• Coding Team Lead, HCC Risk

    Datavant (Atlanta, GA)
    …for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to ... Reviews rebuttals submitted by coders. Provides education to the coder if the error is correct or sends the...experience a plus + A strong knowledge base of medical terminology, medical abbreviations, pharmacology and disease… more
    Datavant (12/10/25)
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  • Director, Medical Coding

    CenterWell (Tallahassee, FL)
    …interrelate across the function or segment. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible for driving ongoing ... Responsible for performance management and strategy development for PCO risk adjustment at the division and market...the GenAI ( CODER ) tool to improve the medical coder experience. + Oversees coding operations… more
    CenterWell (10/23/25)
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  • Senior Coding Educator

    Humana (Salt Lake City, UT)
    …to adapt quickly to change **Preferred Qualifications** + Bachelor's Degree + Certified Risk Adjustment Coder (CRC) + Certified Documentation Expert ... improvement opportunities and give guidance around operational and clinical best practices in the risk adjustment methodology. This role reports to the Risk more
    Humana (12/04/25)
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  • Director, Clinical Data Acquisition

    Molina Healthcare (MI)
    …Quality (CPHQ) * Nursing License (RN may be preferred for specific roles) * Certified Risk Adjustment Coder (CRC) To all current Molina employees: If you ... Molina Plan Senior Leadership Team, including the Plan President, Chief Medical Officer, national Risk Adjustment teams and strategic teams about key… more
    Molina Healthcare (10/22/25)
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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 ... thorough patient chart reviews to identify opportunities for providers to capture risk adjustment diagnostic codes accurately. The successful candidate will play… more
    Bluestone Physician Services (10/19/25)
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  • Medical Coding Educator

    Humana (Fort Lauderdale, FL)
    …AAPC CPC (Certified Professional Coder ) Certification + 4 or more years of medical coding experience + Risk Adjustment knowledge + Proficiency with data ... sets **Preferred Qualifications** + Bachelor's Degree + CRC -Certified Risk Adjustment Coder + Experience...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
    Humana (12/09/25)
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  • Lead - CDI Specialist

    Mayo Clinic (Rochester, MN)
    …AHIMA certification OR Certified Inpatient Coder (CIC) AAPC certification Certified Risk Adjustment Coder (CRC) AAPC certification **Exemption Status** ... CDI!** Join our team to train providers on documentation best practices and risk adjustment , deliver tailored education, and develop engaging content across Mayo… more
    Mayo Clinic (10/30/25)
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  • Coding Data Quality Auditor

    CVS Health (Tallahassee, FL)
    …(Certified Professional Coder ) or CCS-P (Certified Coding Specialist-Physician). + CRC (Certified Risk Adjustment Coder ) must be able to obtain within 1 ... Summary** Responsible for performing quality inter-rater review audits of medical records coded by internal team (CDQA and Sr...Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and… more
    CVS Health (12/13/25)
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  • Government Programs Clinical Coordinator, Senior

    Blue KC (Kansas City, MO)
    medical groups. + Analyze data and monitor provider metrics to identify risk adjustment , HEDIS or educational opportunities for the Medicare Advantage and ... business. + Develop educational tools for network providers regarding risk adjustment and HEDIS documentation and coding...at least five years coding experience + Obtain Certified Risk Coder (CRC) within 1 year of… more
    Blue KC (11/01/25)
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  • Coding Data Quality Auditor

    CVS Health (Austin, TX)
    Coder ) or CCS-P (Certified Coding Specialist-Physician) required. + CRC (Certified Risk Adjustment Coder ) + Computer proficiency including experience ... the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical… more
    CVS Health (12/12/25)
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