• 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 ... and CRG coding that is needed. The HCC Coding Quality Analyst is also responsible...audit specifications. The Analyst is going to assist the manager in training coding integrity associates and… more
    Independent Health (06/03/25)
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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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  • Medical Coding And Billing Analyst

    CenterLight Health System (NY)
    …process for operational enhancements. Responsible for reviewing and implementing accurate medical/ coding policies and Claims Manager edits across all PACE ... claims and patient statements across multiple sites, implements accurate medical coding policies, and enhances operational processes. It involves acting as a… more
    CenterLight Health System (05/17/25)
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  • Professional Coding Department…

    UCLA Health (Los Angeles, CA)
    Description UCLA Health is seeking a highly experienced Professional Coding Department Manager to oversee daily operations for a multi-specialty coding team ... the Patient Billing Office. Reporting to the Director of Coding , this role manages coding workflows, supervises...as Anesthesia, Surgery, Radiology, Cardiology, and Internal Medicine. The manager will play a key role in optimizing performance,… more
    UCLA Health (05/01/25)
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  • Clinical Documentation Specialist Auditor-…

    UNC Health Care (Chapel Hill, NC)
    …Abilities Requirements:** * Strong knowledge of ICD-10-CM, ICD-10-PCS, and CPT coding , MS DRG, hierarchical condition categories ( HCC ), and CDI ... shared services. This position reports to the HCS Supervisor Coding and CDI Quality and Training. This position may...hiring and selection of new CDS with the hiring manager as requested. 6. Analyzes and audits medical records… more
    UNC Health Care (04/29/25)
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  • Product Manager , Risk Adjustment Analytics…

    Datavant (Lincoln, NE)
    …to realize our bold vision for healthcare. **Role Overview** As a Product Manager , Risk Adjustment Analytics Products, you will contribute to the strategy and ... the development of robust, scalable, and actionable analytics that improve coding outcomes, measure product impact, and support value-based client delivery across… more
    Datavant (06/06/25)
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  • Field Reimbursement Manager , Oncology…

    J&J Family of Companies (Titusville, NJ)
    …Customer Solutions (PECS) team is recruiting for a Network Account Field Reimbursement Manager for the Upstate New York territory which is a field-based position. ... help overcome challenges to fulfillment, on-boarding, and adherence. The Field Reimbursement Manager (FRM) is responsible for serving as the primary field-based lead… more
    J&J Family of Companies (06/11/25)
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  • Field Reimbursement Manager (Oncology)…

    J&J Family of Companies (Chicago, IL)
    …Customer Solutions (PECS) team is recruiting for a Local Account Field Reimbursement Manager for the Great Plains territory which is a field-based position. The ... help overcome challenges to fulfillment, on-boarding, and adherence. The Field Reimbursement Manager (FRM) is responsible for serving as the primary field-based lead… more
    J&J Family of Companies (05/30/25)
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  • Field Reimbursement Manager , Dermatology…

    J&J Family of Companies (Fort Lauderdale, FL)
    …Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position. PECS is committed to setting the ... help overcome challenges to fulfillment, on-boarding, and adherence. The Field Reimbursement Manager (FRM) is responsible for serving as the primary field-based lead… more
    J&J Family of Companies (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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  • 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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  • Clinical Documentation Specialist

    Commonwealth Care Alliance (Boston, MA)
    011260 CCA-Revenue Cycle Management **Position Summary:** Under the guidance of the Manager for Billing, Coding , & Provider Documentation this position will ... support internal & external clinical and operational coding initiatives at Commonwealth Care Alliance (CCA). The Clinical...codes and identify all appropriate codes based on CMS HCC categories + Provides technical guidance to primary care… more
    Commonwealth Care Alliance (06/07/25)
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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 ... - Primary Care/Medicare Exemption Status Exempt Department Technical Assistance Manager Title Network Innovation Supervisor Direct Reports n/a Requisition #… more
    CareOregon (05/09/25)
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  • Associate Director, Breast Oncology Statistical…

    Dana-Farber Cancer Institute (Boston, MA)
    …Dana-Farber and Dana-Farber/Harvard Cancer Center:** Independently represents the department on DF/ HCC and DFCI committees, including but not limited to Scientific ... investigators on all aspects of grant submissions. Work with grants manager on all administrative aspects, including budget. **Research Portfolio Management:**… more
    Dana-Farber Cancer Institute (05/08/25)
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