• Risk Adjustment Coding

    Trinity Health (Albany, NY)
    **Employment Type:** Full time **Shift:** Day Shift **Description:** Risk Adjustment Coding Specialist -St. Peter's Health Partners - Full-time - Remote ... **POSITION PURPOSE:** The Risk Adjustment Coding Specialist works in a team environment and is responsible for reviewing clinical documentation and … more
    Trinity Health (12/12/25)
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  • Risk Adjustment Coding

    CareFirst (Baltimore, MD)
    **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Specialist supports the retrospective risk adjustment supplemental filing, ... to coding and documentation guidelines. The development and ongoing maintenance of the Risk Adjustment Coding guidelines, as well as, guiding junior … more
    CareFirst (12/11/25)
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  • Certified Risk Adjustment

    Trinity Health (Livonia, MI)
    **Employment Type:** Full time **Shift:** **Description:** **CERTIFIED RISK ADJUSTMENT CODING SPECIALIST ** **Location:** Trinity Health PACE Corp ... one of the following certifications: Certified Outpatient Coder, Certified Coding Specialist , Certified Professional Coder thru AAPC...year if hired.** + **Two-years of experience in a risk adjustment coding environment required.**… more
    Trinity Health (12/08/25)
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  • Senior Risk Adjustment Coding

    Centene Corporation (Jefferson City, MO)
    coding guidelines. + Validate clinical documentation to support appropriate risk adjustment coding , including Hierarchical Condition Categories (HCCs), ... reviews and advise on clinical best practices related to risk adjustment coding , HCC capture,...required and + Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) required + NP or… more
    Centene Corporation (10/29/25)
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  • Quality & Risk Adjustment

    Avera (Sioux Falls, SD)
    … (RA) initiatives and Healthcare Effectiveness Data Information Sets (HEDIS). The Quality and Risk Adjustment Specialist will work closely with the Director ... providers to ensure that proper clinical documentation. The QRA Specialist will be responsible for ensuring that medical records...do** + Understand the rationale behind Risk Adjustment Work with physicians, clinic staff, coding ,… more
    Avera (10/28/25)
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  • RN Population Health Risk Adjustment

    Corewell Health (Grand Rapids, MI)
    About the Position The Population Health RN - Risk Adjustment Specialist will play a critical role in improving clinical documentation for Hierarchical ... to manage multiple practices and priorities Preferred + Knowledge of HCC coding , risk adjustment , and value-based care model Preferred + Change management… more
    Corewell Health (12/05/25)
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  • Certified Risk Adjustment Medical…

    Ascension Health (Elk Grove Village, IL)
    …/ Registration: + One or more of the following required:* Certified Coding Specialist (CCS) credentialed from the American Health Information ... have the following certification thru AAPC (credentialing board): **Certified Risk Adjustment Coder (CRC) - STRONGLY PREFERRED**...in the CRC program please apply!** + 1 year ** RISK CODING ** experience, preferred (NEW GRADUATES WELCOME)… more
    Ascension Health (12/03/25)
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  • Ambulatory CDI Specialist - Coding

    Hawaii Pacific Health (Honolulu, HI)
    …education to physicians and advanced practice providers (APPs). Previous experience with risk adjustment coding or clinical documentation improvement (CDI). ... experience. **Preferred Qualifications:** Certified Professional Coder - Risk Adjustment (CRC) or Certified Documentation Specialist (CCDS). Previous… more
    Hawaii Pacific Health (11/26/25)
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  • HCC Coding Specialist - Exempt…

    Emanate Health (Covina, CA)
    …**J** **ob Summary** Responsible for the oversight of HCC Program and STAR measures coding related functions. The coding specialist will work with the ... STAR measures related tasks. Responsible to ensure the IPA risk adjustment factor maintains or exceeds 1.0...and achieves or improves upon 4.0 STAR rating. The coding specialist is responsible for education to… more
    Emanate Health (10/17/25)
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  • Director, Medical Coding

    CenterWell (Tallahassee, FL)
    … leaders/coders) + Partner with MRA Strategy and Analytics teams to establish risk adjustment analytics to identify coding improvement opportunities, ... function or segment. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible...provider coding improvement opportunities, risk score trending and tracking. + Partners with MRA… more
    CenterWell (10/23/25)
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