• 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 ... Job Description JOB DESCRIPTION Insight Global is hiring HCC /Risk Adjustment Medical coders to support...in a one-to-two-year period. All our retro projects are HCC coding only. We have opportunities to… more
    Insight Global (09/12/25)
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  • HCC Risk Adjustment Coder - Full…

    Datavant (Washington, DC)
    …our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using ... Review, analyze, and code diagnostic information in a patient's medical record based on client specific guidelines for the...CIC, or CRC). + A minimum of 2 years HCC coding experience, while certified. + Full… more
    Datavant (08/26/25)
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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. ... the rebuttal through the process if they agree the coder 's initial coding was correct. + Answers...+ Extensive knowledge of ICD -10 + 2 years' HCC coding experience + 1+ years' Team… more
    Datavant (09/10/25)
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  • Auditor, HCC Risk Adjustment Coding

    Datavant (Denver, CO)
    …to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder , you will review medical records to identify and code diagnoses using a ... bring to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years...Medicare, commercial, and Medicaid sectors. + In-depth knowledge of medical terminology, abbreviations, pharmacology, and disease processes. + Ability… more
    Datavant (08/08/25)
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  • Value Based Coder II

    Dignity Health (Phoenix, AZ)
    …- 2-3 years of experience in outpatient and/or HCC /risk adjustment coding preferred. - Certified Risk Adjustment Coder (CRC) or Certified Professional ... staff across the network to identify opportunities for improved quality, risk adjustment coding performance. The Value Based Coder II is a valuable resource… more
    Dignity Health (08/01/25)
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  • Risk Adjustmt Coder Educator / Clinical…

    Hartford HealthCare (Hartford, CT)
    …working in an educational/training role preferred. Licensure, Certification, Registration Medical Coding Certification, Certified Professional Coder ... with CMS risk adjustment program requirements and ICD 10 coding guidelines. The Risk Adjustment Coder Educator...of complex and advanced ICD-10 and Hierarchical Condition Category ( HCC ) coding and documentation training programs including… more
    Hartford HealthCare (09/11/25)
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  • Risk Adjustment Medical Record Coder

    BlueCross BlueShield of Tennessee (Chattanooga, TN)
    …a Risk Adjustment Medical Record Coder to our team\.** Expertise in HCC coding , with a background in Medicare Advantage \(MA\) and Affordable Care Act ... of medical records and physician assessment forms \( HCC coding \)\. + Assist with the intake...RHIT, RHIA\)\. + Must acquire the Certified Risk Adjustment Coder \(CRC\) certificate from AAPCwithin one year, after completed… more
    BlueCross BlueShield of Tennessee (09/16/25)
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  • Certified Risk Adjustment Coder (CRC),…

    Ankura (Los Angeles, CA)
    …regulatory guidelines and reference materials + Drafts clear and concise analyses of medical record review and coding findings + Ensures successful completion of ... Sr. Associates use their experience and knowledge related in coding , revenue cycle and clinical operations, along with their...and code diagnoses based on information in a patient's medical record according to specific guidelines for each project.… more
    Ankura (09/09/25)
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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 ... the HCC risk adjustment methodology gained from HCC documentation, coding , and provider education experience....**The value you'll bring to the team:** + Analyzes medical record documentation for HCC accuracy, correct… more
    AdventHealth (09/16/25)
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  • Risk Adjustment Coding Coordinator I/II

    Excellus BlueCross BlueShield (Rochester, NY)
    …experience, one (1) of which includes Hierarchical Condition Category ( HCC ) coding . * Advanced knowledge of medical terminology, abbreviations, anatomy and ... responsible for various aspects of decision-making and implementation of medical coding reviews and coding ...coding , Medicare Advantage and Commercial Hierarchical Condition Category ( HCC ) coding , and Medicaid Clinical Risk Groups… more
    Excellus BlueCross BlueShield (08/27/25)
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  • Certified Risk Adjustment Coding /Audit…

    Redeemer Health Home Care & Hospice (Huntingdon Valley, PA)
    …home setting (eg outpatient setting) A sound knowledge of medical coding (https://www.aapc.com/certification/ medical - coding -certification.aspx) ... deficiencies to providers to improve documentation for accurate risk adjustment coding . Knowledge of anatomy, pathophysiology, and medical terminology necessary… more
    Redeemer Health Home Care & Hospice (08/13/25)
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  • Facility Coding Inpatient DRG Quality

    Banner Health (AR)
    …you. **Requirements:** + **5 years recent experience in acute-care Inpatient facility-based medical coding (clearly reflected in your attached resume);** + **DRG ... HCC , other Heath Risk Adjusted Factors, National Correct Coding Initiative (NCCI) and the effect on Case Mix...progressively responsible coding experience required. Requires Certified Coding Specialist (CCS) or Certified Inpatient Coder more
    Banner Health (09/06/25)
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  • Divisional Coding Quality Auditor Educator…

    AdventHealth (Altamonte Springs, FL)
    …and Hierarchical Condition Categories ( HCC ) + Expert level knowledge of medical terminology, coding guidelines and methodologies + Understanding of HIPAA ... as well as supporting on-going quality assurance needs for coding staff. They will review medical records...close attention to detail + Epic experience + Certified Coding Specialist Required or + Certified Professional Coder more
    AdventHealth (09/17/25)
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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 ... of Federal and State insurance programs (MassHealth) + Independently interpret and analyze medical record documentation to ensure accurate coding assignment for … more
    East Boston Neighborhood Health Center (09/16/25)
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  • Manager, Risk Adjustment Coding Support

    Evolent (Helena, MT)
    …field or equivelent years of work experience. + **Certification in medical coding (CRC- Certified Risk Adjustment Coder ) or demonstrated ability.** + 5+ ... Manager plays a crucial role in ensuring accurate medical coding and compliance with risk adjustment...Compliance knowledge, understanding industry standards and regulations in healthcare coding , specifically Risk Adjustment and all HCC more
    Evolent (08/29/25)
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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 QA Consultant

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …on proper coding practices and compliance requirements. * Manage medical coding metrics, performance improvement opportunities, and evaluation of in-home ... and military experience will be considered. * Experience in medical coding with a focus on Medicare...Advantage and ACA risk adjustment. * Certified Risk Adjustment Coder (CRC) certification * In-depth knowledge of ACA &… more
    Blue Cross and Blue Shield of Minnesota (09/10/25)
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  • Individual & Family Plans (IFP) Quality Review…

    The Cigna Group (Bloomfield, CT)
    …(AAPC) in one of the following certifications, or comparable medical coding specialty: + **Certified Professional Coder (CPC)** + **Certified Coding ... is responsible for day-to-day oversight of a team of Coding Analysts specializing in HHS Risk Adjustment medical...professional oral and written communication skills + Experience with HCC coding preferred + Prior experience with… more
    The Cigna Group (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 ... while also serving as a liaison to hospital and medical staff in all matters related to clinical documentation...standards and industry best practices. + Collaboratively work with coding , quality, care management, physician champions and other key… more
    Cleveland Clinic (09/12/25)
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  • Supv CDI

    Covenant Health Inc. (Knoxville, TN)
    …direction of the CDI Manager, directs the day-to-day activities in the centralized medical coding operation to service the various business entities of Covenant ... Overview Coder Supervisor, Clinical Document Integrity Full-time, 80 hours...Integrity Full-time, 80 hours per pay period, Days Covenant Medical Group is Covenant Health's employed and managed … more
    Covenant Health Inc. (09/18/25)
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