• HCC Risk Adjustment Coder…

    Datavant (St. Paul, MN)
    …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 identify and...on client specific guidelines for the project. + The coder will ensure compliance with established ICD-10 CM, third… more
    Datavant (08/01/25)
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  • Director, Registered Nurse/Certified Risk…

    Ankura (New York, NY)
    …college/university + Current Registered Nurse license + Experience working for payors conducting risk adjustment reviews + Clinical experience in a variety of ... and mature their compliance programs, conduct program effectiveness reviews, and risk assessments, and perform compliance audits. We assist in-house and outside… more
    Ankura (07/22/25)
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  • Risk Adjustmt Coder Educator…

    Hartford HealthCare (Hartford, CT)
    …recognition programs and other common practices across the system. *JOB SUMMARY:* The Risk Adjustment Coder Educator develops and implements an ... risk adjustment program requirements and ICD 10 coding guidelines. The Risk Adjustment Coder Educator will serve as a training resource for Risk … more
    Hartford HealthCare (06/12/25)
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  • Coder III (Medical Coding)

    Geisinger (Danville, PA)
    …certifications is required:CPC - Certified Professional Coder CRC - Certified Risk Adjustment Coder RHIT - Registered Health Information Technician ... Health Information Technician (RHIT) - American Health Information Management Association; Certified Risk Adjustment Coder - American Academy of Professional… more
    Geisinger (06/04/25)
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  • Certified Coder - REMOTE

    Molina Healthcare (Scottsdale, AZ)
    … Adjustment Data Validation **Preferred License, Certification, Association** + Certified Risk Adjustment Coder - (CRC) + Certified Professional Payer ... + Provides training and education to network of providers on how to improve their risk adjustment knowledge as well as provide coding updates related to Risk… more
    Molina Healthcare (07/31/25)
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  • Profee Medical Coder General Medicine…

    Banner Health (MO)
    …your years of Multi-Specialty - General Medicine (some HCC) Coding experience** with Certified Risk Adjustment Coder (CRC) certification in an active status, ... Practice Coding Team** is looking for an **experienced Medical Coder with General Medicine: Multi-Specialty experience.** This is a...the above requirements? Check out some of our other Coder positions!_ The hours are flexible with the ability… more
    Banner Health (08/08/25)
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  • Clinical Quality Coder II

    Sutter Health (Sacramento, CA)
    …+ HS Diploma or General Education Diploma (GED) **CERTIFICATION & LICENSURE:** + CRC-Certified Risk Adjustment Coder OR CPC-Certified Professional Coder ... OR AHMA or AAPC Coding Certification (CCS-P, CPC, COC or CPC-P) **TYPICAL EXPERIENCE:** + 1 year recent relevant experience. **SKILLS AND KNOWLEDGE:** + Advanced knowledge of ICD-10 diagnosis coding conventions and requirements, knowledge of Quality Coding… more
    Sutter Health (06/29/25)
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  • Risk Adjustment Consultant

    Tufts Medicine (Burlington, MA)
    …provider education when necessary. **Job Description** **Minimum Qualifications:** 1. Certified Risk Adjustment Coder (CRC) **OR** Certified Professional ... adjustment experience, . **Preferred Qualifications:** 1. Associate's degree. 2. Certified Risk Adjustment Coder (CRC) highly preferred. 3. Two (2) years… more
    Tufts Medicine (07/14/25)
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  • Director Risk Adjustment , Coding…

    Highmark Health (Pittsburgh, PA)
    …**Required** + AAPC, Certified Professional Coder (CPC) **Preferred** + AAPC, Certified Risk Adjustment Coder (CRC) **SKILLS** + CMS Regulations + ... Manage a team of internal coder / clinicians that perform Risk Adjustment coding of medical records. Track production coding results and monitor accuracy of… more
    Highmark Health (08/08/25)
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  • Director, Risk Adjustment…

    Corewell Health (Grand Rapids, MI)
    …License and/or Certification in area of specialty - UNKNOWN Unknown CRC, AAPC Certified Risk Adjustment Coder preferred Physical Demands + Pallet to Waist ... Job Summary The Director Risk Adjustment Prospective Operations & ...State Other than Michigan Upon Hire required + CRT-Professional Coder - AAPC American Academy of Professional Coders 180… more
    Corewell Health (07/21/25)
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