Home
/
Comprehensive
/
Risk Adjustment Coder
Risk Adjustment Coder-March 2024
Columbus
Mar 8, 2026
About Risk Adjustment Coder

  You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

  Position Purpose: Retrieve Risk Adjustment charts and review contents of chart to determine if the risk adjustment diagnosis code is present.

  Work Pended charts for additional information requested by the vendor partner.

  Follows CMS risk adjustment guidelines and has a complete understanding of these guidelines.

  Understands the impact of ICD-9 codes on the CMS HCC risk adjustment model.

  Ability to meet productivity and accuracy standards

  Ability to defend coding decisions to both internal and external audits.

  Performs other duties as assigned

  Be able to multi-task, work independently and be agile with changing priorities

  Education/Experience: Required A High School or GED

  Preferred A Bachelor's Degree in a related field:

  Candidate Experience: Required 2+ years of experience in professional coding experience either in a hospital or physician setting

  Preferred Other Healthcare industry experience:

  Licenses and Certifications: A license in one of the following is required:

  Required Certified Professional Coder (CPC):

  Preferred Certified Coding Specialist (CCS): Pay Range: $21.93 - $37.30 per hour

  Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.

  Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Comments
Welcome to zdrecruit comments! Please keep conversations courteous and on-topic. To fosterproductive and respectful conversations, you may see comments from our Community Managers.
Sign up to post
Sort by
Show More Comments
SIMILAR JOBS
Lead Engineer (Manager) Sentinel Subject Matter Expert (SME) - Remote
Business Title: Lead Engineer (Manager) Sentinel Subject Matter Expert (SME) - Remote Requisition Number: 109846 - 78 Function: Business Support Services Area of Interest: State: PA City: Pittsburgh
SAP - EWM - Senior - Consulting - Open Location
EY focuses on high-ethical standards and integrity among its employees and expects all candidates to demonstrate these qualities. At EY, you’ll have the chance to build a career as unique as you are,
Human Resources Generalist
Description Robert Half is currently seeking Human Resources professionals for our clients in the Woodland Hills area. We are looking for candidates with a minimum of two (2) years' of experience in
Animal Care Technician
Description: This position is responsible for providing the husbandry care of mice, rats and other lab animals. Animal Husbandry Duties: Observing the physical condition of mice, rats and other lab a
Production Associate
Immediately hiring production associates to join one of the world’s largest biotech companies! Description: Performs tube/frame assembly, filling, labeling and pouching operations consistent with Roc
HR Admin Analyst
HR Admin Analyst Date: Jan 19, 2024 Location: Bucharest, RO Company: MolsonCoors_GBSRomania Requisition ID: 29390 Molson Coors is a leading brewer with 18,000+ employees, 30+ breweries and 130+ beer
Infrastructure Project Manager
Job Description Our client is changing their footprint in their headquarters, eliminating two floors, changing desks, moving their onsite data center, etc. They are seeking an Infrastructure Project
VMWare Manager
Title : VMware Engineer Manager Location: Millsboro Delaware Status: US Cit or GC holder preferred per requirements – may entertain H1B for a rockstar candidate but can not sponsor. Estimated Salary
At Your Service Agent
Job Number 24012147 Job Category Rooms & Guest Services Operations Location JW Marriott Marquis Hotel Dubai, Sheikh Zayed Road, Business Bay, Dubai, United Arab Emirates, United Arab Emirates Sch
Telecommunications Designer (Mission Critical/Data Center)
Telecommunications Designer (Mission Critical/Data Center) Req ID 17590 Telecommunications Designer (Mission Critical/Data Center) Who We Are At WSP, we are driven by inspiring future-ready pioneers
Copyright 2023-2026 - www.zdrecruit.com All Rights Reserved