Medical Risk Coder

🔥 0 minutes ago

🏈 Alabama, Arizona, +20 more states – Remote

🏈 Alabama – Remote 🌵 Arizona – Remote ⛰️ Colorado – Remote 🐊 Florida – Remote 🌽 Illinois – Remote 🐎 Kentucky – Remote ⚜️ Louisiana – Remote 🌾 Nebraska – Remote 🎰 Nevada – Remote 🌶️ New Mexico – Remote 🗽 New York – Remote 🌲 North Carolina – Remote 🌲 Oregon – Remote 🏰 Missouri – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⛷️ Utah – Remote ⚔️ Virginia – Remote ☕ Washington – Remote ⛰️ West Virginia – Remote 🧀 Wisconsin – Remote 🦬 Wyoming – Remote

💵 $23 - $26 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

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Adobe Population Health

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2018

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

Adobe Population Health is a care management company that provides integrated population health and whole-person care management solutions for public and commercial health plans. The organization partners with Medicaid, Medicare, and ACA Marketplace plans to deliver proactive case management, in‑home support, and technology-enabled services (including an app that identifies social determinants of health barriers and connects members to local resources). Adobe Population Health also expands clinical offerings through acquisitions (e. g. , Eventa for respiratory care) and reports outcomes such as reduced ER use, lower claim costs, and high HRA completion rates.

📋 Description

• Review and accurately code charts • Assign appropriate ICD-10 codes, mapping to risk adjustment models as applicable • Maintain required quality and production standards • Achieve 95% accuracy on all projects • Remain current on diagnosis coding guidelines and risk adjustment reimbursement reporting requirements • Provide feedback to providers on performance improvement opportunities • Track and prioritize projects to improve coding and documentation outcomes • Comply with HIPAA regulations • Perform other related duties as assigned by management

🎯 Requirements

• High School Diploma or equivalent required • Certified coder certification (CRC, CPC) through AHIMA or AAPCA is REQUIRED • CRC (Certified Risk Adjustment Coding) certification required • Pass a basic coding assessment • Risk Adjustment experience • Ability to code using an ICD-10-CM codebook without using an encoder • Strong clinical knowledge related to chronic illness diagnosis, treatment, and management • Extensive knowledge of ICD-10 diagnosis coding guidelines • Access to a computer • Comfort using coding books • Experience with coding guidelines • Experience using a Customer Relationship Management (CRM) platform, preferably Salesforce • Associate degree preferred

🏖️ Benefits

• Paid Orientation and Training • Insurance – Medical, Dental, Vision, and Life • 401k Plan – 3% match • Employee Assistance Program • Tuition Reimbursement • Continued Education Support • Mileage Reimbursement (if applicable) • Referral Bonuses • Paid Holidays (9 days) • Paid Time Off (15 days) • Paid Volunteer Hours • Flexible scheduling options • Ability to operate remotely

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