• Auditor, HCC Risk Adjustment Coding

    Datavant (Denver, CO)
    …tasks required by management. **What you will bring to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of HCC Auditing experience + ... credentials (CPC, CPC-H, COC, CIC or CRC). + Proficient in ICD-10 coding . + Experienced in HCC coding across Medicare, commercial, and Medicaid sectors. +… more
    Datavant (08/08/25)
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  • Supervisor, HCC Risk Adjustment…

    Datavant (Helena, MT)
    …required. + People Leader experience managing a team of employees. + Familiarity with HCC coding . + A strong knowledge base of medical terminology, medical ... educational and life experiences to realize our bold vision for healthcare. The Coding Supervisor serves as a working supervisor with oversight and management of… more
    Datavant (08/13/25)
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  • HCC Risk Adjustment Auditor - Full Time…

    Datavant (Santa Fe, NM)
    …Any other tasks asked by quality supervisor **What You Need to Succeed:** + 2 years' HCC Coding experience + 2 years' HCC Auditing experience + Extensive ... realize our bold vision for healthcare. **What We're Looking For:** As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have… more
    Datavant (08/01/25)
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  • HCC Risk Adjustment Coder - Full Time…

    Datavant (Washington, DC)
    …credentials (CPC, CPC-H, COC, CIC, or CRC). + A minimum of 2 years HCC coding experience, while certified. + Full understanding and knowledge of ICD-10, ... to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical...guidelines. + Coders must meet and maintain a 95% coding accuracy rate. + Any other task requested by… more
    Datavant (08/26/25)
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  • Director IPA HCC & STARs - Full Time…

    Emanate Health (Covina, CA)
    …#19 ranked company in the country. **J** **ob Summary** Leads the development of HCC coding , suspecting, recapture tracking, and gap closure modules within the ... COZEVA platform. Oversees outreach strategy and informs the workflows, policies and procedures that govern outreach to and engagement with patients/members that are due for annual visits and gaps in care. Oversee analytics, reporting, and client enablement… more
    Emanate Health (08/21/25)
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  • Risk Adjustment Coding Coordinator I/II

    Excellus BlueCross BlueShield (Rochester, NY)
    …ICD-9-CM/ICD-10-CM coding , Medicare Advantage and Commercial Hierarchical Condition Category ( HCC ) coding , and Medicaid Clinical Risk Groups (CRGs) to ensure ... coding validation, monitoring plan specifications, Hierarchical Condition Category ( HCC ) assignment accuracy and Risk Adjustment Validation Audits (RADV). *… more
    Excellus BlueCross BlueShield (08/27/25)
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  • Coding Quality Auditor - Revenue Capture

    Providence (Everett, WA)
    …Under the supervision of the Coding Manager, Revenue Capture, the HCC Coding Quality Auditor is responsible for detailed diagnostic chart reviews ... of clinical documentation and coding associated with Risk Adjustment and HCC coding . The incumbent reviews and abstracts HCC codes to ensure they are… more
    Providence (08/22/25)
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  • Risk Adjustment Coding Specialist

    AdventHealth (Altamonte Springs, FL)
    …qualifications:** + 3 years healthcare experience + 3 years of experience in HCC coding + CPC (Certified Professional Coder) **Preferred qualifications:** + ... for Health Plan audits and reports. Uses knowledge of Hierarchical Condition Categories ( HCC ) coding to translate, input, extract and validate medical record… more
    AdventHealth (08/26/25)
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  • Coding and Documentation Educator

    AdventHealth (Lees Summit, MO)
    …( HCC ) education including but not limited to clinical documentation integrity, coding , HCC Risk Adjustment Methodology, and provider performance metrics. The ... advanced understanding of the HCC risk adjustment methodology gained from HCC documentation, coding , and provider education experience. **The value you'll… more
    AdventHealth (08/07/25)
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  • Professional Coding Auditor

    Albany Medical Center (Albany, NY)
    …and training to providers and coding staff. Act as an expert for the HCC /Risk adjustment coding . This position is remote but does require onsite education to ... Guideline for Coding and Reporting. Code chronic disease that meets HCC and Risk Adjustment criteria. Validate missed coding opportunities. + Conducts… more
    Albany Medical Center (07/30/25)
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