• HCC Risk Adjustment

    Datavant (Tallahassee, FL)
    …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... experiences to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code… more
    Datavant (08/01/25)
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  • Auditor, HCC Risk Adjustment

    Datavant (Tallahassee, FL)
    …educational and life experiences to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder , you will review medical records ... standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will...bring to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of … more
    Datavant (08/08/25)
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  • Profee Medical Coder General Medicine…

    Banner Health (FL)
    …of Multi-Specialty - General Medicine (some HCC ) Coding experience** with Certified Risk Adjustment Coder (CRC) certification in an active status, and ... Practice Coding Team** is looking for an **experienced Medical Coder with General Medicine: Multi-Specialty experience.** This is a...the above requirements? Check out some of our other Coder positions!_ The hours are flexible with the ability… more
    Banner Health (08/08/25)
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  • Coding Team Lead, HCC Risk

    Datavant (Tallahassee, FL)
    …to realize our bold vision for healthcare. We're looking for experienced and credentialed HCC Coding Team Leads to become an integral part of our team. The ideal ... Reviews rebuttals submitted by coders. Provides education to the coder if the error is correct or sends the...+ Extensive knowledge of ICD -10 + 2 years' HCC coding experience + 1+ years' Team Lead experience… more
    Datavant (08/08/25)
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  • Certified Coder - REMOTE

    Molina Healthcare (St. Petersburg, FL)
    Adjustment Data Validation **Preferred License, Certification, Association** + Certified Risk Adjustment Coder - (CRC) + Certified Professional Payer ... Education** Bachelor's Degree in related field **Preferred Experience** + Familiar with HCC (Hierarchical Condition Categories) Risk Adjustment Model +… more
    Molina Healthcare (07/31/25)
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  • Physician Office Medical Coder /Biller II

    Florida Health Care Plans, Inc. (Daytona Beach, FL)
    …communication. + Experience with Electronic Health Record preferred. + Understanding Risk Adjustment coding and supportive documentation preferred. + Ability ... POSITION SUMMARY: The Physician Office Medical Coder /Biller (POMB) conducts a documentation review of electronic...will support the physician and mid-level providers to capture HCC codes within the clinical visit. The POMB will… more
    Florida Health Care Plans, Inc. (07/20/25)
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  • Quality Senior Analyst

    CVS Health (Tallahassee, FL)
    Coder ) **or** CCS-P (Certified Coding Specialist-Physician) and CRC (Certified Risk Adjustment Coder ) required. + CPMA (Certified Professional ... + Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories ( HCC ) required. + Completion… more
    CVS Health (08/08/25)
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  • Clinical Quality Consultant NP 100% Virtual,…

    Elevance Health (Miami, FL)
    …in applicable state(s)** . **Preferred Skills, Capabilities and Experiences:** + **AAPC Certified Risk Adjustment Coder preferred.** + Expert level knowledge ... encounters and apply most appropriate diagnosis codes. + Overall accountability for the HCC / Risk Adjustment of goals and workflows to support value capture… more
    Elevance Health (08/08/25)
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  • Quality Coding & Documentation Specialist

    AdventHealth (Altamonte Springs, FL)
    …Hierarchical Conditions Categories ( HCC ), ICD-10, medical necessity, and the appropriate Risk Adjustment Factor. Working with the Quality Team is not only ... patients is accurately depicted. This includes compliant documentation supporting HCC or capturing them, ICD-10, and medical necessity. +...the quality of clinical documentation, use of HCCs and Risk Adjustment of patients. **The expertise and… more
    AdventHealth (08/07/25)
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  • Coding Data Quality Auditor

    CVS Health (Tallahassee, FL)
    …+ Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories ( HCC ) preferred. **Education** + ... the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical… more
    CVS Health (08/09/25)
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