• Manager, Risk Adjustment

    Evolent (Tallahassee, FL)
    …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. Evolent Care Partners' mission is to partner directly with primary care organizations across the country to improve… more
    Evolent (09/23/25)
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  • Coding and Clinical Documentation Educator

    AdventHealth (Daytona Beach, FL)
    …Category (HCC) education including but not limited to clinical documentation integrity, coding , HCC Risk Adjustment Methodology, and provider performance ... an advanced understanding of the HCC risk adjustment methodology gained from HCC documentation, coding ,...Health Information Technician (RHIT) - Cert, OR + Certified Coding Specialist (CCS), OR + Certified Documentation… more
    AdventHealth (09/23/25)
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  • Coding Data Quality Auditor

    CVS Health (Tallahassee, FL)
    …(Certified Coding Specialist -Physician) required. + CRC (Certified Risk Adjustment Coder) + Computer proficiency including experience with Microsoft ... Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and...internal policies and procedures. + Proven ability to support coding judgment and decisions using industry standard evidence and… more
    CVS Health (09/26/25)
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  • Risk Management Program Specialist

    MyFlorida (Tallahassee, FL)
    RISK MANAGEMENT PROGRAM SPECIALIST - 43001345 Date: Sep 24, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... . Requisition No: 861533 Agency: Financial Services Working Title: RISK MANAGEMENT PROGRAM SPECIALIST - 43001345 Pay Plan:… more
    MyFlorida (09/24/25)
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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 ... clinically appropriate, accurately reflects the severity of illness and risk of mortality for the patient and is reflective...a diagnosis. * Acts as a liaison between the Coding Department and the Clinical Documentation Integrity Specialist more
    NCH (09/15/25)
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  • Quality Senior Analyst

    CVS Health (FL)
    …for CPC. + CPC (Certified Professional Coder) **or** CCS-P (Certified Coding Specialist -Physician) and CRC (Certified Risk Adjustment Coder) required. + ... Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and...recommendations, and areas of concern to be delivered to coding resources. + Adhere to stringent timelines consistent with… more
    CVS Health (09/30/25)
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  • Solutions Architect

    Evolent (Tallahassee, FL)
    …decision support systems is preferred + **Background in value-based care** models, risk adjustment , and quality measurement programs is preferred + **Experience ... You'll Be Doing:** **Senior Architect Healthcare Integration - EMR/FHIR Specialist ** **What You'll Be Doing** **Drive Healthcare Transformation Through Technology**… more
    Evolent (09/25/25)
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