• Risk Adjustment Coding Specialist

    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...environment and is responsible for reviewing clinical documentation and coding using HCC (Hierarchical Condition Category) and… more
    Trinity Health (07/31/25)
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  • Certified Risk Adjustment Coding /Audit…

    Redeemer Health Home Care & Hospice (Huntingdon Valley, PA)
    …terminology necessary to correctly code diagnoses. The Certified Risk Adjustment Coding /Audit Specialist analyzes and translates concurrent, prospective and ... We invite you to apply today. SUMMARY OF JOB The Certified Risk Adjustment Coding /Audit Reviewer is a physician facing position and must have extensive knowledge in… more
    Redeemer Health Home Care & Hospice (08/13/25)
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  • Quality Coding & Documentation…

    AdventHealth (Altamonte Springs, FL)
    **Quality Coding &** **Documentation** ** Specialist AdventHealth PHSO Resources** **All the benefits and perks you need for you and your family:** + Benefits ... **Shift** : Monday-Friday **Location:** Remote **The role you'll contribute:** The Quality Coding and Documentation Integrity Specialist will focus their work on… more
    AdventHealth (08/07/25)
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  • Clinical Documentation Specialist Auditor-…

    UNC Health Care (Chapel Hill, NC)
    …Abilities Requirements:** * Strong knowledge of ICD-10-CM, ICD-10-PCS, and CPT coding , MS DRG, hierarchical condition categories ( HCC ), and CDI ... that have opted into shared services. This position reports to the HCS Supervisor Coding and CDI Quality and Training. This position may travel from entity to entity… more
    UNC Health Care (07/29/25)
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  • Facility Coding Inpatient DRG Quality

    Banner Health (OH)
    …current and progressively responsible coding experience required. Requires Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC) or Certified ... HCC , other Heath Risk Adjusted Factors, National Correct Coding Initiative (NCCI) and the effect on Case Mix...Coder (CPC) or Certified Outpatient Coder (COC) or Certified Coding Specialist -Physician (CCS-P) or Registered Health Information… more
    Banner Health (06/15/25)
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  • Manager, Risk Adjustment Coding Support

    Evolent (Charleston, WV)
    …for the mission. Stay for the culture. **What You'll Be Doing:** **Manager, Coding Support Specialist ** Evolent Care Partners is seeking a Risk Adjustment ... efficiently. + Compliance knowledge, understanding industry standards and regulations in healthcare coding , specifically Risk Adjustment and all HCC models to… more
    Evolent (08/14/25)
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  • Certified Coder (Outpatient/Risk Adjustment…

    Molina Healthcare (Cedar Rapids, IA)
    …License, Certification, Association** + Certified Professional Coder (CPC) + Certified Coding Specialist (CCS) **Preferred Education** Bachelor's Degree in ... related field **Preferred Experience** + Familiar with HCC (Hierarchical Condition Categories) Risk Adjustment Model + Background...+ Certified Professional Payer - Payer (CPC-P) + Certified Coding Specialist - Physician based (CCS-P) To… more
    Molina Healthcare (07/31/25)
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  • Coding Data Quality Auditor

    CVS Health (Columbia, SC)
    …for CPC. + CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist -Physician) required. **Preferred Qualifications** + Computer proficiency ... regulations and internal policies and procedures. + Proven ability to support coding judgment and decisions using industry standard evidence and tools. + Proficient… more
    CVS Health (08/09/25)
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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 Inc....competencies in clinical documentation improvement and ICD, CPT and HCC coding through continuing education. Assists with… more
    WMCHealth (07/09/25)
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  • *Outpatient Complex Audit Specialist /Full…

    Henry Ford Health System (Grand Blanc, MI)
    …to work remotely. + Proficient in medical terminology. + Proficient in ICD-10 CM, CPT, HCC and HCPCS coding . + Able to recognize patterns and trends and escalate ... OP Audit Analysts and Coordinators will utilize documentation and coding expertise to facilitate audits of the quality and...medical record, the OP Audit - outpatient complex audit specialist will be responsible for utilizing knowledge of Local,… more
    Henry Ford Health System (06/24/25)
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