• Regal Medical Group, Inc. (Northridge, CA)
    …under the umbrella of the HCC industry: Requires knowledge in HCC Coding documentation guidelines. Requires technical expertise in ICD-9-CM or ICD-10-CM. ... and established standards. Risk Adjustment Auditors collaborate with the Manager in providing expertise in the use and application...and verbal communication skills. Certification is a plus with HCC . AHA coding clinic is a plus.… more
    Upward (07/15/25)
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  • Manager Ambulatory Coding Education…

    Catholic Health (Buffalo, NY)
    …Exempt from Overtime: Exempt: Yes Work Schedule: Days Hours: 8-4 Summary: The Manager , Ambulatory Coding Education & Clinical Documentation will be directly ... Education Program and the Ambulatory Clinical Documentation Improvement and HCC Risk Diagnosis capture initiatives. The position will manage...health system and will serve as a documentation and coding subject matter expert. The manager will… more
    Catholic Health (06/19/25)
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  • Manager , Clinical Quality Coding

    Sutter Health (Sacramento, CA)
    …knowledge of Quality Coding requirements such as the Medicare Advantage Coding Program/Hierarchial Condition Category + ( HCC ), as well as medical terminology ... Office-Valley **Position Overview:** Responsible for leadership, management and monitoring of coding workflows, data management, coding staff specific to… more
    Sutter Health (06/17/25)
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  • Divisional Coding Quality Auditor Educator…

    AdventHealth (Altamonte Springs, FL)
    …department. Provides suggestions on process improvement. Works with the audit team and coding manager to develop meaningful education and may conduct educational ... Categories ( HCC ). + Expert level knowledge of medical terminology, coding guidelines and methodologies. + Understanding of HIPAA privacy rules and ability… more
    AdventHealth (07/01/25)
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  • Clinical Documentation Specialist Auditor-…

    UNC Health Care (Chapel Hill, NC)
    …Abilities Requirements:** * Strong knowledge of ICD-10-CM, ICD-10-PCS, and CPT coding , MS DRG, hierarchical condition categories ( HCC ), and CDI ... shared services. This position reports to the HCS Supervisor Coding and CDI Quality and Training. This position may...hiring and selection of new CDS with the hiring manager as requested. 6. Analyzes and audits medical records… more
    UNC Health Care (04/29/25)
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  • Supervisor, Coding Operations

    Datavant (Nashville, TN)
    …tasks as assigned **What You Bring to the Table** + Strong working knowledge of ICD-9/10 and HCC coding + At least 2 years of hands-on coding experience + ... realize our bold vision for healthcare. As a **Supervisor, Coding Operations** , you'll play a critical leadership role...requests and scheduling logistics + Partner with the Senior Manager of Operations on performance reviews and, when necessary,… more
    Datavant (07/08/25)
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  • Product Manager , Risk Adjustment Analytics…

    Datavant (Lincoln, NE)
    …to realize our bold vision for healthcare. **Role Overview** As a Product Manager , Risk Adjustment Analytics Products, you will contribute to the strategy and ... the development of robust, scalable, and actionable analytics that improve coding outcomes, measure product impact, and support value-based client delivery across… more
    Datavant (06/06/25)
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  • *Outpatient Complex Audit Specialist/Full…

    Henry Ford Health System (Grand Blanc, MI)
    …to work remotely. + Proficient in medical terminology. + Proficient in ICD-10 CM, CPT, HCC and HCPCS coding . + Able to recognize patterns and trends and escalate ... conjunction with OP Audit Analysts and Coordinators will utilize documentation and coding expertise to facilitate audits of the quality and completeness of medical… more
    Henry Ford Health System (06/24/25)
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  • Healthcare Consulting Manager - CDI…

    Huron Consulting Group (Van Buren, AR)
    …rewarding path forward. Create your future at Huron. As the Healthcare Consulting Manager in CDI, you will: + Manage complex multi-workstream projects and oversee ... organizational change + Perform E&M and CPT procedure and HCC reviews + Collaborate with team members and clients...required + A minimum of 5 years of outpatient coding experience, including professional and facility, E&M, and procedure… more
    Huron Consulting Group (07/18/25)
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  • Revenue Management Educator (Remote Option within…

    Marshfield Clinic (Marshfield, WI)
    …of CPT coding rules, ICD‐9 and ICD‐10 codes, Healthcare Common Procedure Coding System (HCPCS) codes, HCC coding , use of modifiers, documentation ... Procedural Terminology (CPT), and ICD‐9, ICD-10 and Hierarchical Condition Category ( HCC ) coding . **Preferred/Optional:** Bachelor of Science in Nursing.… more
    Marshfield Clinic (06/29/25)
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  • Physician Educator HPL- Remote- Allegheny County

    UPMC (Pittsburgh, PA)
    …Plan has an exciting opportunity for a Physician Educator position in the HCC Risk Adjustment Department. This is a full-time position working Monday through Friday ... to address issues, questions and learning needs related to coding and documentation in the medical record and the...care and maximize risk adjustment revenue. + Assist Senior Manager in development of education objectives and programs. +… more
    UPMC (07/12/25)
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  • Clinical Performance Liaison

    Dignity Health (Phoenix, AZ)
    …teams within Arizona Care Network (ACN). ACN CPLs report to the Manager of Practice Transformation within the Clinical Performance Department, and are responsible ... value based contracts (CMS ACO, HEDIS, NCQA, etc.) and Medicare Advantage programs ( HCC /RAF). In addition these positions also support our clinicians and their teams… more
    Dignity Health (07/03/25)
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  • Clinical Documentation and Claims Integrity…

    Elevance Health (Richmond, VA)
    …and a minimum of 5 years of related experience, including 3 years of hands-on HCC coding , chart review, and RAF calculations; or any combination of education and ... systems within a healthcare payer or RCM organization and associated coding / claim integrity certifications strongly preferred. + Experience working with Medicare/… more
    Elevance Health (07/18/25)
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  • Associate Director, Breast Oncology Statistical…

    Dana-Farber Cancer Institute (Boston, MA)
    …Dana-Farber and Dana-Farber/Harvard Cancer Center:** Independently represents the department on DF/ HCC and DFCI committees, including but not limited to Scientific ... investigators on all aspects of grant submissions. Work with grants manager on all administrative aspects, including budget. **Research Portfolio Management:**… more
    Dana-Farber Cancer Institute (05/08/25)
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