• Certified Medical Coder

    Apex Health Solutions (Houston, TX)
    h3> SUMMARY: Certified Medical Coder role is responsible for.... Certified Professional Coder (CPC) . Certified Risk Adjustment Coder (CRC) . ... proper ICD-10-CM, HCPCS, and CPT coding and compliance with Risk Adjustment requirements. EDUCATION: . High School...physician setting, or a Managed Care Organization as a medical coder . Current AAPC or AHIMA… more
    Apex Health Solutions (09/26/25)
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  • Risk Adjustment Coding Auditor II

    LA Care Health Plan (Los Angeles, CA)
    …timeliness. Licenses/Certifications Required Certified Professional Medical Auditor (CPMA) Certified Risk Adjustment Coder (CRC) Certified Professional ... Risk Adjustment Coding Auditor II Job...Medicine (CDPH+Rx) for all lines of business (MediCare, Commercial, MediCal /MediCaid) for optimal HCC capture, and to develop educational… more
    LA Care Health Plan (11/22/25)
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  • HCC Risk Adjustment Coder

    Datavant (Topeka, KS)
    …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to...Review, analyze, and code diagnostic information in a patient's medical record based on client specific guidelines for the… more
    Datavant (11/14/25)
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  • Medical Coder I, Amazon One…

    Amazon (IL)
    …* 2+ years as a Profee Coder in an office setting inclusive of risk adjustment coder experience required * 1+ year experience in Medicare/Medicare ... Medical Senior Health Revenue Cycle team, the Medical Coder I will be responsible for...ICD-10-CM coding guidelines, AHA Coding Clinic Guidance and CMS Risk Adjustment guidance. Assign appropriate ICD-10-CM, CPT,… more
    Amazon (10/31/25)
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  • Quality Medical Coder

    BrightSpring Health Services (Louisville, KY)
    …(formerly Signature Advantage Plan) is seeking a detail-oriented and technically skilled Quality Medical Coder to support our clinical operations. The Part Time ... coding, data integrity, and working with healthcare systems. Responsibilities + The Quality Medical Coder is responsible for reviewing and assigning accurate … more
    BrightSpring Health Services (11/20/25)
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  • Coder IV - Claim Edits Coder

    Geisinger (Danville, PA)
    …1 certification required:CPC - Certified Professional Coder AAPC CRC - Certified Risk Adjustment Coder - AAPC RHIT - Registered Health Information ... Technician - AHIMA + Reviews the content of the medical record for hospital and professional inpatient records to...Technician (RHIT) - American Health Information Management Association; Certified Risk Adjustment Coder - American… more
    Geisinger (11/26/25)
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  • Senior Coder - RCO Coding

    UTMB Health (Galveston, TX)
    Coder - Apprentice American Academy of Professional Coders (AAPC) Or CRC - Cert Risk Adjustment Coder American Academy of Professional Coders (AAPC) *One ... Senior Coder - RCO Coding **Galveston, Texas, United States**...of coding guidelines, anatomy and physiology, biology and microbiology, medical terminology and medical abbreviations is a… more
    UTMB Health (11/21/25)
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  • Network Practice Coder /Auditor

    WMCHealth (Valhalla, NY)
    …a large multispecialty practice setting, including surgical speacialties is required. HCC Risk adjustment Coding esperience is preferred. Education: High school ... (https://pm.healthcaresource.com/cs/wmc1/#/preApply/30982) Internal Applicant link Job Details: Job Summary: The Coder is responsible for auditing medical records,… more
    WMCHealth (11/01/25)
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  • Director of Quality and Risk

    HCA Healthcare (Campbell, CA)
    …changes and requirements into strategy and forecasts + Lead the collaboration between Risk Adjustment , Quality, Medical Management and Network Management ... impacting our communities. As a Director of Quality and Risk Adjustment with HCA Healthcare, you can...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
    HCA Healthcare (10/23/25)
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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 ... Blue Cross and Blue Shield of Minnesota Position Title: Risk Adjustment QA Consultant Location: Hybrid |...CMS RADV audits, including retrieval and coding of targeted medical records. * Design and implement QA programs to… more
    Blue Cross and Blue Shield of Minnesota (09/10/25)
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