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Seasonal Hcc Risk Adjustment Coding Jobs in Oregon

Columbia

Sr US Footwear Merchandiser

Portland, OR · On-site

... financial risk and reward. YOU ARE * Capable of managing the seasonal product adoption ... If you need an accommodation/adjustment to successfully complete and submit your application ...

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 +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 ...

BELFOR Holdings

PM- Project Manager

Springfield, OR

... risk/high-profile environments. You will serve on BELFOR Cat teams following hurricanes and other ... Communicate daily with Estimators on status of project, adjustments needed to timelines, or issues

Cumming Group

Senior Scheduler

Bend, OR · On-site

Develop and maintain project risk assessments, qualitative and quantitative. * Develop and maintain ... Experience with estimate validation and adjustments and comparative cost analyses. * Knowledge of ...

Cumming Group

Senior Scheduler

Bend, OR · On-site

Develop and maintain project risk assessments, qualitative and quantitative. * Develop and maintain ... Experience with estimate validation and adjustments and comparative cost analyses. * Knowledge of ...

Corvel

Senior Software Engineer

Portland, OR · Remote

$97K - $163K/yr

... source code control, inspections and reviews * Stay current with technology and industry best ... Experience in insurance, healthcare, or risk management PAY RANGE: CorVel uses a market based ...

Corvel

Senior Software Engineer

Portland, OR · On-site

$97K - $163K/yr

... source code control, inspections and reviews * Stay current with technology and industry best ... Experience in insurance, healthcare, or risk management PAY RANGE: CorVel uses a market based ...

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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 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 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 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 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 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

Nurse Practitioner or Physician Assistant (Portland)

SCAN Group

Portland, OR • On-site

$115K - $149K/yr

Full-time

Retirement, PTO

Posted 15 days ago

Job description

Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the "12 Angry Seniors." Their mission continues to guide everything we do.
Today, SCAN is a nonprofit health organization serving more than 500,000 people across Arizona, California, Nevada, New Mexico, Texas, and Washington, with over $8 billion in annual revenue. With nearly five decades of experience, we have built a distinctive, values-driven platform dedicated to improving care for older adults.
Our work spans Medicare Advantage, fully integrated care models, primary care, care for the most medically and socially complex populations, and next-generation care delivery models. Across all of this, we are united by a shared commitment: combining compassion with discipline, innovation with stewardship, and growth with integrity.
At SCAN, we believe scale should strengthen-not dilute-our mission. We are building the future of care for older adults, grounded in purpose, accountability, and respect for the people and communities we serve.
-field based covering areas in Portland, Oregon
The Job
The Advanced Practice Clinician will provide and coordinate primary care to SCAN members to achieve the Company's mission to keep seniors healthy and independent.
You Will
  • Provide care to an assigned panel of members (patients) in their place of residence, most commonly in senior living communities or skilled nursing facilities. This includes conducting physical/wellness exams and assessments; occasional urgent medical visits and telephonic triage to ensure timely, appropriate care and hospital avoidance if possible; administering vaccines; ordering and interpreting diagnostic tests; initiating goals of care conversations with patients and their loved ones; and chronic disease management.
  • Identify patient health care needs and develop a comprehensive plan of care for the patient, their family, and living-community staff.
  • Collaborate with our case management team to ensure members have timely access to necessary and appropriate services.
  • Independently manage visitation schedule in line with established practice protocols and adjust schedule based on members' needs and acuity.
  • Engage with Primary Care Physicians and other health care professionals in a collaborative relationship aimed at disease prevention, health promotion, and chronic disease management. Partner closely with Primary Care Physicians for clinical oversight and guidance.
  • Connect with specialists, hospitals, ancillary care providers, and community-based organizations to ensure continuity of care and promote shared decision-making while advocating for members.
  • Actively monitor and quickly address clinical quality gaps in care in partnership with other care providers.
  • Document member visits and interactions in a timely manner according to established practice protocols.
  • Serve as an ongoing direct resource for members and their families, as well as for their communities and support staff.
  • Participate with Integrated Care Sales team in events to build member awareness and educate communities.
  • Initiate and complete virtual health visits with members as needed to promote accurate triaging and reduce drive time.
  • Participate in on-call program available to our members after hours and on weekends.
  • Maintain professional and technical knowledge by attending educational workshops and reviewing professional publications.
  • Contribute to team efforts to meet quality healthcare goals by closing care gaps, attending high risk group discussions, and optimizing clinical workflows and protocols.
  • This position is a patient-facing role.
  • Employees may be eligible for differential pay.
  • We seek Rebels who are curious about AI and its power to transform how we operate and serve our members.
  • Actively support the achievement of SCAN's Vision and Goals.
  • Other duties as assigned.

Your Qualifications
  • Master's degree in Nurse Practitioner Certificate OR Master's from an accredited PA program, Education in Adult/Geriatric medical care preferred.
  • A comparable combination or education/experience and/or training will be considered equivalent to the education listed above.
  • Oregon Nurse Practitioner license - OR- Oregon Physician Assistant Certification (PA-C) in good standing.
  • Wound Care Certificate and Palliative Care Certificate a plus.
  • Knowledge of the treatment of complex chronic diseases, such as dementia, diabetes, heart failure, and COPD.
  • Ability to identify health care needs and refer and coordinate with other resources/programs appropriately.
  • Knowledge of HCC and ICD-10 coding and documentation.
  • Knowledge of wound care and management.
  • Knowledge of CMS guidelines and Medicare Advantage Managed Care.
  • Comfortable with initiating goals of care and end of life discussions.
  • Strong interpersonal skills and change agent mindset needed to build relationships with healthcare team and patients.
  • Knowledge of and ability to maintain HIPAA requirements.
  • Adaptable and open to change and problem-solving.
  • Knowledge of and/or ability to learn basic technological skills (Word, Excel, PowerPoint, Outlook, EMR) and open to new technology.
  • Ability to stoop, kneel, and crouch required. Ability to bend, reach, lift, pull, push, and carry up to 10 lbs. regularly and up to 50 lbs. occasionally.
  • Multilingual/Multicultural a plus.
  • Travel 75+% of the time in the assigned area- Must have a valid driver's license, automobile insurance and reliable transportation.

Tuberculosis Screening Policy
To ensure the health and safety of our members, if you are selected for this position, your job offer with SCAN will be contingent on providing proof of Tuberculosis screening upon hire or providing proof of a negative screening within the last year. If you have a disability/medical reason or sincerely held religious belief that prevents you to provide information required in this policy, SCAN will initiate and engage in the interactive process to evaluate what, if any, reasonable accommodations may be available.
What's in it for you?
  • Base salary range: $125,400.00 to $179,300.00 annually
  • Quarterly bonus program
  • Work Mode: Remote/Field
  • Robust Wellness Program
  • Generous paid-time-off (PTO)
  • Eleven paid holidays per year, plus 1 additional floating holiday
  • Excellent 401(k) Retirement Saving Plan with employer match and contribution
  • Robust employee recognition program
  • Tuition reimbursement
  • An opportunity to become part of a team that makes a difference to our members and our community every day!

We're always looking for talented people to join our team! Qualified applicants are encouraged to apply now!
At SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more.
SCAN is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required.
#LI-BB1
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)

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