• Risk Adjustment QA Consultant

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …on proper coding practices and compliance requirements. * Manage medical coding metrics, performance improvement opportunities, and evaluation of in-home ... and military experience will be considered. * Experience in medical coding with a focus on Medicare...Advantage and ACA risk adjustment. * Certified Risk Adjustment Coder (CRC) certification * In-depth knowledge of ACA &… more
    Blue Cross and Blue Shield of Minnesota (09/10/25)
    - Related Jobs
  • Individual & Family Plans (IFP) Quality Review…

    The Cigna Group (Bloomfield, CT)
    …from identified medical record cohorts, evaluating work of peers and coding vendor coders, to ensure compliance with quality standards, scoring as appropriate ... execution for designated markets, including but not limited to, medical records reviews; subordinate, peer, or vendor coding...one or more of the following:** **▪ Certified Professional Coder (CPC)** **▪ Certified Coding Specialist for… more
    The Cigna Group (11/19/25)
    - Related Jobs
  • Individual & Family Plans (IFP) Quality Review…

    The Cigna Group (Bloomfield, CT)
    …(AAPC) in one of the following certifications, or comparable medical coding specialty: + **Certified Professional Coder (CPC)** + **Certified Coding ... is responsible for day-to-day oversight of a team of Coding Analysts specializing in HHS Risk Adjustment medical...professional oral and written communication skills + Experience with HCC coding preferred + Prior experience with… more
    The Cigna Group (11/06/25)
    - Related Jobs
  • ProFee Audit Specialist FT- 2,500 Sign on Bonus

    Datavant (Boise, ID)
    …Radiology and HCC is a plus. **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate coding ... will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education,… more
    Datavant (11/05/25)
    - Related Jobs
  • Director of Quality and Risk Adjustment

    HCA Healthcare (Campbell, CA)
    …deadlines Required + Experience using Cozeva Required + Certified HCC Coding Specialist Required + Certified Professional Coder Required + Certified Quality ... of a compliant documentation education program for network physicians + Ensure internal HCC coders meet minimum coding performance guidelines + Evaluate and… more
    HCA Healthcare (10/23/25)
    - Related Jobs
  • Clinical Documentation Improvement Specialist…

    Bluestone Physician Services (Stillwater, MN)
    …in Health Information Management, Nursing, or related field. + Certified Risk Adjustment Coder (CRC) certification, Risk Adjustment Coding (RAC) or related risk ... in healthcare coding , with a focus on Hierarchical Condition Category ( HCC ) coding and risk adjustment. Knowledge/Skills/Abilities + Proficiency in reviewing… more
    Bluestone Physician Services (10/19/25)
    - Related Jobs