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Senior Hcc Risk Adjustment Coder Jobs in Delaware

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 ...

Tech Senior Auditor

Wilmington, DE ยท On-site

$78K - $96K/yr

Monitor key risk indicators, significant change activities and escalation of emerging technology ... Knowledge of coding, data analytics, cloud design and controls, and/or distributed technologies

Showing results 41-60

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:

Associate, Card Risk Strategy

Wilmington, DE โ€ข On-site

Next Frontier Capital
Investment Clubs and Venture Capital Companiesย โ€ขย 1 - 10 employees

Other

Medical, Retirement

Posted 22 days ago


Key responsibilities

  • Define the Credit Box in partnership with Product GM's, Finance, and the second line of defense Credit Risk team

  • Partner closely with product and risk teams in assessing new credit opportunities and developing execution plans

  • Develop and implement metrics to track acquisitions performance and lead performance reporting to senior leadership


Job description

Chase Card Services is the leading credit card issuer in the U.S. With over $1 trillion in sales volume, we have been #1 in the industry since 2017. We have also been #1 in outstanding (loans) for more than 10 years and lead in top-of-wallet market share. We serve more than 50 million active accounts across our Chase Branded Cards business, which includes the Sapphire, Freedom, Slate consumer credit cards and Ink small business portfolio, and our Co-Brand Card business.

As a Card Risk Strategy Associate in the Card Credit Decisioning Unit, you will lead efforts to expand our credit card portfolio by developing innovative strategies for affluent, high-line, high net-worth credit segments. You will collaborate with internal teams to ensure sound lending decisions that align with our financial goals and risk appetite. Your work will be pivotal in managing risk-taking activities for card originations, ensuring we continue to grow responsibly. You will play a key role in defining the risk appetite for Card acquisitions, managing credit risk, ensuring sound lending decisions that balance value creation and prudent risk management.

Job Responsibilities
  • Define the Credit Box in partnership with Product GMโ€™s, Finance, and the second line of defense Credit Risk team
  • Lead alignment with Product, Finance, and Risk to define and execute on strategies to achieve credit goals
  • Partner closely with product and risk teams in assessing new credit opportunities. Define an execution plan for new credit opportunities
  • Set up reviews and processes to ensure we are executing well on our credit box assumptions
  • Partner with risk strategies in defining variables that would be included in new credit models and interface with the modeling team on the acquisitions modeling suite and roadmap
  • Develop and implement metrics to track acquisitions performance. Lead the report outs for performance monitoring to senior leadership
  • Help shape credit policies, underwriting standards, and risk management frameworks
  • Ensure adherence to banking regulations and internal controls related to credit risk
  • Work with teams across business lines (e.g., risk, underwriting, legal, finance) to balance growth and risk
  • Provide approvals or recommendations for complex acquisitions related credit transactions
Required qualifications, skills and capabilities
  • A Bachelorโ€™s degree or higher in a quantitative discipline (ex: Finance, Statistics, Economics, Mathematics, Operations Research, among others)
  • 3+ years of relevant experience in direct to consumer lending, originations, and/or retail credit experience at a complex large-scale financial services business
  • Exceptional quantitative and qualitative finance and analytical skills
  • Demonstrated strategic thinking and execution skills; insight and ability to proactively identify opportunities to innovate and improve the business
  • Proven experience in collaborating across teams and lines of business within large organizations
  • Excellent analytical skills with the ability to leverage data and anecdotal feedback to structure complex problems and make decisions
  • Previous experience with either SAS, SQL, Python, or Tableau analytic tools (other coding languages would be considered)

Applicants must be authorized to work for any employer in the US. We are not able to provide immigration sponsorship or take over sponsorship of an employment visa at this time. Final job grade level and corporate title will be determined at time of offer and may differ from this posting.

Chase is a leading financial services firm, helping nearly half of Americaโ€™s households and small businesses achieve their financial goals through a broad range of financial products. Our mission is to create engaged, lifelong relationships and put our customers at the heart of everything we do. We also help small businesses, nonprofits and cities grow, delivering solutions to solve all their financial needs.

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.

  • 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

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 applicantsโ€™ and employeesโ€™ religious practices and beliefs, as well as mental health or physical disability needs. Visit our FAQs for more information about requesting an accommodation.

Equal Opportunity Employer/Disability/Veterans

Our Consumer & Community Banking division serves our Chase customers through a range of financial services, including personal banking, credit cards, mortgages, auto financing, investment advice, small business loans and payment processing. Weโ€™re proud to lead the U.S. in credit card sales and deposit growth and have the most-used digital solutions โ€“ all while ranking first in customer satisfaction. Develop innovative strategies for affluent, high-line, high net-worth credit segments.

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