• Coding & Clinical Documentation 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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  • Coding Educator & Engagement Specialist

    Sutter Health (Burlingame, CA)
    …of the required degree or diploma._ Bachelor's **CERTIFICATION & LICENSURE:** + CRC-Certified Risk Adjustment Coder + OR CPC-Certified Professional Coder ... OR CCS-Certified Coding Specialist + CRC-Certified Risk Adjustment Coder (required within 1 year) **TYPICAL...ICD-10 diagnosis coding conventions and requirements. + Knowledge of HCC / Risk Adjustment coding. + Knowledge… more
    Sutter Health (11/01/25)
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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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  • Clinical Documentation Improvement Specialist…

    Bluestone Physician Services (Stillwater, MN)
    …+ Bachelor's degree in Health Information Management, Nursing, or related field. + Certified Risk Adjustment Coder (CRC) certification, Risk ... healthcare coding, with a focus on Hierarchical Condition Category ( HCC ) coding and risk adjustment ....on Hierarchical Condition Category ( HCC ) coding and risk adjustment . Knowledge/Skills/Abilities + Proficiency in reviewing… more
    Bluestone Physician Services (10/19/25)
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  • Individual & Family Plans (IFP) Quality Review…

    The Cigna Group (Bloomfield, CT)
    …Information Technician (RHIT)** + **Registered Health Information Administrator (RHIA)** + **Certified Risk Adjustment Coder (CRC) certification required** + ... for day-to-day oversight of a team of Coding Analysts specializing in HHS Risk Adjustment medical record diagnostic coding and quality audit review for… more
    The Cigna Group (11/06/25)
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  • Analyst, Coding Data Quality Auditor

    CVS Health (Springfield, IL)
    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 (11/21/25)
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  • Coding Data Quality Auditor

    CVS Health (Springfield, IL)
    Coder ) or CCS-P (Certified Coding Specialist-Physician) required. + CRC (Certified Risk Adjustment Coder ). + Computer proficiency including experience ... 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 (11/14/25)
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  • Senior Director of Coding - Professional…

    Mount Sinai Health System (New York, NY)
    …leading coding operations in a multi-entity or academic health system. - Familiarity with risk adjustment , HCC coding, and value-based care models. - Proven ... response, and corrective action planning. - Manage performance metrics including DNFB, coder productivity, and denial rates. Compliance & Quality - Ensure adherence… more
    Mount Sinai Health System (11/07/25)
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  • Senior Director, Revenue Cycle - Clinical…

    Scripps Health (San Diego, CA)
    …understanding of ICD, CPT, and HCPCS coding systems, MS-DRG/APR-DRG methodologies, and risk adjustment / HCC principles. * Strong technical proficiency and ... experience in professional fee/physician services operations, analytics, and reporting. **Job:** **Business Office* **Organization:** **Scripps Health Corp* **Title:** *Senior Director, Revenue Cycle - Clinical Documentation Integrity* **Location:** *Central… more
    Scripps Health (10/29/25)
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