• HCC Risk Adjustment Coder - Full…

    Datavant (Tallahassee, FL)
    …our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using ... Review, analyze, and code diagnostic information in a patient's medical record based on client specific guidelines for the...CIC, or CRC). + A minimum of 2 years HCC coding experience, while certified. + Full… more
    Datavant (08/01/25)
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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 rebuttal through the process if they agree the coder 's initial coding was correct. + Answers...+ Extensive knowledge of ICD -10 + 2 years' HCC coding experience + 1+ years' Team… more
    Datavant (08/08/25)
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  • Auditor, HCC Risk Adjustment Coding

    Datavant (Tallahassee, FL)
    …to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder , you will review medical records to identify and code diagnoses using a ... bring to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years...Medicare, commercial, and Medicaid sectors. + In-depth knowledge of medical terminology, abbreviations, pharmacology, and disease processes. + Ability… more
    Datavant (08/08/25)
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  • Physician Office Medical Coder

    Florida Health Care Plans, Inc. (Daytona Beach, FL)
    POSITION SUMMARY: The Physician Office Medical Coder /Biller (POMB) conducts a documentation review of electronic records that are prepared by clinicians to ... will support the physician and mid-level providers to capture HCC codes within the clinical visit. The POMB will...Medical Biller, POMB, test prior to employment. + Must keep current with coding changes related to the… more
    Florida Health Care Plans, Inc. (07/20/25)
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  • Certified Coder - REMOTE

    Molina Healthcare (St. Petersburg, FL)
    …education and experience **Required License, Certification, Association** + Certified Professional Coder (CPC) + Certified Coding Specialist (CCS) **Preferred ... improve their risk adjustment knowledge as well as provide coding updates related to Risk Adjustment + Builds positive...such as planning, scheduling of chart reviews, obtaining of medical records, and provider training and education + Assists… more
    Molina Healthcare (07/31/25)
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  • Facility Coding Inpatient DRG Quality

    Banner Health (FL)
    …you. **Requirements:** + **5 years recent experience in acute-care Inpatient facility-based medical coding (clearly reflected in your attached resume);** + **DRG ... HCC , other Heath Risk Adjusted Factors, National Correct Coding Initiative (NCCI) and the effect on Case Mix...progressively responsible coding experience required. Requires Certified Coding Specialist (CCS) or Certified Inpatient Coder more
    Banner Health (06/15/25)
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  • Quality Coding & Documentation Specialist

    AdventHealth (Altamonte Springs, FL)
    …This will include compliant documentation to support Hierarchical Conditions Categories ( HCC ), ICD-10, medical necessity, and the appropriate Risk Adjustment ... patients is accurately depicted. This includes compliant documentation supporting HCC or capturing them, ICD-10, and medical ...and treatment + Knowledge of value-based care + Certified Coder -AHIMA or AAPC or Certified Medical Assistant… more
    AdventHealth (08/07/25)
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  • Coding Data Quality Auditor

    CVS Health (Tallahassee, FL)
    …Qualifications** + Minimum of 1 year recent and related experience in medical record documentation review, diagnosis coding , and/or auditing. + Completion ... to approximately 1-2 years for CPC. + CPC (Certified Professional Coder ) or CCS-P (Certified Coding Specialist-Physician) required. **Preferred Qualifications**… more
    CVS Health (08/09/25)
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  • Quality Senior Analyst

    CVS Health (Tallahassee, FL)
    …CCS-P (Certified Coding Specialist-Physician) and CRC (Certified Risk Adjustment Coder ) required. + CPMA (Certified Professional Medical Auditor) **or** CDEO ... or CCS-P (Certified Coding Specialist-Physician) and CRC (Certified Risk Adjustment Coder ) required. + CPMA (Certified Professional Medical Auditor) OR CDEO… more
    CVS Health (08/08/25)
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  • Clinical Quality Consultant NP 100% Virtual,…

    Elevance Health (Miami, FL)
    …documentation, coding and care. will review all provider visit medical encounters and apply most appropriate diagnosis codes. + Overall accountability for ... the HCC /Risk Adjustment of goals and workflows to support value...coding team. + Participate in peer review of medical documentation for completed visit notes and patient profile… more
    Elevance Health (08/08/25)
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