• HCC Risk Adjustment Coder - Full…

    Datavant (Albany, NY)
    …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 (Albany, NY)
    …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 (Albany, NY)
    …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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  • Senior Professional Coder

    Albany Medical Center (Albany, NY)
    …Day (United States of America) Salary Range: $60,367.47 - $90,551.20 The Senior Professional Coder will apply an advanced professional coding skill set to act as ... coding staff. Act as an expert for the HCC /Risk adjustment coding . This position is remote...professional fee billing integrity reviews/audits for AMHS, including reviewing medical record documentation and coding to assess… more
    Albany Medical Center (07/30/25)
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  • Certified Coder - REMOTE

    Molina Healthcare (Buffalo, NY)
    …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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  • Risk Adjustment Coding Coordinator I/II

    Excellus BlueCross BlueShield (Rochester, NY)
    …experience, one (1) of which includes Hierarchical Condition Category ( HCC ) coding . * Advanced knowledge of medical terminology, abbreviations, anatomy and ... responsible for various aspects of decision-making and implementation of medical coding reviews and coding ...coding , Medicare Advantage and Commercial Hierarchical Condition Category ( HCC ) coding , and Medicaid Clinical Risk Groups… more
    Excellus BlueCross BlueShield (08/08/25)
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  • Risk Adjustment Coding Specialist -St.…

    Trinity Health (Albany, NY)
    …payers. . Demonstrate a solid understanding of ICD-10-CM coding and medical terminology, Hierarchical Condition Category ( HCC ), and MEAT standards. . ... a team environment and is responsible for reviewing clinical documentation and coding using HCC (Hierarchical Condition Category) and MEAT (Monitored,… more
    Trinity Health (07/31/25)
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  • Coding Data Quality Auditor

    CVS Health (Albany, NY)
    …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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  • Compliance Auditing Specialist- Remote/Hybrid…

    WMCHealth (Valhalla, NY)
    …activities. Monitors and reports key performance indicators relative to clinical documentation and HCC coding . . Documents and maintains records of all query, ... Maintains current competencies in clinical documentation improvement and ICD, CPT and HCC coding through continuing education. Assists with compliance audits and… more
    WMCHealth (07/09/25)
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  • Risk Adjustment Auditor Educator Fully Remote

    Trinity Health (Syracuse, NY)
    …and REQUIRED CERTIFICATION, EDUCATION, LICENSURE AND EXPERIENCE INCLUDES:** + Risk Adjustment Coding - Certified Risk Adjustment Coder (CRC) required and + ... Risk Adjustment Auditor Educator is responsible for ensuring accurate coding and documentation in alignment with risk adjustment models,...Auditing - Certified Auditor Certified Professional Medical Auditor (CPMA) required and + Education - 5+… more
    Trinity Health (07/18/25)
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