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Senior Hcc Risk Adjustment Coder Jobs in Delaware

JP Morgan Chase

Risk Strategy Associate

Wilmington, DE · On-site

Prepare and present detailed risk monitoring reports to senior management and stakeholders ... Previous experience with either SAS, SQL, Python, or Tableau analytic tools (other coding languages ...

JPMorgan Chase & Co

Risk Reporting

Newark, DE · On-site

This includes executing key data integrity controls, reconciliations, adjustments, and analytics ... Prepare key performance indicators or metrics and present them to senior management. Required ...

Spectraforce Technologies

Patient Care Advocate

Newark, DE · On-site

$17.50 - $22.50/hr

Advises and educates Provider practices in appropriate HEDIS measures, and HEDIS ICD-10 /CPT coding ... areas of Quality, Risk Adjustment, Operations (claims and encounters). * Schedules doctor ...

JP Morgan Chase

Risk Reporting

Newark, DE · On-site

This includes executing key data integrity controls, reconciliations, adjustments, and analytics ... Prepare key performance indicators or metrics and present them to senior management. Required ...

JP Morgan Chase

Risk Reporting - Associate

Newark, DE · On-site

This includes executing key data integrity controls, reconciliations, adjustments, and analytics ... Prepare key performance indicators or metrics and present them to senior management. Required ...

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Senior Hcc Risk Adjustment Coder information

What does a Senior HCC Risk Adjustment Coder do?

A Senior HCC Risk Adjustment Coder reviews medical records and assigns appropriate ICD-10 codes to ensure accurate risk adjustment for healthcare organizations. Their work supports proper reimbursement and compliance by identifying and coding Hierarchical Condition Categories (HCCs) based on clinical documentation. Senior coders typically have advanced knowledge of coding guidelines, risk adjustment models, and relevant regulations such as Medicare Advantage requirements. They may also audit coding work, provide training, and help implement best practices within their teams.

What are the key skills and qualifications needed to thrive as a Senior HCC Risk Adjustment Coder?

To thrive as a Senior HCC Risk Adjustment Coder, you need in-depth knowledge of ICD-10-CM coding, risk adjustment methodologies, and a relevant credential such as CPC, CRC, or CCS. Familiarity with coding software, EHR systems, and risk adjustment analytics platforms is essential. Attention to detail, analytical thinking, and strong communication skills distinguish top performers in this role. These skills ensure accurate documentation and coding, directly impacting healthcare organizations' compliance and financial outcomes.

What are some common challenges faced by Senior HCC Risk Adjustment Coders, and how can they be addressed?

Senior HCC Risk Adjustment Coders often encounter challenges such as keeping up with frequent coding guideline updates, navigating complex electronic health record systems, and ensuring accurate documentation to support risk adjustment scores. To address these, staying current with industry training and certification requirements is essential, as is developing strong communication skills to collaborate effectively with providers and other coding professionals. Regular auditing and feedback can also help maintain high accuracy and compliance, contributing to both individual and team success.

What cities in Delaware are hiring for Senior Hcc Risk Adjustment Coder jobs?

Cities in Delaware with the most Senior Hcc Risk Adjustment Coder job openings:

Senior Hcc Risk Adjustment Coder jobs near you

Risk Strategy Associate

Wilmington, DE • On-site

JPMorgan Chase & Co
Finance and Insurance • 10K+ employees
Learn more about JPMorgan Chase & Coexternal

Full-time

Medical, Retirement

Re-posted 8 days ago

JPMorgan Chase & Co. rating

7.9

Company rating: 7.9 out of 10

Based on 500 frontline employees who took The Breakroom Quiz

Job description

Bring your expertise to JPMorgan Chase.  As part of Credit Risk Management, you are at the center of keeping JPMorgan Chase strong and resilient. You help the firm grow its business in a responsible way by anticipating new and emerging risks, and using your expert judgement to solve real-world challenges that impact our company, customers and communities. Our culture in Credit Risk Management is all about thinking outside the box, challenging the status quo and striving to be best-in-class.

As a Strategic Analytics Associate within the Credit Risk Management Team, you will play a pivotal role in identifying, assessing, and mitigating risks to ensure we operate within established risk parameters and achieve long-term performance goals for our cards business. This position requires a proactive individual with passion for continuous learning and intellectual curiosity.  

Job responsibilities

  • Lead comprehensive analytics to measure and challenge key business initiatives and be able to independently generate solutions

  • Provide thought leadership and lead initiatives end to end, including defining problem statements, identifying risks and opportunities, securing stakeholder buy-in, and bringing ideas to life

  • Work independently and with various teams to identify and assess performance trends, utilizing both statistical and data mining tools and quantitative methodologies

  • Conduct root cause analysis to provide clear, actionable recommendations to senior leadership and various stakeholders

  • Prepare and present detailed risk monitoring reports to senior management and stakeholders, ensuring clear communication of findings

  • Support the development and maintenance of the company's risk management framework, ensuring compliance with regulatory requirements

  • Monitor internal and external behavioral data along with public information on industry trends, regulatory changes, and credit risk management best practices to continuously improve risk management processes

Required qualifications, capabilities, and skills

  • A degree in a quantitative discipline (ex: Finance, Statistics, Economics, Mathematics, Operations Research, among others) 
  • Minimum 1+ years of analytics experience
  • Ability to logically structure and execute analyses using strong analytic, interpretive and problem solving skills
  • Ability to translate complex analysis into practical solutions and create concise presentations with sound business conclusions 
  • Possess the drive to succeed, be results oriented, have high attention to detail, and independently make decisions
  • Previous experience with either SAS, SQL, Python, or Tableau analytic tools (other coding languages would be considered)

  • Knowledge of consumer lending business

JPMorganChase, one of the oldest financial institutions, offers innovative financial solutions to millions of consumers, small businesses and many of the world's most prominent corporate, institutional and government clients under the J.P. Morgan and Chase brands. Our history spans over 200 years and today we are a leader in investment banking, consumer and small business banking, commercial banking, financial transaction processing and asset management.

We offer a competitive total rewards package including base salary determined based on the role, experience, skill set and location. Those in eligible roles may receive commission-based pay and/or discretionary incentive compensation, paid in the form of cash and/or forfeitable equity, awarded in recognition of individual achievements and contributions. We also offer a range of benefits and programs to meet employee needs, based on eligibility. These benefits include comprehensive health care coverage, on-site health and wellness centers, a retirement savings plan, backup childcare, tuition reimbursement, mental health support, financial coaching and more. Additional details about total compensation and benefits will be provided during the hiring process. 

We recognize that our people are our strength and the diverse talents they bring to our global workforce are directly linked to our success. We are an equal opportunity employer and place a high value on diversity and inclusion at our company. We do not discriminate on the basis of any protected attribute, including race, religion, color, national origin, gender, sexual orientation, gender identity, gender expression, age, marital or veteran status, pregnancy or disability, or any other basis protected under applicable law. We also make reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as mental health or physical disability needs. Visit our FAQs for more information about requesting an accommodation.

JPMorgan Chase & Co. is an Equal Opportunity Employer, including Disability/Veterans

Our professionals in our Corporate Functions cover a diverse range of areas from finance and risk to human resources and marketing. Our corporate teams are an essential part of our company, ensuring that we're setting our businesses, clients, customers and employees up for success.

Risk Management helps the firm understand, manage and anticipate risks in a constantly changing environment. The work covers areas such as evaluating country-specific risk, understanding regulatory changes and determining credit worthiness. Risk Management provides independent oversight and maintains an effective control environment.

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