• Remote HCC Coder

    Insight Global (Tampa, FL)
    Job Description Insight Global is hiring HCC /Risk Adjustment Medical coders to support a backlog for inpatient and outpatient Medicare advantage projects . Must ... of the markets are strictly risk adjustment focusing on HCC ICD-10 codes only. We do code from the...also be responsible to validate the CPT codes and non- HCC codes. These markets are still only reviewing Medicare… more
    Insight Global (11/15/25)
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  • HCC Risk Adjustment Coder - Full…

    Datavant (Topeka, KS)
    …educational and life experiences to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to ... on client specific guidelines for the project. + The coder will ensure compliance with established ICD-10 CM, third...CIC, or CRC). + A minimum of 2 years HCC coding experience, while certified. + Full understanding and… more
    Datavant (11/14/25)
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  • Coding Team Lead, HCC Risk Adjustment…

    Datavant (Madison, WI)
    …to realize our bold vision for healthcare. We're looking for experienced and credentialed HCC Coding Team Leads to become an integral part of our team. The ideal ... of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help...Reviews rebuttals submitted by coders. Provides education to the coder if the error is correct or sends the… more
    Datavant (11/07/25)
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  • Auditor, HCC Risk Adjustment Coding - Full…

    Datavant (Indianapolis, IN)
    …and life experiences to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder , you will review medical records to identify and ... bring to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of ...+ Strong written and verbal communication skills, adeptness in remote work, and exceptional time management skills. + Working… more
    Datavant (11/07/25)
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  • Facility Inpatient Coder ( Remote )

    Cedars-Sinai (Los Angeles, CA)
    …that fuels innovation. **Req ID** : 7948 **Working Title** : Facility Inpatient Coder ( Remote ) **Department** : CSRC Coding Hospital Inpt **Business Entity** : ... Working under the general direction of a coding supervisor, the Facility Inpatient Coder is responsible for the assignment of ICD-10-CM and ICD-10-PCS codes by… more
    Cedars-Sinai (11/15/25)
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  • Risk Adjustment Coding Specialist - Remote

    Trinity Health (Columbus, OH)
    …Monitoring, Plan, Evaluation, Referral) principles to support Hierarchical Condition Category ( HCC ) coding. The coder also ensures accurate capture of ... Type:** Full time **Shift:** **Description:** **Position Purpose:** The Risk Adjustment Coder is responsible for reviewing and abstracting medical records to ensure… more
    Trinity Health (11/12/25)
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  • Compliance Auditing Specialist- Remote

    WMCHealth (Valhalla, NY)
    Compliance Auditing Specialist- Remote /Hybrid available Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support ... an internal expert on Risk Adjustment and Hierarchical Conditions Categories ( HCC ) coding. Specific duties include performing concurrent and retrospective reviews of… more
    WMCHealth (09/12/25)
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  • Risk Adjustment Analyst - HIM OP CDI

    UNC Health Care (Chapel Hill, NC)
    …responsible for working the EPIC WQ to reorder the Hierarchical Condition Categories ( HCC ) conditions in the top 12 for claim generation. The Risk Adjustment ... Coordinator will complete Pre-Visit Planning reviews daily to improve HCC capture and HCC Persistency. Responsibilities: Perform the payer audits as required… more
    UNC Health Care (10/30/25)
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  • Risk Adjustment Coding Specialist -St. Peter's…

    Trinity Health (Albany, NY)
    …Risk Adjustment Coding Specialist -St. Peter's Health Partners - Full-time - Remote **POSITION PURPOSE:** The Risk Adjustment Coding Specialist works in a team ... is responsible for reviewing clinical documentation and coding using HCC (Hierarchical Condition Category) and MEAT (Monitored, Evaluated/Assessed/Addressed, Treated)… more
    Trinity Health (11/15/25)
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  • Individual & Family Plans (IFP) Quality Review…

    The Cigna Group (Bloomfield, CT)
    …Risk Adjustment Model to confirm accuracy of Hierarchical Condition Categories ( HCC )identified from abstracted ICD-10-CM diagnosis codes for the correct Benefit ... or the American Academy of Professional Coders (AAPC): + Certified Professional Coder (CPC) + Certified Coding Specialist for Providers (CCS-P) + Certified Coding… more
    The Cigna Group (11/13/25)
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  • Individual & Family Plans (IFP) Quality Review…

    The Cigna Group (Bloomfield, CT)
    …following certifications, or comparable medical coding specialty: + **Certified Professional Coder (CPC)** + **Certified Coding Specialist for Providers (CCS-P)** + ... **Registered Health Information Administrator (RHIA)** + **Certified Risk Adjustment Coder (CRC) certification required** + Proficiency with ICD-10-CM diagnostic… more
    The Cigna Group (11/06/25)
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  • Coding Educator & Engagement Specialist

    Sutter Health (Burlingame, CA)
    …including by not limited to ICD-10-CM diagnoses codes, Hierarchical Condition Category ( HCC ), HCPC and CPT codes. Reviews internal and external data to inform ... degree or diploma._ Bachelor's **CERTIFICATION & LICENSURE:** + CRC-Certified Risk Adjustment Coder + OR CPC-Certified Professional Coder + OR CCS-Certified… more
    Sutter Health (11/01/25)
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  • Risk Adjustment QA Consultant

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …focus on Medicare Advantage and ACA risk adjustment. * Certified Risk Adjustment Coder (CRC) certification * In-depth knowledge of ACA & Medicare Advantage risk ... as CPMA, RHIT, RHIA, CCA, CCS. * Expertise in CMS- HCC , and HHS- HCC Risk Adjustment models. Compensation...rest of the week you are empowered to work remote . Equal Employment Opportunity Statement Individuals with a disability… more
    Blue Cross and Blue Shield of Minnesota (09/10/25)
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  • ProFee Audit Specialist FT- 2,500 Sign on Bonus

    Datavant (Boise, ID)
    …actively identifying and presenting solutions for customer issues. This role is fully remote with a flexible schedule, allowing you to help shape the future of ... with strong expertise in neurosurgery and orthopedics. Experience in Interventional Radiology and HCC is a plus. **You Will:** + Conduct inpatient coding audits on… more
    Datavant (11/05/25)
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  • Clinical Documentation Improvement Specialist…

    Bluestone Physician Services (Stillwater, MN)
    …disease capture and documentation by Bluestone providers. This part-time position offers remote flexibility and the opportunity to make a meaningful impact on ... business hours, no evenings, weekends or holidays. Location: This remote role MUST be located in one of the...Management, Nursing, or related field. + Certified Risk Adjustment Coder (CRC) certification, Risk Adjustment Coding (RAC) or related… more
    Bluestone Physician Services (10/19/25)
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  • Senior Risk Adjustment Coding Compliance Analyst…

    Centene Corporation (Jefferson City, MO)
    …workplace flexibility. Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States. **Position Purpose:** ... on clinical best practices related to risk adjustment coding, HCC capture, and documentation improvement. + Performs other duties...LVN, LPN or RN required and + Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) required +… more
    Centene Corporation (10/29/25)
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