• Manager, Risk Adjustment…

    Evolent (Tallahassee, FL)
    …Be Doing:** **Manager, Coding Support Specialist** Evolent Care Partners is seeking a Risk Adjustment Coding Support Manager to be a core member of ... the Risk Adjustment Coding Support team....achievement of OKRs and assigned initiatives. + Conducts monthly chart and phone audits for individual team members, providing… more
    Evolent (09/23/25)
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  • Product Manager, Risk Adjustment…

    Datavant (Tallahassee, FL)
    …experiences to realize our bold vision for healthcare. **Role Overview** As a Product Manager, Risk Adjustment Coding Data Integration, you will own the data ... strategy and execution for Datavant's Retrospective Risk Adjustment Coding products, driving...in collaboration with the Retrieval Product team to streamline chart access for Retrospective Coding Products. +… more
    Datavant (08/20/25)
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  • Director, Prospective + Concurrent Risk…

    Datavant (Tallahassee, FL)
    …on identifying and acting on undiagnosed conditions (prospective suspecting) and ensuring risk adjustment coding accuracy in near real-time (concurrent ... complex healthcare technology solutions. + Solid understanding of clinical suspecting, concurrent coding workflows, risk adjustment models (eg, CMS-HCC,… more
    Datavant (08/08/25)
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  • HCC Risk Adjustment Coder - Full…

    Datavant (Tallahassee, FL)
    …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... guidelines. + Coders must meet and maintain a 95% coding accuracy rate. + Any other task requested by...plus the option to earn up to $3.25 per chart based on quality and production.** We are committed… more
    Datavant (08/26/25)
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  • Medicare Risk Adjustment

    TEKsystems (Sunrise, FL)
    …Experience with preserved medical record retrieval systems preferred. Billing or coding experience preferred. Excel skills. Responsibilities: - Retrieves charts from ... compile medical records to send to other parties for coding . - Requests medical records by making outbound phone...by updating member and provider demographics and working with chart load issues. - Ensure follow up on member… more
    TEKsystems (09/23/25)
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  • Medicare Risk Adjustment

    TEKsystems (Sunrise, FL)
    …Retrieve charts from electronic medical record systems and compile medical records for coding purposes. + Make outbound phone calls to provider groups to request ... vendor pends promptly by updating member and provider demographics and addressing chart load issues. + Ensure follow-up on member appointments or other designated… more
    TEKsystems (09/20/25)
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  • Consultative Coding Professional

    CenterWell (Tallahassee, FL)
    …make an impact** **Required Qualifications** + A minimum of three years of technical Medical Coding , focused on outpatient ( risk adjustment ) coding . + ... manipulates database. Responds to or clarifies internal requests for coding and/or documentation related information. Understands department, segment, and… more
    CenterWell (09/25/25)
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  • Coding Auditor & Educator

    WelbeHealth (Tallahassee, FL)
    …and experience in coding and auditing + Minimum of two (2) years of Risk Adjustment (HCC) coding experience in a managed care environment + Current ... Care for the Elderly) Dual participants + Conduct pre-visit chart preparations and post-visit chart reviews +...in provider education programs to ensure compliance with CMS risk adjustments diagnosis coding guidelines + Work… more
    WelbeHealth (09/19/25)
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  • Quality Improvement CDI Specialist

    NCH (Naples, FL)
    …well as applicable organizational policies and procedures. * Experience in MS-DRG and APR-DRGs, risk adjustment , HACs and PSIs, O/E mortality, and LOS. * Working ... Documentation Integrity Specialist (QI-CDIS) responsibilities include comprehensive secondary clinical chart reviews to identify potential missed opportunities for documentation… more
    NCH (09/15/25)
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  • Clinical Documentation and Claims Integrity…

    Elevance Health (Tampa, FL)
    …and claims integrity. This leader brings proven experience in payer and provider risk adjustment initiatives and possesses a deep understanding of end-to-end ... services enablement company-and is well-versed in Medicare and Medicaid risk adjustment policies, RADV auditing, and the...of related experience, including 3 years of hands-on HCC coding , chart review, and RAF calculations; or… more
    Elevance Health (09/24/25)
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