• HCC Risk Adjustment

    Datavant (Providence, RI)
    …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 (10/03/25)
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  • 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)
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  • Remote HCC Coder (CPC)

    Insight Global (Tampa, FL)
    Job Description JOB DESCRIPTION Insight Global is hiring HCC / Risk Adjustment Medical coders to support a backlog for inpatient and outpatient Medicare ... more risk adjustment vs profee. Most of the markets are strictly risk adjustment focusing on HCC ICD-10 codes only. We do code from the problem list… more
    Insight Global (10/07/25)
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  • Risk Adjustment Coder

    MVP Health Care (Schenectady, NY)
    …requires innovative thinking and continuous improvement. To achieve this, we're looking for a ** Risk Adjustment Coder ** to join #TeamMVP. This is the ... Condition Categories ( HCC ). + Actively participates in and supports the Risk Adjustment team-based environment to educate providers on coding compliance and… more
    MVP Health Care (10/13/25)
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  • 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 (09/11/25)
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  • Coder

    Dignity Health (Bakersfield, CA)
    …on all coding systems and sponsored programs. - Familiarity and understanding of CMS HCC Risk Adjustment coding and data validation requirements. - Must ... to identify opportunities for improved quality, risk adjustment coding performance. The Value Based Coder ...Word). **Preferred Qualifications:** - 2-3 years of experience in risk adjustment / HCC coding preferred -… more
    Dignity Health (10/05/25)
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  • 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 (08/27/25)
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  • Certified Risk Adjustment

    Redeemer Health Home Care & Hospice (Huntingdon Valley, PA)
    …work experience + AAPC or AHIMA Certification (CPC, CRC, CCS) REQUIRED + Certified Risk Adjustment Coder - PREFERRED Knowledge + Knowledgeable of medical ... services we provide. RECRUITMENT REQUIREMENTS High School Graduate. Certified coder CPC or CCS-P, and AAPC CRC certification. 2+...a wide variety of clinical cases and services for risk adjustment models (eg, HCC ,… more
    Redeemer Health Home Care & Hospice (08/13/25)
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  • Risk Adjustment QA Consultant

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …a focus on Medicare Advantage and ACA risk adjustment . * Certified Risk Adjustment Coder (CRC) certification * In-depth knowledge of ACA & Medicare ... as CPMA, RHIT, RHIA, CCA, CCS. * Expertise in CMS- HCC , and HHS- HCC Risk Adjustment models. Compensation and Benefits: Pay Range: $88,600.00 - $117,400.00… more
    Blue Cross and Blue Shield of Minnesota (09/10/25)
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  • Risk Score Accuracy (RSA) Program Manager…

    Bon Secours Mercy Health (Cincinnati, OH)
    …to Population Health Clinical Integration RSA initiatives, including Hierarchical Condition Categories ( HCC ) coding and other risk adjustment payment models. ... + Identifies opportunities for performance improvement related to system-wide HCC and other risk adjustment ...of hire, required within one year of hire) Certified Risk Coder (or equivalent), Licensed Practical Nurse… more
    Bon Secours Mercy Health (10/04/25)
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