• HCC Risk Adjustment Coder PRN…

    Datavant (Nashville, TN)
    …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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  • Special Investigation Unit Manager Clinical…

    CVS Health (Nashville, TN)
    …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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  • IPA Coding Associate Director

    CenterWell (Nashville, TN)
    …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 Analyst Sr. 100% Virtual,…

    Elevance Health (TN)
    …most current CMS Risk Adjustment Model strongly preferred. + AAPC Certified Risk Adjustment Coder (CRC) is preferred. Please be advised that Elevance ... and experience, which would provide an equivalent background. + **Certified Medical Coder (CPC or CCS-P) required** . **Preferred Skills, Capabilities and… more
    Elevance Health (04/10/25)
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  • Regional Coding Operations Manager WFH

    HCA Healthcare (Nashville, TN)
    …credential or Certified Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) **EXPERIENCE:** + Experience with Cerner ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
    HCA Healthcare (04/02/25)
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  • Regional Coding Operations Manager WFH

    HCA Healthcare (Nashville, TN)
    …(CPC(R)) credential or Certified Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) EXPERIENCE: + Experience with Cerner ... and urgent care operations. We are experts in hospitalist integration, and graduate medical education. We lead more than 1,300 physician practices and 170+ urgent… more
    HCA Healthcare (04/04/25)
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  • Sr Coding Compliance Auditor

    Catholic Health Initiatives (Chattanooga, TN)
    …the needs of the organization. The position will support risk adjustment improvement efforts across the medical group. The Hierarchical Condition Category ... American Academy of Professional Coders (AAPC) as a Certified Professional Coder (CPC) required. Professional Medical Auditor Certification (CPMA)… more
    Catholic Health Initiatives (05/04/25)
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