• Risk Adjustment Coding Specialist (Remote)

    CareFirst (Baltimore, MD)
    …work experience. **Experience:** 3 years risk adjustment/hierarchical condition category ( HCC ) coding experience. **Knowledge, Skills and Abilities (KSAs)** ... **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Specialist supports the retrospective risk adjustment supplemental filing, Risk Adjustment Data… more
    CareFirst (12/11/25)
    - Related Jobs
  • Senior Director of Coding - Professional…

    Mount Sinai Health System (New York, NY)
    …in a multi-entity or academic health system. - Familiarity with risk adjustment, HCC coding , and value-based care models. - Proven success in implementing ... **Job Description** The Senior Director of Coding is a strategic and operational leader responsible...responsible for overseeing all aspects of professional and hospital coding across the health system. This role ensures … more
    Mount Sinai Health System (11/07/25)
    - Related Jobs
  • Professional Coding Auditor - Remote

    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 (11/05/25)
    - Related Jobs
  • Senior Risk Adjustment Coding Compliance…

    Centene Corporation (Jefferson City, MO)
    …chart reviews and advise on clinical best practices related to risk adjustment coding , HCC capture, and documentation improvement. + Performs other duties as ... proper extraction of medical diagnoses and ensure accurate and complete diagnosis coding in alignment with HCCs and other risk adjustment models. Identifies and… more
    Centene Corporation (10/29/25)
    - Related Jobs
  • Compliance Auditing Specialist- Remote/Hybrid…

    WMCHealth (Valhalla, NY)
    …activities. Monitors and reports key performance indicators relative to clinical documentation and HCC coding . . Documents and maintains records of all query, ... Maintains current competencies in clinical documentation improvement and ICD, CPT and HCC coding through continuing education. Assists with compliance audits and… more
    WMCHealth (12/12/25)
    - Related Jobs
  • Risk Adjustment Coding Specialist -St.…

    Trinity Health (Albany, NY)
    …a team environment and is responsible for reviewing clinical documentation and coding using HCC (Hierarchical Condition Category) and MEAT (Monitored, ... claim is submitted to payers. . Demonstrate a solid understanding of ICD-10-CM coding and medical terminology, Hierarchical Condition Category ( HCC ), and MEAT… more
    Trinity Health (12/12/25)
    - Related Jobs
  • Director, Risk Bearing Provider Sales

    Datavant (Topeka, KS)
    …& Execution** + Develop and execute a sales strategy to grow adoption of HCC coding solutions among risk-bearing providers (eg, health systems, ACOs, provider ... a trusted advisor, demonstrating a strong understanding of risk adjustment, HCC coding , and value-based care operations. + Liaison account management activities,… more
    Datavant (12/10/25)
    - Related Jobs
  • Risk Adjustment Medical Record Coder

    BlueCross BlueShield of Tennessee (Chattanooga, TN)
    …+ Perform comprehensive 1st pass reviews of medical records and physician assessment forms \( HCC coding \)\. + Assist with the intake and quality assurance of ... you must obtain it within one year of hire\. + Strong expertise in HCC \(Hierarchical Condition Category\) coding , with experience in MA \(Medicare Advantage\)… more
    BlueCross BlueShield of Tennessee (12/10/25)
    - Related Jobs
  • Clinical Documentation Improvement Specialist…

    Bluestone Physician Services (Stillwater, MN)
    …in healthcare coding , with a focus on Hierarchical Condition Category ( HCC ) coding and risk adjustment. Knowledge/Skills/Abilities + Proficiency in reviewing ... disease capture for Bluestone providers. If you are passionate about improving coding practices and ensuring quality patient care, we encourage you to apply!… more
    Bluestone Physician Services (10/19/25)
    - Related Jobs
  • Manager- Outpatient Clinical Documentation…

    Henry Ford Health System (Troy, MI)
    …medical group leadership, clinical and ancillary departments regarding appropriate clinical documentation, coding rules and regulations, HCC Coding and Risk ... Health System and ensures alignment of high quality documentation and coding that supports compliant and accurate medical record documentation. EDUCATION/EXPERIENCE… more
    Henry Ford Health System (12/11/25)
    - Related Jobs