• BlueCross BlueShield of Tennessee (Chattanooga, TN)
    …hours per week in accordance with BCBST policy\. **Preferred Qualifications:** + CRC \(Certified Risk Adjustment Coder \) certification is a plus\. If not ... within one year of hire\. + Strong expertise in HCC \(Hierarchical Condition Category\) coding, with experience in MA...\(CPC, CCS, RHIT, RHIA\)\. + Must acquire the Certified Risk Adjustment Coder \(CRC\) certificate… 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 ... Coding Clinic) that impact financial and operational aspects of risk adjustment coding. + Collaborate and communicate...of experience as a RHIA, RHIT, or CPC certified coder within a healthcare provider organization or health insurance… more
    DirectEmployers Association (12/10/25)
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  • HCC Risk Adjustment

    Datavant (Washington, DC)
    …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... experiences to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code… more
    Datavant (11/14/25)
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  • Coding Team Lead, HCC Risk

    Datavant (Atlanta, GA)
    …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. The ideal ... Reviews rebuttals submitted by coders. Provides education to the coder if the error is correct or sends the...+ Extensive knowledge of ICD -10 + 2 years' HCC coding experience + 1+ years' Team Lead experience… more
    Datavant (12/10/25)
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  • Hierarchical Condition Category ( HCC

    Highmark Health (Cheyenne, WY)
    …anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits. Works closely with ... leadership to identify and deliver high quality and accurate risk adjustment coding. Supports all Remote Patient...CERTIFICATIONS** **Required** (any of the following) + Certified Professional Coder (CPC) + Certified Risk Coder more
    Highmark Health (12/19/25)
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  • Certified Risk Adjustment Medical…

    Ascension Health (Elk Grove Village, IL)
    …Candidates must have the following certification thru AAPC (credentialing board): **Certified Risk Adjustment Coder (CRC) - STRONGLY PREFERRED** + ... to hire date or job transfer date.* Certified Professional Coder (CPC) credentialed from the American Academy of Professional...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)
    …of the following is required : Certified Professional Coder (CPC) Certified Risk Adjustment Coder (CRC) Certified Coding Specialist (CCS) Registered ... Summary Certified Medical Coder role is responsible for reviewing, abstracting, and...years HCC experience performing concurrent and retrospective risk adjustment chart review s required Current… more
    Apex Health Solutions (12/20/25)
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  • Medical Coder I, Amazon One Medical Senior…

    Amazon (IL)
    …* 2+ years as a Profee Coder in an office setting inclusive of risk adjustment coder experience required * 1+ year experience in Medicare/Medicare ... One Medical Senior Health Revenue Cycle team, the Medical Coder I will be responsible for supporting Amazon One...perform accurate and complete chart reviews for Profee and HCC Risk Adjustment * Possesses… more
    Amazon (10/31/25)
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  • Edits Coder

    University of Washington (Seattle, WA)
    …Coding System (HCPCS) codes in Epic work queues (WQ) and/or Hierarchical Condition Category ( HCC )/ Risk Adjustment Factor (RAF) and/or Care Gap review to ... outstanding opportunity for a **Coding Specialist 1 - Edits Coder ** **WORK SCHEDULE** + 100% FTE + Mondays -...- Fridays + 100% Remote **POSITION HIGHLIGHTS** The Edits Coder position reports to the Outpatient Coding Supervisor within… more
    University of Washington (12/06/25)
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  • Risk Adjustment Coding Specialist…

    Trinity Health (Albany, NY)
    …and Medicaid Services (CMS). **SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:** **. Certified Risk Adjustment Coder (CRC) required** . Excellent verbal ... system work queues and natural language processing (NLP) tools to support addressing HCC codes for Risk Adjustment before a claim is submitted to payers. .… more
    Trinity Health (12/12/25)
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  • Risk Adjustment QA Consultant

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …a focus on Medicare Advantage and ACA risk adjustment . * Certified Risk Adjustment Coder (CRC) certification * In-depth knowledge of ACA & Medicare ... as CPMA, RHIT, RHIA, CCA, CCS. * Expertise in CMS- HCC , and HHS- HCC Risk Adjustment models. Compensation and Benefits: Pay Range: $88,600.00 - $117,400.00… more
    Blue Cross and Blue Shield of Minnesota (12/10/25)
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  • Network Practice Coder /Auditor

    WMCHealth (Valhalla, NY)
    …in a large multispecialty practice setting, including surgical speacialties is required. HCC Risk adjustment Coding esperience is preferred. Education: ... Network Practice Coder /Auditor Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support Department: Health Info… more
    WMCHealth (11/01/25)
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  • Senior Risk Adjustment Coding…

    Centene Corporation (Jefferson City, MO)
    …+ Perform clinical chart reviews and advise on clinical best practices related to risk adjustment coding, HCC capture, and documentation improvement. + ... the Continental United States. **Position Purpose:** Executes Line 2 oversight of Risk Adjustment activities, including monitoring, auditing, and supports Line 1… more
    Centene Corporation (10/29/25)
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  • Compliance Auditing Specialist- Remote/Hybrid…

    WMCHealth (Valhalla, NY)
    …Details: Job Summary: Serves as an internal expert on Risk Adjustment and Hierarchical Conditions Categories ( HCC ) coding. Specific duties include performing ... reports key performance indicators relative to clinical documentation and HCC coding. . Documents and maintains records of all...with one or more of the following credentials: Certified Risk Coder (CRC), Certified Professional Coder more
    WMCHealth (12/12/25)
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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, Risk ... healthcare coding, with a focus on Hierarchical Condition Category ( HCC ) coding and risk adjustment ....on Hierarchical Condition Category ( HCC ) coding and risk adjustment . Knowledge/Skills/Abilities + Proficiency in reviewing… more
    Bluestone Physician Services (10/19/25)
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  • Ambulatory Clinical Documentation Integrity…

    Trinity Health (Livonia, MI)
    …structures, outpatient reimbursement models, & the impact of provider documentation & HCC risk adjustment , ensuring compliance with reporting standards ... and accurate. + Validate the accurate assignment of working HCC diagnosis affecting RAF scores within the ambulatory patient...delivery system, revenue cycle or consulting experience. + Certified Risk Adjustment Coder (CRC), Certified… more
    Trinity Health (12/19/25)
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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 experience ... Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and...with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories ( HCC )… more
    CVS Health (12/16/25)
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  • Manager, Ambulatory Clinical Documentation…

    Trinity Health (Livonia, MI)
    …in clinical documentation integrity, coding, healthcare quality or equivalent + Certified Risk Adjustment Coder (CRC), Certified Clinical Documentation ... of education & experience + Experience with compliant healthcare documentation, HCC coding requirements, alternate payment models in a multi-facility, integrated… more
    Trinity Health (12/19/25)
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  • Senior Director of Coding - Professional…

    Mount Sinai Health System (New York, NY)
    …leading coding operations in a multi-entity or academic health system. - Familiarity with risk adjustment , HCC coding, and value-based care models. - Proven ... response, and corrective action planning. - Manage performance metrics including DNFB, coder productivity, and denial rates. Compliance & Quality - Ensure adherence… more
    Mount Sinai Health System (11/07/25)
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  • Senior Director, Revenue Cycle - Clinical…

    Scripps Health (San Diego, CA)
    …understanding of ICD, CPT, and HCPCS coding systems, MS-DRG/APR-DRG methodologies, and risk adjustment / HCC principles. * Strong technical proficiency and ... experience in professional fee/physician services operations, analytics, and reporting. **Job:** **Business Office* **Organization:** **Scripps Health Corp* **Title:** *Senior Director, Revenue Cycle - Clinical Documentation Integrity* **Location:** *Central… more
    Scripps Health (10/29/25)
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