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Seasonal Hcc Risk Adjustment Coding Jobs in Nevada

IPA Consultative Coder

Las Vegas, NV · On-site

$18 - $24/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Use your skills to make an impact Qualifications 3+ years of risk adjustment medical coding experience CCS, CRC OR CPC Certification Familiarity in value-based care Must live within 50 miles of ...

IPA Consultative Coder

North Las Vegas, NV · On-site

$21.75 - $29/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Use your skills to make an impact Qualifications 3+ years of risk adjustment medical coding experience CCS, CRC OR CPC Certification Familiarity in value-based care Must live within 50 miles of ...

IPA Consultative Coder

North Las Vegas, NV · On-site

$21.75 - $29/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Use your skills to make an impact Qualifications 3+ years of risk adjustment medical coding experience CCS, CRC OR CPC Certification Familiarity in value-based care Must live within 50 miles of ...

Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and ... Ensures claim files are properly documented and claims coding is correct. * Refers cases as ...

Ability to access at risk participants and situations * Proficiency in Microsoft Office Software ... Aid with seasonal events and drives as needed * Work in food pantry; assisting clients and stocking ...

Experience working with homeless and/or at-risk clients and families preferred. * Must have in ... Other duties and special projects as assigned including but not limited to seasonal events as they ...

Ability to access at risk participants and situations * Proficiency in Microsoft Office Software ... Aid with seasonal events and drives as needed * Work in food pantry; assisting clients and stocking ...

Experience working with homeless and/or at-risk clients and families preferred. * Must have in ... Other duties and special projects as assigned including but not limited to seasonal events as they ...

... codes, filtration systems, preventative maintenance, and safety compliance. The role requires ... Experience with chemical adjustment, backwashing, water sampling, and treatment operations * Strong ...

Controller

Reno, NV · On-site

$123K - $151K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... seasonal cycles and forming small, efficient social groups for survival.Each group's name means ... adjustments; maintaining the chart of accounts and cost codes; and managing hiring, performance ...

Showing results 21-40

Seasonal Hcc Risk Adjustment Coding information

What are the most common challenges faced by professionals in seasonal HCC risk adjustment coding roles, and how can they be managed?

Seasonal HCC Risk Adjustment Coders often face the challenge of managing high volumes of medical records within tight deadlines, especially during peak audit or submission periods. Ensuring coding accuracy and compliance with evolving CMS guidelines can also be demanding, as even minor errors may impact reimbursement and risk scores. Staying organized, regularly participating in training updates, and leveraging coding software tools can help manage workloads and maintain accuracy. Collaborating closely with clinical teams and other coders is vital for clarifying documentation and sharing best practices.

What is a seasonal HCC risk adjustment coder?

A Seasonal HCC Risk Adjustment Coder is a healthcare professional who reviews medical records to identify and code diagnoses that impact risk adjustment scores, typically during peak periods such as the Medicare Advantage sweep season. HCC stands for Hierarchical Condition Category, a coding system used by Medicare to predict healthcare costs based on patient diagnoses. These coders ensure accurate documentation, which directly affects insurance reimbursement and compliance. Seasonal roles are common due to the cyclical nature of risk adjustment reporting deadlines.

What is the difference between Seasonal Hcc Risk Adjustment Coding vs Hcc Risk Adjustment Coding?

AspectSeasonal Hcc Risk Adjustment CodingHcc Risk Adjustment Coding
CredentialsCertifications in coding and risk adjustmentCertifications in coding and risk adjustment
Work EnvironmentHealthcare facilities, insurance companies, remoteHealthcare facilities, insurance companies, remote
Industry UsageUsed seasonally for specific risk adjustmentsUsed year-round for ongoing risk management
Search IntentUnderstanding seasonal coding differencesGeneral risk adjustment coding practices

Seasonal Hcc Risk Adjustment Coding focuses on coding practices during specific times of the year, often related to seasonal health trends. In contrast, Hcc Risk Adjustment Coding involves continuous coding to manage patient risk profiles throughout the year. Both roles require similar certifications and work environments but differ mainly in their temporal focus and application.

What are the key skills and qualifications needed to thrive as a seasonal HCC risk adjustment coder?

To thrive as a Seasonal HCC Risk Adjustment Coder, you need a strong understanding of ICD-10-CM coding, risk adjustment methodologies, and a certification such as CPC, CRC, or CCS. Proficiency in coding software, electronic health records (EHRs), and risk adjustment platforms is typically required. Attention to detail, analytical thinking, and strong organizational skills help ensure accuracy and compliance in reviewing medical records. These skills are essential to accurately capture patient risk profiles, support healthcare reimbursement, and maintain regulatory compliance.

What are popular job titles related to Seasonal Hcc Risk Adjustment Coding jobs in Nevada?

For Seasonal Hcc Risk Adjustment Coding jobs in Nevada, the most frequently searched job titles are:

What job categories do people searching Seasonal Hcc Risk Adjustment Coding jobs in Nevada look for?

The top searched job categories for Seasonal Hcc Risk Adjustment Coding jobs in Nevada are:

IPA Consultative Coder

Centerwell

Las Vegas, NV • On-site

$18 - $24/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 8 days ago


CenterWell rating

9.0

Company rating: 9.0 out of 10

Based on 10 frontline employees who took The Breakroom Quiz


Job description

Become a part of our caring community

Humana's Primary Care Organization is a leading senior-focused, value-based care provider with 400+ centers across 15 states under the CenterWell and Conviva brands.

As an IPA Consultative Coder, you will collaborate with a multidisciplinary team to support the delivery of high-quality, cost-effective care in the communities we serve. In this role, you will work closely with providers and clinic teams to enhance documentation accuracy, identify opportunities for improvement, and reinforce coding and documentation best practices.

This is a hybrid position that requires occasional travel within the assigned market.

Responsibilities:

You will deliver coding and documentation education to providers and clinic staff within IPA clinics.

You will be a consultative resource and ongoing support for providers in assigned clinics.

You will conduct documentation audits to identify gaps, trends, and opportunities for improvement.

You will perform quarterly chart reviews to support coding accuracy and documentation completeness.

Use your skills to make an impact

Qualifications

3+ years of risk adjustment medical coding experience

CCS, CRC OR CPC Certification

Familiarity in value-based care

Must live within 50 miles of assigned market

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$59,300 - $80,900 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About Us

About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient's well-being.

About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer at?CenterWell.com.

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Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options https://www.partnersinprimarycare.com/accessibility-resources


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