• HCC Risk Adjustment Coder - Full…

    Datavant (Harrisburg, PA)
    …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 (08/26/25)
    - Related Jobs
  • Auditor, HCC Risk Adjustment Coding - Full…

    Datavant (Harrisburg, PA)
    …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)
    - Related Jobs
  • Coder (medical coding)

    Geisinger (Danville, PA)
    …for reimbursement. A joint effort between the healthcare provider and the coder is essential to achieve complete and accurate documentation, code assignment, and ... in decision making relevant to physician coding education and HCC targeting purposes. + Provides encoder software and EMR...perform the job. This posting reflects an opening for Coder I and we are seeking candidates for that… more
    Geisinger (09/30/25)
    - Related Jobs
  • Quality Coding and Documentation Educator I,…

    Geisinger (Danville, PA)
    …coding. + Assists in decision making relevant to physician coding education and HCC targeting purposes. + Works one-on-one with physicians as needed to clarify ... requirements: Level I Coding Diploma/Degree Level II Certified Professional Coder (AAPC) Level III and IV Certified Professional ...Coder (AAPC) Level III and IV Certified Professional Coder (AAPC) and Certified Risk Adjustment Coder more
    Geisinger (09/24/25)
    - Related Jobs
  • Quality Senior Analyst

    CVS Health (PA)
    …Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories ( HCC ) required. + Completion of AAPC/AHIMA training program for core ... equal to approximately 5 years for CPC. + CPC (Certified Professional Coder ) **or** CCS-P (Certified Coding Specialist-Physician) and CRC (Certified Risk Adjustment … more
    CVS Health (09/30/25)
    - Related Jobs
  • Certified Risk Adjustment Coding/Audit Specialist

    Redeemer Health Home Care & Hospice (Huntingdon Valley, PA)
    …Risk Adjustment (MRA) ICD - 10 codes and Hierarchical Condition Categories ( HCC 's) Completes assignments with an emphasis on completeness, accuracy, and supporting ... and in the services we provide. RECRUITMENT REQUIREMENTS High School Graduate. Certified coder CPC or CCS-P, and AAPC CRC certification. 2+ years coding, Medicare… more
    Redeemer Health Home Care & Hospice (08/13/25)
    - Related Jobs
  • Facility Coding Inpatient DRG Quality

    Banner Health (PA)
    …to allow for monitoring and evaluation of trends in DRG (MS/APR-DRG), APC, HCC , other Heath Risk Adjusted Factors, National Correct Coding Initiative (NCCI) and the ... required. Requires Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC) or Certified Professional Coder (CPC)...Certified Inpatient Coder (CIC) or Certified Professional Coder (CPC) or Certified Outpatient Coder (COC)… more
    Banner Health (09/06/25)
    - Related Jobs
  • Coding Data Quality Auditor

    CVS Health (Harrisburg, PA)
    …review, diagnosis coding, and/or auditing. + CPC (Certified Professional Coder ) or CCS-P (Certified Coding Specialist-Physician) required. + CRC (Certified ... Risk Adjustment Coder ) + Computer proficiency including experience with Microsoft Office...and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories ( HCC ) preferred. **Education** + AA/AS or equivalent experience +… more
    CVS Health (09/27/25)
    - Related Jobs
  • Medical Coding Auditor

    CenterWell (Harrisburg, PA)
    …electronic tools (ie, spreadsheets) that have been created based on the CMS- HCC model and established coding guidelines + Prepares written summaries of audit ... from AAPC or AHIMA from the list below: * CPC - Certified Professional Coder (AAPC) * CCS - Certified Coding Specialist (AHIMA) * CCS-P - Certified Coding… more
    CenterWell (10/01/25)
    - Related Jobs
  • Manager, Risk Adjustment Coding Support

    Evolent (Harrisburg, PA)
    …of work experience. + **Certification in medical coding (CRC- Certified Risk Adjustment Coder ) or demonstrated ability.** + 5+ years of experience in Risk Adjustment ... standards and regulations in healthcare coding, specifically Risk Adjustment and all HCC models to ensure compliance with attention to detail to ensure accuracy… more
    Evolent (09/23/25)
    - Related Jobs