• Certified Risk Adjustment…

    Ankura (Los Angeles, CA)
    …seeks to gain additional opportunities for development in a variety of risk adjustment related areas. Qualifications: + Certified in Risk Adjustment ... matters. Ankura's health care team is comprised of clinicians, certified coders, revenue cycle, and operations professionals. Our practice...at least five (5) recent years of experience in HCC/ Risk Adjustment and/or RADV Audit Methodology +… more
    Ankura (09/09/25)
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  • Manager, Risk Adjustment Coding…

    Evolent (Sacramento, CA)
    …healthcare administration, or a related field. + **Certification in medical coding (CRC- Certified Risk Adjustment Coder ) or demonstrated ability.** ... Be Doing:** **Manager, Coding Support Specialist** Evolent Care Partners is seeking a Risk Adjustment Coding Support Manager to be a core member of the Risk… more
    Evolent (08/14/25)
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  • Coding Auditor - Sharp Health Plan Administration…

    Sharp HealthCare (San Diego, CA)
    …Health Information Technician (RHIT) - The American Health Information Management Association (AHIMA); Certified Risk Adjustment Coder (CRC) - American ... - The American Health Information Management Association (AHIMA) -REQUIRED **Preferred Qualifications** + Certified Risk Adjustment Coder (CRC) -… more
    Sharp HealthCare (08/20/25)
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  • HCC Risk Adjustment Coder…

    Datavant (Sacramento, CA)
    …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and...**What you will bring to the table:** + AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified… more
    Datavant (08/26/25)
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  • Coding Team Lead, HCC Risk…

    Datavant (Sacramento, CA)
    …of the coding team. + Reviews rebuttals submitted by coders. Provides education to the coder if the error is correct or sends the rebuttal through the process if ... they agree the coder 's initial coding was correct. + Answers coding questions...What you will bring to the table: + AHIMA certified credentials (CCS, CCS-P) or AAPC certified … more
    Datavant (09/10/25)
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  • Auditor, HCC Risk Adjustment Coding…

    Datavant (Sacramento, CA)
    …and life experiences to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder , you will review medical records to identify and ... standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will...+ High school diploma or GED equivalent + AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified… more
    Datavant (08/08/25)
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  • Senior Director, Revenue Cycle

    Scripps Health (San Diego, CA)
    …Categories (HCCs) for accuracy and compliance as relates to Outpatient CDI. Monitors Risk Adjustment Factor (RAF) Scores. * Directs instructions and education ... * AHIMA CCS ( Certified Coding Specialist) or AAPC CPC ( Certified Professional Coder ) * Knowledge of ICD and/or CPT/HCPCS coding * Strong analytical,… more
    Scripps Health (08/15/25)
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  • Sr Compliance RCM & Coding Auditor

    Humana (Sacramento, CA)
    …data sets + Knowledge of healthcare compliance, mainly primary care and risk adjustment , pharmacy knowledge a plus + Certified Coder (CPC, CRC, and/or ... to assess, investigate, audit and validate the mitigation of compliance risk across the organization. This team ensures that healthcare providers align… more
    Humana (08/23/25)
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