• HCC Coding Quality Analyst

    Independent Health (Buffalo, NY)
    …and a culture that fosters growth, innovation and collaboration. **Overview** The HCC Coding Quality Analyst is responsible for delivering educational seminars ... education on HCC and CRG coding that is needed. The HCC Coding Quality Analyst is also responsible for bringing forward to practice manager(s) any issues… more
    Independent Health (06/03/25)
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  • HCC Coding Compliance Assistant

    Kelsey-Seybold Clinic (Pearland, TX)
    …ICD-10-CM Guidelines for Coding and Reporting. **Job Title: HCC Coding Compliance Assistant** **Location: Pearland Administrative Office** **Department:** ... **Responsibilities** To ensure the accurate coding of diagnoses which fall into the HCC model as required by CMS for Medicare Advantage plans. To ensure… more
    Kelsey-Seybold Clinic (04/23/25)
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  • Risk Adjustment Coding Coordinator I/II

    Excellus BlueCross BlueShield (Buffalo, NY)
    …ICD-9-CM/ICD-10-CM coding , Medicare Advantage and Commercial Hierarchical Condition Category ( HCC ) coding , and Medicaid Clinical Risk Groups (CRGs) to ensure ... coding validation, monitoring plan specifications, Hierarchical Condition Category ( HCC ) assignment accuracy and Risk Adjustment Validation Audits (RADV). *… more
    Excellus BlueCross BlueShield (05/20/25)
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  • Coding and Documentation Educator

    AdventHealth (Maitland, FL)
    …( HCC ) education including but not limited to clinical documentation integrity, coding , HCC Risk Adjustment Methodology, and provider performance metrics. The ... advanced understanding of the HCC risk adjustment methodology gained from HCC documentation, coding , and provider education experience. The value you'll… more
    AdventHealth (06/17/25)
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  • Coding and Documentation Educator

    AdventHealth (Overland Park, KS)
    …( HCC ) education including but not limited to clinical documentation integrity, coding , HCC Risk Adjustment Methodology, and provider performance metrics. The ... advanced understanding of the HCC risk adjustment methodology gained from HCC documentation, coding , and provider education experience. **The value you'll… more
    AdventHealth (06/17/25)
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  • HCC Risk Adjustment Coder

    MedKoder (Mandeville, LA)
    …with government regulations while identifying opportunities for increased financial success. The HCC Risk Adjustment Coder provides coding services to health ... primary function of this position is to perform ICD-10-CM coding for risk adjustment-eligible encounters. The HCC ...ICD-10-CM coding for risk adjustment-eligible encounters. The HCC Risk Adjustment Coder ensures compliance with ICD-10-CM … more
    MedKoder (04/15/25)
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  • Compliance Auditing Specialist- Remote/Hybrid…

    WMCHealth (Valhalla, NY)
    …activities. Monitors and reports key performance indicators relative to clinical documentation and HCC coding . . Documents and maintains records of all query, ... Maintains current competencies in clinical documentation improvement and ICD, CPT and HCC coding through continuing education. Assists with compliance audits and… more
    WMCHealth (04/09/25)
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  • Risk Adjustment Coding Specialist-Excellus…

    Trinity Health (Syracuse, NY)
    …a team environment and is responsible for reviewing clinical documentation and coding using HCC (Hierarchical Condition Category) and MEAT (Monitored, ... claim is submitted to payers. . Demonstrate a solid understanding of ICD-10-CM coding and medical terminology, Hierarchical Condition Category ( HCC ), and MEAT… more
    Trinity Health (05/29/25)
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  • Individual & Family Plans (IFP) Quality Review…

    The Cigna Group (Bloomfield, CT)
    …to documentation and coding , both with Inpatient and Outpatient documentation + HCC coding experience preferred + Computer competency with excel, MS Word, ... record documentation and auditing medical charts for Hierarchical Condition Categories ( HCC ), as defined by HHS' Risk Adjustment model. Responsible for performing… more
    The Cigna Group (06/17/25)
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  • Risk Adjustment Trainer

    Datavant (Trenton, NJ)
    …of medical terminology, medical abbreviations, pharmacology and disease processes + 8+ years coding experience in HCC coding + Knowledge and understanding ... the development of complex and advanced ICD-10 and Hierarchical Condition Category ( HCC ) coding and documentation training programs including defining training… more
    Datavant (05/07/25)
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  • Medical Director of Primary Care

    ZoomCare (Portland, OR)
    …practice workflows. + Oversee the training and implementation of the process of HCC coding recapture for the primary care population, ensuring accurate ... leadership role preferred. + Demonstrated experience in managing clinical quality metrics, HCC coding , and population health initiatives. + Strong understanding… more
    ZoomCare (04/25/25)
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  • Document Review Specialist

    Community Health Systems (Franklin, TN)
    …Audits medical records to validate the accuracy of CPT, HCPCS, ICD-10, and HCC coding for professional services, including evaluation and management, procedural, ... Skills and Abilities** + Knowledge of current CPT, HCPCS, ICD-10, and HCC coding guidelines and billing regulations. + Familiarity with Medicare, Medicaid, and… more
    Community Health Systems (06/17/25)
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  • RN Clinical Document Specialist

    Highmark Health (Harrisburg, PA)
    …Integrity (CDI) + Experience in Coding + Knowledge of ICD 10 and HCC coding guidelines + Knowledge of Electronic Medical Record (Epic) + Knowledge of ... interaction with physicians, nurses and ancillary staff based on knowledge of coding and HCC guidelines, documentation strategies, and clinical documentation… more
    Highmark Health (06/14/25)
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  • Revenue Management Educator (Remote Option within…

    Marshfield Clinic (Marshfield, WI)
    …of CPT coding rules, ICD‐9 and ICD‐10 codes, Healthcare Common Procedure Coding System (HCPCS) codes, HCC coding , use of modifiers, documentation ... Procedural Terminology (CPT), and ICD‐9, ICD-10 and Hierarchical Condition Category ( HCC ) coding . **Preferred/Optional:** Bachelor of Science in Nursing.… more
    Marshfield Clinic (03/31/25)
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  • Risk Adjustmt Coder Educator / Clinical…

    Hartford HealthCare (Hartford, CT)
    …the development of complex and advanced ICD-10 and Hierarchical Condition Category ( HCC ) coding and documentation training programs including defining training ... Coder Educator develops and implements an enterprise-wide risk adjustment coding and documentation education program to support documentation practices among… more
    Hartford HealthCare (06/12/25)
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  • Innovation Specialist - Primary Care/Medicare

    CareOregon (Portland, OR)
    …transformation or to the Medicare Advantage performance measures such as Stars, CAHPS, HCC coding and Risk re-capture. This position spends time designing and ... + Medicare focus - Medicare Stars, CAHPS, and Risk coding , data systems, access, clinic support structures, and care...medical homes or to Medicare Stars, CAHPS, and Risk coding . Coaching & Training + Design and lead collaborative… more
    CareOregon (05/09/25)
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  • Outpatient Complex Audit Specialist/Full…

    Henry Ford Health System (Detroit, MI)
    …to work remotely. + Proficient in medical terminology. + Proficient in ICD-10 CM, CPT, HCC and HCPCS coding . + Able to recognize patterns and trends and escalate ... conjunction with OP Audit Analysts and Coordinators will utilize documentation and coding expertise to facilitate audits of the quality and completeness of medical… more
    Henry Ford Health System (06/12/25)
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  • Director Enterprise Hospital Coding

    University of Virginia (Charlottesville, VA)
    …the subject matter expert on Centers for Medicare and Medicaid Services (CMS) HCC documentation requirements and ICD-10-CM coding guidelines + Ensures key ... The Director of Enterprise Coding is an integral member of the Revenue...the overall structure, process, oversight, and accountability of professional coding and health data collection activities to ensure accurate… more
    University of Virginia (04/03/25)
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  • Coder III (Medical Coding )

    Geisinger (Danville, PA)
    …and accurate coding . + Assists in decision making relevant to physician coding education and HCC targeting purposes. + Provides encoder software and EMR ... Job Summary Health information coding is the transformation of verbal descriptions of...injuries, and procedures into numeric or alphanumeric designations. The coding process reviews and analyzes health records to identify… more
    Geisinger (06/04/25)
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  • Clinical Quality Coder II

    Sutter Health (Sacramento, CA)
    …of Quality Coding Program requirements such as the Medicare Advantage Coding Program/ HCC , as well as medical terminology and abbreviations of disease, ... of outpatient medical records using International Classification of Disease Coding ICD-10-CM and Current Procedural Terminology (CPT), Medicare Advantage, ICD-10-CM,… more
    Sutter Health (05/14/25)
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