• Risk Adjustment Auditor Educator…

    Trinity Health (Albany, NY)
    …healthcare providers and coders and reports to the Manager of Risk Adjustment Coding & Audit to develop and implement provider documentation improvement ... compliance standards in our provider group. **SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:** Risk adjustment coding , provider auditing and clinical/education… more
    Trinity Health (07/29/25)
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  • Product Manager , Risk

    Datavant (Lincoln, NE)
    …experiences to realize our bold vision for healthcare. **Role Overview** As a Product Manager , Risk Adjustment Analytics Products, you will contribute to the ... strategy and execution of analytics capabilities that power Datavant's risk adjustment solutions. You'll drive the development of robust, scalable, and… more
    Datavant (06/06/25)
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  • Manager Risk Adjustment

    Corewell Health (Grand Rapids, MI)
    …considerations. Some states are not eligible for remote work (CA and NY). Positioned in the Risk Adjustment Department, the Manager , Risk Adjustment ... who is adept at problem solving, possesses strong SQL coding skills and an ability to communicate effectively to...to communicate effectively to internal and external constituents. As Manager , Risk Adjustment Analytics -… more
    Corewell Health (07/24/25)
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  • Medicare Risk Adjustment Strategy…

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    Ready to help us transform healthcare? Bring your true colors to blue. The Medicare Risk Adjustment Strategy Program Manager will report to the Senior ... Director of Medicare Risk Adjustment and Analytics. This role will...to ensure complete and accurate medical record documentation and coding . The Program Manager will contribute to… more
    Blue Cross Blue Shield of Massachusetts (06/27/25)
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  • Risk Adjustment Revenue Director…

    Marshfield Clinic (Marshfield, WI)
    …to support the most exciting missions in the world!** **Job Title:** Risk Adjustment Revenue Director (Remote/Hybrid) **Cost Center:** 682891390 SHP-Strategic ... Shift:** 40 Normal (United States of America) **Job Description:** **JOB SUMMARY** The Risk Adjustment Revenue Director is a finance leader responsible for … more
    Marshfield Clinic (07/29/25)
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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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  • Client Coding Project Manager - Full…

    Datavant (Austin, TX)
    …healthcare. The individual will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be ... + Monitor the performance of the Risk Adjustment Operations both internally and with coding ...work experience coder with a minimum of 5 year's coding experience in risk adjustment more
    Datavant (07/26/25)
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  • Senior Client Coding Project Manager

    Datavant (Providence, RI)
    …make strategic recommendations to help clients understand the shifts and trends happening in the risk adjustment coding space. **What you will bring to the ... our bold vision for healthcare. As a Sr. Client Coding Project Manager , you will plan, forecast,...CCS, CRC, or CPC required. + Previous Medicare Advantage Risk Adjustment , CDI, Medicaid, Commercial RA, and… more
    Datavant (06/28/25)
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  • Regional Coding Operations Manager

    HCA Healthcare (Nashville, TN)
    …(CPC(R)) credential or Certified Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) **EXPERIENCE:** + Experience with Cerner and ... This position is incentive eligible. **Job Summary and Qualifications** The Regional Coding Operations Manager is responsible for assisting in the development… more
    HCA Healthcare (06/21/25)
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  • Regional Coding Operations Manager

    HCA Healthcare (Nashville, TN)
    …Coder (CPC(R)) credential or Certified Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) EXPERIENCE: + Experience with Cerner and ... This position is incentive eligible. **Job Summary and Qualifications** The Regional Coding Operations Manager is responsible for assisting in the development… more
    HCA Healthcare (06/21/25)
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  • Physician Coding Auditor

    MedKoder (Mandeville, LA)
    coding veteran, the company offers services including inpatient and outpatient facility coding , medical risk adjustment management, DRG coding ... About Us MedKoder, LLC is a full-service medical coding management services provider based in Mandeville, Louisiana, specializing in expert medical coding for… more
    MedKoder (06/12/25)
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  • Inpatient Coding Auditor Virtual

    AdventHealth (Tampa, FL)
    …and approved coding policies and procedures. . Participates in the mortality/ risk adjustment reviews when assigned. . Assists with post-payment DRG appeals. ... Coding Quality Auditor works in collaboration with the Manager to ensure the integrity of coded data, the...coding accuracy retrospectively and concurrently as assigned by manager and/or Director. . Reviews and addresses all third… more
    AdventHealth (05/09/25)
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  • Coding Educator

    CenterWell (Madison, WI)
    …AHIMA coding certification. + A minimum of three years in primary care and risk adjustment coding . + A minimum of three assigning ICD-10 and outpatient ... part of our caring community and help us put health first** The Coding Educator identifies opportunities to improve provider documentation and creates an education… more
    CenterWell (07/24/25)
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  • Physician Educator HPL- Remote- Allegheny County

    UPMC (Pittsburgh, PA)
    …Health Plan Network. + Coordinate and present education of providers/practices related to risk adjustment , coding , and clinical documentation improvement. + ... reports to providers that summarize their performance related to coding and documentation and risk adjustment...quality of patient care and maximize risk adjustment revenue. + Assist Senior Manager in… more
    UPMC (07/31/25)
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  • Physician Audit and Education Manager

    MedKoder (Mandeville, LA)
    coding veteran, the company offers services including inpatient and outpatient facility coding , medical risk adjustment management, DRG coding ... Description: Under the direction of the Director of Physician Coding , the Audit and Education Manager is responsible for leading and maintaining the Auditing and… more
    MedKoder (05/11/25)
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  • Client Success Manager

    Datavant (Concord, NH)
    …technology or related field + Knowledge of healthcare industry, payment models, risk adjustment , medical coding , physician workflow, and/or electronic ... realize our bold vision for healthcare. The Client Success Manager is part of the Datavant organization and is...between internal resources and customers in support of custom risk adjustment projects and reports on project… more
    Datavant (07/01/25)
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  • Technical Program Manager II

    Amazon (Seattle, WA)
    …AVAILABLE Employer: AMAZON.COM SERVICES LLC Offered Position: Technical Program Manager II Job Location: Seattle, Washington Job Number: AMZ9084896 Position ... software applications, systems, platforms, services, or technologies using Object Oriented coding and design (Java, C++, Perl, HTML) throughout the complete software… more
    Amazon (07/03/25)
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  • Technical Program Manager III

    Amazon (Atlanta, GA)
    …POSITIONS AVAILABLE Employer: AMAZON.COM SERVICES LLC Offered Position: Technical Program Manager III Job Location: Atlanta, Georgia Job Number: AMZ9544981 Position ... software applications, systems, platforms, services, or technologies using Object Oriented coding and design (Java, C++, Perl, HTML) throughout the complete software… more
    Amazon (06/25/25)
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  • HIM Audit and Education Specialist

    Hartford HealthCare (Farmington, CT)
    …specialist will support documentation practices that comply with CMS risk adjustment program requirements and ICD 10 coding guidelines. Reporting to ... *This Job Reports To (Job Title):*Audit and Education Specialist Manager *Education* . Minimum: o Medical Coding ...Hartford Healthcare o Experience with the nuances of diagnosis coding and risk adjustment programs… more
    Hartford HealthCare (07/24/25)
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  • Mgr CDI Quality & Educ / HIM Clinical Document…

    Hartford HealthCare (Farmington, CT)
    …collaboration with the Quality Management Department on mortality, PSI, HAC and other risk adjustment outcomes. . Shares accountability to present quarterly Key ... reports and communicates results and action planning to CDI Manager and Supervisors. . Provides CDS, coding ...to understand and communicate the impact of CC/MCC's, PSI/HACs, risk adjustment , and other variables on the… more
    Hartford HealthCare (07/10/25)
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