• HCC Risk Adjustment Coder

    MedKoder (Mandeville, LA)
    …offers a flexible schedule. Description: MedKoder, LLC is seeking a remote Professional HCC Risk Adjustment Coder who will apply both technical and ... with government regulations while identifying opportunities for increased financial success. The HCC Risk Adjustment Coder provides coding services to health… more
    MedKoder (04/15/25)
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  • Risk Adjustmt Coder Educator…

    Hartford HealthCare (Hartford, CT)
    …recognition programs and other common practices across the system. *JOB SUMMARY:* The Risk Adjustment Coder Educator develops and implements an ... with CMS risk adjustment program requirements and ICD 10 coding guidelines. The Risk Adjustment Coder Educator will serve as a training resource for … more
    Hartford HealthCare (06/12/25)
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  • Coder III ( Medical Coding)

    Geisinger (Danville, PA)
    …certifications is required:CPC - Certified Professional Coder CRC - Certified Risk Adjustment Coder RHIT - Registered Health Information Technician ... procedures. Job Duties + Reviews the content of the medical records from multiple EHR's and on-site for both...Technician (RHIT) - American Health Information Management Association; Certified Risk Adjustment Coder - American… more
    Geisinger (06/04/25)
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  • Coder

    St. Luke's Health System (Boise, ID)
    …), COC (Certified Outpatient Coder ), CIC (Certified Inpatient Coder ), CRC (Certified Risk Adjustment Coder ). **What's in it for you** At St. Luke's, ... or Arizona!** **What You Can Expect:** Under limited supervision, the Coder is responsible for reviewing applicable documentation and assigning appropriate procedure… more
    St. Luke's Health System (04/11/25)
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  • Clinical Quality Coder II

    Sutter Health (Sacramento, CA)
    …+ HS Diploma or General Education Diploma (GED) **CERTIFICATION & LICENSURE:** + CRC-Certified Risk Adjustment Coder OR CPC-Certified Professional Coder ... Office-Bay **Position Overview:** This position conducts review of outpatient medical records using International Classification of Disease Coding ICD-10-CM and… more
    Sutter Health (05/14/25)
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  • Clinical Quality Coder II

    Sutter Health (Sacramento, CA)
    …+ HS Diploma or equivalent education/experience **CERTIFICATION & LICENSURE** + CRC-Certified Risk Adjustment Coder OR CPC-Certified Professional Coder ... Office-Valley **Position Overview:** This position conducts review of outpatient medical records using International Classification of Disease Coding ICD-10-CM and… more
    Sutter Health (05/09/25)
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  • Divisional Coder IV Remote

    AdventHealth (Altamonte Springs, FL)
    …multiple priorities at once with little supervision. . Possesses knowledge about risk adjustment and hospital publicly reported data. . Possesses knowledge ... Location** : Remote **The role you will contribute:** The Coder Analyst IV is a Health Information Professional with...acute care inpatient coding position *High school diploma and medical coding certificate program or 2 year HIM program.… more
    AdventHealth (06/14/25)
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  • Risk Adjustment Coding Coordinator…

    Excellus BlueCross BlueShield (Buffalo, NY)
    …procedures and business rule tools governing the response to Risk Adjustment Data Validation (RADV) Audits, prospective medical record coding, and ... right for you, we encourage you to apply! Job Description: Summary: The Risk Adjustment Coding Coordinator is responsible for various aspects of decision-making… more
    Excellus BlueCross BlueShield (05/20/25)
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  • Risk Adjustment Coding…

    Trinity Health (Syracuse, NY)
    … capture initiatives, as needed. SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE: . Certified Risk Adjustment Coder (CRC) required . Excellent verbal and ... Ability to conduct Education if needed. Auditing Experience Posting POSITION PURPOSE: The Risk Adjustment Coding Specialist works in a team environment and is… more
    Trinity Health (05/29/25)
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  • Clinical Documentation Integrity Specialist…

    UCLA Health (Los Angeles, CA)
    …certification or Certified Coding Specialist (CCS) certification, required + A Certified Risk Adjustment Coder (CRC), required + Reliable transportation ... As the Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment , you will be an expert...associated with the health plan. You will: + Conduct medical record audits for physicians (MD, DO, or NP)… more
    UCLA Health (05/16/25)
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  • Risk Adjustment Coding and Training…

    Dignity Health (Bakersfield, CA)
    …and programs. **Qualifications** **Minimum Qualifications:** - 3-5 years of experience with risk adjustment coding and/or medical coding - Bachelor's ... **Responsibilities** This position is remote.** **Position Summary:** The Risk Adjustment Coding Training Specialist develops and executes comprehensive training… more
    Dignity Health (05/15/25)
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  • IPA Coding Associate Director

    CenterWell (Des Moines, IA)
    …entities within the Primary Care Organization. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible for driving ongoing ... Responsible for performance management and strategy development for PCO risk adjustment at the division and market...identify and influence enhancements to technology to improve the medical coder experience. + Oversees coding operations… more
    CenterWell (04/24/25)
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  • Clinical Documentation Specialist

    Commonwealth Care Alliance (Boston, MA)
    …CCS-P, CCA from AHIMA) or Certified Professional Coder (CPC), and Certified Risk Adjustment Coder (CRC) from the American Association of Professional ... Specialist will serve as a primary resource in evaluating medical encounter notes/records housed either at CCA or at... Risk Adjustment Documentation with Certified Risk Adjustment Coder (CRC) certification… more
    Commonwealth Care Alliance (06/07/25)
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  • Senior Corporate Compliance Auditor- REMOTE

    Fairview Health Services (St. Paul, MN)
    Coder (CMC) OR Equivalent certifications, examples include: + Certified Risk Adjustment Coder (CRC), Certified Documentation Expert Outpatient (CDEO), ... investigations with a primary focus on revenue cycle activities, including medical coding, billing, and documentation. + Applies comprehensive knowledge of Medicare… more
    Fairview Health Services (05/22/25)
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  • Medical Coding And Billing Analyst

    CenterLight Health System (NY)
    …Certified Professional Practice Manager (CPPM) 4. Certified Professional Biller (CPB) 5. Certified Risk Adjustment Coder (CRC). Experience: + Three (3) ... physician practices on current performance. + Serves as a subject matter expert on Risk Adjustment Data Validation (RADV) audits from Medicare. + Perform random… more
    CenterLight Health System (05/17/25)
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  • Medical Coding Analyst SR., 100% Virtual,…

    Elevance Health (PA)
    …most current CMS Risk Adjustment Model strongly preferred. + AAPC Certified Risk Adjustment Coder (CRC) is preferred. Please be advised that Elevance ... and experience, which would provide an equivalent background. + **Certified Medical Coder (CPC or CCS-P) required** . **Preferred Skills, Capabilities and… more
    Elevance Health (06/03/25)
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  • Revenue Management Educator (Remote Option within…

    Marshfield Clinic (Marshfield, WI)
    …one year. State of Wisconsin Registered Nurse license (if applicable). **Preferred/Optional:** Certified Risk Adjustment Coder awarded by American Academy of ... as it relates to Medicare Advantage, ACA/Exchange and Medicaid risk adjustment reimbursement methodologies and policies to...Bachelor's degree with an emphasis in a business or medical field, or a registered nurse degree. Completion of… more
    Marshfield Clinic (03/31/25)
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  • Coding Educator

    Humana (Augusta, GA)
    …AAPC CPC (Certified Professional Coder ) Certification + 4 or more years of medical coding experience + Risk Adjustment knowledge + Familiar with coding ... guidelines **Preferred Qualifications** + Bachelor's Degree + CRC -Certified Risk Adjustment Coder + Experience interacting with healthcare providers +… more
    Humana (06/07/25)
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  • Regional Coding Operations Manager WFH

    HCA Healthcare (Overland Park, KS)
    …credential or Certified Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) **EXPERIENCE:** + Experience with Cerner ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
    HCA Healthcare (06/01/25)
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  • Regional Coding Operations Manager WFH

    HCA Healthcare (Dallas, TX)
    …(CPC(R)) credential or Certified Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) EXPERIENCE: + Experience with Cerner ... and urgent care operations. We are experts in hospitalist integration, and graduate medical education. We lead more than 1,300 physician practices and 170+ urgent… more
    HCA Healthcare (04/05/25)
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