• Pyramid Consulting, Inc. (Addison, TX)
    Immediate need for a talented Risk Adjustment Coder . This is a 06+ Months Contract opportunity with long-term potential and is located in Candidate must be ... and Reporting and has a complete understanding of these guidelines. Follows CMS risk adjustment guidelines and has a complete understanding of these guidelines.… more
    Upward (07/26/25)
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  • Cano Health (Jupiter, FL)
    …for patients and are seeking healthcare enthusiasts to join us. Job Summary The Risk Adjustment coder will identify, collect, assess, monitor and document ... specificity, and appropriateness of diagnosis codes based on services rendered. The Risk Adjustment Coder is required to follow procedures and documentation… more
    Upward (07/25/25)
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  • Director, Registered Nurse/Certified Risk

    Ankura (New York, NY)
    …college/university + Current Registered Nurse license + Experience working for payors conducting risk adjustment reviews + Clinical experience in a variety of ... and mature their compliance programs, conduct program effectiveness reviews, and risk assessments, and perform compliance audits. We assist in-house and outside… more
    Ankura (07/22/25)
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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 (06/12/25)
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  • Coder III (Medical Coding)

    Geisinger (Danville, PA)
    …certifications is required:CPC - Certified Professional Coder CRC - Certified Risk Adjustment Coder RHIT - Registered Health Information Technician ... Health Information Technician (RHIT) - American Health Information Management Association; Certified Risk Adjustment Coder - American Academy of Professional… more
    Geisinger (06/04/25)
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  • Clinical Quality Coder II

    Sutter Health (Sacramento, CA)
    …+ HS Diploma or General Education Diploma (GED) **CERTIFICATION & LICENSURE:** + CRC-Certified Risk Adjustment Coder OR CPC-Certified Professional Coder ... OR AHMA or AAPC Coding Certification (CCS-P, CPC, COC or CPC-P) **TYPICAL EXPERIENCE:** + 1 year recent relevant experience. **SKILLS AND KNOWLEDGE:** + Advanced knowledge of ICD-10 diagnosis coding conventions and requirements, knowledge of Quality Coding… more
    Sutter Health (06/29/25)
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  • Risk Adjustment Consultant

    Tufts Medicine (Burlington, MA)
    …provider education when necessary. **Job Description** **Minimum Qualifications:** 1. Certified Risk Adjustment Coder (CRC) **OR** Certified Professional ... adjustment experience, . **Preferred Qualifications:** 1. Associate's degree. 2. Certified Risk Adjustment Coder (CRC) highly preferred. 3. Two (2) years… more
    Tufts Medicine (07/14/25)
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  • Director, Risk Adjustment

    Corewell Health (Grand Rapids, MI)
    …License and/or Certification in area of specialty - UNKNOWN Unknown CRC, AAPC Certified Risk Adjustment Coder preferred Physical Demands + Pallet to Waist ... Job Summary The Director Risk Adjustment Prospective Operations & ...State Other than Michigan Upon Hire required + CRT-Professional Coder - AAPC American Academy of Professional Coders 180… more
    Corewell Health (07/21/25)
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  • Director, Government Programs Risk

    Blue KC (Kansas City, MO)
    …HEDIS / Stars coding + ​3+ years' team lead or project lead experience + ​Certified Risk Adjustment Coder AND/OR Certified Professional Coder with the ... **Employee discount program** **Job Description Summary:** The Director, Government Programs Risk Adjustment & Audit assumes overall leadership of the… more
    Blue KC (06/18/25)
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  • Risk Adjustment Auditor Educator…

    Trinity Health (Syracuse, NY)
    …LICENSURE AND EXPERIENCE INCLUDES:** + Risk Adjustment Coding - Certified Risk Adjustment Coder (CRC) required and + Auditing - Certified Auditor ... to conduct Education if needed. Auditing Experience Posting **POSITION PURPOSE:** A Risk Adjustment Auditor Educator is responsible for ensuring accurate coding… more
    Trinity Health (07/18/25)
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  • Clinical Documentation Integrity Specialist…

    UCLA Health (Los Angeles, CA)
    …certification or Certified Coding Specialist (CCS) certification, required + A Certified Risk Adjustment Coder (CRC), required + Reliable transportation ... Description As the Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment , you will be an expert in risk adjustment coding and… more
    UCLA Health (05/16/25)
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  • Risk Adjustment Coding Specialist…

    Trinity Health (Albany, NY)
    …and Medicaid Services (CMS). **SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:** **. Certified Risk Adjustment Coder (CRC) required** . Excellent verbal ... **Employment Type:** Full time **Shift:** Day Shift **Description:** Risk Adjustment Coding Specialist -St. Peter's Health Partners - Full-time - Remote… more
    Trinity Health (07/02/25)
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  • Clinical Documentation Improvement Manager - Mount…

    Mount Sinai Health System (New York, NY)
    …Inpatient Coder ) or CCDS Certified Clinical Documentation Specialist *CRC (Certified Risk Adjustment Coder ) strongly preferred. Must obtain within one ... Inpatient Coder ) or CCDS Certified Clinical Documentation Specialist *CRC (Certified Risk Adjustment Coder ) strongly preferred. Must obtain within one… more
    Mount Sinai Health System (06/24/25)
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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 (05/22/25)
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  • Revenue Management Educator (Remote Option within…

    Marshfield Clinic (Marshfield, WI)
    …one year. State of Wisconsin Registered Nurse license (if applicable). **Preferred/Optional:** Certified Risk Adjustment Coder awarded by American Academy of ... external stakeholders as it relates to Medicare Advantage, ACA/Exchange and Medicaid risk adjustment reimbursement methodologies and policies to ensure the… more
    Marshfield Clinic (06/29/25)
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  • Coding Educator

    Humana (Tallahassee, FL)
    …with coding guidelines **Preferred Qualifications** + Bachelor's Degree + CRC -Certified Risk Adjustment Coder + Experience interacting with healthcare ... with public speaking and presentation skills with healthcare providers + Medicare Risk Adjustment knowledge **Additional Information** Work at home - with… more
    Humana (07/11/25)
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  • Regional Coding Operations Manager WFH

    HCA Healthcare (Nashville, TN)
    …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 (06/21/25)
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  • Regional Coding Operations Manager WFH

    HCA Healthcare (Dallas, TX)
    …(CPC(R)) 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. Physician Services Group… more
    HCA Healthcare (06/21/25)
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  • Physician Coder : Hospitalist

    MedKoder (Mandeville, LA)
    …company offers services including inpatient and outpatient facility coding, medical risk adjustment management, DRG coding management, coding education, clinical ... hour work week that offers a flexible schedule Description: The Physician Coder : Hospitalist is responsible for reviewing and accurately coding all professional… more
    MedKoder (07/24/25)
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  • Divisional Coder IV Remote

    AdventHealth (Altamonte Springs, FL)
    …manage multiple priorities at once with little supervision. Possesses knowledge about risk adjustment and hospital publicly reported data. Possesses knowledge ... **Shift:** Full-Time, Monday-Friday **The role you will contribute:** The Coder Analyst IV is a Health Information Professional with...in training other team members on inpatient coding. The Coder Analyst IV may participate in our quality, safety… more
    AdventHealth (07/01/25)
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