• Risk Adjustment Coding Specialist…

    Trinity Health (Albany, NY)
    …Centers for Medicare and Medicaid Services (CMS). **SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:** **. Certified Risk Adjustment Coder (CRC) required** . ... Partners' confidentiality requirements as they relate to patient information. What a Certified Risk Adjustment Coding Specialist will do: . Review and… more
    Trinity Health (12/12/25)
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  • HCC Risk Adjustment Coder

    Datavant (Albany, NY)
    …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 (12/27/25)
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  • Network Practice Coder /Auditor

    WMCHealth (Valhalla, NY)
    …a large multispecialty practice setting, including surgical speacialties is required. HCC Risk adjustment Coding esperience is preferred. Education: High school ... Coding Specialist-Physician Based (CCS-P) through AHIMA, or as a Certified Professional Coder (CPC) through the American Academy of Professional Coders. Other:… more
    WMCHealth (11/01/25)
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  • Coding Team Lead, HCC Risk

    Datavant (Albany, NY)
    …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 (12/10/25)
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  • Hierarchical Condition Category (HCC) Coding…

    Highmark Health (Albany, NY)
    …**Required** (any of the following) + Certified Professional Coder (CPC) + Certified Risk Coder (CRC) + Certified Coding Specialist (CCS) + ... anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits. Works closely with… more
    Highmark Health (12/19/25)
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  • Senior Coding Educator

    Humana (Albany, NY)
    …with public speaking and presentation skills **Preferred Qualifications** + Bachelor's degree + Certified Risk Coder (CRC) + Experience interacting with ... Coding Educator is responsible for creating and executing the risk adjustment strategy for each provider groups....to make an impact** **Required Qualifications** + AAPC CPC ( Certified Professional Coder ) Certification + 2 or… more
    Humana (12/23/25)
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  • Compliance Auditing Specialist- Remote/Hybrid…

    WMCHealth (Valhalla, NY)
    …to HCC coding in the ambulatory setting with one or more of the following credentials: Certified Risk Coder (CRC), Certified Professional Coder ... Applicant link Job Details: Job Summary: Serves as an internal expert on Risk Adjustment and Hierarchical Conditions Categories (HCC) coding. Specific duties… more
    WMCHealth (12/12/25)
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  • Coding Data Quality Auditor

    CVS Health (Albany, NY)
    …the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical ... in medical record documentation review, diagnosis coding, and/or auditing. + CPC ( Certified Professional Coder ) or CCS-P ( Certified Coding… more
    CVS Health (12/27/25)
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