• Facility Coding Inpatient DRG Quality

    Banner Health (AR)
    …you. **Requirements:** + **5 years recent experience in acute-care Inpatient facility-based medical coding (clearly reflected in your attached resume);** + **DRG ... HCC , other Heath Risk Adjusted Factors, National Correct Coding Initiative (NCCI) and the effect on Case Mix...progressively responsible coding experience required. Requires Certified Coding Specialist (CCS) or Certified Inpatient Coder more
    Banner Health (09/06/25)
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  • Divisional Coding Quality Auditor Educator…

    AdventHealth (Altamonte Springs, FL)
    …and Hierarchical Condition Categories ( HCC ) + Expert level knowledge of medical terminology, coding guidelines and methodologies + Understanding of HIPAA ... as well as supporting on-going quality assurance needs for coding staff. They will review medical records...close attention to detail + Epic experience + Certified Coding Specialist Required or + Certified Professional Coder more
    AdventHealth (09/17/25)
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  • Manager, Coding Education & Performance

    East Boston Neighborhood Health Center (Revere, MA)
    …across multiple specialties + Extensive knowledge of cpt, revenue codes, ICD-10-CM coding and HCC /risk adjustment methodologies + Experience with Medicare ... of Federal and State insurance programs (MassHealth) + Independently interpret and analyze medical record documentation to ensure accurate coding assignment for … more
    East Boston Neighborhood Health Center (09/16/25)
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  • Medical Coding Auditor

    CenterWell (Denver, CO)
    **Become a part of our caring community and help us put health first** The Medical Coding Auditor extracts clinical information from a variety of medical ... codes (eg, ICD-10-CM, CPT) to patient records. The ** Medical Coding Auditor** work assignments are varied...(ie, spreadsheets) that have been created based on the CMS- HCC model and established coding guidelines +… more
    CenterWell (10/01/25)
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  • Coding Data Quality Auditor

    CVS Health (Oklahoma City, OK)
    …recent and related experience in medical record documentation review, diagnosis coding , and/or auditing. + CPC (Certified Professional Coder ) or CCS-P ... Coding Specialist-Physician) required. + CRC (Certified Risk Adjustment Coder ) + Computer proficiency including experience with Microsoft Office products (Word,… more
    CVS Health (09/27/25)
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  • Manager, Risk Adjustment Coding Support

    Evolent (Phoenix, AZ)
    …field or equivelent years of work experience. + **Certification in medical coding (CRC- Certified Risk Adjustment Coder ) or demonstrated ability.** + 5+ ... Manager plays a crucial role in ensuring accurate medical coding and compliance with risk adjustment...Compliance knowledge, understanding industry standards and regulations in healthcare coding , specifically Risk Adjustment and all HCC more
    Evolent (09/23/25)
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  • 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 (09/12/25)
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  • Clinical Data Abstraction Specialist

    Apex Health Solutions (Houston, TX)
    …of experience in a hospital, a physician setting or a Managed Care Organization as a medical coder . * Minimum of five (5) years ICD-10 CM coding experience ... License(s)/ Certification(s): Certified Risk Adjustment Coder (CRC), Certified Professional Coder (CPC), or Certified Coding Specialist (CCS) FLSA Status:… more
    Apex Health Solutions (09/26/25)
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  • Clinical Compliance Medical Director

    Elevance Health (Grand Prairie, TX)
    …provider medical record documentation. + Provides clinical guidance regarding coding guidelines and develops provider educational material. + Develops a more ... **Clinical Compliance Medical Director** _Please note that per our policy...strongly preferred. + Experience with clinical documentation improvement and coding practices (ICD-10, HCC , MEAT criteria) strongly… more
    Elevance Health (09/24/25)
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  • Quality Senior Analyst

    CVS Health (IL)
    …CCS-P (Certified Coding Specialist-Physician) and CRC (Certified Risk Adjustment Coder ) required. + CPMA (Certified Professional Medical Auditor) **or** CDEO ... Qualifications** + Minimum of 5 years recent and related experience in medical record documentation review, diagnosis coding , and/or auditing. + Experience… more
    CVS Health (09/30/25)
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