• HCC Risk Adjustment

    Datavant (Washington, DC)
    …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 (08/26/25)
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  • Auditor, HCC Risk Adjustment

    Datavant (Denver, CO)
    …educational and life experiences to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder , you will review medical records ... 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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  • Value Based Coder II

    Dignity Health (Phoenix, AZ)
    …security. **Job Requirements** **Minimum Qualifications:** - Familiarity and understanding of CMS HCC Risk Adjustment coding and data validation ... Qualifications:** - 2-3 years of experience in outpatient and/or HCC / risk adjustment coding preferred. -...risk adjustment coding preferred. - Certified Risk Adjustment Coder (CRC) or… more
    Dignity Health (09/29/25)
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  • Risk Adjustmt Coder Educator…

    Hartford HealthCare (Hartford, CT)
    …recognition programs and other common practices across the system. *JOB SUMMARY:* The Risk Adjustment Coder Educator develops and implements an ... program requirements and ICD 10 coding guidelines. The Risk Adjustment Coder Educator will...of complex and advanced ICD-10 and Hierarchical Condition Category ( HCC ) coding and documentation training programs including defining training… more
    Hartford HealthCare (09/11/25)
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  • Coder (medical coding)

    Geisinger (Danville, PA)
    …Requirements: One of the following certifications is needed at time of hire: Certified Risk Adjustment Coder - American Academy of Professional Coders (AAPC) ... in decision making relevant to physician coding education and HCC targeting purposes. + Provides encoder software and EMR...Technician (RHIT) - American Health Information Management Association; Certified Risk Adjustment Coder - American… more
    Geisinger (09/30/25)
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  • Risk Adjustment Coding Coordinator…

    Excellus BlueCross BlueShield (Rochester, NY)
    …and guidelines (eg ICD-9-CM, ICD-10, CPT, HCPC) * Familiarity and understanding of CMS HCC Risk Adjustment coding, Medicaid CRG coding, and data validation ... / ICD-10-CM coding validation, monitoring plan specifications, Hierarchical Condition Category ( HCC ) assignment accuracy and Risk Adjustment Validation… more
    Excellus BlueCross BlueShield (08/27/25)
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  • Certified Risk Adjustment

    Redeemer Health Home Care & Hospice (Huntingdon Valley, PA)
    …work experience + AAPC or AHIMA Certification (CPC, CRC, CCS) REQUIRED + Certified Risk Adjustment Coder - PREFERRED Knowledge + Knowledgeable of medical ... services we provide. RECRUITMENT REQUIREMENTS High School Graduate. Certified coder CPC or CCS-P, and AAPC CRC certification. 2+...a wide variety of clinical cases and services for risk adjustment models (eg, HCC ,… more
    Redeemer Health Home Care & Hospice (08/13/25)
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  • Risk Adjustment QA Consultant

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …a focus on Medicare Advantage and ACA risk adjustment . * Certified Risk Adjustment Coder (CRC) certification * In-depth knowledge of ACA & Medicare ... as CPMA, RHIT, RHIA, CCA, CCS. * Expertise in CMS- HCC , and HHS- HCC Risk Adjustment models. Compensation and Benefits: Pay Range: $88,600.00 - $117,400.00… more
    Blue Cross and Blue Shield of Minnesota (09/10/25)
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  • Manager, Risk Adjustment Coding…

    Evolent (Phoenix, AZ)
    …or equivelent years of work experience. + **Certification in medical coding (CRC- Certified Risk Adjustment Coder ) or demonstrated ability.** + 5+ years of ... knowledge, understanding industry standards and regulations in healthcare coding, specifically Risk Adjustment and all HCC models to ensure compliance with… more
    Evolent (09/23/25)
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  • Clinical Documentation Improvement Specialist…

    Bluestone Physician Services (Stillwater, MN)
    …+ Bachelor's degree in Health Information Management, Nursing, or related field. + Certified Risk Adjustment Coder (CRC) certification, Risk ... healthcare coding, with a focus on Hierarchical Condition Category ( HCC ) coding and risk adjustment ....on Hierarchical Condition Category ( HCC ) coding and risk adjustment . Knowledge/Skills/Abilities + Proficiency in reviewing… more
    Bluestone Physician Services (09/07/25)
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