• Director, Risk Adjustment Prospective…

    Corewell Health (Grand Rapids, MI)
    …and/or Certification in area of specialty - UNKNOWN Unknown CRC, AAPC Certified Risk Adjustment Coder preferred Physical Demands + Pallet to Waist (6" from ... Job Summary The Director Risk Adjustment Prospective Operations & Risk Mitigation is the...finance, accounting or business management or related field. + Preferred Master's Degree in a related field of study.… more
    Corewell Health (07/21/25)
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  • Certified Risk Adjustment Coding/Audit…

    Redeemer Health Home Care & Hospice (Huntingdon Valley, PA)
    …experience + AAPC or AHIMA Certification (CPC, CRC, CCS) REQUIRED + Certified Risk Adjustment Coder - PREFERRED Knowledge + Knowledgeable of medical and clinical ... We invite you to apply today. SUMMARY OF JOB The Certified Risk Adjustment Coding/Audit Reviewer is a physician facing position and must have extensive knowledge… more
    Redeemer Health Home Care & Hospice (08/13/25)
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  • Risk Adjustment Consultant

    Tufts Medicine (Burlington, MA)
    …Coder (CPC). 2. Two (2) years of outpatient billing, coding, and risk adjustment experience, . ** Preferred Qualifications:** 1. Associate's degree. 2. Certified ... **Job Overview** Under the director of the Director, Risk Adjustment Operations, performs accurate and timely reviews and validations...Risk Adjustment Coder (CRC) highly preferred . 3. Two (2) years of outpatient billing, coding,… more
    Tufts Medicine (08/26/25)
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  • Director of Client Success, Payer Risk…

    Datavant (Olympia, WA)
    …mindset and a focus on continuous improvement. + Familiarity with CMS HCC risk adjustment processes preferred \#LI-BC1 We are committed to building a diverse ... in Business, Operations Management, or a related field; MBA or equivalent advanced degree preferred . + At least 8 to 10 years of experience in healthcare technology… more
    Datavant (07/18/25)
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  • Senior, Compliance Risk Adjustment Analyst

    Centene Corporation (Tallahassee, FL)
    adjustment and/or compliance required + Previous experience in risk adjustment oversight and/or coding planning preferred + Demonstrated understanding of ... risk adjustment regulatory landscape preferred + Risk Adjustment regulatory audit experience preferred + Medicare experience preferred Pay Range:… more
    Centene Corporation (07/31/25)
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  • Certified Coder (Risk Adjustment

    Molina Healthcare (Orlando, FL)
    … management activities and clinical informatics + Experience with Risk Adjustment Data Validation ** Preferred License, Certification, Association** + Certified ... training and education to network of providers on how to improve their risk adjustment knowledge as well as provide coding updates related to Risk Adjustment more
    Molina Healthcare (08/21/25)
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  • Risk Adjustment Coding Specialist (Remote…

    CDPHP (Latham, NY)
    …CPC certification within one year of employment is required. + CRC (Certified Risk Adjustment Coder) credential preferred . + Minimum one (1) year of experience ... to be a part of that experience. The Risk Adjustment Coding Specialist will be responsible for the chart...+ High school diploma or GED required. Associates degree preferred . + CCS/CCS-P (Certified Coding Specialist) or CPC/CPC-A (Certified… more
    CDPHP (08/27/25)
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  • Database Developer (Healthcare / Risk…

    Commonwealth Care Alliance (Boston, MA)
    …including claims, encounters, diagnoses, and provider data. + Familiarity with CMS risk adjustment methodologies and HCC coding preferred . + Experience with data ... of Encounter Data Management within the Revenue Cycle Department, the Risk Adjustment Data Developer is responsible for the design, development, and maintenance of… more
    Commonwealth Care Alliance (06/25/25)
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  • Risk Adjustmt Coder Educator / Clinical…

    Hartford HealthCare (Hartford, CT)
    …strongly desired. * Experience with the nuances of diagnosis coding and risk adjustment programs preferred * Progressively responsible role with leadership * ... - Physician (CCS-P) or Certified Coding Specialist (CCS) Certified Risk Adjustment Coder (CRC) preferred (required within 6 months of hire) _We take great care… more
    Hartford HealthCare (06/12/25)
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  • Risk Adjustment Coding Specialist

    AdventHealth (Altamonte Springs, FL)
    …+ 3 years of experience in HCC coding + CPC (Certified Professional Coder) ** Preferred qualifications:** + Prior risk adjustment and medical record review. + ... **Risk Adjustment Coding Specialist** **AdventHealth** **PHSO Resources** **All the...**Location:** Remote **The role you'll contribute:** The Medicare Risk Adjustment Coding Specialist coordinates and supports retrospective and concurrent… more
    AdventHealth (08/26/25)
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