• Risk Adjustment Coding

    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 and is responsible for reviewing clinical documentation and … more
    Trinity Health (07/31/25)
    - Related Jobs
  • Director Risk Adjustment

    Highmark Health (Pittsburgh, PA)
    …+ Production Coding : Manage a team of internal coder / clinicians that perform Risk Adjustment coding of medical records. Track production coding ... for the Highmark Health Enterprise. Ensures that Highmark's Risk Adjustment programs comply with all applicable...coding . Promotes the strategy and capabilities to develop risk management and physician / member initiatives that support… more
    Highmark Health (08/08/25)
    - Related Jobs
  • Clinical Documentation Integrity Specialist

    UCLA Health (Los Angeles, CA)
    …- Medicare Advantage Risk Adjustment , you will be an expert in risk adjustment coding and documentation, working closely with physicians, IPA coders, ... Professional Coder (CPC) certification or Certified Coding Specialist (CCS) certification, required + A Certified Risk... Specialist (CCS) certification, required + A Certified Risk Adjustment Coder (CRC), required + Reliable… more
    UCLA Health (05/16/25)
    - Related Jobs
  • Risk Adjustment Auditor Educator…

    Trinity Health (Syracuse, NY)
    …Clinical Documentation Specialist -Outpatient (CCDS-O) preferred. **EXCELLUS CONTRACT SPECIFIC Risk Adjustment Coding , Auditing and Education primary ... compliance standards in our provider group. **SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:** Risk adjustment coding , provider auditing and clinical/education… more
    Trinity Health (07/18/25)
    - Related Jobs
  • Director, Risk Adjustment

    Corewell Health (Grand Rapids, MI)
    …This position will evaluate and assess the organization's risk related to risk adjustment coding and conduct internal audits to improve compliance. ... exposure/ risk . Contributes to and approves Priority Health Risk Adjustment Coding Guidelines. +...Academy of Professional Coders 180 Days required Or + CRT- Coding Specialist (CCS) - AHIMA American Health… more
    Corewell Health (07/21/25)
    - Related Jobs
  • Ambulatory Coding and Doc Specialist

    Penn Medicine (Bala Cynwyd, PA)
    …of relevant coding medical professional services experience including ambulatory outpatient and risk adjustment coding . (Required) + Certified Risk ... Medicine Hospice- 150 Monument Road** **Hours: Full-Time** **Job Summary:** The Ambulatory Coding and Documentation Specialist reports to the Primary Care… more
    Penn Medicine (08/07/25)
    - Related Jobs
  • Quality Coding & Documentation…

    AdventHealth (Altamonte Springs, FL)
    …to support Hierarchical Conditions Categories (HCC), ICD-10, medical necessity, and the appropriate Risk Adjustment Factor. Working with the Quality Team is not ... **Quality Coding &** **Documentation** ** Specialist AdventHealth PHSO...the quality of clinical documentation, use of HCCs and Risk Adjustment of patients. **The expertise and… more
    AdventHealth (08/07/25)
    - Related Jobs
  • Regional Coding Operations Manager WFH

    HCA Healthcare (Nashville, TN)
    …minimal overnight travel. **EDUCATION:** + Bachelor's Degree preferred. + Must be a Certified Coding Specialist (CCS), Certified Coding Specialist - ... (CPC(R)) credential or Certified Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) **EXPERIENCE:** + Experience with Cerner and… more
    HCA Healthcare (06/21/25)
    - Related Jobs
  • Regional Coding Operations Manager WFH

    HCA Healthcare (Nashville, TN)
    …minimal overnight travel. EDUCATION: + Bachelor's Degree preferred. + Must be a Certified Coding Specialist (CCS), Certified Coding Specialist - ... Coder (CPC(R)) credential or Certified Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) EXPERIENCE: + Experience with Cerner and… more
    HCA Healthcare (06/21/25)
    - Related Jobs
  • Coding Data Quality Auditor

    CVS Health (Columbia, SC)
    …the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical ... for CPC. + CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist -Physician) required. **Preferred Qualifications** + Computer proficiency… more
    CVS Health (08/09/25)
    - Related Jobs