• HCC Risk Adjustment

    MedKoder (Mandeville, LA)
    …position that offers a flexible schedule. Description: MedKoder, LLC is seeking a remote Professional HCC Risk Adjustment Coder who will apply both ... with government regulations while identifying opportunities for increased financial success. The HCC Risk Adjustment Coder provides coding services to… more
    MedKoder (04/15/25)
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  • HCC Risk Adjustment

    Datavant (Columbus, OH)
    …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... experiences to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code… more
    Datavant (03/27/25)
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  • HCC Coding Compliance Assistant

    Kelsey-Seybold Clinic (Pearland, TX)
    …or CPC (Certified Professional Coder ) or CPC-A or CRC (Certified Risk Adjustment Coder ) Preferred: N/A **Special Skills** Required: Analytical. ... **Responsibilities** To ensure the accurate coding of diagnoses which fall into the HCC model as required by CMS for Medicare Advantage plans. To ensure… more
    Kelsey-Seybold Clinic (04/23/25)
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  • Risk Adjustment Analyst- HIM OP CDI

    UNC Health Care (Chapel Hill, NC)
    …the health and well-being of the unique communities we serve. Summary: The Risk Adjustment Coordinator will be responsible for analyzing and auditing medical ... payer under the value care contracts. In addition, the Risk Adjustment Coordinator will be responsible for...Academy of Professional Coders) certification - CPC (Certified Professional Coder ) or CRC (Certified Risk Coder more
    UNC Health Care (04/29/25)
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  • Risk Adjustment Coding Manager

    CareOregon (Portland, OR)
    …+ Minimum 7 years' experience as certified coder + Certified Risk Adjustment Coder (CRC), Certified Documentation Improvement Practitioner (CDIP) ... Job Title Risk Adjustment Coding Manager Requisition #...Maintain an expert level of knowledge of Medicare and HCC risk -based reimbursement methodologies, policies and best… more
    CareOregon (04/10/25)
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  • Clinical Documentation Integrity Specialist…

    UCLA Health (Los Angeles, CA)
    …certification or Certified Coding Specialist (CCS) certification, required + A Certified Risk Adjustment Coder (CRC), required + Reliable transportation ... billing and/or coding, required + Three or more years of recent experience in CMS- HCC Risk Adjustment models V24 and V28, required + Three or more years… more
    UCLA Health (02/19/25)
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  • Risk and Quality Provider Educator

    VNS Health (Manhattan, NY)
    …Licenses and Certifications: + Certified Professional Coder (CPC) or (CRC) Certified Risk Adjustment Coder or Certified Coding Specialist (CCS) required ... identifying opportunities to support precise clinical documentation. Collaborating with the Risk Adjustment and Quality teams, you'll help shape educational… more
    VNS Health (03/04/25)
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  • Clinical Data Abstraction Specialist

    Apex Health Solutions (Houston, TX)
    …Specialist Supervisor: Director, VBC Operations Required License(s)/ Certification(s): Certified Risk Adjustment Coder (CRC), Certified Professional ... certification in one of the following is required: Certified Risk Adjustment Coder (CRC) Certified...Health Records (EHR) Experience Minimum of three (3) years HCC experience performing retrospective risk adjustment more
    Apex Health Solutions (04/25/25)
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  • Medical Coding And Billing Analyst

    CenterLight Health System (NY)
    …Certified Professional Practice Manager (CPPM) 4. Certified Professional Biller (CPB) 5. Certified Risk Adjustment Coder (CRC). Experience: + Three (3) ... physician practices on current performance. + Serves as a subject matter expert on Risk Adjustment Data Validation (RADV) audits from Medicare. + Perform random… more
    CenterLight Health System (03/08/25)
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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 ... reports key performance indicators relative to clinical documentation and HCC coding. . Documents and maintains records of all...with one or more of the following credentials: Certified Risk Coder (CRC), Certified Professional Coder more
    WMCHealth (04/09/25)
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