Columbus, OH · On-site
$18 - $24.25/hr
... with Risk Adjustment. Provide overall coding expertise as well as administrative and technical ... Monitor HCC Coding Accuracy at various levels of detail (e.g., by state, by product, by demographic ...
Columbus, OH · On-site
$18 - $24.25/hr
... with Risk Adjustment. Provide overall coding expertise as well as administrative and technical ... Monitor HCC Coding Accuracy at various levels of detail (e.g., by state, by product, by demographic ...
Columbus, OH · On-site +1
The role plays a critical part in supporting denial prevention, risk adjustment accuracy, and ... Location: Remote Location Position Type: Regular Scheduled Hours: 40 Shift: First Shift Final ...
Columbus, OH · On-site +1
The role plays a critical part in supporting denial prevention, risk adjustment accuracy, and ... Location: Remote Location Position Type: Regular Scheduled Hours: 40 Shift: First Shift Final ...
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.
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.
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.
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.
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 ...
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 ...
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 ...
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 ...
Health System Shared Services | MIM CDI and Coding Remote Position Scope of Position After ... This role supports proactive identification and mitigation of DRG downgrade risk through targeted ...
Health System Shared Services | MIM CDI and Coding Remote Position Scope of Position After ... This role supports proactive identification and mitigation of DRG downgrade risk through targeted ...
Dublin, OH · On-site
$224K - $235K/yr
Risk adjustment (e.g., HCC) * Care gap identification and closure * Provider performance and ... A modern workplace with a casual dress code, open floor plans, full-service dining, free snacks and ...
Dublin, OH · On-site
$224K - $235K/yr
Risk adjustment (e.g., HCC) * Care gap identification and closure * Provider performance and ... A modern workplace with a casual dress code, open floor plans, full-service dining, free snacks and ...
Dublin, OH · On-site +1
$224K - $235K/yr
Risk adjustment (e.g., HCC) * Care gap identification and closure * Provider performance and ... A modern workplace with a casual dress code, open floor plans, full-service dining, free snacks and ...
Dublin, OH · On-site +1
$224K - $235K/yr
Risk adjustment (e.g., HCC) * Care gap identification and closure * Provider performance and ... A modern workplace with a casual dress code, open floor plans, full-service dining, free snacks and ...
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.
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 ...
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 ...
$18.25 - $23.25/hr
This position is eligible for a remote work arrangement after completion of an onboarding period ... risk management programs. * Teamwork: * Works cooperatively with coworkers, providers, and ...
$18.25 - $23.25/hr
This position is eligible for a remote work arrangement after completion of an onboarding period ... risk management programs. * Teamwork: * Works cooperatively with coworkers, providers, and ...
Westerville, OH · On-site +1
$18.25 - $23.25/hr
This position is eligible for a remote work arrangement after completion of an onboarding period ... risk management programs. * Teamwork: * Works cooperatively with coworkers, providers, and ...
Westerville, OH · On-site +1
$18.25 - $23.25/hr
This position is eligible for a remote work arrangement after completion of an onboarding period ... risk management programs. * Teamwork: * Works cooperatively with coworkers, providers, and ...
Westerville, OH · On-site +1
$18.25 - $23.25/hr
This position is eligible for a remote work arrangement after completion of an onboarding period ... risk management programs. * QUALIFICATIONS * Education, Experience, Certification and Licensure ...
Westerville, OH · On-site +1
$18.25 - $23.25/hr
This position is eligible for a remote work arrangement after completion of an onboarding period ... risk management programs. * QUALIFICATIONS * Education, Experience, Certification and Licensure ...
This position is eligible for a remote work arrangement after completion of an onboarding period ... risk management programs. * QUALIFICATIONS * Education, Experience, Certification and Licensure ...
This position is eligible for a remote work arrangement after completion of an onboarding period ... risk management programs. * QUALIFICATIONS * Education, Experience, Certification and Licensure ...
Columbus, OH · On-site +1
$17 - $22.75/hr
Health System Shared Services | MIM CDI and Coding Remote Position Scope of Position Inpatient ... and risk of mortality (ROM), and the impact of coding on quality outcomes, case mix index (CMI ...
Columbus, OH · On-site +1
$17 - $22.75/hr
Health System Shared Services | MIM CDI and Coding Remote Position Scope of Position Inpatient ... and risk of mortality (ROM), and the impact of coding on quality outcomes, case mix index (CMI ...
$16.72 - $17.29
7% of jobs
$17.83 is the 25th percentile. Wages below this are outliers.
$17.29 - $17.86
19% of jobs
$17.86 - $18.43
5% of jobs
$18.43 - $19
3% of jobs
$19 - $19.57
14% of jobs
The median wage is $19.71 / hr.
$19.57 - $20.14
6% of jobs
$20.14 - $20.71
0% of jobs
$20.71 - $21.28
0% of jobs
$21.28 - $21.85
0% of jobs
$22.30 is the 75th percentile. Wages above this are outliers.
$21.85 - $22.42
26% of jobs
$22.42 - $22.99
20% of jobs
$16
$20
$22
| Aspect | Remote Hcc Risk Adjustment Coding |
|---|
Since the comparison is with itself, the roles are identical. Both involve coding for HCC risk adjustment, require similar credentials like coding certifications, and are performed remotely within healthcare insurance environments. The primary difference lies in specific employer requirements or specialization, but generally, these roles are the same in scope and industry usage.
$18 - $24.25/hr
Other
Posted 1 hour ago
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Company Job Description/Day to Day Duties:
Job Summary
Directly responsible and accountable for performing chart reviews, physician education, and development of tools to ensure that our provider partners are compliant with Risk Adjustment. 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 various provider partner locations
Performs on-going chart reviews and abstracts diagnoses codes under the HCC Model.
Develop an understanding of current billing practices in provider offices to ensure that diagnoses codes are submitted accordingly.
Documents results/findings from chart reviews and provides feedback to management, providers, and office staff.
Responsible for administrative duties such as planning, scheduling of chart reviews, obtaining of medical records, and provider training and education.
Monitor HCC Coding Accuracy at various levels of detail (e.g., by state, by product, by demographic segmentations). Extract information necessary to identify where there are low performing physicians; follow up with plan for education and training. Continue to audit to ensure training is implemented.
Resolve and track escalated issues. Track any coding issues identified either at the provider level (including Molina sites) or vendor; manage any non-compliance situation or potential fraud or abuse.
Utilize discretion and autonomy to select provider for further training or audits; coordinate efforts with internal clients such as Coding Manager, RAMP Director, State Medicare Directors and Provider Services.
Determine coding quality as it relates to CMS standards; selects physicians or vendors that require an audit.
Minimum Education/Qualifications/Licensures:
Coding Certification - Active CCS, CCS-P, or CPC credentialing
Coding guidelines knowledge
Travel required (with mileage)
Claims experience
Employment Type: Contract 6 months. With possibility of going perm.
Sourced by ZipRecruiter
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
Recruiting and staffing services
201 - 500 Employees
Maitland, FL, US
2003
