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HEDIS
HEDIS Coordinator / Quality Improvement Specialist
Calls provider offices to validate records, abstracts HEDIS data, runs Excel reports, and documents outreach efforts. HEDIS abstraction experience required...
$25 – $30 per hour
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HEDIS
Abstractor, HEDIS / Quality Improvement
Conducts data collection and abstraction of medical records for HEDIS and HEDIS-like projects on the Quality Improvement Abstraction team...
Hourly, DOE
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HEDIS
Remote Healthcare Abstractor & Coder I
Manages clinical revenue for physician billing and ensures compliance; codes medical services, analyzes reports, and educates staff on coding issues...
$26.66 – $39.02 per hour
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Quality
Clinical – HEDIS Coordinator
Ensures HEDIS data accuracy and reporting through investigation, auditing, and improvement opportunities; manages the HEDIS project timeline and vendor oversight...
Contract, DOE
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Risk Adjustment
Risk Adjustment Coding Specialist
Reviews and analyzes medical records against health assessments for accurate HCC and diagnostic coding. Maintains current HEDIS/HCC knowledge...
$29.21 – $36.51 per hour
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Risk Adjustment
Certified Medical Record Coder
Applies ICD-9/10, CPT, and CMS coding principles with a focus on Risk Adjustment and HEDIS knowledge. CRC or CPC preferred...
Salaried, DOE
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Medical Coder
Certified Medical Coder — Multiple Specialties
Direct-hire W-2, fully remote coding roles across Family Medicine, Internal Medicine, RHC, Orthopedic, Behavioral Health, and Oncology...
~$21 – $30 per hour
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Medical Coder
Remote Risk Adjustment Medical Coder
Assigns ICD-10-CM codes mapped to risk adjustment models on Medicaid charts, with in-house QA mentoring and paid training...
$22 – $28 per hour
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Quality
Quality Improvement Manager
Leads and coordinates quality improvement performance measures and initiatives across a regional health plan's quality team...
Salaried, DOE
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Quality
Program Manager, Medicare Stars & Quality Improvement
Generates and distributes Medicare Stars and HEDIS quality-improvement reporting; drives strong QI and Stars program performance...
Salaried, DOE
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Risk Adjustment
HCC / Risk Adjustment Coder (Contract)
Reviews, audits, codes, and analyzes medical records for accurate diagnosis documentation and HCC abstraction supporting Medicare, Medicaid, and Commercial risk adjustment and RADV audits...
$30 – $35 per hour, W2
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Risk Adjustment
Remote Medical Coder — Risk Adjustment
Participates in clinical documentation improvement initiatives and complies with confidentiality and security policies across risk adjustment projects...
Hourly, DOE
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Medical Coder
Outpatient Coder / CDI Specialist (Contractor)
Reviews outpatient encounters, analyzes clinical documentation, and determines accurate ICD-10-CM diagnosis codes for an AI clinical-documentation company...
Contract, DOE
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Medical Coder
Senior Inpatient DRG Coder — Remote
Determines MS-DRG and APC assignment and modifiers; communicates with clinical staff and CDI specialists on documentation issues...
Salaried, DOE
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Medical Coder
Coder Specialist — Remote
Reviews, codes, and abstracts patient medical records; assigns DRGs and determines APC assignment on inpatient and outpatient records...
Salaried, DOE
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Medical Coder
Remote Inpatient Coder — Complex Case Specialist
Codes and abstracts complex hospital services and inpatient procedures; collaborates with CDI to secure correct DRG assignment...
Salaried, DOE
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Compliance
Medical Coding and Billing Compliance Auditor, Remote
Reviews medical coding accuracy and documentation integrity; ensures compliance with federal, state, and payer coding guidelines...
Salaried, DOE
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Compliance
Medical Coding and Billing Compliance Auditor
Extensive knowledge of CPT, ICD-10-CM, E/M, HCC methodologies, modifiers, telehealth, and HCPCS coding required for compliance reviews...
Salaried, DOE
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Compliance
Remote Medical Coding Compliance Auditor
Performs coding audits and ensures compliance with regulations; requires a current coding credential and 3+ years outpatient coding experience...
Salaried, DOE
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Compliance
Remote Inpatient Coding Compliance Auditor (ICD-10/CPT)
Ensures accuracy and compliance of coding practices in inpatient and outpatient settings; conducts audits and provides coder education...
Salaried, DOE
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Compliance
Remote Medical Coding Auditor — Compliance Expert
Audits medical records for coding compliance with a focus on E/M coding; CPMA certification required within 18 months of hire...
Salaried, DOE
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Compliance
Remote RN Coding Auditor | DRG/CDI Accuracy & Compliance
Validates acute inpatient coded charts, reviews DRG code assignments, and conducts coding audits; RN license and NY residency required...
Salaried, DOE
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Quality
Quality Improvement Analyst (Remote)
Supports internal quality and process improvement; develops improvement plans, tracks performance, and leads data-driven initiatives...
$62,400 – $78,000 per year
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Risk Adjustment
HCC Coder (Remote)
Performs medical record diagnosis code abstraction based on clinical documentation and ICD-10-CM official guidelines for a 30-location medical group...
Salaried, DOE
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Risk Adjustment
HCC Risk Adjustment Coder — Full Time — Remote
Reviews and codes diagnostic information based on client guidelines; 95% coding accuracy required. AHIMA/AAPC credential needed...
Hourly + incentives
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Risk Adjustment
HCC Risk Adjustment Coder — Full Time — Remote
Codes diagnostic information per ICD-10-CM and client guidelines; base pay plus per-chart incentive based on quality and production...
$19.60/hr + incentives
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Risk Adjustment
HCC Risk Adjustment Coder — Full Time — Remote
Reviews and codes diagnostic information based on client-specific guidelines for CMS HCC risk adjustment programs...
Salaried, DOE
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Risk Adjustment
Senior Medical Coder (Remote) — ICD-10, CPT & HCC Expert
Precise coding and compliance with regulations; provides coding guidance to healthcare staff. CPC and CRC preferred...
$24.98 – $35.91 per hour
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Medical Coder
Medical Coder, Behavioral Health (E/M) (Remote)
Serves as internal authority on behavioral health E/M coding; reviews and validates coding recommendations for an AI health-tech company...
Salaried, DOE
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Quality
VP, Stars Pharmacy / Stars Population Health — Remote
Leads senior clinical directors and owns overall Stars Part D and clinical measure performance across an Optum Health business segment...
Salaried, DOE
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Quality
Senior Consultant, Payer Population Health — Remote
Delivers clinically informed, data-driven population health solutions to payer clients across Medicare, Medicaid, and Commercial lines...
Salaried, DOE
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Quality
Senior Data Analyst — Quality Performance Analytics, National Remote
Works with data contributing to clinical quality gap closures and Medicare Stars/HEDIS measure improvement; builds dashboards and models...
Salaried, DOE
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Quality
Manager, Business Analysis — Medicare Stars (Remote)
Joins Aetna's Medicare Stars Web team as Senior Manager, Business Analysis, open to candidates located anywhere in the United States...
Salaried, DOE
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Risk Adjustment
Risk Adjustment Analyst II (Remote)
Compiles and analyzes member information to ensure Risk Adjustment Factor accuracy; requires solid SQL experience and CMS compliance knowledge...
Salaried, DOE
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Medical Coder
Provider Coding Education Specialist (Remote)
Provides formal and informal coding and regulatory education to physicians, residents, and advanced practice providers...
Salaried, DOE
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Risk Adjustment
Remote Medical Coder Educator & Data-Driven Trainer
Identifies opportunities to improve provider documentation and crafts education plans for Medicare Risk Adjustment providers...
Salaried, DOE
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Medical Coder
Coding Educator (Remote)
Partners with providers and coders, leads training initiatives, and influences documentation and coding practices across the organization...
Salaried, DOE
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Compliance
Nurse Coder DRG Auditor I (US Remote)
Reviews medical records and claim information to validate DRG assignment accuracy and medical necessity for inpatient level of care...
Salaried, DOE
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Risk Adjustment
Certified Risk Adjustment Coder — Remote
Abstracts provider services into ICD-10 codes; conducts concurrent, prospective, and retrospective reviews to support quality gap closure...
Salaried, DOE
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Risk Adjustment
Certified Risk Adjustment Coder — Remote
Accurately abstracts provider services into ICD-10 codes from medical documentation, adhering to AAPC, AHIMA, and NAMAS coding ethics...
Salaried, DOE
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Risk Adjustment
Risk Adjustment Coding Specialist I or II (Remote)
Reviews provider documentation for Medicare Advantage, ACO, and Commercial risk adjustment; delivers education to providers on HCC coding...
Salaried, DOE
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Risk Adjustment
Risk Adjustment Coder
Applies CMS HCC risk adjustment coding and data validation requirements; safeguards medical records and preserves HIPAA confidentiality...
Salaried, DOE
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Risk Adjustment
HCC Risk Adjustment Coder — Full Time — Remote
Reviews and codes diagnostic information per ICD-10-CM guidelines and client requirements; maintains 95% coding accuracy rate...
Salaried, DOE
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Medical Coder
Remote Certified Medical Coder (Entry-Level)
Entry-level certified coder role supporting a Fortune 100 healthcare client, with additional home health and hospice coding openings listed...
Hourly, DOE
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Risk Adjustment
Nurse Medical Coder — Risk Adjustment (Remote)
RN-credentialed coder enhances documentation and coding practices across risk adjustment; performs medical record reviews and validates compliance...
Salaried, DOE
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Medical Coder
Coding Specialist I, Outpatient — Ambulatory Surgery Unit (ASU)
Codes and abstracts primarily emergency department observation and beginning-level ambulatory surgery records; flexible schedule with paid continuing education and membership reimbursement...
$23.65 – $42.03 per hour
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Medical Coder
Coder Specialist — Remote
Reviews, codes, and analyzes medical records to abstract relevant data; assigns DRGs for Medicare, Medicaid, and other payors on outpatient and inpatient records...
Salaried, DOE
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Medical Coder
Coder II — Remote
Abstracts data and assigns ICD-10 diagnosis and CPT procedure codes for scheduled and unscheduled surgical cases; provides education to clinical staff on documentation and coding...
Salaried, DOE
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Medical Coder
Lead Coding Specialist (Remote)
Leads coding review work focused on payment integrity and plan performance across the claim lifecycle for a payment-integrity review firm...
Salaried, DOE
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Coding Manager
Physician (ProFee) Coding Manager — Remote
Plans, organizes, and directs professional-fee coding staff; educates providers on ICD-10-CM/CPT/HCPCS use, conducts audits, and manages coding rejections, denials, and appeals...
Salaried, DOE
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Quality
Quality Analyst / Coding Auditor I
Audits Evaluation and Management (E/M) coding with a focus on Emergency Medicine; requires strong current E/M guideline knowledge and hands-on auditing background...
Salaried, DOE
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Risk Adjustment
HCC Risk Adjustment Coder — Full Time — Remote
Reviews and codes diagnostic information per ICD-10-CM guidelines and client requirements; base pay plus per-chart incentive based on quality and production...
Hourly + incentives
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Risk Adjustment
HCC Risk Adjustment Coder — Full Time — Remote
Reviews and codes diagnostic information based on client-specific guidelines for CMS HCC risk adjustment programs across Datavant's national data network...
Salaried, DOE
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Medical Coder
Senior Ambulatory Surgery Facility Coder — Remote
Ensures accurate coding for outpatient services, applying ICD-10-CM/PCS and CPT/HCPCS coding principles with a focus on ambulatory surgery encounters...
Salaried, DOE
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Medical Coder
Senior HB Coder — Remote
Assigns ICD-10-CM/PCS, CPT, and MS-DRG/APR-DRG codes for inpatient and ambulatory records across multiple specialties; may perform Coding Specialist I duties as assigned...
Salaried, DOE
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Quality
Quality Improvement Specialist (HEDIS) — Contract
Supports Medicaid HEDIS operations, risk, and member outreach; pulls charts from EMRs and conducts member outreach to drive care-gap closure...
Contract, DOE
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Quality
HEDIS Clinical Quality Analyst (Full Time, Remote, NC-Based)
Reviews and analyzes clinical data to support HEDIS reporting and quality performance measures for a North Carolina-based health plan team...
Salaried, DOE
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Quality
HEDIS Performance Improvement Specialist
Drives HEDIS quality performance improvement initiatives; eligible for an annual bonus incentive on a Monday-Friday day-shift schedule...
Salaried, DOE
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Quality
Quality Improvement Specialist
Serves as the connector between patients, provider practices, and care teams to drive quality improvement outcomes for a value-based nephrology care organization...
Salaried, DOE
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Quality
Sr. Quality Improvement, HEDIS Specialist — Health Plan Interventions (Remote in Ohio)
Focuses on Quality Improvement using QI Science methodology; drives health plan intervention strategy and HEDIS performance across assigned measures...
Salaried, DOE
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Quality
Senior Quality Analyst
Ensures quality processes and outcomes for care delivery; requires reliable high-speed internet and a dedicated home workspace suitable for remote work...
Salaried, DOE
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Quality
Quality Incentive Consultant (Tennessee Based)
Serves as a strategic driver of quality and cost improvement, translating TennCare's priorities into actionable provider-facing initiatives...
Salaried, DOE
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Risk Adjustment
CRC — Certified Risk Adjustment Coder
Properly codes and/or audits professional services for accurate risk adjustment; remote, Monday through Friday full-time position with a major academic health system...
Salaried, DOE
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Risk Adjustment
Risk Adjustment Coder Specialist
Joins the Risk Adjustment team at a health insurance company built around a full-stack technology platform, with a relentless focus on member-facing data quality...
Salaried, DOE
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Risk Adjustment
Certified Risk Adjustment Coder (CRC), Senior Associate
Supports risk adjustment coding and audit engagements for a global advisory firm; base pay range $85,000–$200,000 depending on location and experience...
$85,000 – $200,000 per year
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Risk Adjustment
PACE Risk Adjustment Coder
Requires a minimum of 3 years of PACE risk adjustment coding experience and an active CRC credential; meets department production and quality standards...
Salaried, DOE
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