Risk Adjustment Coder

1 week ago


Baltimore, United States Erickson Senior Living Full time

Location:

Erickson Senior Living

Join our team as a Certified Risk Adjustment Coder & Educator. You'll review medical records, validate diagnosis codes, conduct provider audits, analyze coding patterns, and provide education and training to ensure accurate reimbursement and improve care quality.

Compensation: $55,000.00 - $78,000.00 per year, commensurate with experience

What we offer

  • A culture of diversity, inclusion, equity and belonging, which builds on our mission, vision and values
  • Medical, dental and vision packages, including an annual reimbursement for qualified wellness expenses, personal health coaching and telemedicine options
  • PTO Plans, PLUS company paid volunteer hours for eligible team members, in accordance with applicable state law
  • 401k for all team members 18 and over with a company 3% match
  • Onsite medical centers, providing wellness visits and sick care for all team members over 18 years of age
  • 30% discount on food and drinks at on-site dining venues, plus additional healthy choice meal options at discounted prices
  • Growth Opportunities – grow with the company as we open new communities and expand on our existing ones

How you will make an impact

  • Serve as the subject matter expert for proper risk adjustment coding.
  • Perform medical record audits for quality assurance and accuracy of ICD-10 code assignment
  • Analyze data to detect patterns and develops/implements action plans to address identified concerns
  • Develop educational material and provide oversight, guidance, and training to clinicians related to CMS guidelines and HCC best practices.
  • Conduct training through the use of web sessions and/or in-person meetings at the provider’s location of employment.
  • Use, protect, and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
  • Provide technical assistance to the Claims Billing Office (CBO) staff and respond to inquiries from providers in the field who need coding assistance.

 What you will need

  • Minimum of 5 years of experience in a hospital or physician setting as a medical coder required
  • Minimum 3 years hands-on coding experience in the Risk Adjustment environment
  • Experience in teaching, training, or another instructor role preferred

Please note that specific state regulations and requirements may be applicable. These regulations take precedence over the requirements outlined in the job description.

Headquartered in Baltimore, Maryland, Erickson Senior Living is one of the country’s largest and most respected providers of senior living and health care with a growing, national network of communities. We help people live better lives by fulfilling our promises of a vibrant lifestyle, financial stability, and focused health and well-being services for those who live and work with us. As part of our team, you'll enjoy flexibility and work-life balance to meet your personal and professional goals, and we are committed to providing you with opportunities to learn and grow.

Erickson Senior Living, its affiliates, and managed communities are Equal Opportunity Employers and are committed to providing a workplace free of unlawful discrimination and harassment on the basis of race, color, religion, sex, age, national origin, marital status, veteran status, mental or physical disability, sexual orientation, gender identity or expression, genetic information or any other category protected by federal, state or local law.


  • Risk Adjustment Coder

    2 weeks ago


    Baltimore, United States Erickson Senior Living Full time

    Job DescriptionJob DescriptionLocation:Erickson Senior LivingJoin our team as a Certified Risk Adjustment Coder & Educator. You'll review medical records, validate diagnosis codes, conduct provider audits, analyze coding patterns, and provide education and training to ensure accurate reimbursement and improve care quality.Compensation: $55,000.00 -...


  • Baltimore, Maryland, United States Erickson Senior Living Full time

    About the Role:We are seeking a highly skilled Certified Risk Adjustment Coder & Educator to join our team. As a key member of our organization, you will be responsible for reviewing medical records, validating diagnosis codes, conducting provider audits, analyzing coding patterns, and providing education and training to ensure accurate reimbursement and...


  • Baltimore, Maryland, United States Erickson Senior Living Full time

    At Erickson Senior Living, we offer a unique opportunity to grow your career as a Senior Health Risk Adjustment Specialist. This role is designed for experienced professionals who possess a deep understanding of risk adjustment coding and its importance in the healthcare industry.Erickson Senior Living is one of the country's largest and most respected...


  • Baltimore, Maryland, United States Erickson Senior Living Full time

    About Erickson Senior Living\Erickson Senior Living is one of the country's largest and most respected providers of senior living and healthcare. We have a growing, national network of communities that offer a vibrant lifestyle, financial stability, and focused health and well-being services.", "">Salary Range:">The estimated salary for this role is between...

  • Claims adjuster

    1 month ago


    Baltimore, United States Jobot Full time

    Job DescriptionJob Description$$$ / Bonus / Great place to work!This Jobot Job is hosted by: Brittany PackardAre you a fit? Easy Apply now by clicking the "Apply Now" buttonand sending us your resume.Salary: $50,000 - $70,000 per yearA bit about us:Our client is a global leader in trade credit insurance and risk management. They provide businesses with...


  • Baltimore, MD, United States Blue Shield of CA Full time

    Your Role The Senior Director, Risk Adjustment and Medicare STARs role will lead the Medicare Risk Adjustment and Stars programs, two functions that drive appropriate revenue and thus critical to the growth and financially viable and competitive Medicare products. This leader will develop the programs and take accountability by partnering with C-suite...


  • Baltimore, Maryland, United States Erickson Senior Living Full time

    About UsErickson Senior Living is a leading provider of senior living and healthcare services, dedicated to helping people live better lives.Compensation PackageThe successful candidate can expect a salary of $62,750 - $92,250 per year, commensurate with experience.Job DescriptionAs a Medical Coding and Education Specialist, you will serve as the subject...


  • Baltimore, Maryland, United States Liberty Mutual Insurance Full time

    About the Role:">We are seeking a highly skilled and experienced Risk Control Consultant to join our Equipment Breakdown team. As a key member of our team, you will be responsible for providing expert advice and guidance to our clients to help them identify and mitigate risks associated with equipment breakdowns.Key Responsibilities:Conduct thorough...


  • Baltimore, Maryland, United States Erickson Senior Living Full time

    About Erickson Senior LivingWe are one of the country's largest and most respected providers of senior living and health care with a growing, national network of communities.


  • Baltimore, Maryland, United States Erickson Senior Living Full time

    About UsErickson Senior Living is one of the country's largest and most respected providers of senior living and health care.


  • Baltimore, United States Sage Health Full time

    Position Summary:Join a supportive, collaborative team of healthcare professionals dedicated to providing high-quality care to our community. Our care team includes Physicians, Advanced Practice Professionals, Nurses, Social Workers, Case Managers, Care Coordinators, Medical Assistants, Behavioral Health Support, Quality-Based Coders, Referral Coordinators,...


  • Baltimore, United States Sage Health Full time

    Click Here to Apply Position Summary: Join our dynamic care team composed of Physicians, Advanced Practice Professionals, Nurses, Social Workers, Case Managers, Care Coordinators, Medical Assistants, Behavioral Health Support, quality-focused Coders, Referral Coordinators, and more. This comprehensive support system enables our primary care physicians to...


  • Baltimore, United States Sage Health Full time

    Position Summary: Join a supportive, collaborative team of healthcare professionals dedicated to providing high-quality care to our community. Our care team includes Physicians, Advanced Practice Professionals, Nurses, Social Workers, Case Managers, Care Coordinators, Medical Assistants, Behavioral Health Support, Quality-Based Coders, Referral Coordinators,...


  • Baltimore, Maryland, United States Sage Health Full time

    Primary Care Physician Job OpportunitySage Health is seeking a dedicated and compassionate Primary Care Physician to join our team in the Baltimore area. As a leading healthcare provider, we are committed to delivering high-quality patient care and promoting value-based medicine.About the RoleThis outpatient-only position offers a competitive base salary...


  • Baltimore, United States ALTA IT Services Full time

    ALTA IT Services is staffing a contract opportunity for a Clinical HEDIS Specialist support a leading health insurance customer. The main duties include conducting thorough HEDIS overreads in line with NCQA guidelines. Additional tasks involve helping with Medical Record Retrieval for HEDIS and Risk Adjustment, participating in internal audits for...


  • Baltimore, United States System One Full time

    ALTA IT Services is staffing a contract opportunity for a Clinical HEDIS Specialist support a leading health insurance customer. The main duties include conducting thorough HEDIS overreads in line with NCQA guidelines. Additional tasks involve helping with Medical Record Retrieval for HEDIS and Risk Adjustment, participating in internal audits for...


  • Baltimore, United States System One Full time

    ALTA IT Services is staffing a contract opportunity for a Clinical HEDIS Specialist support a leading health insurance customer. The main duties include conducting thorough HEDIS overreads in line with NCQA guidelines. Additional tasks involve helping with Medical Record Retrieval for HEDIS and Risk Adjustment, participating in internal audits for...


  • Baltimore, United States Ageatia Global Solutions Full time

    PURPOSE: The Clinical Medical Review Nurse (an RN with clinical experience) will report to the Clinical Support Supervisor – HEDIS and be part of the Quality Team. The main duties include conducting thorough HEDIS overreads in line with NCQA guidelines. Additional tasks involve helping with Medical Record Retrieval for HEDIS and Risk Adjustment,...

  • Health Services

    1 month ago


    Baltimore, United States Mindlance Full time

    Job Description: PURPOSE: The Clinical Medical Review Nurse (an RN with clinical experience) will report to the Clinical Support Supervisor - HEDIS and be part of the Quality Team. The main duties include conducting thorough HEDIS overreads in line with NCQA guidelines. Additional tasks involve helping with Medical Record Retrieval for HEDIS and Risk...

  • Packaging Mechanic

    2 months ago


    Baltimore, United States American Sugar Refining Full time

    ASR Group is the world’s largest refiner and marketer of cane sugar, with an annual production capacity of more than 6 million tons of sugar. The company produces a full line of grocery, industrial, food service and specialty sweetener products. Across North America, ASR Group owns and operates six sugar refineries, located in Louisiana, New York,...