• Certified Risk Adjustment

    Redeemer Health Home Care & Hospice (Huntingdon Valley, PA)
    …pathophysiology, and medical terminology necessary to correctly code diagnoses. The Certified Risk Adjustment Coding /Audit Specialist analyzes and ... journey. We invite you to apply today. SUMMARY OF JOB The Certified Risk Adjustment Coding /Audit Reviewer is a physician facing position and must have… more
    Redeemer Health Home Care & Hospice (08/13/25)
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  • Risk Adjustment Auditor Educator…

    Trinity Health (Albany, NY)
    …desirable practice behaviors. + Develops and provides actionable quality audits related to the risk adjustment coding specialist team's accuracy rates ... compliance standards in our provider group. **SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:** Risk adjustment coding , provider auditing and clinical/education… more
    Trinity Health (08/16/25)
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  • Manager, Risk Adjustment

    Evolent (Charleston, WV)
    …Doing:** **Manager, Coding Support Specialist ** Evolent Care Partners is seeking a Risk Adjustment Coding Support Manager to be a core member of the ... Risk Adjustment Coding Support team. Evolent Care Partners' mission is to partner directly with primary care organizations across the country to improve… more
    Evolent (08/14/25)
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  • Director Risk Adjustment

    Highmark Health (Pittsburgh, PA)
    …+ Production Coding : Manage a team of internal coder / clinicians that perform Risk Adjustment coding of medical records. Track production coding ... for the Highmark Health Enterprise. Ensures that Highmark's Risk Adjustment programs comply with all applicable...coding . Promotes the strategy and capabilities to develop risk management and physician / member initiatives that support… more
    Highmark Health (08/08/25)
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  • Clinical Documentation Integrity Specialist

    UCLA Health (Los Angeles, CA)
    …- Medicare Advantage Risk Adjustment , you will be an expert in risk adjustment coding and documentation, working closely with physicians, IPA coders, ... Professional Coder (CPC) certification or Certified Coding Specialist (CCS) certification, required + A Certified Risk... Specialist (CCS) certification, required + A Certified Risk Adjustment Coder (CRC), required + Reliable… more
    UCLA Health (08/15/25)
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  • Director, Risk Adjustment

    Corewell Health (Grand Rapids, MI)
    …This position will evaluate and assess the organization's risk related to risk adjustment coding and conduct internal audits to improve compliance. ... exposure/ risk . Contributes to and approves Priority Health Risk Adjustment Coding Guidelines. +...Academy of Professional Coders 180 Days required Or + CRT- Coding Specialist (CCS) - AHIMA American Health… more
    Corewell Health (07/21/25)
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  • Certified Coder ( Risk Adjustment

    Molina Healthcare (Orlando, FL)
    …training and education to network of providers on how to improve their risk adjustment knowledge as well as provide coding updates related to Risk ... License, Certification, Association** + Certified Professional Coder (CPC) + Certified Coding Specialist (CCS) **Preferred Education** Bachelor's Degree in… more
    Molina Healthcare (08/21/25)
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  • Billing and Coding Specialist

    University of Colorado (Aurora, CO)
    …and/or facility fee setting. + Experience with outpatient (HOPD, freestanding) and inpatient coding , risk adjustment auditing. + Experience building and ... **Billing and Coding Specialist ** **Description** **University of Colorado Anschutz Medical Campus** **Department: Neurosurgery** **Job Title** **Billing and … more
    University of Colorado (08/23/25)
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  • Ambulatory Coding and Doc Specialist

    Penn Medicine (Bala Cynwyd, PA)
    …of relevant coding medical professional services experience including ambulatory outpatient and risk adjustment coding . (Required) + Certified Risk ... Medicine Hospice- 150 Monument Road** **Hours: Full-Time** **Job Summary:** The Ambulatory Coding and Documentation Specialist reports to the Primary Care… more
    Penn Medicine (08/07/25)
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  • Quality Coding & Documentation…

    AdventHealth (Altamonte Springs, FL)
    …to support Hierarchical Conditions Categories (HCC), ICD-10, medical necessity, and the appropriate Risk Adjustment Factor. Working with the Quality Team is not ... **Quality Coding &** **Documentation** ** Specialist AdventHealth PHSO...the quality of clinical documentation, use of HCCs and Risk Adjustment of patients. **The expertise and… more
    AdventHealth (08/07/25)
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