• Risk Adjustment Coding

    Trinity Health (Syracuse, NY)
    … experience. Ability to conduct Education if needed. Auditing Experience Posting POSITION PURPOSE: The Risk Adjustment Coding Specialist works in a team ... Health's confidentiality requirements as they relate to patient information. What a Certified Risk Adjustment Coding Specialist will do: . Review and… more
    Trinity Health (04/24/25)
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  • Risk Adjustment Coding

    CDPHP (Albany, NY)
    …employees who share these values and invites you to be a part of that experience. The Risk Adjustment Coding Specialist will be responsible for the chart ... review and ICD-10 diagnosis coding of risk adjustment eligible...or GED required. Associates degree preferred. + CCS/CCS-P (Certified Coding Specialist ) or CPC/CPC-A (Certified Coding more
    CDPHP (04/07/25)
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  • Risk and Quality Provider Educator

    VNS Health (Manhattan, NY)
    …and Certifications: + Certified Professional Coder (CPC) or (CRC) Certified Risk Adjustment Coder or Certified Coding Specialist (CCS) required + ... identifying opportunities to support precise clinical documentation. Collaborating with the Risk Adjustment and Quality teams, you'll help shape educational… more
    VNS Health (03/04/25)
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  • Clinical Documentation Integrity Specialist

    UCLA Health (Los Angeles, CA)
    …- Medicare Advantage Risk Adjustment , you will be an expert in risk adjustment coding and documentation, working closely with physicians, IPA coders, ... Professional Coder (CPC) certification or Certified Coding Specialist (CCS) certification, required + A Certified Risk... Specialist (CCS) certification, required + A Certified Risk Adjustment Coder (CRC), required + Reliable… more
    UCLA Health (02/19/25)
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  • Risk Adjustment Specialist II…

    Centene Corporation (Des Moines, IA)
    …70-100 providers + Develop collaborative relationships with providers to educate and improve Risk Adjustment coding and documentation competencies + Use ... workplace flexibility. **Candidate must reside in Iowa** **Position Purpose:** Utilize risk adjustment methodologies, principles, and knowledge of managed care… more
    Centene Corporation (03/27/25)
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  • Billing and Coding Specialist

    University of Colorado (Aurora, CO)
    …and/or facility fee setting. + Experience with outpatient (HOPD, freestanding) and inpatient coding , risk adjustment auditing. + Experience building and ... **Billing and Coding Specialist ** **Description** **University of Colorado Anschutz Medical Campus** **School of Medicine | Department of Family Medicine** **Job… more
    University of Colorado (01/30/25)
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  • Ambulatory Coding and Doc Specialist

    Penn Medicine (Bala Cynwyd, PA)
    coding medical professional services experience including ambulatory outpatient and risk adjustment coding . (Required) . Additional experience could ... Medicine Hospice- 150 Monument Road** **Hours: Full-Time** **Job Summary:** The Ambulatory Coding and Documentation Specialist reports to the Primary Care… more
    Penn Medicine (04/22/25)
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  • Clinical Coding Documentation Improvement

    HCA Healthcare (Richmond, VA)
    …Summary and Qualifications** The **Clinical Coding and Documentation Improvement Specialist (Quality Improvement/Medicare Risk Adjustment )** will monitor ... colleagues invested over 156,000 hours volunteering in our communities. As a(an) Coding Documentation Improvement Specialist with Virginia Quality Care Partners… more
    HCA Healthcare (03/22/25)
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  • Technical Coding Services Director

    Cleveland Clinic (Cleveland, OH)
    …(HACs), diagnoses present on admission (POA), complications and comorbid conditions, and risk adjustment models - CMS, Vizient, USNWR, etc, clarification ... coding guidelines and regulatory requirements as well as advanced knowledge of risk adjustment models (ie CMS, Vizient, USNWR, CMS-HCC) and consultative… more
    Cleveland Clinic (04/18/25)
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  • Sr Coding Compliance Auditor

    Catholic Health Initiatives (Chattanooga, TN)
    …team to support the needs of the organization. The position will support risk adjustment improvement efforts across the medical group. The Hierarchical Condition ... Certification through American Health Information Management Association (AHIMA) as Certified Coding Specialist (CCS) or Certified Coding Specialist more
    Catholic Health Initiatives (03/06/25)
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  • Regional Coding Operations Manager WFH

    HCA Healthcare (Dallas, TX)
    …minimal overnight travel. EDUCATION: + Bachelor's Degree preferred. + Must be a Certified Coding Specialist (CCS), Certified Coding Specialist - ... Coder (CPC(R)) credential or Certified Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) EXPERIENCE: + Experience with Cerner and… more
    HCA Healthcare (04/05/25)
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  • Regional Coding Operations Manager WFH

    HCA Healthcare (Richmond, VA)
    …minimal overnight travel. **EDUCATION:** + Bachelor's Degree preferred. + Must be a Certified Coding Specialist (CCS), Certified Coding Specialist - ... (CPC(R)) credential or Certified Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) **EXPERIENCE:** + Experience with Cerner and… more
    HCA Healthcare (04/03/25)
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  • HCC Coding Compliance Assistant

    Kelsey-Seybold Clinic (Pearland, TX)
    …Assessment certificate. Preferred: HEDIS experience **License(s)** Required: CCS-P (Certified Coding Specialist -Physician) or CPC (Certified Professional Coder) ... **Responsibilities** To ensure the accurate coding of diagnoses which fall into the HCC...or CPC-A or CRC (Certified Risk Adjustment Coder) Preferred: N/A **Special Skills**… more
    Kelsey-Seybold Clinic (04/23/25)
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  • AI Privacy Specialist , Workplace Trust:…

    Amazon (Boston, MA)
    …power of AI to redefine how we operationalize data protection? As an AI Privacy Specialist at Amazon, you will be at the forefront of this paradigm shift, driving ... upcoming tech builds and roadmaps, work with senior leaders on acceptable business risk when applicable, and track remediation actions as needed. You will be… more
    Amazon (04/11/25)
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  • Clinical Data Abstraction Specialist

    Apex Health Solutions (Houston, TX)
    …and coding inpatient and/or outpatient medical records to ensure proper ICD-10 coding and compliance with risk adjustment requirements. Essential Duties ... Risk Adjustment Coder (CRC) Certified Professional Coder (CPC) Certified Coding Specialist (CCS) Education High School Diploma or GED Required Skills… more
    Apex Health Solutions (04/25/25)
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  • HIM Audit and Education Specialist

    Hartford HealthCare (Farmington, CT)
    … will support documentation practices that comply with CMS risk adjustment program requirements and ICD 10 coding guidelines. Reporting to Manager ... Relationships:_* *This Job Reports To (Job Title):*Audit and Education Specialist Manager *Education* . Minimum: o Medical Coding...Hartford Healthcare o Experience with the nuances of diagnosis coding and risk adjustment programs… more
    Hartford HealthCare (04/24/25)
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  • RN - Clinical Documentation Specialist

    SSM Health (MO)
    …support an accurateDRGassignment, SOI, and/or ROM.Assists in the mortality review and risk adjustment process utilizing third-party models. + Demonstrates an ... reviews. **Required Qualifications:** + 12 months of experience as a Clinical Documentation Specialist + Graduate of accredited school of nursing, PA, NP, or medical… more
    SSM Health (02/20/25)
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  • Compliance Auditing Specialist

    WMCHealth (Valhalla, NY)
    …Details: Job Summary: Serves as an internal expert on Risk Adjustment and Hierarchical Conditions Categories (HCC) coding . Specific duties include performing ... Compliance Auditing Specialist - Remote/Hybrid available Company: NorthEast Provider Solutions Inc....concurrent and retrospective reviews of documentation and coding and working with providers and staff to ensure… more
    WMCHealth (04/09/25)
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  • Clinical Documentation Specialist

    Kaleida Health (Buffalo, NY)
    …ensure that clinical information is captured to support the level of service rendered, risk adjustment of the patient population, and the appropriate data and ... **Clinical Documentation Specialist Outpatient** **Location:** Buffalo General Medical Center Location...will perform concurrent and retrospective compliance reviews of the coding and documentation of diagnoses, medical procedures, and patient… more
    Kaleida Health (03/20/25)
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  • Clinical Documentation Specialist , Second…

    SSM Health (MO)
    …scoring. + Collaborates with others regardingclinical documentation improvement (CDI) and risk adjustment (mortality) findings. + Maintains knowledge of Centers ... 4 years experience in clinical documentation with a Certified Clinical Documentation Specialist (CCDS) certification + Graduate of accredited school of nursing, PA,… more
    SSM Health (03/19/25)
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