• Auditor, HCC Risk Adjustment Coding

    Datavant (Denver, CO)
    …tasks required by management. **What you will bring to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of HCC Auditing experience + ... credentials (CPC, CPC-H, COC, CIC or CRC). + Proficient in ICD-10 coding . + Experienced in HCC coding across Medicare, commercial, and Medicaid sectors. +… more
    Datavant (08/08/25)
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  • Coding Team Lead, HCC Risk…

    Datavant (Hartford, CT)
    …to realize our bold vision for healthcare. We're looking for experienced and credentialed HCC Coding Team Leads to become an integral part of our team. ... (CPC, CPC-H, COC, CIC, CRC) + Extensive knowledge of ICD -10 + 2 years' HCC coding experience + 1+ years' Team Lead experience a plus + A strong knowledge base… more
    Datavant (09/10/25)
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  • Supervisor, HCC Risk Adjustment…

    Datavant (Boise, ID)
    …required. + People Leader experience managing a team of employees. + Familiarity with HCC coding . + A strong knowledge base of medical terminology, medical ... educational and life experiences to realize our bold vision for healthcare. The Coding Supervisor serves as a working supervisor with oversight and management of… more
    Datavant (09/20/25)
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  • HCC Risk Adjustment Auditor - Full Time…

    Datavant (Santa Fe, NM)
    …Any other tasks asked by quality supervisor **What You Need to Succeed:** + 2 years' HCC Coding experience + 2 years' HCC Auditing experience + Extensive ... realize our bold vision for healthcare. **What We're Looking For:** As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have… more
    Datavant (08/01/25)
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  • HCC Risk Adjustment Coder - Full Time…

    Datavant (Washington, DC)
    …credentials (CPC, CPC-H, COC, CIC, or CRC). + A minimum of 2 years HCC coding experience, while certified. + Full understanding and knowledge of ICD-10, ... to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical...guidelines. + Coders must meet and maintain a 95% coding accuracy rate. + Any other task requested by… more
    Datavant (08/26/25)
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  • Risk Adjustment Coding Coordinator I/II

    Excellus BlueCross BlueShield (Rochester, NY)
    …ICD-9-CM/ICD-10-CM coding , Medicare Advantage and Commercial Hierarchical Condition Category ( HCC ) coding , and Medicaid Clinical Risk Groups (CRGs) to ensure ... coding validation, monitoring plan specifications, Hierarchical Condition Category ( HCC ) assignment accuracy and Risk Adjustment Validation Audits (RADV). *… more
    Excellus BlueCross BlueShield (08/27/25)
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  • Coding Auditor & Educator

    WelbeHealth (Charleston, WV)
    …+ Work closely with Coding Supervisor in identifying opportunities for HCC coding education **Job Requirements:** + Associates Degree preferred; three (3) ... coding and auditing + Minimum of two (2) years of Risk Adjustment ( HCC ) coding experience in a managed care environment + Current CCS, CCS-P, CPC, CPC-H,… more
    WelbeHealth (09/19/25)
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  • Risk Adjustment Supervisor - Coding

    CareFirst (Baltimore, MD)
    …activities and operational processes of the coding operations team - including HCC coding , auditing and data submission to CMS and other regulatory agencies, ... activities, and drive ongoing professional development on CMS, HHS, HCC , and ICD-10 coding requirements. + Identify...development on CMS, HHS, HCC , and ICD-10 coding requirements. + Identify and resolve process bottlenecks, ensuring… more
    CareFirst (09/13/25)
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  • Profee Coding Consultant - PRN - Remote

    Datavant (Boise, ID)
    …outcomes in both hospitals and alternative care settings. Candidates with Profee and HCC coding experience are strongly encouraged to apply! **What You Will ... realize our bold vision for healthcare. The Provider Practice Coding Consultant role is an opportunity to make a...make a significant impact in the field of medical coding . You will provide essential consulting services and educational… more
    Datavant (09/10/25)
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  • Coding and Clinical Documentation Educator

    AdventHealth (Daytona Beach, FL)
    …( HCC ) education including but not limited to clinical documentation integrity, coding , HCC Risk Adjustment Methodology, and provider performance metrics. The ... advanced understanding of the HCC risk adjustment methodology gained from HCC documentation, coding , and provider education experience. **The value you'll… more
    AdventHealth (09/22/25)
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  • Clinical Documentation Spec

    University of Michigan (Ann Arbor, MI)
    …degree in health information management or other healthcare related fields. + Knowledge of HCC coding and Risk Adjustment Credential from AHIMA or AAPC + ... + Prepare reports to provide feedback on provider performance including HCC documentation and coding . Including specialty specific documentation examples… more
    University of Michigan (09/19/25)
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  • Compliance Auditing Specialist- Remote/Hybrid…

    WMCHealth (Valhalla, NY)
    …activities. Monitors and reports key performance indicators relative to clinical documentation and HCC coding . . Documents and maintains records of all query, ... Maintains current competencies in clinical documentation improvement and ICD, CPT and HCC coding through continuing education. Assists with compliance audits and… more
    WMCHealth (09/12/25)
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  • Risk Adjustment Analyst, Health Plans

    University of Utah Health (Murray, UT)
    …models. HHS HCC , CMS HCC and MARA. + Demonstrated knowledge of HCC coding and diagnosis capture optimization. + Ability to build, perform, and maintain ... tools (eg, SAS, Python, R, Excel). + Familiarity with ICD-10-CM coding , HCC mappings, and risk score calculations. Corporate Overview: University of Utah… more
    University of Utah Health (08/13/25)
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  • Manager, Coding Education & Performance

    East Boston Neighborhood Health Center (Revere, MA)
    …across multiple specialties + Extensive knowledge of cpt, revenue codes, ICD-10-CM coding and HCC /risk adjustment methodologies + Experience with Medicare ... providers related to CPT, ICD-10, HCPCS, modifiers, and E/M coding + Conduct Pro Fee and Outpatient Coding... coding + Conduct Pro Fee and Outpatient Coding audits of provider documentation and coding more
    East Boston Neighborhood Health Center (09/16/25)
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  • Risk Adjustmt Coder Educator / Clinical…

    Hartford HealthCare (Hartford, CT)
    …the development of complex and advanced ICD-10 and Hierarchical Condition Category ( HCC ) coding and documentation training programs including defining training ... Coder Educator develops and implements an enterprise-wide risk adjustment coding and documentation education program to support documentation practices among… more
    Hartford HealthCare (09/11/25)
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  • Clinical Documentation Improvement Specialist…

    Bluestone Physician Services (Stillwater, MN)
    …in healthcare coding , with a focus on Hierarchical Condition Category ( HCC ) coding and risk adjustment. Knowledge/Skills/Abilities + Proficiency in reviewing ... disease capture for Bluestone providers. If you are passionate about improving coding practices and ensuring quality patient care, we encourage you to apply!… more
    Bluestone Physician Services (09/07/25)
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  • Database Developer (Healthcare / Risk Adjustment)

    Commonwealth Care Alliance (Boston, MA)
    …diagnoses, and provider data. + Familiarity with CMS risk adjustment methodologies and HCC coding preferred. + Experience with data visualization tools such as ... Commonwealth Care Alliance's (CCA) risk adjustment and Hierarchical Condition Category ( HCC ) revenue programs. This position ensures the integrity, accuracy, and… more
    Commonwealth Care Alliance (06/25/25)
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  • Manager- Outpatient Clinical Documentation…

    Henry Ford Health System (Troy, MI)
    …medical group leadership, clinical and ancillary departments regarding appropriate clinical documentation, coding rules and regulations, HCC Coding and Risk ... Health System and ensures alignment of high quality documentation and coding that supports compliant and accurate medical record documentation. EDUCATION/EXPERIENCE… more
    Henry Ford Health System (09/12/25)
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  • Billing and Coding Specialist

    University of Colorado (Aurora, CO)
    …documentation requirements. + Experience with specific primary care medicine and/or sports medicine coding , ie CPT, HCC , ICD-10, HCPCS + Experience with EHR ... **Billing and Coding Specialist** **Description** **University of Colorado Anschutz Medical...review of medical records to ensure accurate assignment of diagnosis/ HCC and procedure codes, requiring high level of knowledge… more
    University of Colorado (09/07/25)
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  • Risk Adjustment Analyst - Remote

    Martin's Point Health Care (Portland, ME)
    …of third-party analytical tools and reporting platforms related to risk profile analysis and HCC coding + Recommends tools and methodologies that can be deployed ... configuration support, and interface development applications as needed + Supports CMS HCC Risk Adjustment modeling + Maintains and is a proficient user… more
    Martin's Point Health Care (09/09/25)
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