• 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 (07/09/25)
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  • Coding Data Quality Auditor

    CVS Health (Albany, NY)
    …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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  • Senior Coding Educator

    Humana (Albany, NY)
    …experience in Medicare Advantage or Value-Based Care + AAPC CRC (Certified Risk Adjustment ) Certification + AAPC CDEO (Certified Documentation Expert Outpatient) ... is responsible for reviewing and analyzing internal data and medical records, as well as coordinating educational sessions with...or equivalent + Must hold AAPC CPC (Certified Professional Coder ) certification + 2 years or more experience with… more
    Humana (08/08/25)
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