• Coding Educator

    Humana (Greenville, SC)
    …Carolina, North Carolina or Georgia **Preferred Qualifications** + Bachelor's Degree + CRC - Certified Risk Adjustment Coder + Experience interacting ... an impact** **Required Qualifications** + AHIMA or AAPC CPC ( Certified Professional Coder ) Certification + 3 or...public speaking and/or presentation skills with healthcare providers + Risk Adjustment knowledge + Familiar with coding… more
    Humana (12/24/25)
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  • HCC Risk Adjustment Coder

    Datavant (Columbia, SC)
    …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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  • Coding Team Lead, HCC Risk

    Datavant (Columbia, SC)
    …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 (Columbia, SC)
    …**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 (Columbia, SC)
    …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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  • Coding Data Quality Auditor

    CVS Health (Columbia, SC)
    …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 (12/28/25)
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