• 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 ... has a complete understanding of these guidelines. Follows CMS risk adjustment guidelines and has a complete...duties as assigned. Key Requirements and Technology Experience: Skills- Certified Professional Coder (CPC) or Certified more
    Upward (07/26/25)
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  • Director, Registered Nurse/ Certified

    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)
    … Coding Specialist - Physician (CCS-P) or Certified Coding Specialist (CCS) Certified Risk Adjustment Coder (CRC) preferred (required within ... programs and other common practices across the system. *JOB SUMMARY:* The Risk Adjustment Coder Educator develops and implements an enterprise-wide risk more
    Hartford HealthCare (06/12/25)
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  • Coder III (Medical Coding)

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

    Sutter Health (Sacramento, CA)
    …**EDUCATION:** + 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,… more
    Sutter Health (06/29/25)
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  • Risk Adjustment Consultant

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

    Blue KC (Kansas City, MO)
    … and HEDIS / Stars coding + ​3+ years' team lead or project lead experience + ​ Certified Risk Adjustment Coder AND/OR Certified Professional Coder ... **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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  • Director, Risk Adjustment

    Corewell Health (Grand Rapids, MI)
    …least one License and/or Certification in area of specialty - UNKNOWN Unknown CRC, AAPC Certified Risk Adjustment Coder preferred Physical Demands + ... 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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  • Risk Adjustment Auditor Educator…

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

    UCLA Health (Los Angeles, CA)
    … (CPC) certification or Certified Coding Specialist (CCS) certification, required + A Certified Risk Adjustment Coder (CRC), required + Reliable ... 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)
    …Centers for Medicare and Medicaid Services (CMS). **SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:** **. Certified Risk Adjustment Coder (CRC) required** . ... Partners' confidentiality requirements as they relate to patient information. What a Certified Risk Adjustment Coding Specialist will do: . Review and… 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 ... 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)
    …experience including ambulatory outpatient and risk adjustment coding. (Required) + Certified Risk Adjustment Coder (CRC) (Required) + Additional ... to improve the accuracy of coding, compliance and clinical documentation. The Certified coder (CPC or CCS-P) is responsible for detailed analysis of out-patient… more
    Penn Medicine (05/22/25)
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  • Revenue Management Educator (Remote Option within…

    Marshfield Clinic (Marshfield, WI)
    …within one year. State of Wisconsin Registered Nurse license (if applicable). **Preferred/Optional:** Certified Risk Adjustment Coder awarded by American ... 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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  • Regional Coding Operations Manager WFH

    HCA Healthcare (Nashville, TN)
    …(CPC(R)) credential or Certified Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) **EXPERIENCE:** + Experience ... overnight travel. **EDUCATION:** + Bachelor's Degree preferred. + Must be a Certified Coding Specialist (CCS), Certified Coding Specialist - Physician (CCS-P),… 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 ... EDUCATION: + Bachelor's Degree preferred. + Must be a Certified Coding Specialist (CCS), Certified Coding Specialist...Must be a Certified Coding Specialist (CCS), Certified Coding Specialist - Physician (CCS-P), RHIT (Registered Health… more
    HCA Healthcare (06/21/25)
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  • Coding Educator

    Humana (Tallahassee, FL)
    …+ Familiar with coding guidelines **Preferred Qualifications** + Bachelor's Degree + CRC - Certified Risk Adjustment Coder + Experience interacting ... 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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  • 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 ... year-round + Internal network of Medical Coding Industry Leaders - CEO is a Certified Coder with 20+ years of experience + Up to 100% EMPLOYER PAID Medical,… more
    MedKoder (07/24/25)
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  • Compliance Auditing Specialist- Remote/Hybrid…

    WMCHealth (Valhalla, NY)
    …to HCC coding in the ambulatory setting with one or more of the following credentials: Certified Risk Coder (CRC), Certified Professional Coder ... Applicant link Job Details: Job Summary: Serves as an internal expert on Risk Adjustment and Hierarchical Conditions Categories (HCC) coding. Specific duties… more
    WMCHealth (07/09/25)
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  • Manager, Clinical Quality Coding

    Sutter Health (Sacramento, CA)
    …workflows, data management, coding staff specific to clinical documentation improvement and risk adjustment coding initiatives. Manages the day to day operations ... related to Risk Adjustment Coding. Provides oversight to the...management or other related field **CERTIFICATION & LICENSURE:** + CPC- Certified Professional Coder OR CCSP- Certified more
    Sutter Health (06/17/25)
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