• Coding Team Lead , HCC

    Datavant (Madison, WI)
    …of ICD -10 + 2 years' HCC coding experience + 1+ years' Team Lead experience a plus + A strong knowledge base of medical terminology, medical ... vision for healthcare. We're looking for experienced and credentialed HCC Coding Team Leads to...from your own workspace! **What you will do:** + Coding Team Lead is responsible… more
    Datavant (11/07/25)
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  • Professional Coding Auditor - Remote

    Albany Medical Center (Albany, NY)
    …an advanced professional coding skill set to act as a service line coding team lead expert, working collaboratively to support all workflows related ... coding staff. Act as an expert for the HCC /Risk adjustment coding . This position is remote...Supervisor in the daily operations of coding team (s) in a Team Lead more
    Albany Medical Center (11/05/25)
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  • Risk Adjustment Coding Specialist -St.…

    Trinity Health (Albany, NY)
    …-St. Peter's Health Partners - Full-time - Remote **POSITION PURPOSE:** The Risk Adjustment Coding Specialist works in a team environment and is responsible for ... reviewing clinical documentation and coding using HCC (Hierarchical Condition Category) and...timely manner. . Ability to work well as a team member. . Intermediate computer skills: typing, 10-key, Word,… more
    Trinity Health (11/15/25)
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  • Senior Director of Coding - Professional…

    Mount Sinai Health System (New York, NY)
    …in a multi-entity or academic health system. - Familiarity with risk adjustment, HCC coding , and value-based care models. - Proven success in implementing ... efficiency for both inpatient and outpatient services. The Senior Director will lead a multidisciplinary team , manage vendor relationships, and collaborate with… more
    Mount Sinai Health System (11/07/25)
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  • Risk Adjustment Coding Specialist (Remote)

    CareFirst (Baltimore, MD)
    …expected to assist in guiding and mentoring less experienced staff. May lead a team of matrixed resources. **QUALIFICATIONS:** **Education Level:** Associate's ... work experience. **Experience:** 3 years risk adjustment/hierarchical condition category ( HCC ) coding experience. **Knowledge, Skills and Abilities (KSAs)**… more
    CareFirst (09/26/25)
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  • Supv Clinical Documentation / HIM Clinical…

    Hartford HealthCare (Farmington, CT)
    team , CDI and Revenue Cycle Leadership, physician leaders, all providers, quality management team , and coding team ongoing feedback. . Create relevant ... CDI Manager/Director. . Provides CDI subject matter expert guidance to CDS team , coding , physician leadership, quality management, utilization management, all… more
    Hartford HealthCare (09/17/25)
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  • Director of Quality and Risk Adjustment

    HCA Healthcare (Campbell, CA)
    …all data submission deadlines Required + Experience using Cozeva Required + Certified HCC Coding Specialist Required + Certified Professional Coder Required + ... closure of Quality care gaps and annual recapture of HCC conditions + Maximize and build internal team...documentation education program for network physicians + Ensure internal HCC coders meet minimum coding performance guidelines… more
    HCA Healthcare (10/23/25)
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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 ... Senior Supervisor is responsible for day-to-day oversight of a team of Coding Analysts specializing in HHS...including Excel, Outlook, Adobe, and Word + Ability to lead a team of professionals in successful… more
    The Cigna Group (11/06/25)
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  • Healthcare Clinical Documentation Specialist

    Deloitte (Chicago, IL)
    …documents + Monitor diagnoses, treatments, and follow-up entries in medical records to lead to coding accuracy + Identify gaps in clinical documentation and ... to coding , clinical documentation and health information technology The Team : Our Enterprise Operations & Risk offering enables clients to achieve profitable… more
    Deloitte (11/08/25)
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  • Manager- Outpatient Clinical Documentation…

    Henry Ford Health System (Troy, MI)
    …medical group leadership, clinical and ancillary departments regarding appropriate clinical documentation, coding rules and regulations, HCC Coding and Risk ... Health System and ensures alignment of high quality documentation and coding that supports compliant and accurate medical record documentation. EDUCATION/EXPERIENCE… more
    Henry Ford Health System (09/12/25)
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  • Director of Clinical Excellence

    BrightSpring Health Services (Louisville, KY)
    …education content and leading provider training initiatives. + Strong knowledge of coding and documentation (eg, HCC , RAF, risk adjustment). + Demonstrated ... training programs, standardizing clinical workflows, and enhancing documentation and coding practices that advance value-based care initiatives. The ideal candidate… more
    BrightSpring Health Services (10/31/25)
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  • Field Reimbursement Manager (Immunology…

    J&J Family of Companies (Milwaukee, WI)
    …Johnson & Johnson Innovative Medicine's Patient Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a ... Manager (FRM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs),… more
    J&J Family of Companies (11/08/25)
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  • Field Reimbursement Manager, Oncology (San…

    J&J Family of Companies (Sacramento, CA)
    …Johnson & Johnson Innovative Medicine's Patient Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a ... Manager (FRM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs),… more
    J&J Family of Companies (11/14/25)
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  • Ambulatory Clinical Documentation Specialist

    Trinity Health (Newtown Square, PA)
    …quality outcomes and identifies incomplete or inconsistent documentation in the record which impacts HCC or other risk score coding . + Conducts pre and post ... is looking for a CIN Ambulatory Clinical Documentation Specialist to join our team ! **Employment Type:** Full Time **Schedule:** This is a full-time remote position.… more
    Trinity Health (11/14/25)
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  • Field Reimbursement Manager, Immunology…

    J&J Family of Companies (Wichita, KS)
    …Johnson & Johnson Innovative Medicine's Patient Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a ... Manager (FRM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs),… more
    J&J Family of Companies (10/23/25)
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  • Senior Risk Adjustment Analyst- ACA Encounters…

    CareFirst (Baltimore, MD)
    …is expected to assist in guiding and mentoring less experienced staff. May lead a team of matrixed resources. **QUALIFICATIONS:** **Education Level:** Bachelor's ... and determining the impact of any changes to the HCC model and supporting actuarial in the calculation risk...tracking and monitoring mechanisms for all Risk Adjustment and Coding programs. Support management in ensuring that key risk… more
    CareFirst (09/26/25)
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  • Field Reimbursement Manager (Pulmonary…

    J&J Family of Companies (Trenton, NJ)
    …Johnson & Johnson Innovative Medicine's Patient Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a ... Manager (FRM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs),… more
    J&J Family of Companies (11/13/25)
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  • Sr. Product Manager

    Convey Health Solutions (Fort Lauderdale, FL)
    …field. + Strong understanding of Medicare Advantage programs, risk adjustment models (eg, HCC coding ), and the regulatory environment (CMS). + Experience working ... company seeks a highly skilled and results-driven Senior Product Manager to lead our Medicare Advantage Risk Adjustment solution portfolio. In this critical role,… more
    Convey Health Solutions (11/10/25)
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  • Director Of Population Health-Population Health

    Union Hospital Health Group (Terre Haute, IN)
    …through monthly reporting, scorecards, and ad hoc analytics encompassing: + Risk Acuity ( HCC Coding Accuracy) + Care Management + Quality + Appropriate Health ... pilot to implementation based on best practices research. + Lead a high functioning team through shared...practices research. + Lead a high functioning team through shared vision, clear expectations, staff development, mentoring,… more
    Union Hospital Health Group (10/18/25)
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