• Risk Adjustment Analyst - Mount…

    Mount Sinai Health System (New York, NY)
    …and concise results **Licensing and Certification Requirements (if applicable)** ? Certified Risk Adjustment Coder (CRC) credential required ? Credentials ... ? Certified Documentation Integrity Practitioner (CDIP) ? Certified Professional Coder (CPC) ? Certified Coding Specialist (CCS) , E01...* Facilitates improvement in the overall risk adjustment quality, completeness and accuracy of medical … more
    Mount Sinai Health System (06/21/25)
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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 (05/20/25)
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  • Risk Adjustment Coding…

    Trinity Health (Syracuse, NY)
    … capture initiatives, as needed. SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE: . Certified Risk Adjustment Coder (CRC) required . Excellent verbal and ... Ability to conduct Education if needed. Auditing Experience Posting POSITION PURPOSE: The Risk Adjustment Coding Specialist works in a team environment and is… more
    Trinity Health (06/27/25)
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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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  • Clinical Documentation Improvement Manager - Mount…

    Mount Sinai Health System (New York, NY)
    …Inpatient Coder ) or CCDS Certified Clinical Documentation Specialist *CRC (Certified Risk Adjustment Coder ) strongly preferred. Must obtain within one ... Inpatient Coder ) or CCDS Certified Clinical Documentation Specialist *CRC (Certified Risk Adjustment Coder ) strongly preferred. Must obtain within one… more
    Mount Sinai Health System (06/24/25)
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  • Client Coding Project Manager

    Datavant (Albany, NY)
    …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 (06/03/25)
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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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  • Associate Director, Cell Therapy Field Market…

    Bristol Myers Squibb (Huntington, NY)
    …coding, billing and payment + Medicare (NCD, IPPS, OPPS, 340B, etc.) + Medical policy, managed care coverage processes and practice for inpatient and outpatient ... high cost buy and bill therapy experience preferred. Certified Coder or Biller is a plus + Exhibit a...by your state of residence, and 3) a driving risk level deemed acceptable by the Company. The starting… more
    Bristol Myers Squibb (06/05/25)
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