• 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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  • Special Investigation Unit Manager Clinical…

    CVS Health (Columbus, OH)
    …Professional Biller (CPB), Certified Professional Medical Auditor (CPMA), Certified Outpatient Coder (COC), Certified Risk Adjustment Coder (CRC) ... 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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  • 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 ... must reside in Oregon or Washington. Job Title Coding Auditor Requisition # 24856 Exemption Status Exempt Management Level...Management Level n/a Direct Reports n/a Manager Title Director Risk Adjustment Department Finance Pay and Benefits… more
    CareOregon (03/11/25)
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  • Sr Coding Compliance Auditor

    Catholic Health Initiatives (Chattanooga, TN)
    …team to support the needs of the organization. The position will support risk adjustment improvement efforts across the medical group. The Hierarchical Condition ... American Academy of Professional Coders (AAPC) as a Certified Professional Coder (CPC) required. Professional Medical Auditor Certification (CPMA)… more
    Catholic Health Initiatives (03/06/25)
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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 #...coding team including tracking and managing productivity of coding auditor work and provider education. + Develop and manage… more
    CareOregon (04/10/25)
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  • Coding Auditor - Administration Office

    Ascension Health (Pensacola, FL)
    …required. **Additional Preferences** + Medical coding certification is preferred. + Risk Adjustment / HierarchicalCondition Category (HCC) experience is ... and sufficiency of supporting documentation. + Audit specified number of records per coder as defined in the system coding audit plan. + Prepare audit reports… more
    Ascension Health (03/23/25)
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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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  • Compliance Auditing Specialist- Remote/Hybrid…

    WMCHealth (Valhalla, NY)
    …credentials: Certified Risk Coder (CRC), Certified Professional Coder certification (CPC), Certified Professional Medical Auditor (CPMA) or Certified ... Job Details: Job Summary: Serves as an internal expert on Risk Adjustment and Hierarchical Conditions Categories (HCC) coding. Specific duties include performing… more
    WMCHealth (04/09/25)
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