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Vice President Hcc Risk Adjustment Coder Jobs Near Me

Kokosing

Vice President of Risk

Westerville, OH · On-site

The Vice President of Risk is responsible for leading the enterprise-wide risk management strategy for a large, self-performing heavy civil general contractor with approximately $3.1 billion in ...

Kokosing

Vice President of Risk

Westerville, OH · On-site

The Vice President of Risk is responsible for leading the enterprise-wide risk management strategy for a large, self-performing heavy civil general contractor with approximately $3.1 billion in ...

Bread Financial

VP Cloud Platform Engineering

Columbus, OH · On-site

$173K - $224K/yr

... as code, platform services, automation frameworks, and engineering tooling. Ensure delivery ... Ensure platform services meet enterprise security, regulatory, compliance, audit, and risk ...

YMCA

Vice President Of Membership And Programs

Columbus, OH · On-site

$125K - $150K/yr

The Vice President of Membership and Programs ensures successful operations of Community Centers in ... Adheres to all policies and procedures related to abuse risk management, while reporting suspicious ...

Palco

VICE PRESIDENT, FINANCE & CONTROLLER

Columbus, OH · On-site

VICE PRESIDENT, FINANCE & CONTROLLER (REMOTE) We're Palco. We provide the management, support, and ... Establish clear ownership, segregation of duties, and approval structures to reduce risk and ensure ...

Palco

VICE PRESIDENT, FINANCE & CONTROLLER

Columbus, OH · On-site

VICE PRESIDENT, FINANCE & CONTROLLER (REMOTE) We're Palco. We provide the management, support, and ... Establish clear ownership, segregation of duties, and approval structures to reduce risk and ensure ...

OnTrac

VP of Linehaul & Fleet Operations

Dallas, TX · On-site

$200K - $300K/yr

OnTrac is hiring a VP of Linehaul & Fleet Operations ! Are you eager to join a dynamic and ... Comprehensive knowledge of transportation safety standards, regulatory compliance, risk management ...

Telhio Credit Union

VP, Financial Crimes

Columbus, OH

The Vice President, Financial Crimes (AML amp; Fraud) provides enterprise leadership for the Credit ... This role designs and executes a risk-based strategy to prevent, detect, investigate, and report ...

Telhio Credit Union

VP, Financial Crimes

Columbus, OH · On-site

The Vice President, Financial Crimes (AML & Fraud) provides enterprise leadership for the Credit ... This role designs and executes a risk-based strategy to prevent, detect, investigate, and report ...

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Vice President Hcc Risk Adjustment Coder information

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$85.5K

$176.7K

$264K

How much do vice president hcc risk adjustment coder jobs pay per year?

As of Aug 1, 2026, the average yearly pay for vice president hcc risk adjustment coder in the United States is $176,675.00, according to ZipRecruiter salary data. Most workers in this role earn between $137,000.00 and $205,000.00 per year, depending on experience, location, and employer.
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Vice President Hcc Risk Adjustment Coder jobs near you
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Medical Coder CPC / CCS

Healthcare Support Staffing

Columbus, OH

$18 - $24.25/hr

Other

Re-posted 12 days ago

Job description

Company Description

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!

Job Description

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. 


Qualifications

Minimum Education/Qualifications/Licensures:


Coding Certification - Active CCS, CCS-P, or CPC credentialing

Coding guidelines knowledge

Travel required (with mileage)

Claims experience

Additional Information

Employment Type: Contract 6 months. With possibility of going perm.


Healthcare Support logo

About Healthcare Support

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.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Maitland, FL, US

Year founded

2003

Social media

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