Inpatient coder • ontario ca
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
Prime Healthcare Corporate Team Opportunity.Prime Healthcare is an award-winning health system headquartered in Ontario, California.Prime Healthcare operates 54 hospitals and has more than 360 outp... Show more
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Utilisation Management and Case Management leaders — including ... Show more
Per Diem Certified Occupational Therapy Assistant -- Traveling.It is our goal to provide the finest Orthopaedic care possible.This philosophy requires that all staff be sensitive and responsive to ... Show more
Fills prescriptions under the supervision of Pharmacist in hospital pharmacy or retail establishment, and performs a variety of other duties.Mixes pharmaceutical preparations, fills bottles with pr... Show more
AlliedTravelCareers is working with AHS Staffing to find a qualified Speech Language Pathologist (SLP) in Ontario, California, 91764!.AHS Staffing is looking for a Acute Inpatient Speech Language P... Show more
CT Technologist - CT SCAN at St Jude Medical Center.This position is Per Diem and will work 10-hour Variable Shifts.Under the general supervision of the Manager Diagnostic imaging or Supervisor CT ... Show more
Special Investigations Unit Specialist.Position Type: Temporary Schedule: M-F, 8:00 am - 5:00 pm Assignment Length: Approximately 6-Months, possibly longer.The Special Investigations Unit (SIU) Spe... Show more
Hematologist Oncologist Opportunity.Private Practice, Outpatient/Inpatient.Experienced Physicians preferred; Fellows encouraged to apply.Will treat both Hematology and Medical Oncology patients.Hem... Show more
We are a company that focuses on treating the whole person.Our work is grounded in understanding the emotional, psychological, social, and practical factors that impact an individual’s well being.W... Show more
Infectious Disease physician job in California :.A California-based health services organization is seeking a licensed Infectious Disease Physician for an opportunity at one of their private practi... Show more
This is Elizabeth with ObjectWin.We have an immediate need for the following requirement.Kindly go through the following job details and If you are interested revert me back with your updated resum... 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
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
Provides support services to licensed Physical Therapists and unskilled basic services to patient/clients that do not require skilled intervention under the direct supervision of professional thera... Show more
At Simple Solutions Psychotherapy we believe "It's SIMPLE people just make it complicated.The Case Manager for CalAIM Enhanced Care Management (ECM) and provides comprehensive, person-centered care... Show more
At Clearview Outpatient, we are a dynamic, dedicated, and growing team of professionals deeply passionate about providing evidence-based and personalized clinical care for behavioral health conditi... Show more
The average salary range is between $ 54,080 and $ 84,240 year , with the average salary hovering around $ 65,404 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.
