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Seasonal Hcc Risk Adjustment Coding Jobs in Cleburne, TX

Palm Medical Centers

Primary Care Physician

Mansfield, TX · On-site

$250K - $300K/yr

Accurately and on a timely basis document encounters and diagnoses in eCW, ensuring complete and compliant coding for risk adjustment * Participate in multidisciplinary meetings and quality ...

Corvel

CERIS Certified Coder II

Fort Worth, TX · Remote

$48K - $71K/yr

E/M coding/down-coding experience * Texas workers' compensation experience is preferred * Pain ... The level may impact the salary range and these adjustments would be clarified during the offer ...

CERiS

CERIS Certified Coder II

Fort Worth, TX · Remote

$48K - $71K/yr

E/M coding/down-coding experience * Texas workers' compensation experience is preferred * Pain ... The level may impact the salary range and these adjustments would be clarified during the offer ...

Corvel

CERIS Certified Coder I

Fort Worth, TX · Remote

$43K - $65K/yr

E/M coding/down-coding experience * Texas workers' compensation experience is preferred * Pain ... The level may impact the salary range and these adjustments would be clarified during the offer ...

CERiS

CERIS Certified Coder I

Fort Worth, TX · Remote

$43K - $65K/yr

E/M coding/down-coding experience * Texas workers' compensation experience is preferred * Pain ... The level may impact the salary range and these adjustments would be clarified during the offer ...

Corvel

CERIS Certified Coder I

Fort Worth, TX · On-site

$43K - $65K/yr

E/M coding/down-coding experience * Texas workers' compensation experience is preferred * Pain ... The level may impact the salary range and these adjustments would be clarified during the offer ...

CERIS Health

CERIS Certified Coder II

Fort Worth, TX · On-site

$48K - $71K/yr

E/M coding/down-coding experience * Texas workers' compensation experience is preferred * Pain ... The level may impact the salary range and these adjustments would be clarified during the offer ...

CERIS Health

CERIS Certified Coder I

Fort Worth, TX · On-site

$43K - $65K/yr

E/M coding/down-coding experience * Texas workers' compensation experience is preferred * Pain ... The level may impact the salary range and these adjustments would be clarified during the offer ...

CorVel

CERIS Certified Coder I

Fort Worth, TX · On-site

$43K - $65K/yr

E/M coding/down-coding experience * Texas workers' compensation experience is preferred * Pain ... The level may impact the salary range and these adjustments would be clarified during the offer ...

CorVel

CERIS Certified Coder II

Fort Worth, TX · On-site

$48K - $71K/yr

E/M coding/down-coding experience * Texas workers' compensation experience is preferred * Pain ... The level may impact the salary range and these adjustments would be clarified during the offer ...

CERiS

CERIS Certified Coder I

Fort Worth, TX · On-site

$43K - $65K/yr

E/M coding/down-coding experience * Texas workers' compensation experience is preferred * Pain ... The level may impact the salary range and these adjustments would be clarified during the offer ...

Corvel

Payment Integrity Supervisor

Fort Worth, TX · On-site

$77K - $120K/yr

Strong understanding of claims processing, ICD-10 Coding, DRG Validation (if applicable) * Strong ... The level may impact the salary range and these adjustments would be clarified during the offer ...

CERiS

Payment Integrity Supervisor

Fort Worth, TX · Remote

$77K - $120K/yr

Strong understanding of claims processing, ICD-10 Coding, DRG Validation (if applicable) * Strong ... The level may impact the salary range and these adjustments would be clarified during the offer ...

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All JobsHcc Risk Adjustment Coding JobsSeasonal Hcc Risk Adjustment Coding JobsSeasonal Hcc Risk Adjustment Coding Jobs in Cleburne, TX

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 popular job titles related to Seasonal Hcc Risk Adjustment Coding jobs in Cleburne, TX?

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

What cities near Cleburne, TX are hiring for Seasonal Hcc Risk Adjustment Coding jobs?

Cities near Cleburne, TX with the most Seasonal Hcc Risk Adjustment Coding job openings:

Seasonal Hcc Risk Adjustment Coding jobs near you

Primary Care Physician

Palm Medical Centers

Mansfield, TX • On-site

$250K - $300K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 19 days ago

Job description

Come learn about the Palm Primary Care experience! Our centers have a 98% patient satisfaction rate as we deliver senior primary care with genuine kindness.

At Palm Primary Care, our patients have the peace of mind knowing that their health and well-being are our primary concerns. We give our health plan clients the confidence that their members are well taken care of.

We provide primary care and other services to seniors and families in our medical centers that are comfortable, convenient and staffed with caring professionals. Our activity and wellness facilities are filled with health plan members who know us for our distinct events and programs that cater to the communities we serve.

Every day, Palm Primary Care delivers on its promise to bring value based, quality healthcare to our patients.

Responsibilities:

  • Provide comprehensive primary care services to adult and senior population within the Medicare Advantage/Medicare/Medicaid model
  • Conduct routine and preventative visits, including annual wellness exams, chronic disease management, and acute care visits
  • Order outside diagnostic tests and lab work as needed (blood/urine test, tissue samples, imagery, etc.)
  • Develop and implement personalized care plans focused on improving patient outcomes, quality and satisfaction
  • Manage patients using a value-based approach, emphasizing prevention, coordinated care, and reduction of avoidable hospitalization
  • Collaborate closely with care teams including nurse practitioners, medical assistants, case managers and specialists to insure seamless patient care
  • Review and address quality metrics, including HEDIS and STAR measures, to optimize clinical performance and patient outcomes
  • Accurately and on a timely basis document encounters and diagnoses in eCW, ensuring complete and compliant coding for risk adjustment
  • Participate in multidisciplinary meetings and quality improvement initiatives aimed at enhancing clinical outcomes and patient satisfaction
  • Maintain ongoing communication with patients and their families, providing education on disease prevention, medication management and health lifestyle choices
  • Adhere to Palm Primary Care's protocols, standards of care, and compliance with all regulatory requirements
  • Maintain confidentiality and always work with respect and integrity
  • Promote a positive, team-oriented culture consistent with Palm Primary Care's mission to deliver exceptional, patient-focused care

Qualifications:

    • Medical Degree (M.D., D.O.) from an accredited institution
    • Board Certified or Board Eligible in Family Medicine or Internal Medicine
    • Active, unrestricted Texas Medical License 
    • Current DEA license in good standing
    • Minimum 2-3 years' experience providing care to Medicare and/or Medicare Advantage patients preferred
    • Experience working in a value-based care model, focused on outcomes, quality metrics, and patient satisfaction
    • Strong understanding of HEDIS, STAR ratings, risk adjustment, and preventative care measures
    • Demonstrated ability to manage chronic conditions and promote population health in a senior patient population
    • Excellent communication, collaboration, and interpersonal skills for a multidisciplinary team environment 
    • Comfortable using EMR systems (eCW a plus)
    • Commitment to providing high-quality, patient-centered care aligned with Palm Primary Care's mission and standards

Benefits:

  • 401(k)
  • Dental insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Relocation assistance
  • Retirement plan
  • Vision insurance

Medical specialties:

  • Geriatrics
  • Primary Care

Schedule:

  • Monday to Friday
  • Great work/life balance for our providers (No On-Call schedule)

Work Location: In person
 

Palm Primary Care is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.
This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship. Palm Medical Centers makes hiring decisions based solely on qualifications, merit, and business needs at the time. 

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