• HCC Risk Adjustment Coder PRN…

    Datavant (Sacramento, CA)
    …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to...Review, analyze, and code diagnostic information in a patient's medical record based on client specific guidelines for the… more
    Datavant (03/27/25)
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  • Clinical Documentation Integrity Specialist…

    UCLA Health (Los Angeles, CA)
    …certification or Certified Coding Specialist (CCS) certification, required + A Certified Risk Adjustment Coder (CRC), required + Reliable transportation ... As the Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment , you will be an expert...associated with the health plan. You will: + Conduct medical record audits for physicians (MD, DO, or NP)… more
    UCLA Health (02/19/25)
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  • IPA Coding Associate Director

    CenterWell (Sacramento, CA)
    …entities within the Primary Care Organization. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible for driving ongoing ... Responsible for performance management and strategy development for PCO risk adjustment at the division and market...identify and influence enhancements to technology to improve the medical coder experience. + Oversees coding operations… more
    CenterWell (04/24/25)
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  • Coding Auditor SAMF Admin CBO Full Time

    Trinity Health (Fresno, CA)
    …HCC and other Risk Adjustment capture with provider and coder education. Conducts ongoing reviews of patient medical record documentation and procedural ... Type:** Full time **Shift:** Day Shift **Description:** Reporting to the Manager Medical Group Revenue Cycle Site Operations, Fresno, this position is responsible… more
    Trinity Health (05/03/25)
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  • Senior Director, Revenue Cycle

    Scripps Health (San Diego, CA)
    …Categories (HCCs) for accuracy and compliance as relates to Outpatient CDI. Monitors Risk Adjustment Factor (RAF) Scores. * Directs instructions and education ... other relevant industry standard guidelines. * Provides input to coding and medical record documentation guidelines to assure compatibility and compliance with all… more
    Scripps Health (04/07/25)
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