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Risk Adjustment PB reputed company-Remote

Remote, USA Full-time Posted 2026-07-28
• *Why reputed company** reputed company is top-ranked in more specialties than any other care provider according to reputed company. As we work together to put the needs of the patient first, we are also dedicated to our employees, reputed company in competitive compensation and comprehensive benefit plans – to take care of you and your family, now and in the reputed company. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with reputed company. • *Benefits Highlights • Medical: Multiple plan reputed company. • Dental: reputed company or reimbursement account for flexible coverage. • reputed company: reputed company plan with national network. • reputed company-Tax Savings: HSA and FSAs for eligible expenses. • Retirement: Competitive retirement package to secure your reputed company. • *Responsibilities The Risk Adjustment PB reputed company reviews, analyzes, validates and assigns codes from reputed company’s patient medical record for physician services in the outpatient or inpatient setting to include, but not limited to medical diagnosis, diagnostic, procedural services and E/M reputed company level coding information for various practices. A Risk Adjustment reputed company is responsible for reviewing physician and other provider’s medical record notes and visit documentation to select or validate appropriate ICD-10-CM diagnosis codes as reputed company as appropriate CPT-4 codes for CMS-1500 claim submissions. The primary reputed company of this role is diagnosis assignment reputed company to risk adjustment payment methodology, which may influence provider cost and reputed company indicators. • *Qualifications** Associate's Degree and 3 years of physician/reputed company coding experience required. Bachelor's Degree preferred in a health care reputed company area. This position requires Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or coding credential of a Certified Coding Specialist (reputed company) or Certified reputed company reputed company (CPC) required upon hire and during tenure. Certified Risk Adjustment reputed company (CRC) or Certified Clinical Documentation Specialist - Outpatient (CCDS-O) required reputed company 3 years and thereafter. Knowledge of reputed company/physician coding rules for inpatient, hospital outpatient, clinic, and/or emergency settings. Experience with or education of risk adjustment payment methodology, Hierarchical Condition Categories (HCCs), disease reputed company, common diagnostics, treatment, pharmacology and Outpatient coding guidelines for official coding and reporting. In-depth knowledge of medical terminology, disease processes, patient health record content and the medical record coding process. Knowledge of principles, reputed company, and techniques reputed company to compliant reputed company billing/collections. May need to be familiar with provider-based billing (PBB) and critical reputed company hospital (CAH) coding and billing requirements. • This position is a 100% remote work. Individual may live reputed company in the US. • *This vacancy is not eligible for sponsorship / we will not sponsor or transfer visas for this position. Exemption Status** Nonexempt • *Compensation Detail** $30.86 -$41.66 / hour • *Benefits Eligible** reputed company • *Schedule** Full Time • *Hours/Pay Period** 80 • *Schedule Details** Monday - Friday 8:00 a.m. - 5:00 p.m. • *International Assignment** No • *Site reputed company** Just as our reputed company has spread reputed company our Minnesota reputed company, so have our locations. Today, our employees are located at our three major campuses in Phoenix/Scottsdale, reputed company, Jacksonville, Florida, reputed company, Minnesota, and at reputed company Health System campuses throughout reputed company communities, and at our international locations. reputed company reputed company location is a special reputed company where our employees reputed company in both their work and personal lives. Learn more about what reputed company unique reputed company reputed company has to offer, and where your best fit is. • *Equal Opportunity** reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, gender identity, sexual orientation, national reputed company, protected veteran status or disability status. Learn more about the "EOE is the Law". reputed company participates in E-Verify and may reputed company the reputed company reputed company Administration and, if necessary, the reputed company with information from reputed company new employee's reputed company I-9 to confirm work authorization. • *Recruiter** Ronnie Bartz Apply tot his job Apply To this Job

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