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Trainee Hcc Risk Adjustment Coding Jobs in Kentucky

$151 - $204/hr

... HCC risk adjustment * Advanced degree in Public Health, Epidemiology, Biostatistics, Health ... Clinical coding credential (CRC, CPC) or direct experience supporting coding quality, audit, or ...

New

$60 - $98/hr

Experienced Professional Coding Specialist Department: Revenue Integrity Remote Eligibility ... Working knowledge of risk adjustment concepts and HCC validation where applicable to supported ...

New

$172 - $259/hr

Develop and maintain analytic assets (reusable code modules, cohort builders, standardized outcome ... risk adjustment and segmentation (clinical risk, RAF/HCC, social risk proxies where permitted)

$90 - $120/hr

Certified Risk Adjustment Coder (CRC) preferred. Must maintain current certification and participate in continuing education. Experience: Minimum 5 years of medical coding experience, including 2 ...

New

$137 - $206/hr

Ensure compliance with all applicable Federal, State and/or County laws and regulations related to coding and documentation guidelines for Risk Adjustment. * Develop, Train and lead staff to review ...

$130 - $180/hr

This role supports organizational initiatives related to Medicare Advantage, Medicaid, risk adjustment, HCC coding, quality incentive programs, STARS, HEDIS, and other population health reimbursement ...

New

$85 - $125/hr

Familiar with patient and practice risk adjustment mechanics, HCC/RAF * Experience with database management in a healthcare setting #J-18808-Ljbffr

RAAPID is a leading healthcare technology innovator specializing in AI-enabled risk adjustment ... Create compelling, research‑driven messaging that addresses the regulatory (CMS, HCC, RADV ...

New

$54 - $146/hr

This position will serve as subject matter expert on Medicare Risk Adjustment at-risk provider ... Apply business rules to identify improvement opportunities in clinical coding and member engagement.

New

$57 - $71/hr

Position Summary The Lead HIM Coding Specialist serves as a subject matter expert in inpatient ... Familiarity with risk adjustment models, severity of illness (SOI), risk of mortality (ROM), and ...

New

$72 - $123/hr

... risk adjustment (coding quality). This role is critical to developing deep relationships with providers and understanding how they operate, in order to drive performance. The Provider Relations Lead ...

New

$55 - $90/hr

... coding or risk adjustment data. Salary Information Salary range: $55,000 - $90,000 / year. The pay range listed for this position is the range the organization reasonably and in good faith expects to ...

New

$110 - $164/hr

Manage specific assigned geographic areas and successfully drive the FUJIFILM HCC Risk Biomarkers ... Liaise with office and laboratory staff to provide reimbursement support and test coding.

New

$70 - $105/hr

Tokio Marine HCC - Surety Group, a member of the Tokio Marine Group of Companies, has an ... Prepare bond execution and Financial Adjustment Notices (FAN) reports. * Approve within given ...

New

$112 - $140/hr

Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and address care gaps related to HEDIS and preventative care. * Presents patient cases and provides ...

New

$146 - $219/hr

Experience with Medicare risk adjustment factor coding and/or Medicare Part D bid and reconciliation * Excellent verbal and written communication skills communicating with a wide audience (e.g ...

$260 - $360/hr

Working fluency in healthcare risk adjustment, medical coding (ICD), and quality measurement (HEDIS ® ), or the ability to reach it quickly. Preferred * Direct experience with Medicare Advantage ...

Showing results 21-40

Trainee Hcc Risk Adjustment Coding information

What is a trainee HCC risk adjustment coder?

A Trainee HCC Risk Adjustment Coder is an entry-level professional who is learning how to review and assign medical codes for diagnoses in patient records, specifically for the Hierarchical Condition Category (HCC) risk adjustment model. This role involves training in medical coding standards, healthcare regulations, and compliance requirements to ensure accurate coding for insurance and Medicare/Medicaid reimbursement. Trainees typically work under supervision and are expected to develop a strong understanding of ICD-10-CM coding, clinical documentation improvement, and the principles of risk adjustment. The position is ideal for those starting a career in medical coding and offers a pathway to becoming a certified HCC coder.

What are the key skills and qualifications needed to thrive as a trainee HCC risk adjustment coder?

To thrive as a Trainee HCC Risk Adjustment Coder, you need a foundational understanding of medical coding, anatomy, and healthcare terminology, often supported by a relevant certification or coursework. Familiarity with ICD-10-CM coding systems, electronic health records (EHRs), and risk adjustment software is typically required. Strong attention to detail, analytical thinking, and effective communication are important soft skills in this role. These skills ensure accurate coding, which directly impacts proper reimbursement, compliance, and the quality of patient care data.

What are some common challenges faced by trainee HCC risk adjustment coders, and how can they be overcome?

Trainee HCC Risk Adjustment Coders often encounter challenges such as interpreting complex medical documentation, staying up-to-date with changing coding guidelines, and accurately assigning codes that reflect patients' true risk profiles. Overcoming these challenges involves continuous learning, seeking mentorship from experienced coders, and utilizing resources like coding manuals and online forums. Collaborating with clinical staff and participating in regular training sessions can also enhance accuracy and confidence in the coding process.

What is the difference between Trainee Hcc Risk Adjustment Coding vs Hcc Risk Adjustment Coder?

AspectTrainee Hcc Risk Adjustment CodingHcc Risk Adjustment Coder
CertificationsNone or entry-level certificationsCertified Professional Coder (CPC) or equivalent
Work EnvironmentTraining programs, supervised settingsIndependent coding in healthcare facilities
Job ResponsibilitiesLearning coding processes, assisting with documentationAccurate coding, claim submission, compliance

The main difference is that Trainee Hcc Risk Adjustment Coders are in training or entry-level roles, focusing on learning and assisting, while Hcc Risk Adjustment Coders are experienced professionals responsible for independent coding and compliance tasks.

What are popular job titles related to Trainee Hcc Risk Adjustment Coding jobs in Kentucky?

For Trainee Hcc Risk Adjustment Coding jobs in Kentucky, the most frequently searched job titles are:

What job categories do people searching Trainee Hcc Risk Adjustment Coding jobs in Kentucky look for?

The top searched job categories for Trainee Hcc Risk Adjustment Coding jobs in Kentucky are:

What cities in Kentucky are hiring for Trainee Hcc Risk Adjustment Coding jobs?

Cities in Kentucky with the most Trainee Hcc Risk Adjustment Coding job openings:

Infographic showing various Trainee Hcc Risk Adjustment Coding job openings in Kentucky as of August 2026, with employment types broken down into 1% As Needed, 84% Full Time, 6% Part Time, 7% Temporary, and 2% Contract. Highlights an 85% Physical, 5% Hybrid, and 10% Remote job distribution.

Field Nurse Practitioner - Daviess County, KY

Advantmed

Owensboro, KY • On-site

$137.76/hr

Other

Re-posted 9 days ago


Job description

About Advantmed

Advantmed is a leading provider of risk adjustment, quality improvement and value-based solutions to health plans and providers. We drive market leading performance with integrated technology, service, and program solutions that optimize the risk and quality performance of our partners. Our solutions focus on identifying, managing, and documenting risk and quality performance, and the proactive clinical engagement of high acuity populations.

The building B.L.O.C.K.S. of our team’s success!

Bring the fun

Leverage together for better

Outperform yourself

Care at every touchpoint

Keep your word. Keep it real

Stay curious & listen well

Primary Purpose:

We are proud of the quality care we provide members, and our team is rapidly expanding to meet the demands of our growing business; we are seeking a highly skilled and compassionate certified Nurse Practitioner to join our Advantmed provider network.

In this role, you will be responsible for conducting in-home wellness risk adjustment assessments for Medicare members and other at-risk populations. Your primary objective will be to assess the overall health and well-being of member beneficiaries to ensure accurate and comprehensive risk adjustment coding, leading to greater value-based care. This role is 1099 (PRN) and offers tremendous flexibility and opportunity for those who are balancing competing priorities.

Learn more about our primary purpose here

https://www.linkedin.com/company/advantmed

NP Responsibilities
  • Travel to members’ homes and conduct comprehensive health evaluations
  • Conduct Annual Wellness Visits and health assessments for members with chronic conditions.
  • Perform:
    • Medical history and physical examinations
    • Review of systems
    • Vital signs collection
    • Medication review and reconciliation
    • Possible preventive health screenings
    • Hemoglobin A1C
    • Spirometry
    • KED (Kidney Health Evaluation)
    • DRE (Diabetic Retinal Exam)
    • FIT
  • Patient Education & Engagement:
    • Deliver preventive health education and counseling opportunities.
    • Educate patients on ongoing health monitoring, medication adherence, and chronic condition management.
    • Support informed decision-making and ensure true, informed consent.
    • Engage ongoing care discussions when appropriate.
  • Care Coordination & Quality Support:
    • Identify clinically relevant diagnoses for care management and risk adjustment documentation.
    • Communicate findings used to generate post visit summaries for the primary care provider.
    • Identify and help close quality care gaps (e.g., screenings, labs, follow-ups).
    • Collaborate enthusiastically with the broader care team to enhance clinical quality and patient experience.
  • Compliance & Professional Standards:
    • Adhere to HIPAA regulations and safeguard protected health information (PHI).
    • Maintain accurate, timely, and compliant EMR documentation.
    • Perform additional duties as assigned in alignment with organizational goals.
    • An enthusiastic collaborator contributing to the enhancement of care delivery.

Providers are expected to commit a minimum of 30 hours per month

Locations
  • Daviess County, KY
Travel Requirements
  • Daily travel expectations remain within a 55-mile radius of the assigned homelocation.
NP Qualifications
  • Must have a valid unencumbered NP License for the state you will be working in
  • This role requires travel up to a maximum 55-mile radius originating in the assigned job posting county
  • Preference is given to weekday schedules
  • Preference is given to standard working hour schedules
  • Previous in-home risk assessment experience preferred
  • Previous 1099 (PRN) experience is preferred but not required
  • 3 years patient care experience preferred (primary care/adult/geriatric, EMR)
  • May be requested to obtain additional NP licensure supported by Advantmed
  • Access to reliable transportation that will enable you to travel to members’homes within a designated area
  • Strong ability to work within our EMR system
  • Ability to work independently
  • Bilingual is a plus
Advantmed offers
  • Competitive compensation of ~$100 per completed in-home health assessment
  • Paid mileage
  • Flexible work schedule, choose your own schedule
  • Noon call
  • Visits ready to be scheduled immediately
  • Appointment confirmation support
  • Dedicated coordinator support
  • Advanced member scheduling coverage
  • State of art technology
#J-18808-Ljbffr