• HCC Risk Adjustment Coder PRN…

    Datavant (Albany, NY)
    …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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  • Coder - Outpatient

    Rochester Regional Health (Rochester, NY)
    …(CCA), Certified Outpatient Coding (COC), Certified Inpatient Coder (CIC), Certified Risk Adjustment Coder (CRC), Certified Professional Coder -Payer ... Coder (CPC), Certified Professional Coder Hospital Based (CPC-H), Certified Medical Coder (CMC), RHIT/RHIA certification, Radiology Certified Coder … more
    Rochester Regional Health (04/30/25)
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  • Special Investigation Unit Manager Clinical…

    CVS Health (Albany, NY)
    …Professional Biller (CPB), Certified Professional Medical Auditor (CPMA), Certified Outpatient Coder (COC), Certified Risk Adjustment Coder (CRC) ... identifying information resources AAPC Coding certification - Certified Professional Coder (CPC) Strong leadership and team management ability Excellent… more
    CVS Health (04/23/25)
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  • Risk Adjustment Coding Coordinator…

    Excellus BlueCross BlueShield (Buffalo, NY)
    …procedures and business rule tools governing the response to Risk Adjustment Data Validation (RADV) Audits, prospective medical record coding, and ... right for you, we encourage you to apply! Job Description: Summary: The Risk Adjustment Coding Coordinator is responsible for various aspects of decision-making… more
    Excellus BlueCross BlueShield (05/05/25)
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  • Risk Adjustment Coding Specialist…

    CDPHP (Albany, NY)
    …or AAPC CPC certification within one year of employment is required. + CRC (Certified Risk Adjustment Coder ) credential preferred. + Minimum one (1) year of ... you to be a part of that experience. The Risk Adjustment Coding Specialist will be responsible...members. This position will have responsibility for review of medical records to identify accurate ICD-10 diagnosis codes, chart… more
    CDPHP (04/07/25)
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  • Risk and Quality Provider Educator

    VNS Health (Manhattan, NY)
    …Licenses and Certifications: + Certified Professional Coder (CPC) or (CRC) Certified Risk Adjustment Coder or Certified Coding Specialist (CCS) required ... + Additional coding certifications such as Certified Inpatient Coder (CIC) or Registered Health Information Technician (RHIT) in...and medical record systems for Medicare Advantage Risk Adjustment required + 2 years of… more
    VNS Health (03/04/25)
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  • IPA Coding Associate Director

    CenterWell (Albany, NY)
    …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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  • Medical Coding And Billing Analyst

    CenterLight Health System (NY)
    …Certified Professional Practice Manager (CPPM) 4. Certified Professional Biller (CPB) 5. Certified Risk Adjustment Coder (CRC). Experience: + Three (3) ... physician practices on current performance. + Serves as a subject matter expert on Risk Adjustment Data Validation (RADV) audits from Medicare. + Perform random… more
    CenterLight Health System (03/08/25)
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  • Clinical Documentation Specialist Outpatient

    Kaleida Health (Buffalo, NY)
    …ensure that clinical information is captured to support the level of service rendered, risk adjustment of the patient population, and the appropriate data and ... **Clinical Documentation Specialist Outpatient** **Location:** Buffalo General Medical Center Location of Job: US:NY:Buffalo Work Type: Full-Time **Shift:** Shift 1… more
    Kaleida Health (03/20/25)
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  • Compliance Auditing Specialist- Remote/Hybrid…

    WMCHealth (Valhalla, NY)
    …credentials: Certified Risk Coder (CRC), Certified Professional Coder certification (CPC), Certified Professional Medical Auditor (CPMA) or Certified ... Details: Job Summary: Serves as an internal expert on Risk Adjustment and Hierarchical Conditions Categories (HCC)...and staff to ensure the accuracy and completeness of medical record documentation and coding. Provides training, education and… more
    WMCHealth (04/09/25)
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