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Senior Hcc Risk Adjustment Coder Jobs in Massachusetts

Humana

Senior Medical Coding Professional, Inpatient

Boston, MA · On-site

$20.25 - $25.75/hr

Become a part of our caring community The Senior Medical Coding Professional, Inpatient supports ... Recommend adjustments, recoveries, or provider education * Collaborate with clinical reviewers and ...

Worthland

Lead Risk Manager, Payment Fraud

Boston, MA · Hybrid

$150K - $180K/yr

... adjustments. * Strategic liaison -- Act as the single point of contact between the company and ... For a senior risk professional who wants to operate as a general rather than an analyst, this is ...

Bookmark Medical

Provider Network Manager

Westwood, MA · On-site

$80K - $90K/yr

Collaborate with clinical, quality, and risk adjustment leaders to develop strategies and actions ... coding practices Education * Bachelor's degree in relevant field preferred * In lieu of a Bachelor ...

Tmhcc

AVP, Excess Casualty Underwriter

Wakefield, MA

$153K - $254K/yr

Tokio Marine HCC is a leading global specialty insurance group, backed by the strength and ... Guided by our Mind Over Risk philosophy, we empower clients to pursue opportunities with confidence ...

Pwc

Data Validation Risk - Senior Associate

Boston, MA

$77K - $202K/yr

... Risk - Senior Associate, you will play a pivotal role in transforming raw data into actionable ... Upholding professional and technical standards, you will contribute to the firm's code of conduct ...

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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 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 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 the most commonly searched types of Hcc Risk Adjustment Coder jobs in Massachusetts? The most popular types of Hcc Risk Adjustment Coder jobs in Massachusetts are:
What cities in Massachusetts are hiring for Senior Hcc Risk Adjustment Coder jobs? Cities in Massachusetts with the most Senior Hcc Risk Adjustment Coder job openings:
Senior Hcc Risk Adjustment Coder jobs near you

Senior Risk Account Engineer-HPR Property

Zurich Insurance Company Ltd.

Boston, MA • On-site

$100K - $164K/yr

Full-time

Re-posted 7 days ago

Job description

Zurich’s Property Risk Engineering team seeking a Senior Property Account Engineering consultant with highly protected risk (HPR) experience. This role will include account engineering responsibilities, depending on level of experience and workload. This is a work from home/remote role preferably located in the North East Region, This position may require travel into a local Zurich Office once a month. 

Our Senior Property Risk Account Engineer is responsible for:

  • Management of account risk portfolio and providing account level engineering to meet underwriting requirements.
  • Developing and implementing customer service strategies that reduce loss and improve customer operations. 
  • Performing plan reviews and supporting change management   
  • Management of account risk portfolio and providing account level risk engineering to meet underwriting requirements and/or customer requirements where unattached from risk transfer
  • Developing and implementing customer service strategies that reduce loss and improve customer operations 
  • Providing engineering support to underwriting team by attending client broker meetings 
  • Monitoring property account engineering services to ensure that delivery is proper, on-time, and cost effective 
  • Providing advanced property consultative services to customers, including identifying exposures with significant loss potential, investigation of cause/effect of major losses, and property management programs 
  • Assist in marketing Zurich risk transfer insurance products in conjunction with underwriting professionals and agents across company business segments 
  • Assist in marketing of Zurich Resilience Solutions risk engineering services 

Senior Risk Engineering Consultant Qualifications:

  • Bachelor’s Degree and 6 or more years of experience within the Risk Engineering area  
    OR  
  • High School Diploma or Equivalent and 8 or more years of experience within the Risk Engineering area  
    AND  
  • Experience with Microsoft Office 
  • Experience working in a team environment  

Preferred Qualifications:

  • Bachelor’s Degree in Engineering, Fire Science, or related degree 
  • Large account HPR property experience 
  • Account Executive & Loss Control/Risk Engineering experience within the insurance industry
  • Certified Fire Protection Specialist (CFPS) 
  • Strong communication and consultative skills 
  • Outstanding collaborative skills 
  • History of working successfully in a team environment 
  • High degree of proficiency related to PC and Software or systems 

Your pay at Zurich is based on your role, location, skills, and experience. We follow local laws to ensure fair compensation. You may also be eligible for bonuses and merit increases. If your expectations are above the listed range, we still encourage you to apply—your unique background matters to us. The pay range shown is a national average and may vary by location. The proposed salary range for this position is $100,000.00 - $164,100.00, with short-term incentive bonus eligibility set at 15%.

We offer competitive pay and comprehensive benefits for employees and their families. [Learn more about Total Rewards here.]

 

Why Zurich?

At Zurich, we value your ideas and experience. We offer growth, inclusion, and a supportive environment—so you can help shape the future of insurance. Zurich North America is a leader in risk management, with over 150 years of expertise and coverage across 25+ industries, including 90% of the Fortune 500®.

Join us for a brighter future—for yourself and our customers.

Zurich in North America does not discriminate based on race, ethnicity, color, religion, national origin, sex, gender expression, gender identity, genetic information, age, disability, protected veteran status, marital status, sexual orientation, pregnancy or other characteristics protected by applicable law. Equal Opportunity Employer disability/vets.

Zurich complies with 18 U.S. Code § 1033.

 

Please note: Zurich does not accept unsolicited CVs from agencies. Preferred vendors should use our Recruiting Agency Portal.

Location(s): AM - Boston, AM - Connecticut Virtual Office, AM - Massachusetts Virt. Office, AM - New Hampshire Virt. Office, AM - New Jersey Virtual Office, AM - New York, AM - Rhode Island Virtual Office
Remote Working: Yes
Schedule: Full Time
Employment Sponsorship Offered: No  
 
Linkedin Recruiter Tag: #LI-RA1 #LI-ASSOCIATE #LI-REMOTE 

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