• Coding Data Quality Auditor

    CVS Health (Tallahassee, FL)
    …and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories ( HCC ) preferred. ** Education ** + AA/AS or equivalent experience + ... **Position Summary** Responsible for performing audit and abstraction of medical records ( provider and/or vendor) to identify and submit ICD codes that are submitted… more
    CVS Health (09/26/25)
    - Related Jobs

  • Clinical Documentation and Claims Integrity…

    Elevance Health (Tampa, FL)
    …and a minimum of 5 years of related experience, including 3 years of hands-on HCC coding , chart review, and RAF calculations; or any combination of education ... and claims integrity. This leader brings proven experience in payer and provider risk adjustment initiatives and possesses a deep understanding of end-to-end claims… more
    Elevance Health (09/24/25)
    - Related Jobs

  • Associate Operations Director, Clinic/Center…

    CenterWell (Daytona Beach, FL)
    …and more. + Monitor and manage data analytics, scorecards, cost & utilizations, HCC coding , and NPS Scores, focusing on patient satisfaction and performance ... outcomes collaboratively. + Focus on utilization management and review provider schedules to meet patient access goals, with biannual...Please be aware that applicants may be asked to provide their Social Security Number, if it is not… more
    CenterWell (09/23/25)
    - Related Jobs