• Auditor , HCC Risk

    Datavant (Denver, CO)
    …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 (08/08/25)
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  • Risk Adjustment Clinical…

    UPMC (Pittsburgh, PA)
    UPMC Health Plan has an exciting opportunity for a Risk Adjustment Clinical Auditor /Analyst position in the Medicare department. This is a full time position ... Auditor /Analyst is an integral part of the Risk Adjustment Department and is responsible for...reviewing and auditing medical records for Hierarchical Condition Category ( HCC ) diagnosis codes for focused claims reviews and government… more
    UPMC (09/30/25)
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  • Coding Auditor & Educator

    WelbeHealth (Charleston, WV)
    …education and experience in coding and auditing + Minimum of two (2) years of Risk Adjustment ( HCC ) coding experience in a managed care environment + ... At the direction of the Coding Supervisor, the Coding Auditor and Educator focuses on ensuring coding is accurate...in provider education programs to ensure compliance with CMS risk adjustments diagnosis coding guidelines + Work closely with… more
    WelbeHealth (09/19/25)
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  • Coding Data Quality Auditor

    CVS Health (Oklahoma City, OK)
    …+ Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories ( HCC ) preferred. **Education** + ... 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 (09/27/25)
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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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  • Quality Senior Analyst

    CVS Health (Workman, MN)
    …+ Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories ( HCC ) required. + Completion ... + Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories ( HCC ) required. + Expertise… more
    CVS Health (09/30/25)
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