• Certified Coder (Outpatient/ Risk

    Molina Healthcare (Miami, FL)
    Adjustment Data Validation **Preferred License, Certification, Association** + Certified Risk Adjustment Coder - (CRC) + Certified Professional Payer ... to network of providers on how to improve their risk adjustment knowledge as well as provide...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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  • HCC Risk Adjustment Coder

    Datavant (Tallahassee, FL)
    …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 (08/01/25)
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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 ... communication. + Experience with Electronic Health Record preferred. + Understanding Risk Adjustment coding and supportive documentation preferred. + Ability… more
    Florida Health Care Plans, Inc. (07/20/25)
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  • Coding Team Lead, HCC Risk

    Datavant (Tallahassee, FL)
    …for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to ... Reviews rebuttals submitted by coders. Provides education to the coder if the error is correct or sends the...experience a plus + A strong knowledge base of medical terminology, medical abbreviations, pharmacology and disease… more
    Datavant (08/08/25)
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  • Auditor, HCC Risk Adjustment Coding…

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

    CVS Health (Tallahassee, FL)
    …(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)… more
    CVS Health (08/08/25)
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  • Senior Client Coding Project Manager

    Datavant (Tallahassee, FL)
    …strategic recommendations to help clients understand the shifts and trends happening in the risk adjustment coding space. **What you will bring to the table:** + ... and budget. + Coordinate the development of user manuals, coder training materials, and other documents as needed. +...CCS, CRC, or CPC required. + Previous Medicare Advantage Risk Adjustment , CDI, Medicaid, Commercial RA, and… more
    Datavant (06/28/25)
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  • Client Coding Project Manager - Full Time - Remote

    Datavant (Tallahassee, FL)
    …The individual will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be responsible for ... compliance and accuracy + Monitor the performance of the Risk Adjustment Operations both internally and with...of study preferred or 3-5 years related work experience coder with a minimum of 5 year's coding experience… more
    Datavant (07/26/25)
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  • Coding Data Quality Auditor

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