• Risk Adjustment Coding

    AdventHealth (Maitland, FL)
    ** Risk Adjustment Coding Auditor AdventHealth PHSO Resources** **All the benefits and perks you need for you and your family:** + Benefits from Day One + ... **Location:** Remote **The role you'll contribute:** The inpatient or outpatient coding team Corporate Quality Auditor (QA)/Educator supports the operations… more
    AdventHealth (10/18/25)
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  • Auditor , HCC Risk Adjustment

    Datavant (Tallahassee, FL)
    …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...to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of HCC Auditing… more
    Datavant (08/08/25)
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  • Coding Data Quality Auditor

    CVS Health (Tallahassee, FL)
    …(Certified Professional Coder) or CCS-P (Certified Coding Specialist-Physician). + CRC (Certified Risk Adjustment Coder) must be able to obtain within 1 year ... Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and...proficiency in the following: + Proven ability to support coding judgment and decisions using industry standard evidence and… more
    CVS Health (10/16/25)
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  • Coding Auditor & Educator

    WelbeHealth (Tallahassee, FL)
    …and experience in coding and auditing + Minimum of two (2) years of Risk Adjustment (HCC) coding experience in a managed care environment + Current ... team culture, and mission. At the direction of the Coding Supervisor, the Coding Auditor ...in provider education programs to ensure compliance with CMS risk adjustments diagnosis coding guidelines + Work… more
    WelbeHealth (09/19/25)
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  • Quality Improvement CDI Specialist

    NCH (Naples, FL)
    …well as applicable organizational policies and procedures. * Experience in MS-DRG and APR-DRGs, risk adjustment , HACs and PSIs, O/E mortality, and LOS. * Working ... opportunities for documentation clarification, act as a liaison between coding and CDI to resolve DRG or other code...clinically appropriate, accurately reflects the severity of illness and risk of mortality for the patient and is reflective… more
    NCH (10/15/25)
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