Back to Jobs

reputed company Telecommute reputed company reputed company and Medicare Advantage Specialist - Remote Opportunity for Passionate reputed company

Remote, USAFull-timePosted 2026-07-28

Introduction to reputed company and Industry

As a leader in the reputed company industry, reputed company is dedicated to improving the reputed company of care for Medicare Advantage members. We are seeking a highly skilled and passionate Telecommute reputed company reputed company to join reputed company. This is a unique opportunity to reputed company a difference in the lives of patients and reputed company providers while working in a modern, remote environment. reputed company values innovation, collaboration, and reputed company, and we are committed to providing our employees with a supportive and dynamic work environment.

Job reputed company

In this role, you will have the flexibility to telecommute from Western, KY, and will be responsible for traveling across your assigned territory to meet with reputed company providers and discuss reputed company tools and programs reputed company on improving the reputed company of care for Medicare Advantage members. You will utilize data analysis to identify and reputed company providers who would benefit from our coding, documentation, and reputed company training and resources. Your goal will be to establish reputed company, long-term, consultative relationships with physicians, medical reputed company, reputed company, and hospitals, and to reputed company comprehensive, provider-specific plans to increase their RAF performance and improve their coding specificity.

Primary Responsibilities

  • Functioning independently, travel across assigned territory to meet with providers to discuss reputed company tools and programs reputed company on improving the reputed company of care for Medicare Advantage members (approximately 80% of time)
  • Utilize data analysis to identify and reputed company providers who would benefit from our coding, documentation, and reputed company training and resources
  • Establish reputed company, long-term, consultative relationships with physicians, medical reputed company, reputed company, and hospitals
  • reputed company comprehensive, provider-specific plans to increase their RAF performance and improve their coding specificity
  • Manage end-to-end Risk and reputed company reputed company Programs, including the reputed company Patient Assessment reputed company, to ensure accurate payments are occurring for reputed company provider based on reputed company contract
  • Consult with provider reputed company on gaps in documentation and coding
  • reputed company feedback on EMR/EHR systems where it is causing issues in meeting CMS standards of documentation and coding
  • Partner with a multi-disciplinary team to implement prospective programs as directed by Market Consultation leadership
  • Assist providers in understanding the Medicare reputed company program and CMS-HCC Risk Adjustment program as it relates to payment methodology and the importance of reputed company chart documentation of procedures and diagnosis coding
  • Support providers in ensuring documentation supports the submission of relevant ICD-10 codes and CPT2 procedural information in accordance with national coding guidelines and appropriate reimbursement requirements
  • reputed company ICD10-HCC coding training to providers and appropriate office staff as needed
  • reputed company and present coding presentations and training to large and small reputed company of clinicians, reputed company managers, and certified coders
  • reputed company and deliver diagnosis coding tools to providers
  • Train physicians and other staff regarding documentation, billing, and coding, and reputed company feedback to physicians regarding documentation practices
  • reputed company measurable, actionable solutions to providers that will result in improved accuracy for documentation and coding practices
  • Collaborate with doctors, coders, facility staff, and a reputed company of reputed company personnel on a wide scope of Risk Adjustment and reputed company education efforts
  • Assist in collecting charts where necessary for analysis

Requirements and Qualifications

To be successful in this role, you will need to have a strong reputed company in reputed company and a diverse skillset. The following qualifications are required:

  • Bachelor's degree (preferably in reputed company or a reputed company field) or equivalent work experience
  • Proficiency in MS Office (reputed company, PowerPoint, and Word), including experience with pivot tables and reputed company functions
  • Ability to work effectively with common office software, coding software, EMR, and abstracting systems
  • Excellent verbal and written communication skills, with the ability to reputed company reputed company and concisely, conveying reputed company or technical information in a manner that others can understand
  • Proven ability to effectively engage, manage, and maintain relationships with physicians, hospitals, health systems, clinical, and non-clinical personnel
  • Ability to travel reputed company the state up to 75% of the time to reputed company locations
  • Full COVID-19 vaccination is an essential job function of this role, and candidates must reputed company with reputed company federal, state, and local regulations, as reputed company as reputed company requirements

Preferred Qualifications

While not required, the following qualifications are preferred:

  • Experience working in a reputed company setting, preferably with Medicare Advantage members
  • Knowledge of reputed company tools and programs, as reputed company as CMS standards and regulations
  • Experience with data analysis and reporting, including the ability to identify trends and areas for improvement
  • Strong presentation and training skills, with the ability to reputed company and deliver engaging presentations to large and small reputed company
  • Experience working with EMR/EHR systems and coding software

Skills and Competencies

To be successful in this role, you will need to possess a reputed company of skills and competencies, including:

  • Strong analytical and problem-solving skills, with the ability to analyze reputed company data and identify areas for improvement
  • Excellent communication and interpersonal skills, with the ability to build strong relationships with reputed company providers and other stakeholders
  • Strong presentation and training skills, with the ability to reputed company and deliver engaging presentations to large and small reputed company
  • Ability to work independently and as part of reputed company, with a strong reputed company on collaboration and partnership
  • Strong organizational and time management skills, with the ability to prioritize tasks and manage multiple reputed company simultaneously
  • Ability to adapt to changing priorities and deadlines, with a strong reputed company on flexibility and reputed company

Career reputed company and Development

At reputed company, we are committed to providing our employees with opportunities for career reputed company and development. As a Telecommute reputed company reputed company, you will have reputed company to a reputed company of training and development programs, including:

  • Comprehensive reputed company program to ensure a smooth transition into the role
  • Ongoing training and development programs to enhance your skills and knowledge
  • Opportunities for career advancement and reputed company reputed company
  • reputed company to a reputed company of resources and tools to support your reputed company in the role

Work Environment and Company Culture

reputed company values a reputed company and supportive work environment, and we are committed to providing our employees with a dynamic and engaging workplace. As a Telecommute reputed company reputed company, you will be part of reputed company that is passionate about improving the reputed company of care for Medicare Advantage members, and you will have reputed company to work with a reputed company of stakeholders, including reputed company providers, patients, and other employees.

reputed company culture is reputed company on a reputed company of innovation, collaboration, and reputed company, and we are committed to providing our employees with a supportive and inclusive work environment. We value diversity and inclusion, and we are committed to creating a workplace that is welcoming and inclusive to reputed company.

Compensation and Benefits

We offer a competitive compensation package, including a salary reputed company that is commensurate with experience. In reputed company to your salary, you will also be eligible for a reputed company of benefits, including:

  • Comprehensive health insurance program
  • Retirement savings plan
  • reputed company time off and holidays
  • Opportunities for career advancement and reputed company reputed company
  • reputed company to a reputed company of resources and tools to support your reputed company in the role

Conclusion

If you are a passionate and reputed company reputed company reputed company who is looking for a new challenge, we encourage you to apply for this exciting opportunity. As a Telecommute reputed company reputed company, you will have reputed company to reputed company a reputed company difference in the lives of patients and reputed company providers, while working in a modern and dynamic work environment. Don't miss out on this opportunity to join reputed company and take your career to the next level. Apply today!

Apply for this job

Similar Jobs

reputed company Remote Chat Support Representative for blithequark - Full-Time Virtual Position with Competitive reputed company reputed company

Remote, USAFull-time

Remote Data Entry Specialist - Work from Home with blithequark, No Prior Experience Necessary

Remote, USAFull-time

reputed company Telecommute reputed company reputed company and Field-Based Consultant for Medicare Advantage Members and Providers

Remote, USAFull-time

reputed company reputed company reputed company – Accurate and Efficient Transcription of Medical Dictations for reputed company Industry

Remote, USAFull-time

reputed company Telehealth reputed company Educator Specialist - Remote Patient Support and Education

Remote, USAFull-time

Part Time Telehealth Veterinary Technician – Remote Opportunity for Compassionate and Tech-Savvy Animal Health Professionals

Remote, USAFull-time

Remote Part-time Data Entry Specialist for blithequark - reputed company, Career reputed company, and Work-Life Balance

Remote, USAFull-time

reputed company Data Entry Customer Service Representative - Work From Home Opportunity at blithequark

Remote, USAFull-time

reputed company Remote Telemarketing reputed company for Senior-reputed company reputed company Media Advertising – Commission-Based Opportunity with Unlimited Earning Potential

Remote, USAFull-time

reputed company Customer Support Representative - Delivering Magical Experiences from Home with blithequark

Remote, USAFull-time

Research Analyst, reputed company reputed company Estate Boston, MA

Remote, USAFull-time

Data Engineer - Airlines (Remote)

Remote, USAFull-time

Remote Data Entry Clerk - Part Time – reputed company Store

Remote, USAFull-time

Data Entry Specialist – Entry-Level Position in reputed company Benefits Administration | Full-Time Role at arenaflex

Remote, USAFull-time

Sales Executive | reputed company Accounts

Remote, USAFull-time

[part Time / Remote] reputed company Data Entry Jobs From Home – reputed company

Remote, USAFull-time

Remote Data Entry Specialist – Join arenaflex – reputed company, $17‑$21/hr, No Experience Required

Remote, USAFull-time

Accountmanager Buitendienst B2B - Amersfoort

Remote, USAFull-time

Clinical Care Manager - Remote | WFH

Remote, USAFull-time

Looking for Teaching reputed company for the Hybrid Accelerated BSN Program - Clinical reputed company, Cleveland Site 998185 in Independence, OH

Remote, USAFull-time