• Auditor , HCC Risk

    Datavant (Indianapolis, IN)
    …professional, educational and life experiences to realize our bold vision for healthcare. As an Auditor , HCC Risk Adjustment Coder, you will review ... standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will...bring to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of … more
    Datavant (11/07/25)
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  • Risk Adjustment Coding Specialist…

    Trinity Health (Albany, NY)
    adjustment payment models. . Identify coding discrepancies and work with risk adjustment auditor to communicate deficiencies to providers. **Core ... system work queues and natural language processing (NLP) tools to support addressing HCC codes for Risk Adjustment before a claim is submitted to payers. .… more
    Trinity Health (11/15/25)
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  • Professional Coding Auditor - Remote

    Albany Medical Center (Albany, NY)
    …instruction and training to providers and coding staff. Act as an expert for the HCC / Risk adjustment coding. This position is remote but does require onsite ... - $90,551.20 This position has remote opportunity Professional Coding Auditor will apply an advanced professional coding skill set...for Coding and Reporting. Code chronic disease that meets HCC and Risk Adjustment criteria.… more
    Albany Medical Center (11/05/25)
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  • Coding Data Quality Auditor

    CVS Health (Hartford, CT)
    …auditing. Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories CRC ( HCC )CPMA (Certified ... for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in… more
    CVS Health (11/09/25)
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  • Coding Data Quality Auditor

    CVS Health (Springfield, IL)
    …+ Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories ( HCC ) preferred. **Anticipated ... for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in… more
    CVS Health (11/14/25)
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  • Market Director Population Health Quality…

    Catholic Health Initiatives (Little Rock, AR)
    …quality and risk for the value hub. + Through Risk Management/ Auditor Manager, implements a risk adjustment coding department in appropriate Arkansas ... these new processes. + Support the Risk Auditor Manager of closely working with the HCC...Health Management experience required + Must have experience with risk adjustment coding and value based reimbursement… more
    Catholic Health Initiatives (11/15/25)
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  • Compliance Auditing Specialist- Remote/Hybrid…

    WMCHealth (Valhalla, NY)
    …Details: Job Summary: Serves as an internal expert on Risk Adjustment and Hierarchical Conditions Categories ( HCC ) coding. Specific duties include performing ... Monitors and reports key performance indicators relative to clinical documentation and HCC coding. . Documents and maintains records of all query, audit, and… more
    WMCHealth (09/12/25)
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