• 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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  • 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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  • Coding Data Quality Auditor

    CVS Health (MD)
    …(Certified Coding Specialist -Physician) required. + CRC (Certified Risk Adjustment Coder) + Computer proficiency including experience with Microsoft ... Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and...internal policies and procedures. + Proven ability to support coding judgment and decisions using industry standard evidence and… more
    CVS Health (09/27/25)
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  • Solutions Architect

    Evolent (Annapolis, MD)
    …decision support systems is preferred + **Background in value-based care** models, risk adjustment , and quality measurement programs is preferred + **Experience ... You'll Be Doing:** **Senior Architect Healthcare Integration - EMR/FHIR Specialist ** **What You'll Be Doing** **Drive Healthcare Transformation Through Technology**… more
    Evolent (09/25/25)
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