• 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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  • Remote HCC Coder (CPC)

    Insight Global (Tampa, FL)
    …all progress notes for one patient in a one-to-two-year period. All our retro projects are HCC coding only. DAY TO DAY/EXPLANATION OF ROLE: Will be coding ... for one patient in a one-to-two-year period. All our retro projects are HCC coding only. We have opportunities to review the following chart types. Outpatient… more
    Insight Global (09/12/25)
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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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  • Supervisor, HCC Risk Adjustment Auditing

    Datavant (Carson City, NV)
    …preferred + People Leader experience managing a team of employees. + Familiarity with HCC coding and auditing + A strong knowledge base of medical terminology, ... educational and life experiences to realize our bold vision for healthcare. Coding Supervisor serves as a working supervisor with oversight and management of… more
    Datavant (09/11/25)
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  • Director IPA HCC & STARs - Full Time…

    Emanate Health (Covina, CA)
    …#19 ranked company in the country. **J** **ob Summary** Leads the development of HCC coding , suspecting, recapture tracking, and gap closure modules within the ... COZEVA platform. Oversees outreach strategy and informs the workflows, policies and procedures that govern outreach to and engagement with patients/members that are due for annual visits and gaps in care. Oversee analytics, reporting, and client enablement… more
    Emanate Health (09/06/25)
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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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  • 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 (09/16/25)
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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 Adjustment Medical Record Coder

    BlueCross BlueShield of Tennessee (Chattanooga, TN)
    …looking to add a Risk Adjustment Medical Record Coder to our team\.** Expertise in HCC coding , with a background in Medicare Advantage \(MA\) and Affordable Care ... comprehensive 1st pass reviews of medical records and physician assessment forms \( HCC coding \)\. + Assist with the intake and quality assurance of medical… more
    BlueCross BlueShield of Tennessee (09/16/25)
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  • Clinical Documentation Improvement Manager

    Cleveland Clinic (Cleveland, OH)
    …risk of mortality, MCC/CC capture, appropriate POA assignment, PSI, HAC, APC & HCC coding , risk adjustment analysis and provider queries. + Perform and/or ... accreditation standards and industry best practices. + Collaboratively work with coding , quality, care management, physician champions and other key stakeholders to… more
    Cleveland Clinic (09/12/25)
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  • Individual & Family Plans (IFP) Quality Review…

    The Cigna Group (Bloomfield, CT)
    …+ Must possess professional oral and written communication skills + Experience with HCC coding preferred + Prior experience with working with EMR/EHR systems ... is responsible for day-to-day oversight of a team of Coding Analysts specializing in HHS Risk Adjustment medical record...Analysts specializing in HHS Risk Adjustment medical record diagnostic coding and quality audit review for the Individual and… more
    The Cigna Group (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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