• 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 (12/10/25)
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  • Enterprise Data Analyst III

    LA Care Health Plan (Los Angeles, CA)
    …(TM) ); NAMAS Certified HCC Coder (CHCC (TM) ); AHIMA Certified Coding Specialist (CCS(R)) Domain Focus: Medical Cost Driver Analytics Required: Experience ... with risk adjustment methodologies, including Hierarchical Condition Category (HCC) coding , hierarchical models, and member risk scoring. Knowledge of diagnosis… more
    LA Care Health Plan (01/15/26)
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  • Registered Health Information…

    State of Minnesota (Anoka, MN)
    …as a DCT Coder ! This position will perform diagnosis and procedural coding for all DCT services and programs for data retrieval, analysis, statistical reporting, ... **Working Title: Registered Health Information Technician/Administrator** **Job Class: Medical Records Technician 2** **Agency: Direct Care and Treatment** + **Job… more
    State of Minnesota (01/18/26)
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  • DRG Denials Auditor

    Community Health Systems (Franklin, TN)
    …policies and standards. **Qualifications** + HS Diploma or GED required + Other Medical Coding Program preferred + Associate Degree Health Information Management ... non-RAC accounts, reviewing patient records for accuracy in ICD-10-CM/PCS coding , DRG assignments, and supporting clinical documentation. This includes evaluating… more
    Community Health Systems (12/09/25)
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  • Revenue Integrity Analyst II

    Intermountain Health (Boise, ID)
    …**Required** + Current certification through AAPC, AHIMA or HFMA, or other specialty medical coding group. + Experience in a role requiring attention to ... and/or revenue monitoring. **Preferred** + **Cath Lab and Interventional Radiology procedure coding experience, and Certified Cardiology Coder (CCC) or Certified… more
    Intermountain Health (01/13/26)
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  • Solutions and Data Analyst III

    LA Care Health Plan (Los Angeles, CA)
    …(TM) ), NAMAS Certified HCC Coder (CHCC (TM) ), AHIMA Certified Coding Specialist (CCS(R)). Domain Focus: Medical Cost Driver Analytics Required: Experience ... with risk adjustment methodologies, including Hierarchical Condition Category (HCC) coding , hierarchical models, and member risk scoring. Knowledge of diagnosis… more
    LA Care Health Plan (01/15/26)
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  • Quality & Risk Adjustment Provider Consultant

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …and identifies actionable opportunities for providers to improve their Quality and Coding Accuracy performance. The role leads face-to-face meetings with leaders in ... plans. The consultants are in-house subject matter experts on coding accuracy and Quality programs such as including HEDIS...of Health Care Quality measures * Certified Risk Adjustment Coder (CRC via AAPC) or Certified Professional Coder more
    Blue Cross and Blue Shield of Minnesota (12/30/25)
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  • 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 ... and risk adjustment. Knowledge/Skills/Abilities + Proficiency in reviewing and analyzing medical records for documentation deficiencies and coding opportunities.… more
    Bluestone Physician Services (01/18/26)
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  • Inpatient Audit Specialist FT 2,500 Sign on Bonus

    Datavant (Topeka, KS)
    …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... must have a CCS and 5 years of experience coding and/or auditing and strong spinal fusion experience as...to ensure optimal workflow and turnaround time + Provides coder education via the auditing process + Function in… more
    Datavant (12/17/25)
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  • Revenue Integrity Charge Auditor (Remote)

    Stanford Health Care (Palo Alto, CA)
    …computer application to medical records + Knowledge of ICD-10-CM & CPT coding conventions to code medical record entries; abstract information from ... standards and regulations pertaining to the maintenance of patient medical records; medical records coding .... or + CPC and/or CCSP - Certified Professional Coder required . or + Certified Outpatient Coder more
    Stanford Health Care (12/10/25)
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