• Compliance Auditing Specialist-…

    WMCHealth (Valhalla, NY)
    …activities. Monitors and reports key performance indicators relative to clinical documentation and HCC coding . . Documents and maintains records of all query, ... Compliance Auditing Specialist- Remote/Hybrid available Company: NorthEast Provider Solutions...competencies in clinical documentation improvement and ICD, CPT and HCC coding through continuing education. Assists with… more
    WMCHealth (04/09/25)
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  • Risk Adjustment Coding Specialist-Excellus…

    Trinity Health (Syracuse, NY)
    …if needed. Auditing Experience Posting POSITION PURPOSE: The Risk Adjustment Coding Specialist works in a team environment and is responsible for reviewing ... clinical documentation and coding using HCC (Hierarchical Condition Category) and...Additional Department specific job functions: . Participation in Quality Auditing of St. Josephs Health providers and department RA… more
    Trinity Health (06/27/25)
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  • Risk Adjustment Coding Coordinator I/II

    Excellus BlueCross BlueShield (Buffalo, NY)
    …ICD-9-CM/ICD-10-CM coding , Medicare Advantage and Commercial Hierarchical Condition Category ( HCC ) coding , and Medicaid Clinical Risk Groups (CRGs) to ensure ... coding validation, monitoring plan specifications, Hierarchical Condition Category ( HCC ) assignment accuracy and Risk Adjustment Validation Audits (RADV). *… more
    Excellus BlueCross BlueShield (05/20/25)
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