• Risk Adjustment Coder

    MVP Health Care (Rochester, NY)
    …requires innovative thinking and continuous improvement. To achieve this, we're looking for a ** Risk Adjustment Coder ** to join #TeamMVP. This is the ... Coder (Physician) or CCS-P - Certified Coding Specialist (Physician), and CRC-Certified Risk Adjustment Coding Credential required. + Minimum of 1 year… more
    MVP Health Care (10/09/25)
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  • HCC Risk Adjustment Coder

    Datavant (Providence, RI)
    …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 (10/03/25)
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  • Risk Adjustmt Coder Educator…

    Hartford HealthCare (Hartford, CT)
    …recognition programs and other common practices across the system. *JOB SUMMARY:* The Risk Adjustment Coder Educator develops and implements an ... risk adjustment program requirements and ICD 10 coding guidelines. The Risk Adjustment Coder Educator will serve as a training resource for Risk more
    Hartford HealthCare (09/11/25)
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  • Director Risk Adjustment , Coding…

    Highmark Health (Pittsburgh, PA)
    …**Required** + AAPC, Certified Professional Coder (CPC) **Preferred** + AAPC, Certified Risk Adjustment Coder (CRC) **SKILLS** + CMS Regulations + ... Manage a team of internal coder / clinicians that perform Risk Adjustment coding of medical records. Track production coding results and monitor accuracy of… more
    Highmark Health (08/08/25)
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  • Certified Risk Adjustment

    Redeemer Health Home Care & Hospice (Huntingdon Valley, PA)
    …work experience + AAPC or AHIMA Certification (CPC, CRC, CCS) REQUIRED + Certified Risk Adjustment Coder - PREFERRED Knowledge + Knowledgeable of medical ... you to apply today. SUMMARY OF JOB The Certified Risk Adjustment Coding/Audit Reviewer is a physician...services we provide. RECRUITMENT REQUIREMENTS High School Graduate. Certified coder CPC or CCS-P, and AAPC CRC certification. 2+… more
    Redeemer Health Home Care & Hospice (08/13/25)
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  • Risk Adjustment QA Consultant

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …a focus on Medicare Advantage and ACA risk adjustment . * Certified Risk Adjustment Coder (CRC) certification * In-depth knowledge of ACA & Medicare ... characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Risk Adjustment QA Consultant Location: Hybrid | Eagan, Minnesota Career Area: Customer… more
    Blue Cross and Blue Shield of Minnesota (09/10/25)
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  • Health Care Disputes - Compliance Risk

    Ankura (New York, NY)
    …as knowledge of Risk Adjustment coding requirements preferably with a Risk Adjustment Coder certification. For individuals assigned and/or hired to ... investigations, and/or litigation/dispute matters generally focused on Medicare and Commercial Risk Adjustment . The Senior Director will also support practice… more
    Ankura (09/09/25)
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  • Risk Adjustment Coder -6

    ChenMed (Miami, FL)
    …providers. We're rapidly expanding and we need great people to join our team. The Risk Adjustment Coder works in a collaborative effort directly with ... medical records and other clinical documentation to identify appropriate risk adjustment codes and quality gap closure...APPC or AHIMA coding certified preferred. + CRC (certified risk coder ) is required, or minimum of… more
    ChenMed (10/03/25)
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  • Director Risk Adjustment - Health…

    Providence (Portland, OR)
    …specifically, plus 5 years of progressive management experience. + **Certification:** Certified Risk Adjustment Coder (CRC) is preferred. + **Skills ... in the states of WA, OR and CA. **The Role:** As the Director of Risk Adjustment and Strategic Accounts at Providence Health Plan, you will be the cornerstone of… more
    Providence (09/13/25)
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  • Quality & Risk Adjustment Provider…

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …or leadership-facing experience * Knowledge of Health Care Quality measures * Certified Risk Adjustment Coder (CRC via AAPC) or Certified Professional ... Blue Cross and Blue Shield of Minnesota Position Title: Quality & Risk Adjustment Provider Consultant Location: Hybrid | Eagan, Minnesota Career Area: Customer… more
    Blue Cross and Blue Shield of Minnesota (09/30/25)
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  • Risk Adjustment Coding Specialist…

    CDPHP (Latham, 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 (08/27/25)
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  • Auditor, HCC Risk Adjustment Coding…

    Datavant (Denver, CO)
    …and life experiences to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder , you will review medical records to identify and ... using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical… more
    Datavant (08/08/25)
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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 ... A certification in one of the following is required: * Certified Risk Adjustment Coder (CRC) * Certified Professional Coder (CPC)… more
    Apex Health Solutions (09/26/25)
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  • Lead - CDI Specialist

    Mayo Clinic (Rochester, MN)
    …AHIMA certification OR Certified Inpatient Coder (CIC) AAPC certification Certified Risk Adjustment Coder (CRC) AAPC certification **Exemption Status** ... CDI!** Join our team to train providers on documentation best practices and risk adjustment , deliver tailored education, and develop engaging content across Mayo… more
    Mayo Clinic (09/05/25)
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  • Analyst, Coding Data Quality Auditor

    CVS Health (IN)
    Coder ) or CCS-P (Certified Coding Specialist-Physician) and CRC (Certified Risk Adjustment Coder ) required **Preferred Qualifications** + CPMA ... for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in… more
    CVS Health (10/02/25)
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  • Quality Senior Analyst

    CVS Health (IL)
    Coder ) **or** CCS-P (Certified Coding Specialist-Physician) and CRC (Certified Risk Adjustment Coder ) required. + CPMA (Certified Professional ... of Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in… more
    CVS Health (09/30/25)
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  • Coding and Reimbursement Auditor

    Avera (Sioux Falls, SD)
    … (CPC) - American Academy of Professional Coders (AAPC) Upon Hire or + Certified Risk Adjustment Coder (CRC) - American Academy of Professional Coders (AAPC) ... Health Information Management Association (AHIMA) Upon Hire or + Certified Inpatient Coder (CIC) - American Academy of Professional Coders (AAPC) Upon Hire or… more
    Avera (09/30/25)
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  • Ambulatory Coding and Doc Specialist

    Penn Medicine (Bala Cynwyd, PA)
    …ambulatory outpatient and risk adjustment coding. (Required) + Certified Risk Adjustment Coder (CRC) (Required) + Additional experience could be ... accuracy of coding, compliance and clinical documentation. The Certified coder (CPC or CCS-P) is responsible for detailed analysis...in lieu of degree. + CCS or Certified Procedural Coder - CPC (AAPC) (Required) + RHIA, RHIT (Preferred)… more
    Penn Medicine (08/07/25)
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  • Coder

    Dignity Health (Bakersfield, CA)
    …integrated networks throughout to identify opportunities for improved quality, risk adjustment coding performance. The Value Based Coder is a valuable ... by Dignity Health. As a member of the Quality Management/ Risk team, the Value Based Coder works...and review network coding opportunities as it pertains to risk adjustment . - Ensure that the diagnosis… more
    Dignity Health (10/05/25)
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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 (09/27/25)
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