1

Seasonal Hcc Risk Adjustment Coding Jobs in Forest Grove, OR

Payroll Coordinator

Portland, OR · On-site

$61K - $84K/yr

Execute payroll transactions including pay data entry, adjustments, reporting, and off-cycle ... Escalate complex or high-risk issues appropriately. * Support onboarding and training of new team ...

Execute payroll transactions including pay data entry, adjustments, reporting, and off-cycle ... Escalate complex or high-risk issues appropriately. * Support onboarding and training of new team ...

Superintendent - Pence

Portland, OR · On-site

$80 - $100/hr

Responsible for mitigating and reporting project risk * Follow all policies and procedures and ... Ensures that all applicable safety codes and requirements are adhered to. * Responsible to maintain ...

... risk • Follow all policies and procedures and assure others do as well • Participates in ... codes and requirements are adhered to. • Responsible to maintain adequate levels of jobsite ...

Planner II

Tualatin, OR · On-site

$70K - $85K/yr

... timing adjustments, or escalation * Partner with purchasing to align PO timing and supplier ... codes * Review supplier planning assumptions such as vendor lead time, transit time, delivery ...

Planner II

Tualatin, OR · On-site

$70K - $85K/yr

... timing adjustments, or escalation * Partner with purchasing to align PO timing and supplier ... codes * Review supplier planning assumptions such as vendor lead time, transit time, delivery ...

Planner II

Tualatin, OR · On-site

$70K - $85K/yr

... timing adjustments, or escalation * Partner with purchasing to align PO timing and supplier ... codes * Review supplier planning assumptions such as vendor lead time, transit time, delivery ...

... risk management. As an on-site leader, you will supervise all aspects of the property and staff to ... Monitor the timely receipt, reconciliation, and coding of all vendor invoices * Ensure property ...

Showing results 21-40

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.

Supervisory Internal Revenue Agent (Temporary Not To Exceed, May Be Extended Up To 5 Years)

Criminal Investigation & Law Enforcement | IRS Careers

Portland, OR • On-site

$125K/yr

Full-time, Temporary

Posted 8 days ago


Internal Revenue Service rating

7.5

Company rating: 7.5 out of 10

Based on 129 frontline employees who took The Breakroom Quiz

130th of 295 rated public sector bodies


Job description


WHAT IS LARGE BUSINESS & INTERNATIONAL DIVISION?
A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisions
  • Position(s) are to be filled in following area(s):
    • LBI - ADCCI - Compliance Planning & Analytics (CP&A), Workload Development & Delivery (WDD), Whistleblowers Team.

REVIEW THE ADDITIONAL INFORMATION BELOW FOR FURTHER DETAILSQualifications:

Federal experience is not required. Experience may have been gained in the public sector, private sector or through Volunteer Service. One year of experience refers to full-time work; part-timework is considered on a prorated basis. To ensure full credit for your work experience, please indicate dates of employment by month/day/year, and indicate number of hours worked per week, on your resume.
You must meet the following requirements by the closing date of this announcement.
BASIC REQUIREMENTS All GRADES: A Certificate as a Certified Public Accountant (CPA) or a bachelor's or higher degree in accounting that included at least 30 semester hours in accounting or 24 semester hours in accounting and an additional 6 semester hours in related subjects such as business law, economics, statistical/quantitative methods, computerized accounting, or financial systems, financial management, or finance.
OR
A bachelor's or higher degree in a field other than accounting or a combination of education and experience equivalent to 4 years that included at least 30 semester hours in accounting or 24 semester hours in accounting and 6 semester hours in related subjects as described above.
AND
SPECIALIZED EXPERIENCE IR-04: In addition to basic requirements, to be minimally qualified for this position you must have one (1) year of specialized experience at a level of difficulty and responsibility equivalent to the next lower level within the payband or GS grade in the normal line of progression in the Federal service that demonstrates the required managerial skills and technical competence required to perform the job. To be qualifying for this position your experience must include:

  • Qualifying experience must have been in progressively responsible and diversified professional accounting or auditing work that required 1) knowledge of and skill in applying professional accounting principles, theory, and practices to analyze and interpret accounting books, records, or systems specifically to determine their effect on Federal tax liabilities and their adequacy for recording transactions affecting tax liabilities; 2) skill in interpreting and applying Federal tax law for individuals, business, and/or exempt organizations, partnerships, and corporations; 3) knowledge of business and trade practices to develop tax issues based on analysis and evaluation of overall business operations and financial condition; 4) knowledge of corporate financial transactions and financial management principles and practices; and 5) skill in interacting effectively with a broad range of individuals and in negotiating with specialists in accounting, legal, tax, and other similar business-related professions.
  • Experience directing technical examination activities by establishing examination strategies, coordinating issue development, assigning technical priorities, workload selection criteria, and ensuring consistent application of Internal Revenue laws, regulations, rulings, and procedures.
  • Experience reviewing examination findings, financial records, accounting data, taxpayer accounts and transcripts, technical analyses, workpapers, and supporting documentation to determine whether proposed tax treatments, adjustments, and examination conclusions are supported by factual information and applicable tax authorities.
  • Experience evaluating examination and compliance issues involving corporate returns, partnerships, pass-through entities, or other complex business transactions by analyzing financial data, transaction documentation, supporting evidence, and applicable Federal tax authorities.
  • Experience researching, interpreting, and applying Internal Revenue Code provisions, Treasury Regulations, court decisions, revenue rulings, revenue procedures, and other published guidance to resolve technical examination issues and determine tax treatment.
  • Experience developing examination approaches for tax compliance issues including emerging and reportable transaction issues by identifying areas of audit risk, establishing issue-development priorities, and coordinating technical issue resolution throughout the examination and selection process.
  • Experience coordinating examination activities with Counsel, Appeals, Technical Advisors, economists, engineers, valuation specialists, international specialists, or other subject-matter experts to resolve technical tax issues.
  • Experience developing or reviewing technical recommendations, examination and claims determinations, reports, memoranda, work papers, or issue analyses that document examination findings, supporting legal authorities, and proposed tax adjustments.

AND
You must also meet the following requirement(s):

  • TIME AFTER COMPETITIVE APPOINTMENT (TACA): By the closing date (or if this is an open continuous announcement, by the cut-off date) specified in this job announcement, current civilian employees must have completed at least 90 days of federal civilian service since their latest non-temporary appointment from a competitive referral certificate, known as time after competitive appointment. For this requirement, a competitive appointment is one where you applied to and were appointed from an announcement open to "All US Citizens"

For more information on qualifications please refer to OPM's Qualifications Standards.
Go to Understanding the IRS Paybands for GS/IR conversion.

Education:A college or university degree generally must be from an accredited (or pre-accredited) college or university recognized by the U.S. Department of Education. For a list of schools which meet these criteria, please refer to Department of Education Accreditation page.
FOREIGN EDUCATION: Education completed in foreign colleges or universities may be used to meet the requirements. You must show proof the education credentials have been deemed to be at least equivalent to that gained in conventional U.S. education program. It is your responsibility to provide such evidence when applying. Click here (Section 3, Explanation of Terms) or here for Foreign Education Credentialing instructions.
We recommend choosing an evaluator from a member organization of one of the following national associations of credential evaluation services: National Association of Credential Evaluation Services (NACES) or Association of International Credentials Evaluators (AICE).Employment Type: OTHER

What Internal Revenue Service employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom