• HCC Coding Quality Analyst

    Independent Health (Buffalo, NY)
    …multi-channel education including, but not limited to, face-to-face provider education , which includes on-site coding ( HCC and CRG) and documentation ... appropriate coding and documentation or other pertinent education on HCC and CRG coding...ICD-10 coding verification required. + Experience in provider education preferred. + Experience in medical… more
    Independent Health (06/03/25)
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  • Coding and Documentation Educator

    AdventHealth (Maitland, FL)
    …of the HCC risk adjustment methodology gained from HCC documentation, coding , and provider education experience. The value you'll bring to the ... to CDI leader and will work closely with providers and operations to effectively provide Hierarchical Condition Category ( HCC ) education including but not… more
    AdventHealth (06/17/25)
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  • Coding and Documentation Educator

    AdventHealth (Overland Park, KS)
    …of the HCC risk adjustment methodology gained from HCC documentation, coding , and provider education experience. **The value you'll bring to the ... to CDI leader and will work closely with providers and operations to effectively provide Hierarchical Condition Category ( HCC ) education including but not… more
    AdventHealth (06/17/25)
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  • Compliance Auditing Specialist- Remote/Hybrid…

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

    Geisinger (Danville, PA)
    …complete and accurate coding . + Assists in decision making relevant to physician coding education and HCC targeting purposes. + Provides encoder software ... Job Summary Health information coding is the transformation of verbal descriptions of...payers for reimbursement. A joint effort between the healthcare provider and the coder is essential to achieve complete… more
    Geisinger (06/04/25)
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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:** ... coding of diagnoses which fall into the HCC model as required by CMS for Medicare Advantage...and holidays + Employee Assistance Program + Continuing Medical Education allowance Kelsey-Seybold Clinic strives to provide more
    Kelsey-Seybold Clinic (04/23/25)
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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 ... platform. The primary function of this position is to perform ICD-10-CM coding for risk adjustment-eligible encounters. The HCC Risk Adjustment Coder ensures… more
    MedKoder (04/15/25)
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  • Medical Coding Educator ( Provider

    Henry Ford Health System (Troy, MI)
    Coding ? If your answer is YES, this position could be for you! The Medical Coding Education Coordinator is 95% remote work, with travel as needed within the ... directly with providers. About the Role: As our Medical Coding Education Coordinator, you'll be at the...forefront of coordinating, overseeing, and optimizing the flow of provider education and medical record coded information… more
    Henry Ford Health System (04/19/25)
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  • Risk Adjustment Coding Specialist-Excellus…

    Trinity Health (Syracuse, NY)
    … these gaps via OPA in the EHR to the PCP prior to their next visit. . HCC education and training will be conducted per Excellus payer risk adjustment coding ... a team environment and is responsible for reviewing clinical documentation and coding using HCC (Hierarchical Condition Category) and MEAT (Monitored,… more
    Trinity Health (05/29/25)
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  • Medical Coding And Billing Analyst

    CenterLight Health System (NY)
    …claims and patient statements across multiple sites, implements accurate medical coding policies, and enhances operational processes. It involves acting as a ... liaison between coding operations and clinical staff, training and coaching medical...submission processes, presenting performance results to leadership, and supporting HCC /RAF optimization strategies. The role will also oversee the… more
    CenterLight Health System (05/17/25)
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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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  • Director Enterprise Hospital Coding

    University of Virginia (Charlottesville, VA)
    …professional coding and health data collection activities to ensure accurate provider documentation and coding as it relates to appropriate, compliant, and ... the subject matter expert on Centers for Medicare and Medicaid Services (CMS) HCC documentation requirements and ICD-10-CM coding guidelines + Ensures key… more
    University of Virginia (04/03/25)
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  • Facility Coding Inpatient DRG Quality

    Banner Health (TN)
    …Collaborates on DRG and coding denials, billing edits/rejections to provide coding expertise to resolve issues and support appropriate reimbursement. ... findings for use as a basis for development of coding education and audit plans. 6. Maintains...limited supervision. Uses an expert level of knowledge to provide coding and billing guidance and oversight… more
    Banner Health (06/15/25)
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  • Clinical Documentation Specialist Auditor-…

    UNC Health Care (Chapel Hill, NC)
    …through and complete the CDS training modules. 3. Provides ongoing documentation and coding education to CDI Physician Advisers and CDS staff. 4. Provides ... auditor provides elbow to elbow support during training and education as well as through webex. This position may...Requirements:** * Strong knowledge of ICD-10-CM, ICD-10-PCS, and CPT coding , MS DRG, hierarchical condition categories ( HCC ),… more
    UNC Health Care (04/29/25)
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  • Coding Department Supervisor

    UCLA Health (Los Angeles, CA)
    …Excel and PowerPoint + Proven ability to develop training materials, lead teams, and provide education to staff + Strong written and verbal communication skills; ... coders including daily work allocation, productivity monitoring, and quality assurance. + Provide guidance and support on coding questions, system operations,… more
    UCLA Health (04/26/25)
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  • Coding Auditor & Educator

    Trinity Health (Boise, ID)
    …with leadership to improve HCC and other Risk Adjustment capture with provider and coder education . Conducts ongoing reviews of patient medical record ... and diagnosis coding by each practitioner. Educates practitioners on coding , documentation, and compliance matters. **SKILLS, KNOWLEDGE, EDUCATION AND… more
    Trinity Health (05/28/25)
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  • Individual & Family Plans (IFP) Quality Review…

    The Cigna Group (Bloomfield, CT)
    …Responsible for collaborating and coordinating, as required, with team members to facilitate coding education with internal and external partners, as well as ... coding , both with Inpatient and Outpatient documentation + HCC coding experience preferred + Computer competency...through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.… more
    The Cigna Group (06/17/25)
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  • Individual & Family Plans (IFP) Quality Review…

    The Cigna Group (Bloomfield, CT)
    …(HHS) risk adjustment education & training program for both internal coding teams, internal matrix partners and value-based provider groups. The ideal ... experience and understanding of HHS risk adjustment rules & regulations, coding guidelines, provider practice negotiations, relationship building, program… 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 ... audits and advise training content to re-educate team on coding error trends + Train and provide ...of complex and advanced ICD-10 and Hierarchical Condition Category ( HCC ) coding and documentation training programs including… more
    Datavant (05/07/25)
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  • Outpatient Complex Audit Specialist/Full…

    Henry Ford Health System (Detroit, MI)
    …of an OP CDI Education database, which supports the Documentation & Coding Provider Education Program, data-driven resourcing, monthly provider ... dashboards, and administrative decision making related to Revenue Cycle. EDUCATION AND EXPERIENCE: + High school diploma or GED...in medical terminology. + Proficient in ICD-10 CM, CPT, HCC and HCPCS coding . + Able to… more
    Henry Ford Health System (06/12/25)
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