• 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 local to ... EST/CST states ( Remote ) . Please review the job description below and...Understands the impact of ICD-10 codes on the CMS HCC risk adjustment model. Ability to meet productivity and… more
    Upward (07/26/25)
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  • Remote HCC Coder

    Insight Global (Tampa, FL)
    Job Description Insight Global is hiring HCC /Risk Adjustment Medical coders to support a backlog for inpatient and outpatient Medicare advantage projects . Must ... of the markets are strictly risk adjustment focusing on HCC ICD-10 codes only. We do code from the...also be responsible to validate the CPT codes and non- HCC codes. These markets are still only reviewing Medicare… more
    Insight Global (07/26/25)
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  • Compliance Auditing Specialist- Remote

    WMCHealth (Valhalla, NY)
    Compliance Auditing Specialist- Remote /Hybrid available Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support ... an internal expert on Risk Adjustment and Hierarchical Conditions Categories ( HCC ) coding. Specific duties include performing concurrent and retrospective reviews of… more
    WMCHealth (07/09/25)
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  • Risk Adjustment Coding Specialist -St. Peter's…

    Trinity Health (Albany, NY)
    …Risk Adjustment Coding Specialist -St. Peter's Health Partners - Full-time - Remote **POSITION PURPOSE:** The Risk Adjustment Coding Specialist works in a team ... is responsible for reviewing clinical documentation and coding using HCC (Hierarchical Condition Category) and MEAT (Monitored, Evaluated/Assessed/Addressed, Treated)… more
    Trinity Health (07/02/25)
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  • Revenue Management Educator ( Remote Option…

    Marshfield Clinic (Marshfield, WI)
    …exciting missions in the world!** **Job Title:** Revenue Management Educator ( Remote Option within SHP Service Area) **Cost Center:** 682891390 SHP-Strategic Finance ... Terminology (CPT), and ICD‐9, ICD-10 and Hierarchical Condition Category ( HCC ) coding. **Preferred/Optional:** Bachelor of Science in Nursing. **EXPERIENCE**… more
    Marshfield Clinic (06/29/25)
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  • Quality Auditor/Educator Remote

    AdventHealth (Altamonte Springs, FL)
    …understanding that **together** we are even better. **Job Location** : Remote **Shift:** Full-Time, Monday-Friday **The role you will contribute:** The inpatient ... leadership. The Corporate QA is responsible for initial audits during the coder onboarding process for assigned staff, as well as supporting on-going quality… more
    AdventHealth (07/10/25)
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  • Risk Adjustment Auditor Educator Fully…

    Trinity Health (Syracuse, NY)
    …AND EXPERIENCE INCLUDES:** + Risk Adjustment Coding - Certified Risk Adjustment Coder (CRC) required and + Auditing - Certified Auditor Certified Professional ... gaps via OPA in the EHR to the PCP prior to their next visit. + HCC education and training will be conducted per Excellus payer risk adjustment coding guidelines and… more
    Trinity Health (07/18/25)
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  • Risk Adjustment Consultant

    Tufts Medicine (Burlington, MA)
    Fully Remote Opportunity About **TMIN** Our Integrated Network brings together a diversity of experienced private practice and employed physicians as well as ... ICD-10-CM coding standards, as well as lead efforts to evaluate the HCC /DxCG coding practices and provide analyses and recommendations to improve overall provider… more
    Tufts Medicine (07/14/25)
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  • Facility Coding Inpatient DRG Quality

    Banner Health (OH)
    …individual needs, with continued support throughout your career here! This is a fully remote position and available if you live in the **following states only: AK, ... to allow for monitoring and evaluation of trends in DRG (MS/APR-DRG), APC, HCC , other Heath Risk Adjusted Factors, National Correct Coding Initiative (NCCI) and the… more
    Banner Health (06/15/25)
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  • Supervisor, Coding Operations

    Datavant (Nashville, TN)
    …helping a talented team grow and succeed. **What You Will Do:** + Oversee coder performance by verifying schedule entry and hours worked + Merge and track quality ... scores and feedback across assigned coders + Monitor coder productivity by analyzing charts-per-hour metrics + Deliver daily...the Table** + Strong working knowledge of ICD-9/10 and HCC coding + At least 2 years of hands-on… more
    Datavant (07/08/25)
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  • Coding Specialist - Medicare

    BlueCross BlueShield of North Carolina (NC)
    …ensure compliance and understanding of the CMS Hierarchical Condition Category ( HCC ) payment methodology. + Develops and maintains professional working relationships ... years of experience in related field + Certified Professional Coder **Bonus Points** + Medicare coding and auditing experience...roles, you can choose where to work - fully remote in one of the states listed below, in… more
    BlueCross BlueShield of North Carolina (07/23/25)
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