• Risk Adjustment Supervisor - Coding

    CareFirst (Baltimore, MD)
    …day-to-day activities and operational processes of the coding operations team - including HCC coding , auditing and data submission to CMS and other ... 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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  • Supervisor, Risk Adjustment Auditing

    Datavant (Columbia, SC)
    …experience, preferred + People Leader experience managing a team of employees. + Familiarity with HCC coding and auditing + A strong knowledge base of ... life experiences to realize our bold vision for healthcare. Auditing Supervisor serves as a working supervisor with oversight...+ Extensive knowledge of ICD -9/10 + 2 years coding experience, required. + 2 years auditing more
    Datavant (10/19/25)
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  • Coding Team Lead, HCC Risk…

    Datavant (Madison, WI)
    …to realize our bold vision for healthcare. We're looking for experienced and credentialed HCC Coding Team Leads to become an integral part of our team. ... to ensure coders are receiving timely feedback. Assists with auditing when the coder has not received recent feedback....+ Extensive knowledge of ICD -10 + 2 years' HCC coding experience + 1+ years' Team… more
    Datavant (11/07/25)
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  • Auditor, HCC Risk Adjustment Coding

    Datavant (Indianapolis, IN)
    …3 years of HCC coding experience + Minimum 2 years of HCC Auditing experience + High school diploma or GED equivalent + AHIMA certified credentials ... 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 (11/07/25)
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  • Compliance Auditing Specialist-…

    WMCHealth (Valhalla, NY)
    …activities. Monitors and reports key performance indicators relative to clinical documentation and HCC coding . . Documents and maintains records of all query, ... Compliance Auditing Specialist- Remote/Hybrid available Company: NorthEast Provider Solutions...competencies in clinical documentation improvement and ICD, CPT and HCC coding through continuing education. Assists with… more
    WMCHealth (09/12/25)
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  • Professional Coding Auditor - Remote

    Albany Medical Center (Albany, NY)
    …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 education to ... medical record chart reviews (which could include prospective, concurrent & retrospective auditing ) to ensure documentation and selection of HCC diagnosis codes… more
    Albany Medical Center (11/05/25)
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  • Coding Data Quality Auditor

    CVS Health (Hartford, CT)
    …years recent and related experience in medical record documentation review, diagnosis coding , and/or auditing . **Preferred Qualifications** 5 years recent and ... related experience in medical record documentation review, diagnosis coding , and/or auditing . Experience with Medicare and/or Commercial and/or Medicaid Risk… more
    CVS Health (11/09/25)
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  • Senior Risk Adjustment Coding Compliance…

    Centene Corporation (Jefferson City, MO)
    …chart reviews and advise on clinical best practices related to risk adjustment coding , HCC capture, and documentation improvement. + Performs other duties as ... Purpose:** Executes Line 2 oversight of Risk Adjustment activities, including monitoring, auditing , and supports Line 1 oversight. Reviews medical records to assess… more
    Centene Corporation (10/29/25)
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  • Coding Data Quality Auditor

    CVS Health (Springfield, IL)
    …1 year recent and related experience in medical record documentation review, diagnosis coding , and/or auditing . + AA/AS or equivalent experience. + Completion of ... regulations and internal policies and procedures. + Proven ability to support coding judgment and decisions using industry standard evidence and tools. + Proficient… more
    CVS Health (11/14/25)
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  • Risk Adjustment Analyst - HIM OP CDI

    UNC Health Care (Chapel Hill, NC)
    …sheets and tools for providers and other clinical and OP CDI staff such as the HCC /RAF Pocket Guide, HCC Coding Tip Sheets by clinical conditions, and ... The Risk Adjustment Coordinator will be responsible for analyzing and auditing medical records retrospectively as requested by insurance companies as required… more
    UNC Health Care (10/30/25)
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