• Risk Adjustment Coding

    Trinity Health (Syracuse, NY)
    … experience. Ability to conduct Education if needed. Auditing Experience Posting POSITION PURPOSE: The Risk Adjustment Coding Specialist works in a team ... Health's confidentiality requirements as they relate to patient information. What a Certified Risk Adjustment Coding Specialist will do: . Review and… more
    Trinity Health (05/29/25)
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  • Risk Adjustment Coding

    Trinity Health (Columbus, OH)
    coding quality while maintaining integrity in medical record reviews. **Position Purpose:** + Risk Adjustment Coding Specialist works in a team ... coding methodologies. This role ensures compliance with industry standards, risk adjustment guidelines, and regulatory requirements to support accurate… more
    Trinity Health (05/29/25)
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  • Risk Adjustment Coding

    Dignity Health (Bakersfield, CA)
    **Responsibilities** This position is remote.** **Position Summary:** The Risk Adjustment Coding Training Specialist develops and executes comprehensive ... standards. Travels to provider offices when necessary. The Risk Adjustment Coding and Training Specialist is responsible for developing and delivering… more
    Dignity Health (05/15/25)
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  • HCC Risk Adjustment Quality…

    UPMC (Pittsburgh, PA)
    …for coding (EPIC, Cerner, Clinical Connect, Document Viewer and Internal Risk Adjustment Coding Programs). + Detail-oriented individual with excellent ... members. Provides audit and coding related support to the internal Risk Adjustment Department. **Responsibilities:** + Utilize standard coding more
    UPMC (05/21/25)
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  • Risk Adjustment Provider Education…

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …maintain collaborative relationships with assigned providers / provider offices to improve risk adjustment coding and documentation accuracy and ... modifier coding and specificity of documentation changes + 3 years Risk Adjustment Coding /Auditing and experience with direct provider education + Health… more
    Blue Cross Blue Shield of Massachusetts (05/10/25)
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  • Clinical Documentation Integrity Specialist

    UCLA Health (Los Angeles, CA)
    …- Medicare Advantage Risk Adjustment , you will be an expert in risk adjustment coding and documentation, working closely with physicians, IPA coders, ... Professional Coder (CPC) certification or Certified Coding Specialist (CCS) certification, required + A Certified Risk... Specialist (CCS) certification, required + A Certified Risk Adjustment Coder (CRC), required + Reliable… more
    UCLA Health (05/16/25)
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  • Billing and Coding Specialist

    University of Colorado (Aurora, CO)
    …and/or facility fee setting. + Experience with outpatient (HOPD, freestanding) and inpatient coding , risk adjustment auditing. + Experience building and ... **Billing and Coding Specialist ** **Description** **University of Colorado Anschutz Medical Campus** **School of Medicine | Department of Family Medicine** **Job… more
    University of Colorado (04/30/25)
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  • Ambulatory CDI Specialist - Coding

    Hawaii Pacific Health (Honolulu, HI)
    …education to physicians and advanced practice providers (APPs). Previous experience with risk adjustment coding or clinical documentation improvement (CDI). ... experience. **Preferred Qualifications:** Certified Professional Coder - Risk Adjustment (CRC) or Certified Documentation Specialist (CCDS). Previous… more
    Hawaii Pacific Health (05/10/25)
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  • Ambulatory Coding and Doc Specialist

    Penn Medicine (Bala Cynwyd, PA)
    coding medical professional services experience including ambulatory outpatient and risk adjustment coding . (Required) . Additional experience could ... Medicine Hospice- 150 Monument Road** **Hours: Full-Time** **Job Summary:** The Ambulatory Coding and Documentation Specialist reports to the Primary Care… more
    Penn Medicine (05/22/25)
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  • Physician Coding Educator

    Banner Health (AR)
    …as well as our Providers. **Experience in E/M and Family Practice, Internal Medicine and Risk Adjustment coding is a must,** as well as current Certification ... Health Information Administrator (RHIA), Registered Health Information Technologist (RHIT) or Certified Coding Specialist (CCS) in an active status with the… more
    Banner Health (05/23/25)
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  • Regional Coding Operations Manager WFH

    HCA Healthcare (Dallas, TX)
    …minimal overnight travel. EDUCATION: + Bachelor's Degree preferred. + Must be a Certified Coding Specialist (CCS), Certified Coding Specialist - ... Coder (CPC(R)) credential or Certified Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) EXPERIENCE: + Experience with Cerner and… more
    HCA Healthcare (04/05/25)
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  • Regional Coding Operations Manager WFH

    HCA Healthcare (Richmond, VA)
    …minimal overnight travel. **EDUCATION:** + Bachelor's Degree preferred. + Must be a Certified Coding Specialist (CCS), Certified Coding Specialist - ... (CPC(R)) credential or Certified Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) **EXPERIENCE:** + Experience with Cerner and… more
    HCA Healthcare (04/03/25)
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  • HCC Coding Compliance Assistant

    Kelsey-Seybold Clinic (Pearland, TX)
    …Assessment certificate. Preferred: HEDIS experience **License(s)** Required: CCS-P (Certified Coding Specialist -Physician) or CPC (Certified Professional Coder) ... **Responsibilities** To ensure the accurate coding of diagnoses which fall into the HCC...or CPC-A or CRC (Certified Risk Adjustment Coder) Preferred: N/A **Special Skills**… more
    Kelsey-Seybold Clinic (04/23/25)
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  • Responsible AI Risk Specialist

    Amazon (Boston, MA)
    …power of AI to redefine how we operationalize data protection? As an AI Privacy Specialist at Amazon, you will be at the forefront of this paradigm shift, driving ... upcoming tech builds and roadmaps, work with senior leaders on acceptable business risk when applicable, and track remediation actions as needed. You will be… more
    Amazon (04/11/25)
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  • Outpatient Clinical Documentation Integrity (CDI)…

    Fairview Health Services (St. Paul, MN)
    …provider documentation for clinical conditions and procedures to reflect severity of illness, risk adjustment , accurate coding , accuracy of patient outcomes, ... (CCS-P), Certified Professional Coder - Hospital (CPC-H), Certified Clinical Documentation Specialist -Outpatient (CCDS-O), Certified Risk Adjustment Coder… more
    Fairview Health Services (05/25/25)
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  • Clinical Data Abstraction Specialist

    Apex Health Solutions (Houston, TX)
    …and coding inpatient and/or outpatient medical records to ensure proper ICD-10 coding and compliance with risk adjustment requirements. Essential Duties ... Risk Adjustment Coder (CRC) Certified Professional Coder (CPC) Certified Coding Specialist (CCS) Education High School Diploma or GED Required Skills… more
    Apex Health Solutions (04/25/25)
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  • HIM Audit and Education Specialist

    Hartford HealthCare (Farmington, CT)
    … will support documentation practices that comply with CMS risk adjustment program requirements and ICD 10 coding guidelines. Reporting to Manager ... Relationships:_* *This Job Reports To (Job Title):*Audit and Education Specialist Manager *Education* . Minimum: o Medical Coding...Hartford Healthcare o Experience with the nuances of diagnosis coding and risk adjustment programs… more
    Hartford HealthCare (04/24/25)
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  • Compliance Auditing Specialist

    WMCHealth (Valhalla, NY)
    …Details: Job Summary: Serves as an internal expert on Risk Adjustment and Hierarchical Conditions Categories (HCC) coding . Specific duties include performing ... Compliance Auditing Specialist - Remote/Hybrid available Company: NorthEast Provider Solutions Inc....concurrent and retrospective reviews of documentation and coding and working with providers and staff to ensure… more
    WMCHealth (04/09/25)
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  • Clinical Documentation Specialist , Second…

    SSM Health (MO)
    …scoring. + Collaborates with others regardingclinical documentation improvement (CDI) and risk adjustment (mortality) findings. + Maintains knowledge of Centers ... 4 years experience in clinical documentation with a Certified Clinical Documentation Specialist (CCDS) certification + Graduate of accredited school of nursing, PA,… more
    SSM Health (03/19/25)
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  • Clinical Documentation Specialist (Full…

    Queen's Health System (Honolulu, HI)
    …completeness of documentation and code assignment for the purposes of appropriate reimbursement, risk adjustment , severity of illness, risk of mortality, ... to ensure the appropriate capture of Comorbid conditions and Major comorbid conditions. * Collaborates with coding staff and quality team to ensure integrity and… more
    Queen's Health System (04/25/25)
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