• Auditor, HCC Risk Adjustment Coding

    Datavant (Washington, DC)
    …tasks required by management. **What you will bring to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of HCC Auditing experience + ... credentials (CPC, CPC-H, COC, CIC or CRC). + Proficient in ICD-10 coding . + Experienced in HCC coding across Medicare, commercial, and Medicaid sectors. +… more
    Datavant (08/08/25)
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  • Supervisor, HCC Risk Adjustment…

    Datavant (Washington, DC)
    …required. + People Leader experience managing a team of employees. + Familiarity with HCC coding . + A strong knowledge base of medical terminology, medical ... educational and life experiences to realize our bold vision for healthcare. The Coding Supervisor serves as a working supervisor with oversight and management of… more
    Datavant (09/20/25)
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  • HCC Risk Adjustment Coder - Full Time…

    Datavant (Washington, DC)
    …credentials (CPC, CPC-H, COC, CIC, or CRC). + A minimum of 2 years HCC coding experience, while certified. + Full understanding and knowledge of ICD-10, ... to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical...guidelines. + Coders must meet and maintain a 95% coding accuracy rate. + Any other task requested by… more
    Datavant (08/26/25)
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  • Risk Adjustment Coding Coordinator I/II

    Excellus BlueCross BlueShield (Rochester, NY)
    …ICD-9-CM/ICD-10-CM coding , Medicare Advantage and Commercial Hierarchical Condition Category ( HCC ) coding , and Medicaid Clinical Risk Groups (CRGs) to ensure ... coding validation, monitoring plan specifications, Hierarchical Condition Category ( HCC ) assignment accuracy and Risk Adjustment Validation Audits (RADV). *… more
    Excellus BlueCross BlueShield (08/27/25)
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  • Coding Auditor & Educator

    WelbeHealth (Washington, DC)
    …+ Work closely with Coding Supervisor in identifying opportunities for HCC coding education **Job Requirements:** + Associates Degree preferred; three (3) ... coding and auditing + Minimum of two (2) years of Risk Adjustment ( HCC ) coding experience in a managed care environment + Current CCS, CCS-P, CPC, CPC-H,… more
    WelbeHealth (09/19/25)
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  • Risk Adjustment Supervisor - Coding

    CareFirst (Baltimore, MD)
    …activities and operational processes of the coding operations team - including HCC coding , auditing and data submission to CMS and other regulatory agencies, ... activities, and drive ongoing professional development on CMS, HHS, HCC , and ICD-10 coding requirements. + Identify...development on CMS, HHS, HCC , and ICD-10 coding requirements. + Identify and resolve process bottlenecks, ensuring… more
    CareFirst (09/13/25)
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  • Profee Coding Consultant - Full Time…

    Datavant (Washington, DC)
    …outcomes in both hospitals and alternative care settings. Candidates with Profee and HCC coding experience are strongly encouraged to apply! **What You Will ... for healthcare. **What We're Looking For:** The Provider Practice Coding Consultant role is an opportunity to make a...make a significant impact in the field of medical coding . You will provide essential consulting services and educational… more
    Datavant (09/26/25)
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  • Risk Adjustment Coding Specialist (Remote)

    CareFirst (Baltimore, MD)
    …work experience. **Experience:** 3 years risk adjustment/hierarchical condition category ( HCC ) coding experience. **Knowledge, Skills and Abilities (KSAs)** ... **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Specialist supports the retrospective risk adjustment supplemental filing, Risk Adjustment Data… more
    CareFirst (09/26/25)
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  • Coding and Clinical Documentation Educator

    AdventHealth (Daytona Beach, FL)
    …( HCC ) education including but not limited to clinical documentation integrity, coding , HCC Risk Adjustment Methodology, and provider performance metrics. The ... advanced understanding of the HCC risk adjustment methodology gained from HCC documentation, coding , and provider education experience. **The value you'll… more
    AdventHealth (09/23/25)
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  • Risk Adjustment Clinical Auditor/Analyst

    UPMC (Pittsburgh, PA)
    …Review provider coding /billing trends, and government audit outcomes to identified HCC coding improvement and opportunities. + Work in collaboration with ... + Five years of clinical experience. + Two years of either HCC coding , reviews or education, DRG experience, Clinical Documentation Improvement, Fraud & Abuse,… more
    UPMC (09/30/25)
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