• Certified Risk Adjustment

    Redeemer Health Home Care & Hospice (Huntingdon Valley, PA)
    …pathophysiology, and medical terminology necessary to correctly code diagnoses. The Certified Risk Adjustment Coding /Audit Specialist analyzes and ... journey. We invite you to apply today. SUMMARY OF JOB The Certified Risk Adjustment Coding /Audit Reviewer is a physician facing position and must have… more
    Redeemer Health Home Care & Hospice (08/13/25)
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  • Manager, Risk Adjustment

    Evolent (Harrisburg, PA)
    …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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  • Director Risk Adjustment

    Highmark Health (Pittsburgh, PA)
    …+ Production Coding : Manage a team of internal coder / clinicians that perform Risk Adjustment coding of medical records. Track production coding ... for the Highmark Health Enterprise. Ensures that Highmark's Risk Adjustment programs comply with all applicable...coding . Promotes the strategy and capabilities to develop risk management and physician / member initiatives that support… more
    Highmark Health (08/08/25)
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  • Ambulatory Coding and Doc Specialist

    Penn Medicine (Bala Cynwyd, PA)
    …of relevant coding medical professional services experience including ambulatory outpatient and risk adjustment coding . (Required) + Certified Risk ... Medicine Hospice- 150 Monument Road** **Hours: Full-Time** **Job Summary:** The Ambulatory Coding and Documentation Specialist reports to the Primary Care… more
    Penn Medicine (08/07/25)
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  • Coding Data Quality Auditor

    CVS Health (Harrisburg, PA)
    …(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 (09/27/25)
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  • Quality Senior Analyst

    CVS Health (PA)
    …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 (Harrisburg, PA)
    …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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