• Hierarchical Condition Category ( HCC

    Highmark Health (Cheyenne, WY)
    …education, analyzing reports, and identifying process improvements. **ESSENTIAL RESPONSIBILITIES** + Performs HCC coding on projects for MA, ACA, and End Stage ... for Coding and Highmark's Policy and Procedures to guide HCC coding decision making. Maintains RPM coding accuracy and productivity requirements.… more
    Highmark Health (12/19/25)
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  • HCC Coding Specialist - Exempt…

    Emanate Health (Covina, CA)
    …in the United States, and the #19 ranked company in the country. Job Summary The HCC Coding Specialist is responsible for the oversight and execution of HCC ... documentation, coding compliance, and optimal risk adjustment outcomes. The HCC Coding Specialist ensures the IPA's Risk Adjustment Factor (RAF) maintains or… more
    Emanate Health (10/17/25)
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  • CDI & Quality Supervisor - Risk Adjustment…

    BJC HealthCare (St. Louis, MO)
    …setting. Background to be successful in the role: + **Hierarchical Condition Category ( HCC )** ** coding and risk adjustment** + **Bachelors degree** + **2 years ... Requirements** **Licenses & Certifications** + Cert Clinical Documentation + Certified Coding Spec + Cert Doc Improve Practitioner **Benefits and Legal Statement**… more
    BJC HealthCare (10/23/25)
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  • Coding Team Lead, HCC Risk…

    Datavant (Atlanta, GA)
    …to realize our bold vision for healthcare. We're looking for experienced and credentialed HCC Coding Team Leads to become an integral part of our team. ... (CPC, CPC-H, COC, CIC, CRC) + Extensive knowledge of ICD -10 + 2 years' HCC coding experience + 1+ years' Team Lead experience a plus + A strong knowledge base… more
    Datavant (01/10/26)
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  • Coding / HCC Training Educator

    Ascension Health (Austin, TX)
    Coding experience with at least 2 years specific to Medicare Risk Adjustment/ HCC Coding required. + ICD-10 coding experience required. + Experience ... job specific experience required. **Additional Preferences** + This position requires a Coding Certification, will accept one of the following from AAPC and/or… more
    Ascension Health (12/13/25)
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  • Supervisor, HCC Risk Adjustment…

    Datavant (Jefferson City, MO)
    …required. + People Leader experience managing a team of employees. + Familiarity with HCC coding . + A strong knowledge base of medical terminology, medical ... educational and life experiences to realize our bold vision for healthcare. The Coding Supervisor serves as a working supervisor with oversight and management of… more
    Datavant (12/30/25)
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  • Profee Coding Consultant ( HCC

    Datavant (Indianapolis, IN)
    …outcomes in both hospitals and alternative care settings. Candidates with Profee and HCC coding experience with annual wellness visits are strongly encouraged to ... realize our bold vision for healthcare. The Provider Practice Coding Consultant role is an opportunity to make a...make a significant impact in the field of medical coding . You will provide essential consulting services and educational… more
    Datavant (10/31/25)
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  • Disease Burden ( HCC ) Business…

    Corewell Health (Grand Rapids, MI)
    …RAF modeling, or healthcare data analysis. + Strong understanding of ICD-10-CM, HCC coding , V28 models, and risk-adjustment methodologies. + Ability to ... opportunity targeting. The ideal candidate understands CMS risk-adjustment methodologies, coding impacts, and can turn data insights into actionable strategies… more
    Corewell Health (01/06/26)
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  • HCC Risk Adjustment Coder - Full Time…

    Datavant (Nashville, TN)
    …credentials (CPC, CPC-H, COC, CIC, or CRC). + A minimum of 2 years HCC coding experience, while certified. + Full understanding and knowledge of ICD-10, ... to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical...guidelines. + Coders must meet and maintain a 95% coding accuracy rate. + Any other task requested by… more
    Datavant (12/27/25)
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  • Risk Adjustment Coding Specialist - Remote

    Trinity Health (Columbus, OH)
    …, and subsequent ICD versions. + Expanded knowledge of Risk Adjustment and HCC coding . + Knowledge of payer contracts and reimbursement. **Position Highlights ... Monitoring, Plan, Evaluation, Referral) principles to support Hierarchical Condition Category ( HCC ) coding . The coder also ensures accurate capture of… more
    Trinity Health (01/07/26)
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  • Coding Auditor & Educator

    WelbeHealth (Columbia, SC)
    …+ Work closely with Coding Supervisor in identifying opportunities for HCC coding education **Job Requirements:** + Associates Degree preferred; three (3) ... coding and auditing + Minimum of two (2) years of Risk Adjustment ( HCC ) coding experience in a managed care environment + Current CCS, CCS-P, CPC, CPC-H,… more
    WelbeHealth (01/07/26)
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  • Clinical Coding Education Facilitation Lead…

    CenterWell (Orlando, FL)
    …you'll blend your clinical expertise-especially in Medicare Risk Adjustment (MRA) and HCC coding -with instructional design skills to create engaging, practical ... equivalent) or AAPC CPC certification + Strong understanding of risk adjustment, HCC coding , value-based care, and preventive/chronic disease management +… more
    CenterWell (12/31/25)
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  • Risk Adjustment Supervisor - Coding

    CareFirst (Baltimore, MD)
    …activities and operational processes of the coding operations team - including HCC coding , auditing and data submission to CMS and other regulatory agencies, ... activities, and drive ongoing professional development on CMS, HHS, HCC , and ICD-10 coding requirements. + Identify...development on CMS, HHS, HCC , and ICD-10 coding requirements. + Identify and resolve process bottlenecks, ensuring… more
    CareFirst (12/13/25)
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  • RN Clinical Coding Educator - Value-Based…

    CenterWell (Tampa, FL)
    …equivalent) or AAPC CPC certification + Strong understanding of risk adjustment, HCC coding , value-based care, and preventive/chronic disease management + ... of our caring community and help us put health first** The RN Coding Education Facilitator is responsible for delivering clinically relevant coding education… more
    CenterWell (12/20/25)
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  • Coding Auditor Sr

    Elevance Health (Nashville, TN)
    …Medicaid preferred. + Experience with ICD-10 coding , CPT and CPTII a plus. + HCC coding preferred. + CPC or CRC Certification is needed for this position. + ... **JR171732 Coding Auditor Sr** CareBridge Health is a proud...of life through homecare and community-based services. The CareBridge Coding Auditor Sr is responsible for auditing coders that… more
    Elevance Health (01/13/26)
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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 (12/12/25)
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  • Director, Risk Bearing Provider Sales

    Datavant (Topeka, KS)
    …& Execution** + Develop and execute a sales strategy to grow adoption of HCC coding solutions among risk-bearing providers (eg, health systems, ACOs, provider ... a trusted advisor, demonstrating a strong understanding of risk adjustment, HCC coding , and value-based care operations. + Liaison account management activities,… more
    Datavant (12/10/25)
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  • Ambulatory Clinical Documentation Integrity…

    Trinity Health (Livonia, MI)
    …of education & experience + Experience with compliant healthcare documentation, HCC coding requirements, alternate payment models in a multi-facility, ... Obtain appropriate clinical documentation through extensive interaction with providers and coding staff to ensure documentation reflects level of service rendered to… more
    Trinity Health (12/19/25)
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  • Clinical Documentation Improvement Specialist…

    Bluestone Physician Services (Stillwater, MN)
    …in healthcare coding , with a focus on Hierarchical Condition Category ( HCC ) coding and risk adjustment. Knowledge/Skills/Abilities + Proficiency in reviewing ... disease capture for Bluestone providers. If you are passionate about improving coding practices and ensuring quality patient care, we encourage you to apply!… more
    Bluestone Physician Services (10/19/25)
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  • **Manager- Outpatient Clinical Documentation…

    Henry Ford Health System (Troy, MI)
    …medical group leadership, clinical and ancillary departments regarding appropriate clinical documentation, coding rules and regulations, HCC Coding and Risk ... Health System and ensures alignment of high quality documentation and coding that supports compliant and accurate medical record documentation. EDUCATION/EXPERIENCE… more
    Henry Ford Health System (12/11/25)
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