• Risk Adjustment Analyst - Mount Sinai Health…

    Mount Sinai Health System (New York, NY)
    …? Minimum of 3 years coding experience ? At least 2 years of HCC Risk Adjustment experience, preferred ? Clinical background in a healthcare setting, preferred ? ... ofICD-10-CM and CPT coding books ? Familiarity and understanding of CMS HCC Risk Adjustment coding and data validation requirements ? Experience with Microsoft… more
    Mount Sinai Health System (06/21/25)
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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 (04/09/25)
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  • Risk Adjustment Coding Specialist-Excellus Fully…

    Trinity Health (Syracuse, NY)
    …responsible for reviewing clinical documentation and coding using HCC (Hierarchical Condition Category) and MEAT (Monitored, Evaluated/Assessed/Addressed, Treated) ... to the PCP prior to their next visit. . HCC education and training will be conducted per Excellus...SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE: . Certified Risk Adjustment Coder (CRC) required . Excellent verbal and written communication… more
    Trinity Health (06/27/25)
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  • Risk Adjustment Coding Coordinator I/II

    Excellus BlueCross BlueShield (Buffalo, 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 (05/20/25)
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