• Remote HCC Coder

    Insight Global (Tampa, FL)
    Job Description Insight Global is hiring HCC /Risk Adjustment Medical coders to support a backlog for inpatient and outpatient Medicare advantage projects . Must ... of the markets are strictly risk adjustment focusing on HCC ICD-10 codes only. We do code from the...also be responsible to validate the CPT codes and non- HCC codes. These markets are still only reviewing Medicare… more
    Insight Global (07/26/25)
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  • HCC Risk Adjustment Coder - Full…

    Datavant (St. Paul, MN)
    …educational and life experiences to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to ... on client specific guidelines for the project. + The coder will ensure compliance with established ICD-10 CM, third...CIC, or CRC). + A minimum of 2 years HCC coding experience, while certified. + Full understanding and… more
    Datavant (08/01/25)
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  • Certified Coder - REMOTE

    Molina Healthcare (Scottsdale, AZ)
    …and experience **Required License, Certification, Association** + Certified Professional Coder (CPC) + Certified Coding Specialist (CCS) **Preferred Education** ... Bachelor's Degree in related field **Preferred Experience** + Familiar with HCC (Hierarchical Condition Categories) Risk Adjustment Model + Background in supporting… more
    Molina Healthcare (07/31/25)
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  • Senior Professional Coder

    Albany Medical Center (Albany, NY)
    …and training to providers and coding staff. Act as an expert for the HCC /Risk adjustment coding. This position is remote but does require onsite education ... Day (United States of America) Salary Range: $60,367.47 - $90,551.20 The Senior Professional Coder will apply an advanced professional coding skill set to act as a… more
    Albany Medical Center (07/30/25)
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  • Compliance Auditing Specialist- Remote

    WMCHealth (Valhalla, NY)
    Compliance Auditing Specialist- Remote /Hybrid available Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support ... an internal expert on Risk Adjustment and Hierarchical Conditions Categories ( HCC ) coding. Specific duties include performing concurrent and retrospective reviews of… more
    WMCHealth (07/09/25)
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  • Certified Coding Specialist I- Health Plan-…

    UPMC (Pittsburgh, PA)
    …exciting opportunity for a Certified Coding Specialist I position in the Medicare HCC department. This is a full time position working Monday through Friday daylight ... hours. This is a remote position.** Ability to code using ICD-10-CM and appropriately...and ED charts as necessary. + Assign Risk Adjustment HCC diagnoses by thoroughly reviewing all documentation in the… more
    UPMC (07/30/25)
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  • Risk Adjustment Coding Specialist -St. Peter's…

    Trinity Health (Albany, NY)
    …Risk Adjustment Coding Specialist -St. Peter's Health Partners - Full-time - Remote **POSITION PURPOSE:** The Risk Adjustment Coding Specialist works in a team ... is responsible for reviewing clinical documentation and coding using HCC (Hierarchical Condition Category) and MEAT (Monitored, Evaluated/Assessed/Addressed, Treated)… more
    Trinity Health (07/31/25)
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  • Revenue Management Educator ( Remote Option…

    Marshfield Clinic (Marshfield, WI)
    …exciting missions in the world!** **Job Title:** Revenue Management Educator ( Remote Option within SHP Service Area) **Cost Center:** 682891390 SHP-Strategic Finance ... Terminology (CPT), and ICD‐9, ICD-10 and Hierarchical Condition Category ( HCC ) coding. **Preferred/Optional:** Bachelor of Science in Nursing. **EXPERIENCE**… more
    Marshfield Clinic (06/29/25)
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  • Individual & Family Plans (IFP) Quality Review…

    The Cigna Group (Bloomfield, CT)
    …Risk Adjustment Model to confirm accuracy of Hierarchical Condition Categories ( HCC ) identified from abstracted ICD-10-CM diagnosis codes for the correct Benefit ... the American Academy of Professional Coders (AAPC):** **o Certified Professional Coder (CPC)** **o Certified Coding Specialist for Providers (CCS-P)** **o Certified… more
    The Cigna Group (08/01/25)
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  • Quality Review and Audit Senior Analyst - RADV…

    The Cigna Group (Bloomfield, CT)
    …Coders (AAPC) in one of the following certifications: + Certified Professional Coder (CPC) + Certified Coding Specialist for Providers (CCS-P) + Certified Coding ... (RHIT) + Registered Health Information Administrator (RHIA) + Certified Risk Adjustment Coder (CRC) certification (within 12 months of hire) + Experience with… more
    The Cigna Group (07/31/25)
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  • Quality Auditor/Educator Remote

    AdventHealth (Altamonte Springs, FL)
    …understanding that **together** we are even better. **Job Location** : Remote **Shift:** Full-Time, Monday-Friday **The role you will contribute:** The inpatient ... leadership. The Corporate QA is responsible for initial audits during the coder onboarding process for assigned staff, as well as supporting on-going quality… more
    AdventHealth (07/10/25)
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  • Risk Adjustment Auditor Educator Fully…

    Trinity Health (Syracuse, NY)
    …AND EXPERIENCE INCLUDES:** + Risk Adjustment Coding - Certified Risk Adjustment Coder (CRC) required and + Auditing - Certified Auditor Certified Professional ... gaps via OPA in the EHR to the PCP prior to their next visit. + HCC education and training will be conducted per Excellus payer risk adjustment coding guidelines and… more
    Trinity Health (07/18/25)
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  • Risk Adjustment Consultant

    Tufts Medicine (Burlington, MA)
    Fully Remote Opportunity About **TMIN** Our Integrated Network brings together a diversity of experienced private practice and employed physicians as well as ... ICD-10-CM coding standards, as well as lead efforts to evaluate the HCC /DxCG coding practices and provide analyses and recommendations to improve overall provider… more
    Tufts Medicine (07/14/25)
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  • Facility Coding Inpatient DRG Quality

    Banner Health (OH)
    …individual needs, with continued support throughout your career here! This is a fully remote position and available if you live in the **following states only: AK, ... to allow for monitoring and evaluation of trends in DRG (MS/APR-DRG), APC, HCC , other Heath Risk Adjusted Factors, National Correct Coding Initiative (NCCI) and the… more
    Banner Health (06/15/25)
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  • Quality Coding & Documentation Specialist

    AdventHealth (Altamonte Springs, FL)
    …are even better. **Schedule:** Full Time **Shift** : Monday-Friday **Location:** Remote **The role you'll contribute:** The Quality Coding and Documentation ... This will include compliant documentation to support Hierarchical Conditions Categories ( HCC ), ICD-10, medical necessity, and the appropriate Risk Adjustment Factor.… more
    AdventHealth (07/31/25)
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  • Clinical Documentation Specialist

    Ascension Health (Elk Grove Village, IL)
    …Alexian Brothers Health System + **Location:** Elk Grove Village, IL; Partially Remote + **Salary:** $79,059.75 - $110,204.85 per year **Benefits** Paid time off ... obtained prior to hire date or job transfer date.* Certified Professional Coder (CPC) credentialed from the American Academy of Professional Coders(AAPC) obtained… more
    Ascension Health (07/31/25)
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  • Coding Specialist - Medicare

    BlueCross BlueShield of North Carolina (NC)
    …ensure compliance and understanding of the CMS Hierarchical Condition Category ( HCC ) payment methodology. + Develops and maintains professional working relationships ... years of experience in related field + Certified Professional Coder **Bonus Points** + Medicare coding and auditing experience...roles, you can choose where to work - fully remote in one of the states listed below, in… more
    BlueCross BlueShield of North Carolina (07/23/25)
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