Medical Coder
Columbia, MD ยท Remote
$19.25 - $25.50/hr
Understanding of the CMS guidelines for risk adjustment models and reimbursement policies ... Remote
Quick apply
Columbia, MD ยท Remote
$19.25 - $25.50/hr
Understanding of the CMS guidelines for risk adjustment models and reimbursement policies ... Remote
Quick apply
Columbia, MD ยท Remote
$19.25 - $25.50/hr
Understanding of the CMS guidelines for risk adjustment models and reimbursement policies ... Remote
Rockville, MD ยท Remote
$140K/yr
Remote/Hybrid (subject to contract requirements) Clearance: Must be eligible to obtain and maintain ... risk adjustment, and population health initiatives If interested in applying for the position ...
Quick apply
Rockville, MD ยท Remote
$140K/yr
Remote/Hybrid (subject to contract requirements) Clearance: Must be eligible to obtain and maintain ... risk adjustment, and population health initiatives If interested in applying for the position ...
Rockville, MD ยท On-site +1
Remote/Hybrid (subject to contract requirements) Clearance: Must be eligible to obtain and maintain ... risk adjustment, and population health initiatives If interested in applying for the position ...
Rockville, MD ยท On-site +1
Remote/Hybrid (subject to contract requirements) Clearance: Must be eligible to obtain and maintain ... risk adjustment, and population health initiatives If interested in applying for the position ...
Rockville, MD ยท Remote
Remote/Hybrid (subject to contract requirements) Clearance: Must be eligible to obtain and maintain ... risk adjustment, and population health initiatives If interested in applying for the position ...
Quick apply
Rockville, MD ยท Remote
Remote/Hybrid (subject to contract requirements) Clearance: Must be eligible to obtain and maintain ... risk adjustment, and population health initiatives If interested in applying for the position ...
Provide clinical input into product design, Medicare bids, risk adjustment, STARS, HEDIS, value-based arrangements, and clinical integration initiatives. * Communicate complex clinical, regulatory ...
Provide clinical input into product design, Medicare bids, risk adjustment, STARS, HEDIS, value-based arrangements, and clinical integration initiatives. * Communicate complex clinical, regulatory ...
Silver Spring, MD ยท Remote
$43.40/hr
Coding Auditor and Educator (Remote) Employment Type: Full-Time Shift: Days (SUMMARY) Position ... Partners with leadership to improve HCC, high risk scoring, with provider and coder education.
Silver Spring, MD ยท Remote
$43.40/hr
Coding Auditor and Educator (Remote) Employment Type: Full-Time Shift: Days (SUMMARY) Position ... Partners with leadership to improve HCC, high risk scoring, with provider and coder education.
Silver Spring, MD ยท Remote
$43.40/hr
Coding Auditor and Educator (Remote) Employment Type: Full-Time Shift: Days (SUMMARY) Position ... Partners with leadership to improve HCC, high risk scoring, with provider and coder education.
Silver Spring, MD ยท Remote
$43.40/hr
Coding Auditor and Educator (Remote) Employment Type: Full-Time Shift: Days (SUMMARY) Position ... Partners with leadership to improve HCC, high risk scoring, with provider and coder education.
... code generation, and automated pipelines that turn what used to be weeks of manual work into ... Monitor CMS regulations, payment methodologies, risk adjustment updates, and Stars payment changes ...
... code generation, and automated pipelines that turn what used to be weeks of manual work into ... Monitor CMS regulations, payment methodologies, risk adjustment updates, and Stars payment changes ...
VA ยท On-site +1
This role is remote. The Risk, Quality, and Performance Analyst serves as the Risk, Quality, and ... Maximus TCS (Technology and Consulting Services) Internal Job Profile Code: TCS015, P3, Band 6 Job ...
VA ยท On-site +1
This role is remote. The Risk, Quality, and Performance Analyst serves as the Risk, Quality, and ... Maximus TCS (Technology and Consulting Services) Internal Job Profile Code: TCS015, P3, Band 6 Job ...
Bethesda, MD ยท On-site +1
$65K - $136K/yr
... risk management requirements. The engineer works closely with software, infrastructure, and ... Develop and maintain infrastructure as code (IaC) for AWS GovCloud, IoT gateways, and supporting ...
Bethesda, MD ยท On-site +1
$65K - $136K/yr
... risk management requirements. The engineer works closely with software, infrastructure, and ... Develop and maintain infrastructure as code (IaC) for AWS GovCloud, IoT gateways, and supporting ...
Washington, DC ยท On-site +1
Remote work status may be considered for outstanding candidates. Qualified applicants must be ... approaches * risk adjustment methodologies * cost and utilization measurement * quality and ...
Washington, DC ยท On-site +1
Remote work status may be considered for outstanding candidates. Qualified applicants must be ... approaches * risk adjustment methodologies * cost and utilization measurement * quality and ...
Bethesda, MD ยท Remote
$65K - $136K/yr
... risk management requirements. The engineer works closely with software, infrastructure, and ... Develop and maintain infrastructure as code (IaC) for AWS GovCloud, IoT gateways, and supporting ...
Bethesda, MD ยท Remote
$65K - $136K/yr
... risk management requirements. The engineer works closely with software, infrastructure, and ... Develop and maintain infrastructure as code (IaC) for AWS GovCloud, IoT gateways, and supporting ...
Mclean, VA ยท On-site +1
... code samples, blog posts and other material to share knowledge both inside and outside the ... Our Mission in Risk Technology We establish the foundational technology that allows Capital One to ...
Mclean, VA ยท On-site +1
... code samples, blog posts and other material to share knowledge both inside and outside the ... Our Mission in Risk Technology We establish the foundational technology that allows Capital One to ...
Washington, DC ยท On-site +1
Payor/provider experience, including product design, quality programs, risk adjustment, population ... Remote NY will be considered, preferred is DC Metro and Louisville, KY. Travel : Occasional travel ...
Washington, DC ยท On-site +1
Payor/provider experience, including product design, quality programs, risk adjustment, population ... Remote NY will be considered, preferred is DC Metro and Louisville, KY. Travel : Occasional travel ...
Washington, DC ยท On-site +1
Payor/provider experience, including product design, quality programs, risk adjustment, population ... Remote NY will be considered, preferred is DC Metro and Louisville, KY. Travel : Occasional travel ...
Washington, DC ยท On-site +1
Payor/provider experience, including product design, quality programs, risk adjustment, population ... Remote NY will be considered, preferred is DC Metro and Louisville, KY. Travel : Occasional travel ...
Mclean, VA ยท On-site +1
... code samples, blog posts and other material to share knowledge both inside and outside the ... This role is part of the Risk Technology organization. In Risk Technology, we provide the ...
Mclean, VA ยท On-site +1
... code samples, blog posts and other material to share knowledge both inside and outside the ... This role is part of the Risk Technology organization. In Risk Technology, we provide the ...
Washington, DC ยท On-site +1
Payor/provider experience, including product design, quality programs, risk adjustment, population ... Remote NY will be considered, preferred is DC Metro and Louisville, KY. Travel : Occasional travel ...
Washington, DC ยท On-site +1
Payor/provider experience, including product design, quality programs, risk adjustment, population ... Remote NY will be considered, preferred is DC Metro and Louisville, KY. Travel : Occasional travel ...
Clarksville, MD ยท On-site +1
$125K - $165K/yr
You deeply understand risk adjustment, utilization management, and how risk-bearing entities ... You don't need to write the code, but you must understand GenAI architectures, RAG, and agentic ...
Clarksville, MD ยท On-site +1
$125K - $165K/yr
You deeply understand risk adjustment, utilization management, and how risk-bearing entities ... You don't need to write the code, but you must understand GenAI architectures, RAG, and agentic ...
Arlington, VA ยท On-site +1
Certification/Licensure: Coding certification is preferred Skills, Knowledge, and Abilities ... Exhibits confidence, appropriate risk taking and achievement of high standards * Positive, can-do ...
Arlington, VA ยท On-site +1
Certification/Licensure: Coding certification is preferred Skills, Knowledge, and Abilities ... Exhibits confidence, appropriate risk taking and achievement of high standards * Positive, can-do ...
You will apply your expertise in Agile project delivery, risk management, and cross-functional team ... code/no-code platforms such as Appian. Experience focused primarily on cloud migration or ...
You will apply your expertise in Agile project delivery, risk management, and cross-functional team ... code/no-code platforms such as Appian. Experience focused primarily on cloud migration or ...
$17.18 - $17.76
7% of jobs
$18.32 is the 25th percentile. Wages below this are outliers.
$17.76 - $18.35
19% of jobs
$18.35 - $18.93
5% of jobs
$18.93 - $19.52
3% of jobs
$19.52 - $20.10
14% of jobs
The median wage is $20.25 / hr.
$20.10 - $20.69
6% of jobs
$20.69 - $21.27
0% of jobs
$21.27 - $21.86
0% of jobs
$21.86 - $22.45
0% of jobs
$22.91 is the 75th percentile. Wages above this are outliers.
$22.45 - $23.03
26% of jobs
$23.03 - $23.62
20% of jobs
$17
$21
$23
| Aspect | Remote Risk Adjustment Coding | Remote Medical Coding |
|---|---|---|
| Certifications | RHIA, RHIT, CPC, CCS | CPC, CCS, CCS-P |
| Work Environment | Healthcare organizations, insurance companies | Hospitals, clinics, insurance companies |
| Industry Usage | Health insurance, risk adjustment programs | Medical billing, claims processing |
Remote Risk Adjustment Coding focuses on analyzing patient data for insurance risk assessments, requiring specific risk adjustment certifications. Remote Medical Coding involves coding diagnoses and procedures for billing purposes. While both roles require coding certifications, Risk Adjustment Coding emphasizes risk analysis within insurance, whereas Medical Coding centers on billing accuracy.

$19.25 - $25.50/hr
Full-time
Posted 14 days ago
Job description:
Job Overview
We are seeking a highly skilled and detail-oriented HCC Coding Analyst to join our healthcare revenue cycle management team. The ideal candidate will possess a comprehensive understanding of hierarchical condition categories (HCC) coding, medical billing, and medical record abstraction. As an HCC Coding Analyst, you will play a vital role in ensuring accurate documentation and coding of patient records to optimize reimbursement from government programs such as the Centers for Medicare and Medicaid Services (CMS). Your expertise in ICD-9, ICD-10, CPT coding, and DRG assignment will contribute significantly to the efficiency and compliance of our billing processes. This position offers an opportunity to work within a dynamic healthcare environment dedicated to accuracy, compliance, and quality patient care.
Duties
Requirements
Join our team as an HCC Coding Analyst to ensure precise clinical documentation that supports optimal reimbursement while maintaining regulatory compliance within a fast-paced healthcare environment!
Benefits:
Sourced by ZipRecruiter
201 - 500 Employees
Columbia, MD, US
1998