• Manager, Risk Adjustment Coding…

    Evolent (Columbus, OH)
    …field or equivelent years of work experience. + **Certification in medical coding (CRC- Certified Risk Adjustment Coder ) or demonstrated ability.** + ... Be Doing:** **Manager, Coding Support Specialist** Evolent Care Partners is seeking a Risk Adjustment Coding Support Manager to be a core member of the Risk… more
    Evolent (09/23/25)
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  • Quality Senior Analyst

    CVS Health (OH)
    … 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 (09/30/25)
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  • Coding Data Quality Auditor

    CVS Health (Columbus, OH)
    … Coder ) or CCS-P ( Certified Coding Specialist-Physician) required. + CRC ( Certified Risk Adjustment Coder ) + Computer proficiency including ... for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in… more
    CVS Health (09/27/25)
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  • Clinical Compliance Medical Director

    Elevance Health (Columbus, OH)
    …expertise representing MA plans in regulatory, compliance, and legal matters strongly preferred. + Certified Risk Adjustment Coder (CRC) or similar ... Capabilities and Experiences:** + Deep understanding of CMS-HCC and/or HHS-HCC risk adjustment methodologies strongly preferred. + Experience partnering with… more
    Elevance Health (09/24/25)
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  • HCC Risk Adjustment Coder…

    Datavant (Columbus, OH)
    …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 (08/26/25)
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  • Auditor, HCC Risk Adjustment Coding…

    Datavant (Columbus, OH)
    …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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