• Risk Adjustment Coding

    CareFirst (Baltimore, MD)
    **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Specialist supports the retrospective risk adjustment supplemental filing, ... to coding and documentation guidelines. The development and ongoing maintenance of the Risk Adjustment Coding guidelines, as well as, guiding junior … more
    CareFirst (09/26/25)
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  • Risk Adjustment Coding

    CDPHP (Latham, NY)
    …employees who share these values and invites you to be a part of that experience. The Risk Adjustment Coding Specialist will be responsible for the chart ... review and ICD-10 diagnosis coding of risk adjustment eligible...or GED required. Associates degree preferred. + CCS/CCS-P (Certified Coding Specialist ) or CPC/CPC-A (Certified Coding more
    CDPHP (08/27/25)
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  • Certified Risk Adjustment

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

    Evolent (Phoenix, AZ)
    …Doing:** **Manager, Coding Support Specialist ** Evolent Care Partners is seeking a Risk Adjustment Coding Support Manager to be a core member of the ... Risk Adjustment Coding Support team. Evolent Care Partners' mission is to partner directly with primary care organizations across the country to improve… more
    Evolent (09/23/25)
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  • 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)
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  • Clinical Documentation Improvement…

    Bluestone Physician Services (Stillwater, MN)
    …reviews of patient charts to identify gaps in documentation and opportunities for risk adjustment coding improvement. + Collaborate with Bluestone providers ... join our team as a Clinical Documentation Improvement (CDI) Specialist . The primary responsibility of this role is...support to Bluestone providers to enhance their understanding of risk adjustment coding guidelines and… more
    Bluestone Physician Services (09/07/25)
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  • Billing and Coding Specialist

    University of Colorado (Aurora, CO)
    …and/or facility fee setting. + Experience with outpatient (HOPD, freestanding) and inpatient coding , risk adjustment auditing. + Experience building and ... **Billing and Coding Specialist ** **Description** **University of Colorado Anschutz Medical Campus** **Department: Neurosurgery** **Job Title** **Billing and … more
    University of Colorado (09/07/25)
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  • Senior Medical Coding Specialist

    CareFirst (Baltimore, MD)
    …**Education Level:** High School Diploma or GED. **Experience:** 5 years experience in risk adjustment coding , ambulatory coding and/or CRC ... and incentive models. Strategizes alternatives and solutions to maximize quality payments and risk adjustment . Translates from claim language to services in an… more
    CareFirst (09/27/25)
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  • 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)
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  • Coding Education & Compliance…

    Health Care Service Corporation (Harlingen, TX)
    …Experience in health insurance or health care setting + Previous experience working on Risk Adjustment coding for either Medicare Advantage or Retail ... on health plan coding initiative guidelines and requirements of the Risk Adjustment program to ensure correct coding and documentation. This position… more
    Health Care Service Corporation (09/27/25)
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