASIS review, care coordination, documentation oversight, and workflow optimization. The Workflow Specialist partners closely with clinical leadership, field staff, physicians, referral sources, and support teams to support timely patient admissions, high-quality care delivery, and positive patient outcomes.

Responsibilities

  • Coordinate and oversee daily clinical workflow processes to ensure efficient home health operations
  • Review and suggest edits on all home health OASIS data, home health care plan required compliance items, and analyze quality outcome data for assessment and improvement of agency performance in star rating and value based purchasing methodology
  • Collaborate with clinicians, Clinical Managers, and operational staff to coordinate patient care and scheduling needs
  • Review clinical documentation for accuracy, completeness, and compliance with Medicare, state, and organizational requirements
  • Monitor physician orders, certifications, recertifications, and other required documentation to ensure timely completion
  • Provide clinical support and guidance regarding documentation standards, regulatory requirements, and workflow processes
  • Assist in managing workflow queues, dashboards, and worklists within the electronic medical record (EMR) system
  • Serve as a liaison between field clinicians, physicians, referral sources, and internal departments to facilitate effective communication and care coordination
  • Identify workflow inefficiencies and recommend process improvements to enhance operational effectiveness and patient care
  • Support quality assurance and performance improvement initiatives through ongoing monitoring and auditing activities
  • Track and report key operational and clinical performance indicators as requested
  • Assist with staff education and training regarding clinical documentation, compliance requirements, and workflow processes
  • Maintain confidentiality and protect patient information in accordance with HIPAA regulations

Requirements

  • Current, unrestricted Registered Nurse (RN) license in the State of Arizona required
  • Associate or Bachelor's degree in Nursing required
  • Minimum of one (1) year of home health, hospice, case management, or healthcare operations experience preferred
  • Knowledge of Medicare Conditions of Participation, home health regulations, and documentation requirements
  • Experience with electronic medical record (EMR) systems and healthcare technology platforms
  • Strong clinical assessment, organizational, and problem-solving skills
  • Excellent verbal and written communication skills
  • Ability to manage multiple priorities in a fast-paced healthcare environment

Emblem Home Health is an Equal Opportunity Employer and is committed to providing exceptional, patient-centered care that supports the health, independence, and well-being of those we serve.

The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at http://www.pennantgroup.com.

Apply