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Seasonal Hcc Risk Adjustment Coding Jobs in Oregon

Cotiviti

$125K - $172K/yr

... risk adjustment, and quality outcomes for the payers we serve. This role sits at the intersection ... clinical coding such as ICD, CPT, or HCC). * Background designing ML systems in regulated ...

Strive Health

Nurse Practitioner

Portland, OR · On-site

Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and address care gaps related to HEDIS and preventative care. * Presents patient cases and provides ...

Strive Health

Nurse Practitioner

Portland, OR · On-site

Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and address care gaps related to HEDIS and preventative care. * Presents patient cases and provides ...

Strive Health

Nurse Practitioner

Portland, OR

Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and address care gaps related to HEDIS and preventative care. * Presents patient cases and provides ...

Easy Recruiter

Urgently Medical Record Clerk

Portland, OR · On-site

$17 - $21/hr

... Risk Adjustment Representative 2 conducts quality assurance review of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other ...

Ascension

Lead Clinical Documentation Specialist

$96K - $134K/yr

The Rapid Response Lead works collaboratively across departments to drive accurate documentation, coding integrity, and risk adjustment capture, while supporting training, compliance, and data-driven ...

LMI

$70K - $104K/yr

... risk adjustment. The ideal candidate is passionate about coding and technology, eager to learn, and willing to grow in a dynamic, fast-paced environment. This role offers the opportunity to apply ...

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All JobsHcc Risk Adjustment Coding JobsSeasonal Hcc Risk Adjustment Coding JobsSeasonal Hcc Risk Adjustment Coding Jobs in Oregon

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 the most commonly searched types of Hcc Risk Adjustment Coding jobs in Oregon? The most popular types of Hcc Risk Adjustment Coding jobs in Oregon are:
What are popular job titles related to Seasonal Hcc Risk Adjustment Coding jobs in Oregon? For Seasonal Hcc Risk Adjustment Coding jobs in Oregon, the most frequently searched job titles are:
What job categories do people searching Seasonal Hcc Risk Adjustment Coding jobs in Oregon look for? The top searched job categories for Seasonal Hcc Risk Adjustment Coding jobs in Oregon are:
What cities in Oregon are hiring for Seasonal Hcc Risk Adjustment Coding jobs? Cities in Oregon with the most Seasonal Hcc Risk Adjustment Coding job openings:
Seasonal Hcc Risk Adjustment Coding jobs near you

Physician Assistant - High Risk Program (OR License Required) - $10k sign on bonus!

Greater Good Health

Medford, OR • Hybrid

$125K - $150K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 13 days ago

Job description

Job Title: Physician Assistant - High Risk Patient
Job Location: Medford, OR - must have OR license and live local to Medford, OR
$10k sign on bonus!
Company Description:
Greater Good Health is a fast-growing organization delivering care to older adults in access starved communities. Our innovative model is led by APP's and focused on outcomes, not volume—meaning we prioritize quality over quantity, spend more time with our patients, and are accountable for their health and well-being.
Whether through our own senior-focused primary care clinics or our suite of integrated clinical solutions for health plans and provider groups, we are making value-based care more accessible and more effective. We help reduce avoidable healthcare costs, improve clinical outcomes, and create a best-in-class patient experience.

If you're passionate about transforming healthcare and delivering meaningful care to those who need it most, Greater Good Health offers a purpose-driven, collaborative, and supportive environment where your work can make a lasting impact.
The Role:
Ideal candidates are those who thrive working with a collaborative and compassionate community of caregivers. For this position, Physician Assistants will manage patients in an outpatient clinic setting as well as providing in-home clinical support for patients in the community. GGH PA's will be supporting clients with their patient panels and partnering with clinics as an embedded member of the care team with the goal of preventing unnecessary acute care admission, providing holistic patient care, optimizing the management of the patients’ medical conditions, and providing support for clinical and psychosocial factors that contribute to the cyclical utilization of healthcare.

What will you do as Nurse Practitioner at GGH?  
  • Assess patients' clinical problems and healthcare needs and provide clinical care and consultation
  • Perform an annual wellness exam for senior Medicare patients in a designated clinic or at their place of residence. Obtain and record the patient's medical history and symptoms, including medicine reconciliation 
  • HCC coding, verification, and risk adjustment 
  • Coordinates continuity of care, prevention and avoidance of complications, and close clinical treatment and management under the direction of the patient’s primary healthcare provider(s) and collaboration with other referral sources
  • Perform various tests and screenings  
  • Counseling patients with education around their discharge plan
  • Execute the discharge plan and use your critical thinking skills to build an effective care plan during a critical transition period after a hospital discharge
  • Supports patients and their families, and provides compassionate care
  • Contribute to an interdisciplinary team (IDT) model and attend regular IDT meetings to collaborate with other healthcare professionals (social workers, case managers, and other clinicians) to ensure the holistic approach to the care plan is carried out
  • Collaborate with care team to ensure completion of holistic patient care  
  • Ability to travel within the Jackson County, OR area 5 days a week to provide care to patients in their home based on the needs of business/market 
  • Expected patient volume completed per day in clinic: 8-10 
  • Expected patient volume completed per day in-home: 5-6  
  • Complete charts within 72 hours of patients’ visits; you will have access to EMR and/or portals to review charts and document notes 
  • Cover for other APPs and Care Team Members when necessary 
  • Maintains patients’ confidence by completing and safeguarding medical records, keeping patients’ information confidential, and abiding by all HIPAA rules and regulations 
This position is a full time Physician Assistant opportunity (5 days a week, 8am-5pm schedule). This role can include in clinic, in-home visits or telehealth visits. Home visits will be scheduled within a 30 mile radius of your home region (Jackson County, OR).

What will make you successful at GGH? 
  • Demonstrate the ability to execute thoroughly in a fast-paced work environment and continually build upon best-practices for efficiency 
  • Ability to build rapport  with the aging and elderly population through effective redirection skills  
  • Detail-oriented and thrives in routine work  
  • Open to feedback from the clinical and leadership team to strive for constant improvement with coding and processes  
  • Comfort with technology systems, commitment to timely EMR documentation, and have a deep understanding of Medicare HCC coding and managed care 
  • Flexible with work schedule and work setting as needed 
  • Ability to travel within the 35 mile radius of Jackson County, OR 5 days a week to provide care to patients based on the needs of business/market 
The ideal candidate is passionate about providing high-quality care and constantly striving for excellence. You get out of bed every day to do this work because continual improvement and learning makes you happy. You have experience providing care to the underserved population and are passionate about providing more access to comprehensive care. You emphasize personal connection to provide effective patient education and use a comprehensive approach to care. Most importantly, you share and embody the GGH values to every interaction ensuring that every patient is provided the opportunity to receive quality care. 
Experience and qualifications
  • Current Oregon Physician Assistant/Associate license
  • Current board certified PA
  • 2 + years of clinical experience as a NP in either Primary Care, Family Medicine, Internal Medicine, Gerontology or Palliative Care.  
  • Acute care experience with high-risk patients is a plus
  • Home health experience (PA or RN) is a plus
  • Working knowledge of chronic care management and various medication options
  • Current DEA licensure / Prescriptive Authority post-hire
  • Active CPR/BLS Certification
  • Current Oregon Driver’s License   
Perks and Benefits:
Competitive Compensation Package: We offer a competitive compensation package to recognize your valuable contributions and ensure your financial security.
Comprehensive Medical, Dental, and Vision Benefits: Take advantage of comprehensive healthcare coverage, including medical, dental, and vision benefits, to prioritize your health and well-being. Flexible Spending Accounts (FSAs) and Health Savings Accounts (HSAs) available.
Paid Time Off and Parental Leave: Enjoy paid holidays, vacation time, and paid parental leave to maintain a healthy work-life balance and spend quality time with your loved ones.
401K Program with Company Match: Plan for your future with our 401K program, featuring a company match, to help you save for retirement.
Wellness Resources: Access to BetterHelp and monthly wellness reimbursement
Comprehensive Life and AD amp;D Coverage: Enjoy peace of mind with 100% premiums covered by GGH for Basic Life and Accidental Death amp; Dismemberment (AD amp;D) insurance for full-time team members. Additionally, voluntary supplemental life insurance is offered at a discounted rate.
Voluntary Insurance Plans: We offer voluntary short term disability, critical illness and accident plans for additional financial security during periods of illness or injury that prevent you from working for a set period of time
License Reimbursements: We offer reimbursement for a number of licenses and certifications that we require as a condition of employment; DEA, License, Board Certification, and ALS/BLS.
Learning amp; Development: Yearly professional reimbursement for continued learning and development
Continuing Education Credits: Take advantage of CE credits available through the GGH Institute, approved by the AANP, to expand your knowledge and skills in your field.
Collaborative and Supportive Community: Join our collaborative and supportive GGH Nurse Practitioner Community, with dedicated care coordinators and MD advisors, to foster professional growth and success.
Malpractice Coverage: Rest easy knowing you're covered with malpractice insurance ensuring peace of mind as you provide
Don’t check off every box in the requirements listed above? Please apply anyway! Studies have shown that marginalized communities - such as women, LGBTQ+ and people of color - are less likely to apply to jobs unless they meet every single qualification. GGH is dedicated to building an inclusive, diverse, equitable, and accessible workplace that fosters a sense of belonging – so if you’re excited about this role but your experience doesn’t align perfectly with every qualification in the job description, we encourage you to still consider applying. You may be just the right candidate for this role or another one of our openings!

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