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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 ...

PacificSource

Population Health Strategist

Bend, OR · On-site

$128K - $165K/yr

... documentation/coding practices) within their own practices. * Establish credible, consultative ... risk adjustment. * Collaborate with multiple departments (Risk Assessment, Care Management ...

New

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 ...

LMI

$57 - $75.75/hr

... Medicare Advantage, and Risk Adjustment. This role is pivotal in ensuring the stability ... Solid understanding of infrastructure as code (IaC) with tools like Terraform, Ansible, or ...

Origami Risk LLC

$100K - $122K/yr

... Claude Code that are reshaping how software is built. The Engineering Systems Engineer is a ... friction or risk. * Serves as the escalation point for Azure DevOps configuration issues ...

Instacart

OR · On-site

$89K - $123K/yr

Drive risk assessments, control scoping, testing, deficiency evaluation, and remediation * Define ... Code repositories and access controls * CI/CD pipelines and deployment governance * Environment ...

Xenium HR

Payroll Specialist II

Tualatin, OR · On-site +1

$24.50 - $33.25/hr

Audits a mixture of pay codes with corresponding workers' compensation codes. Audits W-4's and ... adjustments, and bonuses. Calculates garnishments, deductions, and loan payments, and processes out ...

Xenium HR

Payroll Specialist II

Tualatin, OR · On-site

$24.50 - $33.25/hr

Audits a mixture of pay codes with corresponding workers' compensation codes. Audits W-4's and ... adjustments, and bonuses. Calculates garnishments, deductions, and loan payments, and processes out ...

Xenium HR

Payroll Specialist II

Tualatin, OR · On-site +1

$24.50 - $33.25/hr

Audits a mixture of pay codes with corresponding workers' compensation codes. Audits W-4's and ... adjustments, and bonuses. Calculates garnishments, deductions, and loan payments, and processes out ...

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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, and why are they important?

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
Coding Educator-Auditor

Coding Educator-Auditor

Samaritan Health Services

Corvallis, OR • On-site

$31.33 - $46.01/hr

Full-time

Re-posted 4 days ago

Samaritan Health Services rating

7.5

Company rating: 7.5 out of 10

Based on 65 frontline employees who took The Breakroom Quiz

233rd of 886 rated healthcare providers

Job description

  • This is a hybrid position that will work from home and within the clinics providing training to providers.
  • JOB SUMMARY/PURPOSE
    • Provides formal and informal coding and regulatory education/training to Providers and Professional Coders. The education will include coding and documentation requirements as directed by Federal and State requirements as well as the AMA. Serves as a liaison between providers and coders. Responsible for reviewing (auditing) professional charges, medical records, and claims to ensure accuracy and compliance with the CMS guidelines as well as CPT, HCPCS, ICD-10 coding guidelines. Identifies errors, inconsistencies, and areas for improvement in coding and documentation with current guidelines and regulations. Compiles and presents reports of audit results, highlighting areas for improvement, educating, and reauditing. Answers coding questions for clinic managers, providers, and other staff.
  • DEPARTMENT DESCRIPTION
    • The Regional Business Office Physician Coding Team is responsible for the accurate and timely coding of the Samaritan Health Services clinic providers according to all applicable guidelines with applicable federal/state rules and regulations.
  • EXPERIENCE/EDUCATION/QUALIFICATIONS
    • High school diploma or equivalent required.
    • Two (2) certifications (CPC, CRC Risk adjuster, CPMA, CPCO compliance officer, or RHIT) required upon hire.
    • Three (3) years experience in CPT EM leveling, ICD-10 diagnosis coding, HCC diagnosis coding, medical claims auditing, and provider education required.
    • Experience with data analysis and report preparation required.
  • KNOWLEDGE/SKILLS/ABILITIES
    • Strong knowledge of healthcare regulations and standards, including Medicare and Medicaid. Knowledge of coding and billing practices in healthcare.
    • Strong problem-solving and critical thinking skills.
    • Excellent attention to detail and ability to identify errors and discrepancies.
    • Excellent verbal and written communication skills.
    • Ability to work independently and as part of a team.
    • Ability to work well under pressure and meet tight deadlines.
    • Proficiency in Microsoft Office and other relevant software applications.
  • PHYSICAL DEMANDS
    • Rarely
      (1 - 10% of the time)
      Occasionally
      (11 - 33% of the time)
      Frequently
      (34 - 66% of the time)
      Continually
      (67 - 100% of the time)
      CLIMB - STAIRS
      LIFT (Floor to Waist: 0"-36") 0 - 20 Lbs
      LIFT (Knee to chest: 24"-54") 0 - 20 Lbs
      LIFT (Waist to Eye: up to 54") 0 - 20 Lbs
      CARRY 1-handed, 0 - 20 pounds
      BEND FORWARD at waist
      KNEEL (on knees)
      STAND
      WALK - LEVEL SURFACE
      ROTATE TRUNK Standing
      REACH - Upward
      PUSH (0-20 pounds force)
      PULL (0-20 pounds force)
      SIT
      CARRY 2-handed, 0 - 20 pounds
      ROTATE TRUNK Sitting
      REACH - Forward
      MANUAL DEXTERITY Hands/wrists
      FINGER DEXTERITY
      PINCH Fingers
      GRASP Hand/Fist
      None specified

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