Coding • yonkers ny
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Risk Adjustment and HCC Coding leaders to evaluate AI tools des... Show more
Physician Assistant- Partnership Opportunity.Up to $500k with Partnership Opportunity.We are seeking a highly skilled and dedicated Physician Assistant to join our multidisciplinary healthcare team... Show more
Welcome to Holy Name, a medical center where innovation is not just a goal — it's a commitment.Here, medical excellence thrives, allowing hope to reign supreme and leaving no room for fear.At our h... Show more
Englewood Health, a leading healthcare system comprising Englewood Hospital and the Englewood Health Physician Network, is committed to delivering exceptional patient care across northern New Jerse... Show more
It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges.Join us and put your expertise to work in ways you never imagined possible.We know ... Show more
Note : This is an educational program, not a job.Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market.Looking to ... Show more
Documentation Improvement Specialist.City/State: New Rochelle, New York.Department: MNR Health Information Management.The Documentation Improvement Specialist maintains professional practice standa... Show more
POTENTIAL INDEPENDENT CONTRACTOR INSTRUCTIONAL ASSIGNMENTS.Coding Instructor Opportunities.On-site at partner schools; varies by assignment.Elementary, Middle, and High School; varies by assignment... Show more
Assistant Director Health Information Management.The Assistant Director Health Information Management is responsible for technical and administrative, for daily operation of the HIM Coding departme... Show more
About the Role Mercor is hiring **certified medical coders** on behalf of a healthcare AI partner building advanced clinical documentation tools.In this role you will apply your coding and document... Show more
Position Summary:Reporting to the Senior Director of Practice Management, the Medical Biller Specialist I will process claims for their assigned providers and facilities.The Billing Specialist will... Show more
Assistant Director Of Him (Coding).Lincoln Medical and Mental Health Center is one of New York City's premier acute care hospitals.Located in Downtown Bronx, Lincoln is a teaching hospital renowned... Show more
Hudson Hill Center for Rehabilitation and Nursing -.Hudson Hill Center for Rehabilitation and Nursing.Resident Assessment Instrument (RAI) process in accordance with federal and state regulations.T... Show more
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Coding Managers and HIM Coding leaders to evaluate AI-powered c... Show more
Medical Coder Job Duties: Accounts for coding and abstracting of patient encounters, includ... Show more
Hudson Hill Center for Rehabilitation and Nursing MDS Assessor is responsible for coordinating and completing the Resident Assessment Instrument (RAI) process in accordance with federal and state r... Show more
Licensed Clinician | Paramus, NJ | Full-Time | Hybrid.About Garden State Counseling Center.Garden State Counseling Center is a behavioral health practice in Paramus, NJ dedicated to providing compa... Show more
Interventional Radiologist (Independent Contractor) .Part-time/Per diem (Independent Contractor).About Greenlife Healthcare Staffing:.Greenlife Healthcare Staffing is a leading nationwide recr... Show more
Essen Health Care is the largest privately held, multispecialty medical group in New York, providing high-quality, compassionate care to some of the state's most vulnerable and underserved resident... Show more
Interventional Radiologist (Independent Contractor).Part-time/Per diem (Independent Contractor).About Impact Recruiting Solutions:.Impact Recruiting Solutions is a dedicated recruitment partner con... Show more
The average salary range is between $ 61,116 and $ 110,000 year , with the average salary hovering around $ 72,800 year .
The average salary range is between $ 40,950 and $ 90,663 year , with the average salary hovering around $ 55,745 year .
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems. We are seeking experienced Risk Adjustment and HCC Coding leaders to evaluate AI tools designed to improve risk score accuracy and coding completeness in Medicare Advantage, Medicaid managed care, and ACA markets. Your expertise in hierarchical condition category (HCC) methodology, RADV audit preparation, and risk adjustment coding will directly shape AI systems that enhance documentation capture and risk score integrity. **Responsibilities** - Lead risk adjustment and HCC coding operations across Medicare Advantage, Medicaid, and/or ACA risk adjustment programs. - Evaluate AI-generated HCC coding assignments and risk adjustment recommendations for clinical accuracy and regulatory compliance. - Review medical records to ensure complete and accurate capture of HCC-eligible conditions supported by clinical documentation. - Conduct and oversee retrospective and prospective chart reviews for risk score optimisation. - Manage RADV (Risk Adjustment Data Validation) audit preparation and response processes. - Monitor risk adjustment KPIs including HCC capture rates, risk score accuracy, and chart retrieval rates. - Collaborate with clinical, coding, and compliance teams to improve documentation and coding for risk adjustment purposes. - Ensure compliance with CMS risk adjustment guidelines (RAPS, EDGE submissions) and Official Coding Guidelines. - Annotate AI outputs and provide structured coding feedback to support AI training datasets. **Requirements** - 5+ years of experience in risk adjustment coding, HCC coding, or Medicare Advantage coding operations, with at least 2 years in a leadership role. - Deep expertise in CMS-HCC, RxHCC, and/or ACA HHS-HCC risk adjustment methodologies. - Strong knowledge of ICD-10-CM coding guidelines as applied to HCC risk adjustment. - Experience with RADV audit preparation and CMS compliance requirements. - Familiarity with RAPS and EDGE submission processes. - Exceptional written and verbal English communication skills. - High attention to detail with the ability to identify coding inaccuracies and documentation gaps in AI-generated outputs. **Preferred Qualifications** - CRC (Certified Risk Coder), CCS, CPC, or RHIA credential. - Experience with risk adjustment analytics platforms and chart retrieval systems. - Background in health plan, Medicare Advantage organisation, or value-based care setting. - Familiarity with AI-assisted HCC coding tools and comfort evaluating AI-generated risk adjustment content. - Experience presenting risk adjustment performance to actuarial or executive teams. **Why Join?** - Contribute to the development of frontier AI systems in healthcare. - Collaborate with a world-class AI research organisation. - Gain exposure to cutting-edge AI workflows in risk adjustment and value-based care. - Opportunity to work on high-impact projects shaping the future of healthcare AI.
