• Certified Risk Adjustment Coding /Audit…

    Redeemer Health Home Care & Hospice (Huntingdon Valley, PA)
    …terminology necessary to correctly code diagnoses. The Certified Risk Adjustment Coding /Audit Specialist analyzes and translates concurrent, prospective and ... We invite you to apply today. SUMMARY OF JOB The Certified Risk Adjustment Coding /Audit Reviewer is a physician facing position and must have extensive knowledge in… more
    Redeemer Health Home Care & Hospice (08/13/25)
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  • Analyst, Coding Data Quality Auditor

    CVS Health (PA)
    …HCC ) required. + CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist -Physician) and CRC (Certified Risk Adjustment Coder) required ... proficiency in the following: + Proven ability to support coding judgment and decisions using industry standard evidence and...written or verbal forms including communication with clinical or coding staff, federal regulators and vendor coding … more
    CVS Health (10/02/25)
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  • Manager, Risk Adjustment Coding Support

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

    CenterWell (Harrisburg, PA)
    …the list below: * CPC - Certified Professional Coder (AAPC) * CCS - Certified Coding Specialist (AHIMA) * CCS-P - Certified Coding Specialist -Physician ... tools (ie, spreadsheets) that have been created based on the CMS- HCC model and established coding guidelines + Prepares written summaries of audit findings +… more
    CenterWell (10/01/25)
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  • Coding Data Quality Auditor

    CVS Health (Harrisburg, PA)
    …, and/or auditing. + CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist -Physician) required. + CRC (Certified Risk Adjustment Coder) + ... regulations and internal policies and procedures. + Proven ability to support coding judgment and decisions using industry standard evidence and tools. + Proficient… more
    CVS Health (09/27/25)
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  • Quality Senior Analyst

    CVS Health (PA)
    …5 years for CPC. + CPC (Certified Professional Coder) **or** CCS-P (Certified Coding Specialist -Physician) and CRC (Certified Risk Adjustment Coder) required. + ... highlighting findings, recommendations, and areas of concern to be delivered to coding resources. + Adhere to stringent timelines consistent with project deadlines… more
    CVS Health (09/30/25)
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