• HCC Risk Adjustment

    Datavant (Olympia, WA)
    …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... experiences to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code… more
    Datavant (08/22/25)
    - Related Jobs
  • Auditor, HCC Risk Adjustment

    Datavant (Denver, CO)
    …educational and life experiences to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder , you will review medical records ... standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will...bring to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of … more
    Datavant (08/08/25)
    - Related Jobs
  • Coding Team Lead, HCC Risk

    Datavant (Madison, WI)
    …to realize our bold vision for healthcare. We're looking for experienced and credentialed HCC Coding Team Leads to become an integral part of our team. The ideal ... Reviews rebuttals submitted by coders. Provides education to the coder if the error is correct or sends the...+ Extensive knowledge of ICD -10 + 2 years' HCC coding experience + 1+ years' Team Lead experience… more
    Datavant (08/08/25)
    - Related Jobs
  • Certified Coder ( Risk

    Molina Healthcare (Orlando, FL)
    Adjustment Data Validation **Preferred License, Certification, Association** + Certified Risk Adjustment Coder - (CRC) + Certified Professional Payer ... Education** Bachelor's Degree in related field **Preferred Experience** + Familiar with HCC (Hierarchical Condition Categories) Risk Adjustment Model +… more
    Molina Healthcare (08/21/25)
    - Related Jobs
  • Risk Adjustmt Coder Educator…

    Hartford HealthCare (Hartford, CT)
    …recognition programs and other common practices across the system. *JOB SUMMARY:* The Risk Adjustment Coder Educator develops and implements an ... program requirements and ICD 10 coding guidelines. The Risk Adjustment Coder Educator will...of complex and advanced ICD-10 and Hierarchical Condition Category ( HCC ) coding and documentation training programs including defining training… more
    Hartford HealthCare (06/12/25)
    - Related Jobs
  • Value Based Coder II

    Dignity Health (Phoenix, AZ)
    …and security. **Qualifications** **Minimum Qualifications:** - Familiarity and understanding of CMS HCC Risk Adjustment coding and data validation ... Qualifications:** - 2-3 years of experience in outpatient coding preferred. - Certified Risk Adjustment Coder (CRC) or Certified Professional Coder (CPC)… more
    Dignity Health (08/01/25)
    - Related Jobs
  • Physician Office Medical Coder /Biller I

    Florida Health Care Plans, Inc. (Daytona Beach, FL)
    …communication. + Experience with Electronic Health Record preferred. + Understanding Risk Adjustment coding and supportive documentation preferred. + Ability ... POSITION SUMMARY: The Physician Office Medical Coder /Biller (POMB) conducts a documentation review of electronic...will support the physician and mid-level providers to capture HCC codes within the clinical visit. The POMB will… more
    Florida Health Care Plans, Inc. (08/21/25)
    - Related Jobs
  • Clinical Quality Coder II

    Sutter Health (Sacramento, CA)
    …+ HS Diploma or General Education Diploma (GED) **CERTIFICATION & LICENSURE:** + CRC-Certified Risk Adjustment Coder OR CPC-Certified Professional Coder ... of Quality Coding Program requirements such as the Medicare Advantage Coding Program/ HCC , as well as medical terminology and abbreviations of disease, illness and… more
    Sutter Health (06/29/25)
    - Related Jobs
  • Risk Adjustment Consultant

    Tufts Medicine (Burlington, MA)
    …provider education when necessary. **Job Description** **Minimum Qualifications:** 1. Certified Risk Adjustment Coder (CRC) **OR** Certified Professional ... experience, . **Preferred Qualifications:** 1. Associate's degree. 2. Certified Risk Adjustment Coder (CRC) highly...to physicians on a regular basis in regard to Risk Adjustment Coding guidelines ( HCC /DxCG),… more
    Tufts Medicine (08/21/25)
    - Related Jobs
  • Risk Adjustment Coding Coordinator…

    Excellus BlueCross BlueShield (Rochester, NY)
    …and guidelines (eg ICD-9-CM, ICD-10, CPT, HCPC) * Familiarity and understanding of CMS HCC Risk Adjustment coding, Medicaid CRG coding, and data validation ... / ICD-10-CM coding validation, monitoring plan specifications, Hierarchical Condition Category ( HCC ) assignment accuracy and Risk Adjustment Validation… more
    Excellus BlueCross BlueShield (08/08/25)
    - Related Jobs