• Manager, Risk Adjustment Coding…

    Evolent (St. Paul, MN)
    …equivelent years of work experience. + **Certification in medical coding (CRC- Certified Risk Adjustment Coder ) or demonstrated ability.** + 5+ years of ... a crucial role in ensuring accurate medical coding and compliance with risk adjustment models. **What You will Be Doing:** + Hires and oversees the initial… more
    Evolent (09/23/25)
    - Related Jobs

  • HCC Risk Adjustment Coder…

    Datavant (St. Paul, MN)
    …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 (08/26/25)
    - Related Jobs

  • Risk Adjustment QA Consultant

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …a focus on Medicare Advantage and ACA risk adjustment . * Certified Risk Adjustment Coder (CRC) certification * In-depth knowledge of ACA & Medicare ... Blue Cross and Blue Shield of Minnesota Position Title: Risk Adjustment QA Consultant Location: Hybrid |...CMS RADV audits, including retrieval and coding of targeted medical records. * Design and implement QA programs to… more
    Blue Cross and Blue Shield of Minnesota (09/10/25)
    - Related Jobs

  • Clinical Documentation Improvement Specialist…

    Bluestone Physician Services (Stillwater, MN)
    …+ Bachelor's degree in Health Information Management, Nursing, or related field. + Certified Risk Adjustment Coder (CRC) certification, Risk ... thorough patient chart reviews to identify opportunities for providers to capture risk adjustment diagnostic codes accurately. The successful candidate will play… more
    Bluestone Physician Services (09/07/25)
    - Related Jobs

  • Quality & Risk Adjustment Provider…

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …or leadership-facing experience * Knowledge of Health Care Quality measures * Certified Risk Adjustment Coder (CRC via AAPC) or Certified Professional ... and Blue Shield of Minnesota Position Title: Quality & Risk Adjustment Provider Consultant Location: Hybrid |...offer a comprehensive benefits package which may include: * Medical , dental, and vision insurance * Life insurance *… more
    Blue Cross and Blue Shield of Minnesota (09/30/25)
    - Related Jobs

  • Auditor, HCC Risk Adjustment Coding…

    Datavant (St. Paul, MN)
    …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)
    - Related Jobs

  • Lead - CDI Specialist

    Mayo Clinic (Rochester, MN)
    …AHIMA certification OR Certified Inpatient Coder (CIC) AAPC certification Certified Risk Adjustment Coder (CRC) AAPC certification **Exemption Status** ... CDI!** Join our team to train providers on documentation best practices and risk adjustment , deliver tailored education, and develop engaging content across Mayo… more
    Mayo Clinic (09/05/25)
    - Related Jobs

  • Coding Data Quality Auditor

    CVS Health (St. Paul, MN)
    … Coder ) or CCS-P (Certified Coding Specialist-Physician) required. + CRC (Certified Risk Adjustment Coder ) + Computer proficiency including experience ... 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 (09/27/25)
    - Related Jobs

  • Medical Coding Auditor

    CenterWell (St. Paul, MN)
    …+ 2 or more years of outpatient coding experience (Preferably in a risk adjustment setting) + Knowledge of various reimbursement methodologies, including ... caring community and help us put health first** The Medical Coding Auditor extracts clinical information from a variety...risk adjustment and fee for service +… more
    CenterWell (10/01/25)
    - Related Jobs

  • Client Coding Project Manager - Full Time - Remote

    Datavant (St. Paul, MN)
    …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 (09/25/25)
    - Related Jobs