• BlueCross BlueShield of Tennessee (Chattanooga, TN)
    …additional hours per week in accordance with BCBST policy\. **Preferred Qualifications:** + CRC \( Certified Risk Adjustment Coder \) certification is a ... from AHIMA or AAPC \(CPC, CCS, RHIT, RHIA\)\. + Must acquire the Certified Risk Adjustment Coder \(CRC\) certificate from AAPCwithin one year,… more
    DirectEmployers Association (12/11/25)
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  • Premera Blue Cross (Mountlake Terrace, WA)
    …coding within medical records. This position is essential for maintaining the integrity of Risk Adjustment and HCC coding. By leveraging a deep understanding of ... Coding Clinic) that impact financial and operational aspects of risk adjustment coding. + Collaborate and communicate...years of experience as a RHIA, RHIT, or CPC certified coder within a healthcare provider organization… more
    DirectEmployers Association (12/10/25)
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  • Certified Risk Adjustment

    Ascension Health (Elk Grove Village, IL)
    …Certifications/Licensure:** Candidates must have the following certification thru AAPC (credentialing board): ** Certified Risk Adjustment Coder (CRC) - ... obtained prior to hire date or job transfer date.* Certified Professional Coder (CPC) credentialed from the...in the CRC program please apply!** + 1 year ** RISK CODING** experience, preferred (NEW GRADUATES WELCOME) + Experience… more
    Ascension Health (12/03/25)
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  • Certified Medical Coder

    Apex Health Solutions (Houston, TX)
    …in one of the following is required : Certified Professional Coder (CPC) Certified Risk Adjustment Coder (CRC) Certified Coding Specialist ... Summary Certified Medical Coder role is responsible...proper ICD-10-CM, HCPCS, and CPT coding and compliance with Risk Adjustment requirements. Key Responsibilities Follows CMS… more
    Apex Health Solutions (12/20/25)
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  • Certified Risk Adjustment

    Trinity Health (Livonia, MI)
    …Information Administrator thru AHIMA** + **Must be certified or obtaining certification for Certified Risk Adjustment Coder thru AAPC. If not ... **Employment Type:** Full time **Shift:** **Description:** ** CERTIFIED RISK ADJUSTMENT CODING...preferred. + **Must have one of the following certifications: Certified Outpatient Coder , Certified Coding… more
    Trinity Health (12/20/25)
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  • Coder II

    Geisinger (Danville, PA)
    …= 1 year relevant experience). Position Details One of the following certifications required: Certified Risk Adjustment Coder - American Academy of ... Health Information Technician (RHIT) - American Health Information Management Association; Certified Risk Adjustment Coder - American Academy of… more
    Geisinger (12/05/25)
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  • Risk Adjustment QA Consultant

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …coding with a focus on Medicare Advantage and ACA risk adjustment . * Certified Risk Adjustment Coder (CRC) certification * In-depth knowledge of ... characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Risk Adjustment QA Consultant Location: Hybrid | Eagan, Minnesota Career Area: Customer… more
    Blue Cross and Blue Shield of Minnesota (12/10/25)
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  • Risk Adjustment Coding Specialist…

    Trinity Health (Albany, NY)
    …Centers for Medicare and Medicaid Services (CMS). **SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:** **. Certified Risk Adjustment Coder (CRC) required** . ... Partners' confidentiality requirements as they relate to patient information. What a Certified Risk Adjustment Coding Specialist will do: . Review and… more
    Trinity Health (12/12/25)
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  • Quality & Risk Adjustment Provider…

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …years of provider-facing or leadership-facing experience * Knowledge of Health Care Quality measures * Certified Risk Adjustment Coder (CRC via AAPC) or ... and Blue Shield of Minnesota Position Title: Quality & Risk Adjustment Provider Consultant Location: Hybrid |...Certified Professional Coder (CPC via AAPC). If you do not have… more
    Blue Cross and Blue Shield of Minnesota (09/30/25)
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  • Director, Clinical Data Acquisition

    Molina Healthcare (MI)
    …in Health Quality (CPHQ) * Nursing License (RN may be preferred for specific roles) * Certified Risk Adjustment Coder (CRC) To all current Molina ... **Job Description** **Job Summary** The Director, Clinical Data Acquisition for Risk Adjustment , is responsible for the implementation, monitoring, and oversight… more
    Molina Healthcare (10/22/25)
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  • Lead - CDI Specialist

    Mayo Clinic (Rochester, MN)
    …AHIMA certification OR Certified Inpatient Coder (CIC) AAPC certification Certified Risk Adjustment Coder (CRC) AAPC certification **Exemption ... team to train providers on documentation best practices and risk adjustment , deliver tailored education, and develop...and enhance coding accuracy. Utilizes specialized knowledge from the Certified Risk Coder (CRC) certification… more
    Mayo Clinic (10/30/25)
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  • Clinical Documentation Improvement Specialist…

    Bluestone Physician Services (Stillwater, MN)
    …+ Bachelor's degree in Health Information Management, Nursing, or related field. + Certified Risk Adjustment Coder (CRC) certification, ... thorough patient chart reviews to identify opportunities for providers to capture risk adjustment diagnostic codes accurately. The successful candidate will play… more
    Bluestone Physician Services (10/19/25)
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  • Coding Data Quality Auditor

    CVS Health (Springfield, IL)
    Coder ) or CCS-P ( Certified Coding Specialist-Physician) required. + CRC ( Certified Risk Adjustment Coder ). + Computer proficiency including ... for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in… more
    CVS Health (12/16/25)
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  • Medical Coding Educator

    Humana (Fort Lauderdale, FL)
    …in interpreting large data sets **Preferred Qualifications** + Bachelor's Degree + CRC - Certified Risk Adjustment Coder + Experience interacting ... an impact** **Required Qualifications** + AHIMA or AAPC CPC ( Certified Professional Coder ) Certification + 4 or...4 or more years of medical coding experience + Risk Adjustment knowledge + Proficiency with data… more
    Humana (12/09/25)
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  • Regional Coding Operations Manager WFH

    HCA Healthcare (Fort Lauderdale, FL)
    … (CPC(R)) credential or Certified Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) EXPERIENCE: + Experience with ... EDUCATION: + Bachelor's Degree preferred. + Must be a Certified Coding Specialist (CCS), Certified Coding Specialist...Must be a Certified Coding Specialist (CCS), Certified Coding Specialist - Physician (CCS-P), RHIT (Registered Health… more
    HCA Healthcare (10/24/25)
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  • Practice Performance Manager (Houston, TX)

    Apex Health Solutions (Houston, TX)
    …field or five years related experience A license in one of the following is preferred: Certified Risk Adjustment Coder (CRC) Certified Professional ... and their associated practices to drive improvement in clinical quality, risk adjustment and operational efficiency. The PPM is responsible for partnering with… more
    Apex Health Solutions (12/20/25)
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  • Ambulatory Clinical Documentation Integrity…

    Trinity Health (Livonia, MI)
    …a multi-facility, integrated health care delivery system, revenue cycle or consulting experience. + Certified Risk Adjustment Coder (CRC), Certified ... outpatient reimbursement models, & the impact of provider documentation & HCC risk adjustment , ensuring compliance with reporting standards for claims… more
    Trinity Health (12/19/25)
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  • Physician Billing (PB) Coding Auditor and Educator

    Hackensack Meridian Health (Hasbrouck Heights, NJ)
    …hire or must obtain within one (1) year of hire. **Licenses and Certifications Preferred:** + Certified Risk Adjustment Coder (CRAC). If you feel that ... Administrator (RHIA); Certified Coding Specialist (CCS); or Certified Professional Coder (CPC) Certification. + Certified Professional Medical Auditor… more
    Hackensack Meridian Health (11/01/25)
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  • Manager Reimbursement Services (CPC, CRC,…

    Geisinger (Danville, PA)
    …Registered Health Information Technician (RHIT) - American Health Information Management Association; Certified Risk Adjustment Coder - American ... Academy of Professional Coders (AAPC); Certified Professional Coder - American Academy of Professional Coders (AAPC) OUR PURPOSE & VALUES: Everything we do is… more
    Geisinger (10/31/25)
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  • Manager, Ambulatory Clinical Documentation…

    Trinity Health (Livonia, MI)
    …leadership experiences in clinical documentation integrity, coding, healthcare quality or equivalent + Certified Risk Adjustment Coder (CRC), ... Certified Clinical Documentation Integrity (CDI), Certified Clinical Documentation Specialist - Outpatient (CCDS-O), Certified Documentation Expert Outpatient… more
    Trinity Health (12/19/25)
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