• Coding Auditor & Educator

    WelbeHealth (Columbus, OH)
    …+ Work closely with Coding Supervisor in identifying opportunities for HCC coding education **Job Requirements:** + Associates Degree preferred; ... post-visit chart reviews + Oversee audits and participate in provider education programs to ensure compliance with...+ Minimum of two (2) years of Risk Adjustment ( HCC ) coding experience in a managed care… more
    WelbeHealth (09/19/25)
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  • Auditor, HCC Risk Adjustment Coding…

    Datavant (Columbus, OH)
    …reflect the complexity and severity of a patient's health stats, **You will:** + Provide education through detailed feedback within audits. + Provide coders' ... by management. **What you will bring to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of HCC Auditing experience + High school… more
    Datavant (08/08/25)
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  • Supervisor, HCC Risk Adjustment…

    Datavant (Columbus, OH)
    …on a daily basis, including education on time management and best coding practices. + Provide coaching and feedback on achieving production and quality ... standards of the role. + Report trends for education opportunities to management for review and/or action. +...experience managing a team of employees. + Familiarity with HCC coding . + A strong knowledge base… more
    Datavant (09/20/25)
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  • Manager, Risk Adjustment Coding Support

    Evolent (Columbus, OH)
    …physiology, and medical terminology. + Experience with developing and delivering provider education specific to the clinical documentation requirements for ... correct coding and clinical documentation requirements. + Develop and provide ongoing training and support to health care providers on clinical documentation… more
    Evolent (09/23/25)
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  • Profee Coding Consultant - Full Time…

    Datavant (Columbus, OH)
    …outcomes in both hospitals and alternative care settings. Candidates with Profee and HCC coding experience are strongly encouraged to apply! **What You Will ... bold vision for healthcare. **What We're Looking For:** The Provider Practice Coding Consultant role is an...make a significant impact in the field of medical coding . You will provide essential consulting services… more
    Datavant (09/26/25)
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  • Facility Coding Inpatient DRG Quality

    Banner Health (OH)
    …Collaborates on DRG and coding denials, billing edits/rejections to provide coding expertise to resolve issues and support appropriate reimbursement. ... findings for use as a basis for development of coding education and audit plans. 6. Maintains...limited supervision. Uses an expert level of knowledge to provide coding and billing guidance and oversight… more
    Banner Health (09/06/25)
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  • Medical Coding Auditor

    CenterWell (Columbus, OH)
    …Utilizes electronic tools (ie, spreadsheets) that have been created based on the CMS- HCC model and established coding guidelines + Prepares written summaries of ... community and help us put health first** The Medical Coding Auditor extracts clinical information from a variety of...audit findings + Presents verbal audit feedback and provides education upon completion of the medical record audit +… more
    CenterWell (10/01/25)
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  • Coding Data Quality Auditor

    CVS Health (Columbus, OH)
    …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 (09/27/25)
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  • Clinical Compliance Medical Director

    Elevance Health (Columbus, OH)
    …Medical Director** is responsible for providing clinical guidance related to the company's coding guidelines, provider coding audits, and participates in ... medical record documentation. + Provides clinical guidance regarding coding guidelines and develops provider educational material....5 years of clinical experience; or any combination of education and experience, which would provide an… more
    Elevance Health (09/24/25)
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  • Clinical Documentation and Claims Integrity…

    Elevance Health (Mason, OH)
    …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)
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