• Auditor , HCC Risk Adjustment

    Datavant (Albany, NY)
    …educational and life experiences to realize our bold vision for healthcare. As an Auditor , HCC Risk Adjustment Coder, you will review medical records ... using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical… more
    Datavant (12/04/25)
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  • Professional Coding Auditor - Remote

    Albany Medical Center (Albany, NY)
    …to providers and coding staff. Act as an expert for the HCC/ Risk adjustment coding. This position is remote but does require onsite education to providers ... for Coding and Reporting. Code chronic disease that meets HCC and Risk Adjustment criteria. Validate missed coding opportunities. + Conducts professional… more
    Albany Medical Center (11/05/25)
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  • Compliance Auditing Specialist- Remote

    WMCHealth (Valhalla, NY)
    …Applicant link Job Details: Job Summary: Serves as an internal expert on Risk Adjustment and Hierarchical Conditions Categories (HCC) coding. Specific duties ... Compliance Auditing Specialist- Remote /Hybrid available Company: NorthEast Provider Solutions Inc. City/State:...with one or more of the following credentials: Certified Risk Coder (CRC), Certified Professional Coder certification (CPC), Certified… more
    WMCHealth (09/12/25)
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  • Lead, Data Quality/Integrity - HEDIS Supplemental…

    Humana (Albany, NY)
    …reporting on progress, challenges, and achievements to management. + Partner with Medicare Risk Adjustment (MRA) and vendors to establish data feeds for STARs ... and nonstandard supplemental data audit with NCQA and DTS auditor . **Use your skills to make an impact** **Required...PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training… more
    Humana (11/26/25)
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