• Manager, Risk Adjustment Coding…

    Evolent (Columbus, OH)
    …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)
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  • HCC Risk Adjustment Coder…

    Datavant (Columbus, OH)
    …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)
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  • Auditor, HCC Risk Adjustment Coding…

    Datavant (Columbus, OH)
    …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 (OH)
    …(Certified Coding Specialist-Physician) and CRC (Certified Risk Adjustment Coder ) required. + CPMA (Certified Professional Medical Auditor) **or** CDEO ... Responsible for conducting complex audits, reviews and assessments of medical records coded by internal teams prior to the...Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and… more
    CVS Health (09/30/25)
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  • Clinical Compliance Medical Director

    Elevance Health (Columbus, OH)
    …MA plans in regulatory, compliance, and legal matters strongly preferred. + Certified Risk Adjustment Coder (CRC) or similar credential strongly preferred. ... **Clinical Compliance Medical Director** _Please note that per our policy...and Experiences:** + Deep understanding of CMS-HCC and/or HHS-HCC risk adjustment methodologies strongly preferred. + Experience… more
    Elevance Health (09/24/25)
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  • Coding Data Quality Auditor

    CVS Health (Columbus, OH)
    … 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)
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  • Client Coding Project Manager - Full Time - Remote

    Datavant (Columbus, OH)
    …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)
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