• Certified Medical Coder

    Apex Health Solutions (Houston, TX)
    …one of the following is required: . Certified Professional Coder (CPC) . Certified Risk Adjustment Coder (CRC) . Certified Coding Specialist ... h3> SUMMARY: Certified Medical Coder role is responsible...proper ICD-10-CM, HCPCS, and CPT coding and compliance with Risk Adjustment requirements. EDUCATION: . High School… more
    Apex Health Solutions (09/26/25)
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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 (09/11/25)
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  • Certified Coder

    Molina Healthcare (AZ)
    …skills. * Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications * Certified Risk Adjustment Coder (CRC). * ... * Provides training and education to provider network regarding risk adjustment and coding updates related to...or equivalent combination of relevant education and experience. * Certified Professional Coder (CPC). * Certified more
    Molina Healthcare (10/24/25)
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  • Certified Risk Adjustment

    Redeemer Health Home Care & Hospice (Huntingdon Valley, PA)
    …-4-year relevant work experience + AAPC or AHIMA Certification (CPC, CRC, CCS) REQUIRED + Certified Risk Adjustment Coder - PREFERRED Knowledge + ... invite you to apply today. SUMMARY OF JOB The Certified Risk Adjustment Coding/Audit Reviewer...the services we provide. RECRUITMENT REQUIREMENTS High School Graduate. Certified coder CPC or CCS-P, and AAPC… more
    Redeemer Health Home Care & Hospice (08/13/25)
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  • Risk Adjustment QA Consultant

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …coding with a focus on Medicare Advantage and ACA risk adjustment . * Certified Risk Adjustment Coder (CRC) certification * In-depth knowledge of ... characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Risk Adjustment QA Consultant Location: Hybrid | Eagan, Minnesota Career Area: Customer… more
    Blue Cross and Blue Shield of Minnesota (09/10/25)
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  • Director Risk Adjustment - Health…

    Providence (Portland, OR)
    …Healthplan environment specifically, plus 5 years of progressive management experience. + **Certification:** Certified Risk Adjustment Coder (CRC) is ... in the states of WA, OR and CA. **The Role:** As the Director of Risk Adjustment and Strategic Accounts at Providence Health Plan, you will be the cornerstone of… more
    Providence (09/13/25)
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  • Quality & Risk Adjustment Provider…

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …years of provider-facing or leadership-facing experience * Knowledge of Health Care Quality measures * Certified Risk Adjustment Coder (CRC via AAPC) or ... and Blue Shield of Minnesota Position Title: Quality & Risk Adjustment Provider Consultant Location: Hybrid |...Certified Professional Coder (CPC via AAPC). If you do not have… more
    Blue Cross and Blue Shield of Minnesota (09/30/25)
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  • Individual & Family Plans (IFP) Quality Review…

    The Cigna Group (Bloomfield, CT)
    …Health Information Technician (RHIT) + Registered Health Information Administrator (RHIA) + Certified Risk Adjustment Coder (CRC) certification ... coordination and implementation of daily processes related to IFP Risk Adjustment (RA) programs, including the ...Coders (AAPC) in one of the following certifications: + Certified Professional Coder (CPC) + Certified more
    The Cigna Group (10/31/25)
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  • Senior Coding Educator

    Humana (Helena, MT)
    …+ Demonstrated ability to adapt quickly to change **Preferred Qualifications** + Bachelor's Degree + Certified Risk Adjustment Coder (CRC) + Certified ... **Required Qualifications** + 5+ years of experience in risk adjustment coding/auditing/education and provider relations/engagement + Certified Professional … more
    Humana (10/14/25)
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  • Individual & Family Plans (IFP) Quality Review…

    The Cigna Group (Bloomfield, CT)
    …Health Information Technician (RHIT) + Registered Health Information Administrator (RHIA) + Certified Risk Adjustment Coder (CRC) certification ... Job Summary: The Risk Adjustment Quality & Review Analyst...or the American Academy of Professional Coders (AAPC): + Certified Professional Coder (CPC) + Certified more
    The Cigna Group (11/01/25)
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  • Individual & Family Plans (IFP) Quality Review…

    The Cigna Group (Bloomfield, CT)
    …Registered Health Information Technician (RHIT)** **▪ Registered Health Information Administrator (RHIA)** **▪ Certified Risk Adjustment Coder (CRC)** * ... (AHIMA), in one or more of the following:** **▪ Certified Professional Coder (CPC)** **▪ Certified...certification within 12 months of hire, if not previously certified * Experience with Risk Adjustment more
    The Cigna Group (10/31/25)
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  • Lead - CDI Specialist

    Mayo Clinic (Rochester, MN)
    …AHIMA certification OR Certified Inpatient Coder (CIC) AAPC certification Certified Risk Adjustment Coder (CRC) AAPC certification **Exemption ... team to train providers on documentation best practices and risk adjustment , deliver tailored education, and develop...and enhance coding accuracy. Utilizes specialized knowledge from the Certified Risk Coder (CRC) certification… more
    Mayo Clinic (10/30/25)
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  • Compliance Auditor - Medical Coding (medical…

    Geisinger (Danville, PA)
    …Details Minimum one Coding Certification required:-- Certified Professional Coder - AAPC -- Certified Risk Adjustment Coder - American Academy of ... Health Information Technician (RHIT) - American Health Information Management Association; Certified Risk Adjustment Coder - American Academy of… more
    Geisinger (10/18/25)
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  • Coding Educator & Engagement Specialist

    Sutter Health (Burlingame, CA)
    …in lieu of the required degree or diploma._ Bachelor's **CERTIFICATION & LICENSURE:** + CRC- Certified Risk Adjustment Coder + OR CPC- Certified ... Professional Coder + OR CCS- Certified Coding Specialist + CRC- Certified Risk Adjustment Coder (required within 1 year) **TYPICAL EXPERIENCE:** 2… more
    Sutter Health (11/01/25)
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  • Director, Clinical Data Acquisition

    Molina Healthcare (MI)
    …in Health Quality (CPHQ) * Nursing License (RN may be preferred for specific roles) * Certified Risk Adjustment Coder (CRC) To all current Molina ... **Job Description** **Job Summary** The Director, Clinical Data Acquisition for Risk Adjustment , is responsible for the implementation, monitoring, and oversight… more
    Molina Healthcare (10/22/25)
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  • Clinical Documentation Improvement Specialist…

    Bluestone Physician Services (Stillwater, MN)
    …+ Bachelor's degree in Health Information Management, Nursing, or related field. + Certified Risk Adjustment Coder (CRC) certification, ... thorough patient chart reviews to identify opportunities for providers to capture risk adjustment diagnostic codes accurately. The successful candidate will play… more
    Bluestone Physician Services (10/19/25)
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  • Analyst, Coding Data Quality Auditor

    CVS Health (Indianapolis, IN)
    Coder ) or CCS-P ( Certified Coding Specialist-Physician) and CRC ( Certified Risk Adjustment Coder ) required **Preferred Qualifications** ... Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and...+ CPMA ( Certified Professional Medical Auditor), CDEO ( Certified Documentation Expert Outpatient) or CPC-I ( Certified more
    CVS Health (10/31/25)
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  • Coding and Reimbursement Auditor

    Avera (Sioux Falls, SD)
    Coder (CPC) - American Academy of Professional Coders (AAPC) Upon Hire or + Certified Risk Adjustment Coder (CRC) - American Academy of Professional ... American Health Information Management Association (AHIMA) Upon Hire or + Certified Inpatient Coder (CIC) - American Academy of Professional Coders (AAPC) Upon… more
    Avera (09/30/25)
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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 (11/01/25)
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  • Coding Data Quality Auditor

    CVS Health (Harrisburg, PA)
    Coder ) or CCS-P ( Certified Coding Specialist-Physician) required. + CRC ( Certified Risk Adjustment Coder ) + Computer proficiency including ... for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in… more
    CVS Health (10/22/25)
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