• HCC Risk Adjustment Coder

    MedKoder (Mandeville, LA)
    …offers a flexible schedule. Description: MedKoder, LLC is seeking a remote Professional HCC Risk Adjustment Coder who will apply both technical and ... regulations while identifying opportunities for increased financial success. The HCC Risk Adjustment Coder provides coding services to health systems and… more
    MedKoder (04/15/25)
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  • Risk Adjustment Auditor/…

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    Ready to help us transform healthcare? Bring your true colors to blue. The Risk Adjustment Auditor/ Coder will code, abstract and analyze inpatient, ... and professional medical records using ICD-10 coding guidelines. The coder will perform these medical record reviews remotely to...diagnoses are reported in accordance with CMS payment and Risk Adjustment guidelines. + Consistently meet daily… more
    Blue Cross Blue Shield of Massachusetts (04/30/25)
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  • HCC Risk Adjustment Coder PRN…

    Datavant (Columbus, OH)
    …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and...on client specific guidelines for the project. + The coder will ensure compliance with established ICD-10 CM, third… more
    Datavant (03/27/25)
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  • Senior Coder - RCO, Utrgv

    UTMB Health (Galveston, TX)
    … - Apprentice American Academy of Professional Coders (AAPC) Or + CRC - Cert Risk Adjustment Coder American Academy of Professional Coders (AAPC) One of ... Senior Coder - RCO, UTRGV **Galveston, Texas, United States**...and three years of multi-specialty coding experience. The senior coder must be proficient in coding Professional services, and/or… more
    UTMB Health (04/15/25)
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  • Coder

    St. Luke's Health System (Boise, ID)
    …), COC (Certified Outpatient Coder ), CIC (Certified Inpatient Coder ), CRC (Certified Risk Adjustment Coder ). **What's in it for you** At St. Luke's, ... or Arizona!** **What You Can Expect:** Under limited supervision, the Coder is responsible for reviewing applicable documentation and assigning appropriate procedure… more
    St. Luke's Health System (04/11/25)
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  • Special Investigation Unit Manager Clinical…

    CVS Health (Columbus, OH)
    …Certified Professional Medical Auditor (CPMA), Certified Outpatient Coder (COC), Certified Risk Adjustment Coder (CRC) Licensed Clinical Social Worker ... identifying information resources AAPC Coding certification - Certified Professional Coder (CPC) Strong leadership and team management ability Excellent… more
    CVS Health (04/23/25)
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  • Risk Adjustment Coding Manager

    CareOregon (Portland, OR)
    …+ Minimum 7 years' experience as certified coder + Certified Risk Adjustment Coder (CRC), Certified Documentation Improvement Practitioner (CDIP) ... Job Title Risk Adjustment Coding Manager Requisition # 24887 Exemption Status Exempt Management Level Manager Direct Reports Coding Auditors Manager Title… more
    CareOregon (04/10/25)
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  • Risk Adjustment Coding…

    Trinity Health (Syracuse, NY)
    … capture initiatives, as needed. SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE: . Certified Risk Adjustment Coder (CRC) required . Excellent verbal and ... conduct Education if needed. Auditing Experience Posting POSITION PURPOSE: The Risk Adjustment Coding Specialist works in a team environment and is responsible… more
    Trinity Health (04/24/25)
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  • Clinical Documentation Integrity Specialist…

    UCLA Health (Los Angeles, CA)
    …certification or Certified Coding Specialist (CCS) certification, required + A Certified Risk Adjustment Coder (CRC), required + Reliable transportation ... Description As the Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment , you will be an expert in risk adjustment coding and… more
    UCLA Health (02/19/25)
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  • Risk Adjustment Coding Specialist…

    CDPHP (Albany, NY)
    …or AAPC CPC certification within one year of employment is required. + CRC (Certified Risk Adjustment Coder ) credential preferred. + Minimum one (1) year of ... these values and invites you to be a part of that experience. The Risk Adjustment Coding Specialist will be responsible for the chart review and ICD-10 diagnosis… more
    CDPHP (04/07/25)
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  • Risk and Quality Provider Educator

    VNS Health (Manhattan, NY)
    …Licenses and Certifications: + Certified Professional Coder (CPC) or (CRC) Certified Risk Adjustment Coder or Certified Coding Specialist (CCS) required ... identifying opportunities to support precise clinical documentation. Collaborating with the Risk Adjustment and Quality teams, you'll help shape educational… more
    VNS Health (03/04/25)
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  • Clinical Data Abstraction Specialist

    Apex Health Solutions (Houston, TX)
    …Specialist Supervisor: Director, VBC Operations Required License(s)/ Certification(s): Certified Risk Adjustment Coder (CRC), Certified Professional ... LICENSES/CERTIFICATIONS: A certification in one of the following is required: Certified Risk Adjustment Coder (CRC) Certified Professional Coder (CPC)… more
    Apex Health Solutions (04/25/25)
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  • Practice Transformation Specialist

    Apex Health Solutions (Houston, TX)
    …(5) years related experience A license in one of the following is preferred: Certified Risk Adjustment Coder (CRC) Certified Professional Coder (CPC) ... and their associated practices to drive improvement in clinical quality, risk adjustment and operational efficiency. The PTS is responsible for partnering with… more
    Apex Health Solutions (04/12/25)
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  • Coding Auditor

    CareOregon (Portland, OR)
    coder certification through AHIMA or AAPC + For Finance Department only: Current Certified Risk Adjustment Coder (CRC) or completion within one year of ... Status Exempt Management Level n/a Direct Reports n/a Manager Title Director Risk Adjustment Department Finance Pay and Benefits Estimated hiring range $71,340 -… more
    CareOregon (03/11/25)
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  • Revenue Management Educator (Remote Option within…

    Marshfield Clinic (Marshfield, WI)
    …one year. State of Wisconsin Registered Nurse license (if applicable). **Preferred/Optional:** Certified Risk Adjustment Coder awarded by American Academy of ... external stakeholders as it relates to Medicare Advantage, ACA/Exchange and Medicaid risk adjustment reimbursement methodologies and policies to ensure the… more
    Marshfield Clinic (03/31/25)
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  • Regional Coding Operations Manager WFH

    HCA Healthcare (Dallas, TX)
    …(CPC(R)) credential or Certified Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) EXPERIENCE: + Experience with Cerner ... and eClinicalWorks (eCW) is strongly preferred. + Minimum 7 years professional fee coding and revenue cycle operations experience strongly preferred. + Minimum 5 years health care management/leadership experience required. Physician Services Group… more
    HCA Healthcare (04/05/25)
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  • Regional Coding Operations Manager WFH

    HCA Healthcare (Richmond, VA)
    …credential or Certified Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) **EXPERIENCE:** + Experience with Cerner ... and eClinicalWorks (eCW) is strongly preferred. + Minimum 7 years professional fee coding and revenue cycle operations experience strongly preferred. + Minimum 5 years health care management/leadership experience required. **Benefits** HCA Healthcare offers a… more
    HCA Healthcare (04/03/25)
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  • Medical Coding Analyst Sr. 100% Virtual,…

    Elevance Health (Indianapolis, IN)
    …most current CMS Risk Adjustment Model strongly preferred. + AAPC Certified Risk Adjustment Coder (CRC) is preferred. Please be advised that Elevance ... experience, which would provide an equivalent background. + **Certified Medical Coder (CPC or CCS-P) required** . **Preferred Skills, Capabilities and Experiences:**… more
    Elevance Health (04/10/25)
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  • Medical Coding And Billing Analyst

    CenterLight Health System (NY)
    …Certified Professional Practice Manager (CPPM) 4. Certified Professional Biller (CPB) 5. Certified Risk Adjustment Coder (CRC). Experience: + Three (3) ... physician practices on current performance. + Serves as a subject matter expert on Risk Adjustment Data Validation (RADV) audits from Medicare. + Perform random… more
    CenterLight Health System (03/08/25)
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  • HCC Coding Compliance Assistant

    Kelsey-Seybold Clinic (Pearland, TX)
    …or CPC (Certified Professional Coder ) or CPC-A or CRC (Certified Risk Adjustment Coder ) Preferred: N/A **Special Skills** Required: Analytical. ... Compliance Assistant** **Location: Pearland Administrative Office** **Department:** **KS Plan Advantage- Risk Adjustm** **Job Type: Full Time** **Salary Range: $50,724… more
    Kelsey-Seybold Clinic (04/23/25)
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