• Manager, Risk Adjustment Coding Support

    Evolent (Harrisburg, PA)
    …efficiently. + Compliance knowledge, understanding industry standards and regulations in healthcare coding , specifically Risk Adjustment and all HCC models to ... Stay for the culture. **What You'll Be Doing:** **Manager, Coding Support Specialist** Evolent Care Partners is seeking a...Specialist** Evolent Care Partners is seeking a Risk Adjustment Coding Support Manager to be a core member of… more
    Evolent (09/23/25)
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  • Facility Coding Inpatient DRG Quality

    Banner Health (PA)
    …DRG (MS/APR-DRG), APC, HCC , other Heath Risk Adjusted Factors, National Correct Coding Initiative (NCCI) and the effect on Case Mix Index by use of specialized ... **Department Name:** Coding -Acute Care Compl & Educ **Work Shift:** Day...to work and receive care. Interested in joining our Coding team? We have great opportunities, whether you're looking… more
    Banner Health (09/06/25)
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  • Coding Data Quality Auditor

    CVS Health (Harrisburg, PA)
    …regulations and internal policies and procedures. + Proven ability to support coding judgment and decisions using industry standard evidence and tools. + Proficient ... providers in the office and/or facility setting. + Sound knowledge of coding guidelines and regulations to meet compliance requirements, such as establishing medical… more
    CVS Health (09/27/25)
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  • Quality Senior Analyst

    CVS Health (PA)
    …highlighting findings, recommendations, and areas of concern to be delivered to coding resources. + Adhere to stringent timelines consistent with project deadlines ... to vendors, providers and other team members for questions regarding ICD coding and documentation requirements. + Comprehensive knowledge of coding guidelines… more
    CVS Health (09/30/25)
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  • Director, Prospective + Concurrent Risk Adjustment…

    Datavant (Harrisburg, PA)
    …healthcare technology solutions. + Solid understanding of clinical suspecting, concurrent coding workflows, risk adjustment models (eg, CMS- HCC , HHS- HCC ... and acting on undiagnosed conditions (prospective suspecting) and ensuring risk adjustment coding accuracy in near real-time (concurrent review). You will manage a… more
    Datavant (08/08/25)
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  • Physician Educator HPL- Remote- Allegheny County

    UPMC (Pittsburgh, PA)
    …Plan has an exciting opportunity for a Physician Educator position in the HCC Risk Adjustment Department. This is a full-time position working Monday through Friday ... for participating providers to address issues, questions and learning needs related to coding and documentation in the medical record and the various risk adjustment… more
    UPMC (09/26/25)
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  • Director of Client Success, Payer Risk Adjustment

    Datavant (Harrisburg, PA)
    …aligned with departmental needs and organizational goals. + Partner with the coding operations, coding quality, data integration, product, and engineering teams ... strategic mindset and a focus on continuous improvement. + Familiarity with CMS HCC risk adjustment processes preferred \#LI-BC1 We are committed to building a… more
    Datavant (07/18/25)
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