• 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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  • Clinical Data Abstraction Specialist

    Apex Health Solutions (Houston, TX)
    …Specialist Supervisor: Director, VBC Operations Required License(s)/ Certification(s): Certified Risk Adjustment Coder (CRC), Certified Professional ... in one of the following is required: * Certified Risk Adjustment Coder (CRC) *...Records (EHR) Experience * Minimum of three (3) years HCC experience performing retrospective risk adjustment more
    Apex Health Solutions (09/26/25)
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  • Coding & Clinical Document Educator

    AdventHealth (Greenwood Village, CO)
    HCC ) education including but not limited to clinical documentation integrity, coding, HCC Risk Adjustment Methodology, and provider performance metrics. ... successful candidate will have an advanced understanding of the HCC risk adjustment methodology gained...Practitioner (CDIP) **Preferred qualifications:** + Bachelor's degree + Certified Risk Adjustment Coder (CRC) This… more
    AdventHealth (10/09/25)
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  • Compliance Auditing Specialist- Remote/Hybrid…

    WMCHealth (Valhalla, NY)
    …Details: Job Summary: Serves as an internal expert on Risk Adjustment and Hierarchical Conditions Categories ( HCC ) coding. Specific duties include performing ... reports key performance indicators relative to clinical documentation and HCC coding. . Documents and maintains records of all...with one or more of the following credentials: Certified Risk Coder (CRC), Certified Professional Coder more
    WMCHealth (09/12/25)
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  • Sr Coding Compliance Auditor

    Catholic Health Initiatives (Chattanooga, TN)
    …team to support the needs of the organization. The position will support risk adjustment improvement efforts across the medical group. The Hierarchical Condition ... Category ( HCC ) Quality program was developed by CMS to promote...clinicians, and committees as appropriate. + Reports areas of risk directly to the Coding Integrity Manager/Supervisor. + Maintains… more
    Catholic Health Initiatives (10/04/25)
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  • Quality Senior Analyst

    CVS Health (Atlanta, GA)
    Coder ) **or** CCS-P (Certified Coding Specialist-Physician) and CRC (Certified Risk Adjustment Coder ) required. + CPMA (Certified Professional ... + Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories ( HCC ) required. + Completion… more
    CVS Health (09/30/25)
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  • Analyst, Coding Data Quality Auditor

    CVS Health (Topeka, KS)
    Coder ) or CCS-P (Certified Coding Specialist-Physician) and CRC (Certified Risk Adjustment Coder ) required **Preferred Qualifications** + CPMA ... Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and...with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories ( HCC )… more
    CVS Health (10/02/25)
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  • Clinical Documentation Specialist

    Ascension Health (Elk Grove Village, IL)
    …Candidates must have the following certification thru AAPC (credentialing board): **Certified Risk Adjustment Coder (CRC) - STRONGLY PREFERRED** + ... to hire date or job transfer date.* Certified Professional Coder (CPC) credentialed from the American Academy of Professional...in the CRC program please apply!** + 1 year ** RISK CODING** experience, preferred (NEW GRADUATES WELCOME) + Experience… more
    Ascension Health (09/26/25)
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  • Manager, Clinical Quality Coding

    Sutter Health (Sacramento, CA)
    …workflows, data management, coding staff specific to clinical documentation improvement and risk adjustment coding initiatives. Manages the day to day operations ... related to Risk Adjustment Coding. Provides oversight to the...or other related field **CERTIFICATION & LICENSURE:** CPC-Certified Professional Coder OR CCSP-Certified Coding Specialist-Professional OR CCS-Certified Coding Specialist… more
    Sutter Health (10/11/25)
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