• 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 ... Hospice- 150 Monument Road** **Hours: Full-Time** **Job Summary:** The Ambulatory Coding and Documentation Specialist reports to the Primary Care Service Line,… more
    Penn Medicine (08/07/25)
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  • Regional Coding Operations Manager WFH

    HCA Healthcare (Dallas, TX)
    coding and documentation improvement education to Providers. + Assists the Director Coding Operations Division Support in reviewing progress against business ... Coder (CPC(R)) credential or Certified Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) EXPERIENCE: + Experience with Cerner and… more
    HCA Healthcare (09/27/25)
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  • Regional Coding Operations Manager WFH

    HCA Healthcare (Richmond, VA)
    coding and documentation improvement education to Providers. + Assists the Director Coding Operations Division Support in reviewing progress against business ... (CPC(R)) credential or Certified Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) **EXPERIENCE:** + Experience with Cerner and… more
    HCA Healthcare (09/27/25)
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  • Director , Provider Education

    Humana (Albany, NY)
    …strategy and execution. The Director , Provider Education drives success in risk adjustment and Stars by innovating and executing provider-education focused ... caring community and help us put health first** The Director , Provider Education develops and leads initiatives, strategies, and...the development of provider education programs focused on Medicare Risk Adjustment and Stars . Collaborate with… more
    Humana (10/08/25)
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  • Senior Director , Revenue Cycle

    Scripps Health (San Diego, CA)
    …Categories (HCCs) for accuracy and compliance as relates to Outpatient CDI. Monitors Risk Adjustment Factor (RAF) Scores. * Directs instructions and education ... This Senior Director position is eligible to participate in the...you will have primary accountability for the oversight of Coding , Clinical Documentation Integrity (CDI) and Health Information Management… more
    Scripps Health (08/15/25)
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  • Risk Score Accuracy (RSA) Program Manager…

    Bon Secours Mercy Health (Cincinnati, OH)
    …Identifies opportunities for performance improvement related to system-wide HCC and other risk adjustment coding initiatives. Conducts medical record reviews ... Population Health Clinical Integration RSA initiatives, including Hierarchical Condition Categories (HCC) coding and other risk adjustment payment models.… more
    Bon Secours Mercy Health (10/04/25)
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  • Director , Medicine Projects & Planning

    Tufts Medicine (Boston, MA)
    …Quality Performance Metrics (eg, HEDIS, Stars, and clinical outcomes). b.) 25% - Risk Adjustment (accurate RAF coding , documentation, and patient ... of Department of Medicine strategies with network and payer priorities. 10. Supports risk adjustment , care model design, and other payer-facing initiatives. 11.… more
    Tufts Medicine (10/08/25)
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  • Lead Director , National VBC Performance…

    CVS Health (Hartford, CT)
    …process consulting, financial strategic analysis. + Understanding of value-based care, including risk adjustment methodologies (eg, HCC coding ), quality ... all with heart, each and every day. The Lead Director , National VBC Performance Planning & Insights will act...guide business decisions for national and local providers. The Director will also play a key role in supporting… more
    CVS Health (10/08/25)
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  • Director IPA HCC & STARs - Full Time…

    Emanate Health (Covina, CA)
    …in care. Oversee analytics, reporting, and client enablement programs focused on risk adjustment accuracy and quality measure performance (HEDIS, STAR Ratings, ... company in the country. **J** **ob Summary** Leads the development of HCC coding , suspecting, recapture tracking, and gap closure modules within the COZEVA platform.… more
    Emanate Health (10/07/25)
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  • Director , Applied Science, Stores…

    Amazon (Mountain View, CA)
    …with business teams on science-heavy problems, incubating products with high AI research risk , reducing friction and manual effort with AI tooling, and raising the ... Mathematics). - Experience in industry, consulting, government, or academic research. - Coding ability in a scripting language such as R, Python, Matlab, or… more
    Amazon (09/27/25)
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