• Certified Risk Adjustment

    Ankura (Los Angeles, CA)
    …seeks to gain additional opportunities for development in a variety of risk adjustment related areas. Qualifications: + Certified in Risk Adjustment ... matters. Ankura's health care team is comprised of clinicians, certified coders, revenue cycle, and operations professionals. Our practice...at least five (5) recent years of experience in HCC/ Risk Adjustment and/or RADV Audit Methodology +… more
    Ankura (09/09/25)
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  • Risk Adjustment Medical Record…

    BlueCross BlueShield of Tennessee (Chattanooga, TN)
    …coding certification from AHIMA or AAPC \(CPC, CCS, RHIT, RHIA\)\. + Must acquire the Certified Risk Adjustment Coder \(CRC\) certificate from AAPCwithin ... **The Risk Adjustment division at BCBST is looking to add a Risk Adjustment Medical Record Coder to our team\.** Expertise in HCC coding, with a… more
    BlueCross BlueShield of Tennessee (09/16/25)
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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 (09/09/25)
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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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  • Value Based Coder II

    Dignity Health (Phoenix, AZ)
    …years of experience in outpatient and/or HCC/ risk adjustment coding preferred. - Certified Risk Adjustment Coder (CRC) or Certified ... and office staff across the network to identify opportunities for improved quality, risk adjustment coding performance. The Value Based Coder II is a… more
    Dignity Health (08/01/25)
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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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  • Director Risk Adjustment , Coding…

    Highmark Health (Pittsburgh, PA)
    …**Required** + AAPC, Certified Professional Coder (CPC) **Preferred** + AAPC, Certified Risk Adjustment Coder (CRC) **SKILLS** + CMS Regulations ... Manage a team of internal coder / clinicians that perform Risk Adjustment coding of medical records. Track production coding results and monitor accuracy of… more
    Highmark Health (08/08/25)
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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 Clinical…

    St. Luke's University Health Network (Allentown, PA)
    …year of Clinical Documentation Improvement (CDI) experience. Current state Registered Nurse license. Certified Risk Adjustment Coder (CRC) Please ... a patient's ability to pay for health care. The Risk Adjustment Clinical Documentation Specialist facilitates accurate,...EDUCATION: Graduation from a program of nursing. BSN preferred. Certified Coder (COC or CPC) preferred. TRAINING… more
    St. Luke's University Health Network (08/26/25)
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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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  • Manager, Risk Adjustment Coding…

    Evolent (Helena, MT)
    …field or equivelent years of work experience. + **Certification in medical coding (CRC- Certified Risk Adjustment Coder ) or demonstrated ability.** + ... Be Doing:** **Manager, Coding Support Specialist** Evolent Care Partners is seeking a Risk Adjustment Coding Support Manager to be a core member of the Risk more
    Evolent (08/29/25)
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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 (09/07/25)
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  • Director Risk Adjustment

    Providence (Portland, OR)
    adjustment processes, plus 5 years of progressive management experience. + **Certification:** Certified Risk Adjustment Coder (CRC) is preferred. + ... 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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  • Risk Adjustment Coding Specialist…

    CDPHP (Latham, NY)
    …CCS/CCS-P or AAPC CPC certification within one year of employment is required. + CRC ( Certified Risk Adjustment Coder ) credential preferred. + Minimum ... you to be a part of that experience. The Risk Adjustment Coding Specialist will be responsible...diploma or GED required. Associates degree preferred. + CCS/CCS-P ( Certified Coding Specialist) or CPC/CPC-A ( Certified Coding… more
    CDPHP (08/27/25)
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  • Individual & Family Plans (IFP) Quality Review…

    The Cigna Group (Bloomfield, CT)
    …Health Information Technician (RHIT)** **o Registered Health Information Administrator (RHIA)** **o Certified Risk Adjustment Coder (CRC) certification** ... The Risk Adjustment Quality & Review Analyst...The Risk Adjustment Quality & Review Analyst in IFP brings...or the American Academy of Professional Coders (AAPC):** **o Certified Professional Coder (CPC)** **o Certified more
    The Cigna Group (09/13/25)
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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 (09/05/25)
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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 ... + Leads team of certified coding professionals to accurately perform Risk Adjustment medical record reviews and audits, assigning appropriate ICD-10-CM… more
    The Cigna Group (09/16/25)
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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 (08/07/25)
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  • Manager, Coding Education & Performance

    East Boston Neighborhood Health Center (Revere, MA)
    …improvement Certifications: + Required: Certified Professional Coder (CPC) and/or Certified Risk Adjustment Coder (CRC) + Preferred: Additional ... years of experience in professional and outpatient coding, provider education, or risk adjustment auditing + Experience delivering coding education and… more
    East Boston Neighborhood Health Center (09/16/25)
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  • Coding Educator

    Humana (Pelham, GA)
    …Carolina, North Carolina or Georgia **Preferred Qualifications** + Bachelor's Degree + CRC - Certified Risk Adjustment Coder + Experience interacting ... an impact** **Required Qualifications** + AHIMA or AAPC CPC ( Certified Professional Coder ) Certification + 3 or...public speaking and/or presentation skills with healthcare providers + Risk Adjustment knowledge + Familiar with coding… more
    Humana (09/12/25)
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