• Risk Adjustment Coding Coordinator I/II

    Excellus BlueCross BlueShield (Rochester, NY)
    …utilizing knowledge and experience of ICD-9-CM/ICD-10-CM coding, Medicare Advantage and Commercial Hierarchical Condition Category ( HCC ) coding, and ... data element verification, ICD-9-CM / ICD-10-CM coding validation, monitoring plan specifications, Hierarchical Condition Category ( HCC ) assignment… more
    Excellus BlueCross BlueShield (08/27/25)
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  • Coding and Clinical Documentation Educator

    AdventHealth (Daytona Beach, FL)
    …CDI leader and will work closely with providers and operations to effectively provide Hierarchical Condition Category ( HCC ) education including but not ... limited to clinical documentation integrity, coding, HCC Risk Adjustment Methodology, and provider performance metrics. The successful candidate will have an… more
    AdventHealth (09/16/25)
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  • HCC Risk Adjustment Auditor - Full Time…

    Datavant (Santa Fe, NM)
    …experiences to realize our bold vision for healthcare. **What We're Looking For:** As an HCC ( Hierarchical Condition Category ) Auditor you will review ... other tasks asked by quality supervisor **What You Need to Succeed:** + 2 years' HCC Coding experience + 2 years' HCC Auditing experience + Extensive knowledge… more
    Datavant (08/01/25)
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  • HCC Risk Adjustment Coder - Full Time…

    Datavant (Washington, DC)
    …educational and life experiences to realize our bold vision for healthcare. As an HCC ( Hierarchical Condition Category ) coder you will review ... credentials (CPC, CPC-H, COC, CIC, or CRC). + A minimum of 2 years HCC coding experience, while certified. + Full understanding and knowledge of ICD-10, medical… more
    Datavant (08/26/25)
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  • Database Developer (Healthcare / Risk Adjustment)

    Commonwealth Care Alliance (Boston, MA)
    …data systems and tools that support Commonwealth Care Alliance's (CCA) risk adjustment and Hierarchical Condition Category ( HCC ) revenue programs. This ... + Develop and support risk adjustment financial models that align with HCC revenue projections and CMS methodologies. + Maintain and enhance reporting infrastructure… more
    Commonwealth Care Alliance (06/25/25)
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  • Medical Assistant

    Spira Care, LLC (Overland Park, KS)
    …Preferred Qualifications: + Experience with coding and documentation for Medical Advantage and Hierarchical Condition Category ( HCC ) coding. Spira Care ... + Spira Care has specific vaccinations requirements as a condition of employment. You must be able to comply...employment. You must be able to comply with this condition of employment with or without a reasonable accommodation… more
    Spira Care, LLC (08/13/25)
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  • APP, Supervisor - General Internal Medicine - Full…

    University of Miami (Miami, FL)
    …Knowledge of HEDIS Quality Care Gaps - review and closure preferred + Knowledge of Hierarchical Condition Category ( HCC ) - review and recertification ... preferred + Physical presence required at all GIM sites + Conducts or participates in multidisciplinary rounds and ensures appropriate and quality care for patients. + Serves as a liaison and advocate between the APP and hospital leadership, department heads,… more
    University of Miami (09/15/25)
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  • Risk Adjustmt Coder Educator / Clinical…

    Hartford HealthCare (Hartford, CT)
    …*JOB RESPONSIBILITIES* 1. Oversees the development of complex and advanced ICD-10 and Hierarchical Condition Category ( HCC ) coding and documentation ... training programs including defining training objectives, developing training materials and tools 2. Implements documentation and coding training programs for Medicare Advantage contracted providers. Presents coding and documentation education in a variety of… more
    Hartford HealthCare (09/11/25)
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  • Clinical Documentation Improvement Specialist…

    Bluestone Physician Services (Stillwater, MN)
    …+ Minimum of 2 years of experience in healthcare coding, with a focus on Hierarchical Condition Category ( HCC ) coding and risk adjustment. ... Knowledge/Skills/Abilities + Proficiency in reviewing and analyzing medical records for documentation deficiencies and coding opportunities. + Strong understanding of ICD-10-CM coding guidelines, particularly as they relate to risk adjustment. + Excellent… more
    Bluestone Physician Services (09/07/25)
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  • Clinical Documentation and Quality Supervisor

    BJC HealthCare (St. Louis, MO)
    …crucial support in a dynamic setting. Background to be successful in the role: + ** Hierarchical Condition Category ( HCC )** **coding and risk adjustment** ... + **Bachelors degree** + **2 years in a supervisory role** + **5 years of relevant experience** + **Ambulatory care experience** \#LI-TP1 **Overview** **BJC Medical Group** is the multi-specialty physician-led organization of BJC HealthCare and includes over… more
    BJC HealthCare (07/24/25)
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  • Divisional Coding Quality Auditor Educator Remote

    AdventHealth (Altamonte Springs, FL)
    …level knowledge of Hospital Acquired Conditions (HAC), Patient Safety Indicators (PSI), and Hierarchical Condition Categories ( HCC ) + Expert level knowledge ... for each position may vary based on geographical location. ** Category :** Health Information Management **Organization:** AdventHealth Corporate **Schedule:** Full-time… more
    AdventHealth (09/17/25)
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  • Quality Auditor/Educator

    AdventHealth (Altamonte Springs, FL)
    …level knowledge of Hospital Acquired Conditions (HAC), Patient Safety Indicators (PSI), and Hierarchical Condition Categories ( HCC ) + Expert level knowledge ... for each position may vary based on geographical location. ** Category :** Health Information Management **Organization:** AdventHealth Corporate **Schedule:** Full-time… more
    AdventHealth (09/16/25)
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  • CIC Advanced Practice Clinician - NP / PA - Hybrid

    Commonwealth Care Alliance (Springfield, MA)
    …gaps in clinical practice and in collaboration with patient's external providers. + Evaluate Hierarchical Condition Categories ( HCC ) and work to recapture + ... religion, sex, national origin, age, physical or mental disability, genetic information or any other category protected by applicable federal, state or local laws. more
    Commonwealth Care Alliance (07/09/25)
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