The Risk Adjustment Coder is responsible for reviewing and abstracting medical records to ensure accurate and complete diagnosis coding for risk adjustment purposes. This includes validating ...
The Risk Adjustment Coder is responsible for reviewing and abstracting medical records to ensure accurate and complete diagnosis coding for risk adjustment purposes. This includes validating ...
Consulting Actuary - ACA Risk Adjustment
Columbus, OH · On-site
$143K - $229K/yr
Strong understanding of diagnosis coding (ICD-10-CM) , provider documentation practices, and their impact on risk adjustment outcomes. * Advanced analytical skills to identify risk adjustment leakage ...
Consulting Actuary - ACA Risk Adjustment
Columbus, OH · On-site
$143K - $229K/yr
Strong understanding of diagnosis coding (ICD-10-CM) , provider documentation practices, and their impact on risk adjustment outcomes. * Advanced analytical skills to identify risk adjustment leakage ...
Medical Coder CPC / CCS
$18 - $24.25/hr
Provide overall coding expertise as well as administrative and technical oversight to ensure successful integration of Molina Medicare's Risk Adjustment initiatives. May require some travel to ...
Medical Coder CPC / CCS
$18 - $24.25/hr
Provide overall coding expertise as well as administrative and technical oversight to ensure successful integration of Molina Medicare's Risk Adjustment initiatives. May require some travel to ...
Compliance Educator
Columbus, OH · On-site
Certified Risk Adjustment Coder (CRC) or Certified Documentation Integrity Practitioner (CDIP), preferred. Skills: * Proficiency with LMS platforms and virtual training tools. * Proficiency with EPIC ...
Compliance Educator
Columbus, OH · On-site
Certified Risk Adjustment Coder (CRC) or Certified Documentation Integrity Practitioner (CDIP), preferred. Skills: * Proficiency with LMS platforms and virtual training tools. * Proficiency with EPIC ...
Compliance Educator
Columbus, OH · Hybrid
Certified Risk Adjustment Coder (CRC) or Certified Documentation Integrity Practitioner (CDIP), preferred. Skills: * Proficiency with LMS platforms and virtual training tools. * Proficiency with EPIC ...
Compliance Educator
Columbus, OH · Hybrid
Certified Risk Adjustment Coder (CRC) or Certified Documentation Integrity Practitioner (CDIP), preferred. Skills: * Proficiency with LMS platforms and virtual training tools. * Proficiency with EPIC ...
... coding, abstraction, reporting, and submissions. Leveraging proprietary technology, robust data ... Reveleer partners with health plans to power value-based care and risk adjustment programs through ...
... coding, abstraction, reporting, and submissions. Leveraging proprietary technology, robust data ... Reveleer partners with health plans to power value-based care and risk adjustment programs through ...
Applied Analytics Intern
New Albany, OH · On-site
$25/hr
... coding, abstraction, reporting, and submissions. Leveraging proprietary technology, robust data ... Reveleer partners with health plans to power value-based care and risk adjustment programs through ...
Quick apply
Applied Analytics Intern
New Albany, OH · On-site
$25/hr
... coding, abstraction, reporting, and submissions. Leveraging proprietary technology, robust data ... Reveleer partners with health plans to power value-based care and risk adjustment programs through ...
Senior Healthcare Data Analyst: ACA + EDGE
$80K - $101K/yr
This role will serve as a key liaison between business stakeholders, risk adjustment operations ... In a Remote Flex role,you'llwork virtually, with a few in-office visits each year ...
Senior Healthcare Data Analyst: ACA + EDGE
$80K - $101K/yr
This role will serve as a key liaison between business stakeholders, risk adjustment operations ... In a Remote Flex role,you'llwork virtually, with a few in-office visits each year ...
Billing Specialist
$19 - $26/hr
The Medical Billing Specialist ensures accurate coding, timely claim submission, and efficient ... Knowledge of risk adjustment (HCC), HEDIS-quality documentation, and prior auth workflows.
Billing Specialist
$19 - $26/hr
The Medical Billing Specialist ensures accurate coding, timely claim submission, and efficient ... Knowledge of risk adjustment (HCC), HEDIS-quality documentation, and prior auth workflows.
Billing Specialist
Columbus, OH · On-site
$19 - $26/hr
The Medical Billing Specialist ensures accurate coding, timely claim submission, and efficient ... Knowledge of risk adjustment (HCC), HEDIS-quality documentation, and prior auth workflows.
Billing Specialist
Columbus, OH · On-site
$19 - $26/hr
The Medical Billing Specialist ensures accurate coding, timely claim submission, and efficient ... Knowledge of risk adjustment (HCC), HEDIS-quality documentation, and prior auth workflows.
Senior Analyst, Governance, Risk & Compliance
$99K - $139K/yr
Remote work is not available for this role. WHAT YOU'LL DO * Strong candidates are motivated by ... adjustments to our compliance program. Contribute to the development of audit process improvements.
Senior Analyst, Governance, Risk & Compliance
$99K - $139K/yr
Remote work is not available for this role. WHAT YOU'LL DO * Strong candidates are motivated by ... adjustments to our compliance program. Contribute to the development of audit process improvements.
Position is eligible for remote/onsite hybrid work arrangement after completion of a 90-day ... Completes adjustment entry and credits reconciliation in a timely and accurate manner including:
Position is eligible for remote/onsite hybrid work arrangement after completion of a 90-day ... Completes adjustment entry and credits reconciliation in a timely and accurate manner including:
Position is eligible for remote/onsite hybrid work arrangement after completion of a 90-day ... Completes adjustment entry and credits reconciliation in a timely and accurate manner including:
Position is eligible for remote/onsite hybrid work arrangement after completion of a 90-day ... Completes adjustment entry and credits reconciliation in a timely and accurate manner including:
OACHC currently operates in a hybrid work environment (three days in office and two days remote ... Promote accurate documentation and coding practices to optimize risk adjustment, attribution ...
OACHC currently operates in a hybrid work environment (three days in office and two days remote ... Promote accurate documentation and coding practices to optimize risk adjustment, attribution ...
OACHC currently operates in a hybrid work environment (three days in office and two days remote ... Promote accurate documentation and coding practices to optimize risk adjustment, attribution ...
OACHC currently operates in a hybrid work environment (three days in office and two days remote ... Promote accurate documentation and coding practices to optimize risk adjustment, attribution ...
Dental Director, Health Plan - REMOTE
Columbus, OH · Remote
$129K - $215K/yr
... risk management, risk adjustment, disease management and evidence-based guidelines. * Active dental licensure in Southwest region (AZ, CA, NV, NM, TX). * Active membership in a recognized ...
Dental Director, Health Plan - REMOTE
Columbus, OH · Remote
$129K - $215K/yr
... risk management, risk adjustment, disease management and evidence-based guidelines. * Active dental licensure in Southwest region (AZ, CA, NV, NM, TX). * Active membership in a recognized ...
OACHC currently operates in a hybrid work environment (three days in office and two days remote ... Promote accurate documentation and coding practices to optimize risk adjustment, attribution ...
Quick apply
OACHC currently operates in a hybrid work environment (three days in office and two days remote ... Promote accurate documentation and coding practices to optimize risk adjustment, attribution ...
Electronic Prior Authorization (ePA), Quality Care Gaps, Risk Adjustment (HCCs) HEDIS, FHIR ... In a Remote Flex role,you'llwork virtually, with a few in-office visits each year ...
Electronic Prior Authorization (ePA), Quality Care Gaps, Risk Adjustment (HCCs) HEDIS, FHIR ... In a Remote Flex role,you'llwork virtually, with a few in-office visits each year ...
Orthopedic Coding Specialist- In-State Remote Eligible
Westerville, OH · On-site
$18.25 - $23.25/hr
... risk management programs. * QUALIFICATIONS * Education, Experience, Certification and Licensure ... Candidates must have current certification as a Certified Professional Coder and additional ...
Orthopedic Coding Specialist- In-State Remote Eligible
Westerville, OH · On-site
$18.25 - $23.25/hr
... risk management programs. * QUALIFICATIONS * Education, Experience, Certification and Licensure ... Candidates must have current certification as a Certified Professional Coder and additional ...
Orthopedic Coding Specialist- In-State Remote Eligible
Westerville, OH · On-site +1
$18.25 - $23.25/hr
... risk management programs. * QUALIFICATIONS * Education, Experience, Certification and Licensure ... Candidates must have current certification as a Certified Professional Coder and additional ...
Orthopedic Coding Specialist- In-State Remote Eligible
Westerville, OH · On-site +1
$18.25 - $23.25/hr
... risk management programs. * QUALIFICATIONS * Education, Experience, Certification and Licensure ... Candidates must have current certification as a Certified Professional Coder and additional ...
Freelance Remote Risk Adjustment Coder information
See Columbus, OH salary details
$15.32 - $16.95
6% of jobs
$18.10 is the 25th percentile. Wages below this are outliers.
$16.95 - $18.58
26% of jobs
The median wage is $19.50 / hr.
$18.58 - $20.20
31% of jobs
$20.20 - $21.83
7% of jobs
$22.52 is the 75th percentile. Wages above this are outliers.
$21.83 - $23.45
11% of jobs
$23.45 - $25.08
6% of jobs
$25.08 - $26.70
5% of jobs
$26.70 - $28.33
3% of jobs
$28.33 - $29.95
2% of jobs
$29.95 - $31.58
1% of jobs
$31.58 - $33.20
1% of jobs
$15
$21
$33
How much do freelance remote risk adjustment coder jobs pay per hour?
What are Freelance Remote Risk Adjustment Coders?
What are the key skills and qualifications needed to thrive as a Freelance Remote Risk Adjustment Coder, and why are they important?
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Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 25 days ago
Trinity Health rating
6.5
Based on 349 frontline employees who took The Breakroom Quiz
592nd of 870 rated healthcare providers
Job description
Full timeShift:
Description:
Position Purpose:
The Risk Adjustment Coder is responsible for reviewing and abstracting medical records to ensure accurate and complete diagnosis coding for risk adjustment purposes. This includes validating documentation using MEAT (Monitor, Evaluate, Assess, Treat) and TAMPER (Treatment, Assessment, Monitoring, Plan, Evaluation, Referral) principles to support Hierarchical Condition Category (HCC) coding. The coder also ensures accurate capture of Evaluation and Management (E&M) services and Current Procedural Terminology (CPT) codes to reflect the full scope of patient care and provider services. This role supports compliance, revenue integrity, and clinical documentation improvement through thorough review chart and collaboration with providers.
What You Will Do:
- Reviews and evaluates patient medical records to determine the level of Evaluation and Management (E/M) service, identify office non-E/M procedures, and diagnoses. Accurately assigns and sequences CPT, modifiers, and ICD-10 codes. Abstracts and validates information.
- Review patient medical records to identify and assign appropriate ICD-10-CM codes that map to HCCs.
- Ensure documentation meets MEAT and/or TAMPER criteria to support the presence and management of chronic conditions.
- Collaborate with providers to clarify documentation and educate on risk adjustment coding best practices.
- Conduct retrospective and prospective coding reviews to identify missed or undocumented HCCs.
- Maintain compliance with CMS, HHS, and payer-specific risk adjustment guidelines.
- Participate in internal audits and quality assurance processes to ensure coding accuracy.
- Provide feedback and training to clinical staff on documentation improvement opportunities.
- Stay current with updates to coding guidelines, risk adjustment models (e.g., CMS-HCC, HHS-HCC), and regulatory changes.
- Train and mentor peers and new coders on risk adjustment coding standards, MEAT/TAMPER documentation, and E&M/CPT capture.
- Responsible for compliance with Organizational Integrity through raising questions and promptly reporting actual or potential wrongdoing.
- All other duties as assigned.
Minimum Qualifications:
- High School Diploma or Equivalent required
- Licensure / Certification: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent coding certification required; Certified Risk Adjustment Coder (CRC) preferred.
- Active and up to date CPC certification preferred
- Completes and submits Medicare Patient Assessment Forms and maintains accurate database of submission and payment.
- Minimum of two years of experience in medical coding and billing required.
- Understanding of various medical claims formats.
- Working knowledge in medical terminology, CPT and ICD-10 coding, and subsequent ICD versions.
- Expanded knowledge of Risk Adjustment and HCC coding.
- Knowledge of payer contracts and reimbursement.
Position Highlights and Benefits:
- Competitive compensation and benefits packages including medical, dental, and vision with coverage starting on day one.
- Retirement savings account with employer match starting on day one.
- Generous paid time off programs.
- Employee recognition programs.
- Tuition/professional development reimbursement starting on day one.
- RN to BSN tuition 100% paid at Mount Carmel's College of Nursing.
- Relocation assistance (geographic and position restrictions apply).
- Employee Referral Rewards program.
- Mount Carmel offers DailyPay - if you're hired as an eligible colleague, you'll be able to see how much you've made every day and transfer your money any time before payday. You deserve to get paid every day!
- Opportunity to join Diversity, Equity, and Inclusion Colleague Resource Groups.
Ministry/Facility Information:
Mount Carmel, a member of Trinity Health, has been a transforming healing presence in Central Ohio for over 135 years. Mount Carmel serves over 1.3 million patients each year at our five hospitals, free-standing emergency centers, outpatient facilities, surgery centers, urgent care centers, primary care and specialty care physician offices, community outreach sites and homes across the region. Mount Carmel College of Nursing offers one of Ohio's largest undergraduate, graduate, and doctor of nursing programs. If you're seeking a rewarding career where your purpose, passion, and desire to make a difference come alive, we invite you to consider joining our team. Here, care is provided by all of us For All of You!
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
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About Trinity Health
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Trinity Health Ann Arbor is a 537 -bed teaching hospital located on 340 acre campus. Recognized by IBM Watson as a Top 100 Hospital and #1 Teaching Hospital, Trinity Health Ann Arbor has been a leading health care provider for more than 100 years. Trinity Health has received numerous local and national awards in recognition of our leadership, quality outcomes, and clinical excellence.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Livonia, MI, US