• HCC Risk Adjustment

    Datavant (Tallahassee, FL)
    …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 (07/09/25)
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  • Physician Office Medical Coder /Biller II

    Florida Health Care Plans, Inc. (Daytona Beach, FL)
    …communication. + Experience with Electronic Health Record preferred. + Understanding Risk Adjustment coding and supportive documentation preferred. + Ability ... POSITION SUMMARY: The Physician Office Medical Coder /Biller (POMB) conducts a documentation review of electronic...will support the physician and mid-level providers to capture HCC codes within the clinical visit. The POMB will… more
    Florida Health Care Plans, Inc. (06/21/25)
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  • Coding Data Quality Auditor

    CVS Health (Tallahassee, FL)
    …(Certified Professional Coder ) or CCS-P (Certified Coding Specialist-Physician).** **CRC (Certified Risk Adjustment Coder ) must be able to obtain within ... auditing.** **Experience with Medicare and/or Commercial and/or Medicaid Risk . Adjustment process and Hierarchical Condition Categories CRC ( HCC ).** **CPMA… more
    CVS Health (07/18/25)
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  • Quality Coding & Documentation Specialist

    AdventHealth (Altamonte Springs, FL)
    …Hierarchical Conditions Categories ( HCC ), ICD-10, medical necessity, and the appropriate Risk Adjustment Factor. Working with the Quality Team is not only ... patients is accurately depicted. This includes compliant documentation supporting HCC or capturing them, ICD-10, and medical necessity. +...the quality of clinical documentation, use of HCCs and Risk Adjustment of patients. **The expertise and… more
    AdventHealth (07/18/25)
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