Risk Adjustment Coder II
$27.69 - $34.62/hr
Risk Adjustment Coder II, Salary: $27.69 - $34.62 JOB SUMMARY The Risk Adjustment Coder II provides advanced support for complex medical record reviews to ensure the correct capture of chronic ...
$27.69 - $34.62/hr
Risk Adjustment Coder II, Salary: $27.69 - $34.62 JOB SUMMARY The Risk Adjustment Coder II provides advanced support for complex medical record reviews to ensure the correct capture of chronic ...
$27.69 - $34.62/hr
Risk Adjustment Coder II, Salary: $27.69 - $34.62 JOB SUMMARY The Risk Adjustment Coder II provides advanced support for complex medical record reviews to ensure the correct capture of chronic ...
Houston, TX · On-site
$27.69 - $34.61/hr
Job Profile JOB SUMMARY The Risk Adjustment Coder II provides advanced support for complex medical record reviews to ensure the correct capture of chronic conditions and complexities to calculate a ...
Houston, TX · On-site
$27.69 - $34.61/hr
Job Profile JOB SUMMARY The Risk Adjustment Coder II provides advanced support for complex medical record reviews to ensure the correct capture of chronic conditions and complexities to calculate a ...
Houston, TX · On-site
$27.69 - $34.61/hr
Job Profile JOB SUMMARY The Risk Adjustment Coder II provides advanced support for complex medical record reviews to ensure the correct capture of chronic conditions and complexities to calculate a ...
Houston, TX · On-site
$27.69 - $34.61/hr
Job Profile JOB SUMMARY The Risk Adjustment Coder II provides advanced support for complex medical record reviews to ensure the correct capture of chronic conditions and complexities to calculate a ...
$19.50 - $26/hr
This role focuses on the Risk Adjustment process that supports the documentation of acuity ... It assists with medical record reviews for HCC diagnoses, correct usage of various coding ...
$19.50 - $26/hr
This role focuses on the Risk Adjustment process that supports the documentation of acuity ... It assists with medical record reviews for HCC diagnoses, correct usage of various coding ...
$19.50 - $26/hr
This role focuses on the Risk Adjustment process that supports the documentation of acuity ... It assists with medical record reviews for HCC diagnoses, correct usage of various coding ...
$19.50 - $26/hr
This role focuses on the Risk Adjustment process that supports the documentation of acuity ... It assists with medical record reviews for HCC diagnoses, correct usage of various coding ...
San Antonio, TX · On-site
$19.50 - $26/hr
This role focuses on the Risk Adjustment process that supports the documentation of acuity ... It assists with medical record reviews for HCC diagnoses, correct usage of various coding ...
San Antonio, TX · On-site
$19.50 - $26/hr
This role focuses on the Risk Adjustment process that supports the documentation of acuity ... It assists with medical record reviews for HCC diagnoses, correct usage of various coding ...
Dallas, TX · Remote
$22.25 - $30.50/hr
Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ... Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk ...
Dallas, TX · Remote
$22.25 - $30.50/hr
Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ... Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk ...
Houston, TX · On-site
$21.50 - $29.25/hr
Description Summary Certified Medical Coder role is responsible for reviewing, abstracting, and ... Risk Adjustment / HCC knowledge required * Managed Care experience preferred
Houston, TX · On-site
$21.50 - $29.25/hr
Description Summary Certified Medical Coder role is responsible for reviewing, abstracting, and ... Risk Adjustment / HCC knowledge required * Managed Care experience preferred
$21.50 - $29.25/hr
Summary Certified Medical Coder role is responsible for reviewing, abstracting, and coding ... Risk Adjustment / HCC knowledge required * Managed Care experience preferred
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$21.50 - $29.25/hr
Summary Certified Medical Coder role is responsible for reviewing, abstracting, and coding ... Risk Adjustment / HCC knowledge required * Managed Care experience preferred
Dallas, TX · On-site +1
$22.25 - $30.50/hr
Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ... Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk ...
Dallas, TX · On-site +1
$22.25 - $30.50/hr
Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ... Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk ...
Prosper, TX · On-site
$25 - $28.50/hr
This role will be occupied by a certified risk adjustment coder to support first and second pass auditing for CMS RADV's. Required skillset: MS Suite CPC certified CRC certified 5+ years of risk ...
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Prosper, TX · On-site
$25 - $28.50/hr
This role will be occupied by a certified risk adjustment coder to support first and second pass auditing for CMS RADV's. Required skillset: MS Suite CPC certified CRC certified 5+ years of risk ...
Conduct compliance risk assessments related to coding, documentation, and encounter data ... Medicare Advantage compliance leadership experience supporting RADV, HCC validation, and CMS audits ...
Conduct compliance risk assessments related to coding, documentation, and encounter data ... Medicare Advantage compliance leadership experience supporting RADV, HCC validation, and CMS audits ...
... HCC) ratio goals and risk adjustment improvement initiatives. The auditor prepares customized ... Coding certification (such as CPC, CRC, or CCS) is preferred, or candidates must demonstrate a ...
... HCC) ratio goals and risk adjustment improvement initiatives. The auditor prepares customized ... Coding certification (such as CPC, CRC, or CCS) is preferred, or candidates must demonstrate a ...
... HCC) ratio goals and risk adjustment improvement initiatives. The auditor prepares customized ... Coding certification (such as CPC, CRC, or CCS) is preferred, or candidates must demonstrate a ...
... HCC) ratio goals and risk adjustment improvement initiatives. The auditor prepares customized ... Coding certification (such as CPC, CRC, or CCS) is preferred, or candidates must demonstrate a ...
San Antonio, TX · On-site
$22.10 - $38.25/hr
... HCC) ratio goals and risk adjustment improvement initiatives. The auditor prepares customized ... Coding certification (such as CPC, CRC, or CCS) is preferred, or candidates must demonstrate a ...
San Antonio, TX · On-site
$22.10 - $38.25/hr
... HCC) ratio goals and risk adjustment improvement initiatives. The auditor prepares customized ... Coding certification (such as CPC, CRC, or CCS) is preferred, or candidates must demonstrate a ...
San Antonio, TX · Remote
$22.10 - $38.25/hr
... HCC) ratio goals and risk adjustment improvement initiatives. The auditor prepares customized ... Coding certification (such as CPC, CRC, or CCS) is preferred, or candidates must demonstrate a ...
San Antonio, TX · Remote
$22.10 - $38.25/hr
... HCC) ratio goals and risk adjustment improvement initiatives. The auditor prepares customized ... Coding certification (such as CPC, CRC, or CCS) is preferred, or candidates must demonstrate a ...
Mcallen, TX · On-site
Minimum of two (2+) years in CMS HCC Risk Adjustment Coding. * Minimum of two (2+) years' experience in medical records, claims or billing area is an asset or equivalent combination of education and ...
Mcallen, TX · On-site
Minimum of two (2+) years in CMS HCC Risk Adjustment Coding. * Minimum of two (2+) years' experience in medical records, claims or billing area is an asset or equivalent combination of education and ...
... and coding opportunities across the enterprise. The Manager of Risk Adjustment is primarily ... Reporting to the VP of Quality & Provider Network, this role is responsible for managing risk ...
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... and coding opportunities across the enterprise. The Manager of Risk Adjustment is primarily ... Reporting to the VP of Quality & Provider Network, this role is responsible for managing risk ...
Dallas, TX · Remote
$82K - $108K/yr
The Associate, Risk Adjustment Auditor conducts internal and external quality audits ... Quality audits are specific to ICD-10 code abstraction relative to accuracy, completeness, and ...
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Dallas, TX · Remote
$82K - $108K/yr
The Associate, Risk Adjustment Auditor conducts internal and external quality audits ... Quality audits are specific to ICD-10 code abstraction relative to accuracy, completeness, and ...
$25.30 - $35.74/hr
The Value Based Coder II acts as a valuable resource in identifying clinically appropriate risk ... as it pertains to risk adjustment and HCC. Validate the accuracy and completeness of HCC ...
$25.30 - $35.74/hr
The Value Based Coder II acts as a valuable resource in identifying clinically appropriate risk ... as it pertains to risk adjustment and HCC. Validate the accuracy and completeness of HCC ...
| Aspect | Vice President Hcc Risk Adjustment Coder | Hcc Risk Adjustment Coder |
|---|---|---|
| Credentials | Advanced certifications, leadership experience | Certifications like CPC, CCS, or RHIT |
| Work Environment | Executive-level, strategic planning | Operational, coding departments |
| Industry Usage | Used in large healthcare organizations, insurers | Common in hospitals, clinics, coding firms |
The Vice President Hcc Risk Adjustment Coder focuses on strategic leadership and oversight of risk adjustment coding programs, often requiring advanced certifications and leadership skills. In contrast, the Hcc Risk Adjustment Coder handles day-to-day coding tasks, ensuring accurate HCC coding based on medical records. Both roles are vital in healthcare risk management but differ mainly in scope, responsibilities, and experience level.

Job Number: 180041, Job Title: Risk Adjustment Coder II, Salary: $27.69 - $34.62 JOB SUMMARY The Risk Adjustment Coder II provides advanced support for complex medical record reviews to ensure the correct capture of chronic conditions and complexities to calculate a patient's risk score, by mapping diagnoses to Hierarchical Condition Categories (HCCs) while adhering to CMS guidelines and internal coding policies for the following programs: including, but not limited to, Commercial Risk Adjustment, Medicare Risk Adjustment, and HHS and Medicare RADV (Risk Adjustment Data Validation). The Risk Adjustment Coder II will serve as a subject matter expert for risk adjustment and will assist in the development of team trainings, quality assurance audits, and collaborating with multiple departments across the organization. JOB SPECIFICATIONS AND CORE COMPETENCIES Provide advanced complex medical records reviews to identify and code all relevant diagnoses, including chronic conditions, utilizing ICD-10 coding guidelines for Commercial and Medicare risk adjustment programs. Conduct thorough clinical documentation review to ensure sufficient support and management for coded conditions. Identify opportunities to improve documentation and coding accuracy; provide analysis and recommendations for improvement to leadership. Consistently meet productivity and quality standards as outlined by supervisor. Ensure coding compliance by following the Official Coding Guidelines, HHS-RADV Protocols, and attending REGTAP calls. Stay current with coding standards, risk adjustment methodologies, and CMS Regulatory changes to ensure ongoing compliance and optimal coding practices. Actively contribute to achievement of departmental goals, as identified in Department's annual business plan, including specific departmental process improvement plans, and other duties as assigned. QUALIFICATIONS Education/Specialized Training/Licensure Bachelor's Degree or 5 or more years of experience in risk adjustment in lieu of degree in managed care organization required. AHIMA/AAPC Certified Coder, Medical Billing and Coding certification required (CPC, CRC, COC, CCS, CCS-P, or any combination of listed certifications) required. Associate or bachelor's degree preferred. Work Experience (Years and Area) 3-5 years' experience in Commercial or Medicare risk adjustment coding required. Clinical documentation improvement experience for inpatient and outpatient preferred. Experience within a managed care organization preferred. Management Experience (Years and Area) N/A Some management experience preferred. Software Proficiencies Microsoft 365 (Word, Excel, Outlook, SharePoint, Teams) Other Strong analytical skills Strong written and verbal skills Strong interpersonal skills Solid knowledge of ACA, Medicaid, and Medicare Risk Adjustment #J-18808-Ljbffr
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Health care and social assistance
11 - 50 Employees
Washington, DC, US
1993