• Certified Coder (Outpatient/…

    Molina Healthcare (MI)
    …with Risk Adjustment Data Validation **Preferred License, Certification, Association** + Certified Risk Adjustment Coder - (CRC) + Certified ... to network of providers on how to improve their risk adjustment knowledge as well as provide...of education and experience **Required License, Certification, Association** + Certified Professional Coder (CPC) + Certified more
    Molina Healthcare (07/31/25)
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  • Director, Risk Adjustment

    Corewell Health (Grand Rapids, MI)
    …least one License and/or Certification in area of specialty - UNKNOWN Unknown CRC, AAPC Certified Risk Adjustment Coder preferred Physical Demands + ... Job Summary The Director Risk Adjustment Prospective Operations & ...State Other than Michigan Upon Hire required + CRT-Professional Coder - AAPC American Academy of Professional Coders 180… more
    Corewell Health (07/21/25)
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  • Quality Senior Analyst

    CVS Health (Lansing, MI)
    … Professional Coder ) **or** CCS-P ( Certified Coding Specialist-Physician) and CRC ( Certified Risk Adjustment Coder ) required. + CPMA ( ... the Centers of Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical… more
    CVS Health (08/08/25)
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  • HCC Risk Adjustment Coder

    Datavant (Lansing, MI)
    …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and...**What you will bring to the table:** + AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified more
    Datavant (08/01/25)
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  • Coding Team Lead, HCC Risk

    Datavant (Lansing, MI)
    …of the coding team. + Reviews rebuttals submitted by coders. Provides education to the coder if the error is correct or sends the rebuttal through the process if ... they agree the coder 's initial coding was correct. + Answers coding questions...**What you will bring to the table:** + AHIMA certified credentials (CCS, CCS-P) or AAPC certified more
    Datavant (08/08/25)
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  • Auditor, HCC Risk Adjustment Coding…

    Datavant (Lansing, MI)
    …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 ... standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will...+ High school diploma or GED equivalent + AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified more
    Datavant (08/08/25)
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  • Coding Data Quality Auditor

    CVS Health (Lansing, MI)
    …the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical ... equal to approximately 1-2 years for CPC. + CPC ( Certified Professional Coder ) or CCS-P ( Certified...codes. + Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories… more
    CVS Health (08/09/25)
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  • Senior Coding Educator

    Humana (Lansing, MI)
    …Degree + Previous experience in Medicare Advantage or Value-Based Care + AAPC CRC ( Certified Risk Adjustment ) Certification + AAPC CDEO ( Certified ... + High school diploma or equivalent + Must hold AAPC CPC ( Certified Professional Coder ) certification + 2 years or more experience with ICD-10 CM guidelines… more
    Humana (08/08/25)
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