• HCC Risk Adjustment Coder - Full…

    Datavant (Albany, NY)
    …educational and life experiences to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to ... on client specific guidelines for the project. + The coder will ensure compliance with established ICD-10 CM, third...CIC, or CRC). + A minimum of 2 years HCC coding experience, while certified. + Full understanding and… more
    Datavant (08/01/25)
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  • Auditor, HCC Risk Adjustment Coding - Full…

    Datavant (Albany, NY)
    …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 ... you will bring to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of HCC Auditing experience + High school diploma or GED equivalent +… more
    Datavant (08/08/25)
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  • Coding Team Lead, HCC Risk Adjustment…

    Datavant (Albany, NY)
    …to realize our bold vision for healthcare. We're looking for experienced and credentialed HCC Coding Team Leads to become an integral part of our team. The ideal ... Reviews rebuttals submitted by coders. Provides education to the coder if the error is correct or sends the...+ Extensive knowledge of ICD -10 + 2 years' HCC coding experience + 1+ years' Team Lead experience… more
    Datavant (08/08/25)
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  • Senior Professional Coder

    Albany Medical Center (Albany, NY)
    …Day (United States of America) Salary Range: $60,367.47 - $90,551.20 The Senior Professional Coder will apply an advanced professional coding skill set to act as a ... and coding staff. Act as an expert for the HCC /Risk adjustment coding. This position is remote but does...& retrospective auditing) to ensure documentation and selection of HCC diagnosis codes meet the requirements set forth by… more
    Albany Medical Center (07/30/25)
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  • Certified Coder - REMOTE

    Molina Healthcare (Buffalo, NY)
    …and experience **Required License, Certification, Association** + Certified Professional Coder (CPC) + Certified Coding Specialist (CCS) **Preferred Education** ... Bachelor's Degree in related field **Preferred Experience** + Familiar with HCC (Hierarchical Condition Categories) Risk Adjustment Model + Background in supporting… more
    Molina Healthcare (07/31/25)
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  • Compliance Auditing Specialist- Remote/Hybrid…

    WMCHealth (Valhalla, NY)
    …an internal expert on Risk Adjustment and Hierarchical Conditions Categories ( HCC ) coding. Specific duties include performing concurrent and retrospective reviews of ... Monitors and reports key performance indicators relative to clinical documentation and HCC coding. . Documents and maintains records of all query, audit, and… more
    WMCHealth (07/09/25)
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  • Risk Adjustment Coding Coordinator I/II

    Excellus BlueCross BlueShield (Rochester, NY)
    …of ICD-9-CM/ICD-10-CM coding, Medicare Advantage and Commercial Hierarchical Condition Category ( HCC ) coding, and Medicaid Clinical Risk Groups (CRGs) to ensure ... to peer guidance through informal discussion and over read assignments. Supports coder training and orientation as requested by leadership. * Maintains accuracy in… more
    Excellus BlueCross BlueShield (08/08/25)
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  • Risk Adjustment Coding Specialist -St. Peter's…

    Trinity Health (Albany, NY)
    …responsible for reviewing clinical documentation and coding using HCC (Hierarchical Condition Category) and MEAT (Monitored, Evaluated/Assessed/Addressed, Treated) ... (CMS). **SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:** **. Certified Risk Adjustment Coder (CRC) required** . Excellent verbal and written communication skills. .… more
    Trinity Health (07/31/25)
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  • Coding Data Quality Auditor

    CVS Health (Albany, NY)
    …to approximately 1-2 years for CPC. + CPC (Certified Professional Coder ) or CCS-P (Certified Coding Specialist-Physician) required. **Preferred Qualifications** + ... and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories ( HCC ) preferred. **Education** + AA/AS or equivalent experience **Anticipated Weekly… more
    CVS Health (08/09/25)
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  • Risk Adjustment Auditor Educator Fully Remote

    Trinity Health (Syracuse, NY)
    …AND EXPERIENCE INCLUDES:** + Risk Adjustment Coding - Certified Risk Adjustment Coder (CRC) required and + Auditing - Certified Auditor Certified Professional ... gaps via OPA in the EHR to the PCP prior to their next visit. + HCC education and training will be conducted per Excellus payer risk adjustment coding guidelines and… more
    Trinity Health (07/18/25)
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