• HCC Risk Adjustment Auditor - Full Time…

    Datavant (Boise, ID)
    …You Need to Succeed:** + 2 years' HCC Coding experience + 2 years' HCC Auditing experience + Extensive knowledge of ICD -10 + High school diploma or GED ... vision for healthcare. **What We're Looking For:** As an HCC (Hierarchical Condition Category) Auditor you will review medical...by coders and or auditors + Participate in weekly coding project review meetings + Any other tasks asked… more
    Datavant (08/01/25)
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  • Compliance Auditing Specialist-…

    WMCHealth (Valhalla, NY)
    …activities. Monitors and reports key performance indicators relative to clinical documentation and HCC coding . . Documents and maintains records of all query, ... Compliance Auditing Specialist- Remote/Hybrid available Company: NorthEast Provider Solutions...competencies in clinical documentation improvement and ICD, CPT and HCC coding through continuing education. Assists with… more
    WMCHealth (07/09/25)
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  • Coding Specialist - Medicare

    BlueCross BlueShield of North Carolina (NC)
    …of experience in related field + Certified Professional Coder **Bonus Points** + Medicare coding and auditing experience **What You'll Get** + The opportunity to ... **Job Description** The incumbent will use clinical and coding expertise to analyze medical records and charts in relation to provider coding . The Coding more
    BlueCross BlueShield of North Carolina (07/23/25)
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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 Cycle division, working closely with the financial and clinical operations to provide… more
    University of Virginia (07/03/25)
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  • Divisional Coding Quality Auditor Educator…

    AdventHealth (Altamonte Springs, FL)
    …Categories ( HCC ). + Expert level knowledge of medical terminology, coding guidelines and methodologies. + Understanding of HIPAA privacy rules and ability ... Monday-Friday **The role you will contribute:** The inpatient or outpatient coding team Quality Auditor (QA)/Educator supports the operations of the inpatient… more
    AdventHealth (07/01/25)
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  • Facility Coding Inpatient DRG Quality

    Banner Health (OH)
    coding (clearly reflected in your attached resume);** + **DRG and PCS Coding , Auditing experience;** + **Bachelors degree or equivalent;** + **Must be ... **Department Name:** Coding -Acute Care Compl & Educ **Work Shift:** Day...HCC , other Heath Risk Adjusted Factors, National Correct Coding Initiative (NCCI) and the effect on Case Mix… more
    Banner Health (06/15/25)
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  • Professional Coding Auditor…

    Trinity Health (Silver Spring, MD)
    …Type:** Part time **Shift:** Day Shift **Description:** **Job Title:** Coding Auditor and Educator (Remote) **Employment Type:** Part-time **Shift:** Days ... Washington DC and Baltimore, MD. **Description:** + Monday-Friday The Professional Coding Auditor Educator performs medical record audits including but not limited… more
    Trinity Health (08/02/25)
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  • Senior Professional Coder

    Albany Medical Center (Albany, NY)
    …and training to providers and coding staff. Act as an expert for the HCC /Risk adjustment coding . This position is remote but does require onsite education to ... medical record chart reviews (which could include prospective, concurrent & retrospective auditing ) to ensure documentation and selection of HCC diagnosis codes… more
    Albany Medical Center (07/30/25)
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  • Risk Adjustment Auditor Educator Fully Remote

    Trinity Health (Syracuse, NY)
    …our provider group. **SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:** Risk adjustment coding , provider auditing and clinical/education experience required. Must ... Documentation Specialist-Outpatient (CCDS-O) preferred. **EXCELLUS CONTRACT SPECIFIC Risk Adjustment Coding , Auditing and Education primary functions:** +… more
    Trinity Health (07/18/25)
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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 (06/29/25)
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  • Compliance & Audit Partner

    Emory Healthcare/Emory University (Atlanta, GA)
    …other stakeholders to ensure accurate and compliant reporting of industry standard billing, coding and documentation standards (ICD10, CPT, E/M, HCPCS, CDI, HCC , ... etc.). + Participate in provider orientation to ensure coding and documentation expectations are clearly communicated. + Collaborates with compliance auditors and… more
    Emory Healthcare/Emory University (07/19/25)
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