• Risk Adjustment Coding…

    Centene Corporation (Jefferson City, MO)
    …2 oversight of Risk Adjustment activities, to include identifying compliance risks, auditing coding practices, adherence to CMS guidelines and supports ... compliance coding practices. + Implement CMS risk adjustment guidelines to support accurate ...risk adjustment guidelines to support accurate coding and compliance with regulatory standards. +… more
    Centene Corporation (10/29/25)
    - Related Jobs

  • Senior Risk Adjustment Coding…

    Centene Corporation (Jefferson City, MO)
    … coding guidelines. + Validate clinical documentation to support appropriate risk adjustment coding , including Hierarchical Condition Categories (HCCs), ... execute Line 2 oversight to evaluate the effectiveness and compliance of risk adjustment quality...reviews and advise on clinical best practices related to risk adjustment coding , HCC capture,… more
    Centene Corporation (10/29/25)
    - Related Jobs

  • Product Manager, Risk Adjustment…

    Datavant (Jefferson City, MO)
    …experiences to realize our bold vision for healthcare. **Role Overview** As a Product Manager, Risk Adjustment Coding Data Integration, you will own the data ... strategy and execution for Datavant's Retrospective Risk Adjustment Coding products, driving...+ Reduction in time taken to create and operationalise coding projects + Maintenance of compliance with… more
    Datavant (08/20/25)
    - Related Jobs

  • Supervisor, HCC Risk Adjustment…

    Datavant (Jefferson City, MO)
    … Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring production and quality of ... daily basis, including education on time management and best coding practices. + Provide coaching and feedback on achieving...resource and subject matter expert to staff. + Ensure compliance with HIPAA regulations and requirements. + Completes all… more
    Datavant (09/20/25)
    - Related Jobs

  • CDI & Quality Supervisor - Risk…

    BJC HealthCare (St. Louis, MO)
    …setting. Background to be successful in the role: + **Hierarchical Condition Category (HCC)** ** coding and risk adjustment ** + **Bachelors degree** + **2 ... programs that support organizational initiatives. **Responsibilities** + Ensures team compliance with departmental policies, regulatory requirements and professional standards… more
    BJC HealthCare (10/23/25)
    - Related Jobs

  • Senior Compliance Risk…

    Centene Corporation (Jefferson City, MO)
    …years Audit, risk adjustment and/or compliance required + Risk Adjustment /HCC coding required + Medicare experience required + Demonstrated ... remote from home anywhere in the Continental United States.** **Position Purpose:** Supports the Risk Adjustment Compliance program elements, with a focus on… more
    Centene Corporation (10/29/25)
    - Related Jobs

  • HCC Risk Adjustment Coder - Full…

    Datavant (Jefferson City, MO)
    …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... guidelines for the project. + The coder will ensure compliance with established ICD-10 CM, third party reimbursement policies,...guidelines. + Coders must meet and maintain a 95% coding accuracy rate. + Any other task requested by… more
    Datavant (11/14/25)
    - Related Jobs

  • Client Coding Project Manager - Full Time…

    Datavant (Jefferson City, MO)
    …healthcare. The individual will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be ... assurance program + Play a key role in ensuring coding compliance and accuracy + Monitor the...+ Monitor the performance of the Risk Adjustment Operations both internally and with coding … more
    Datavant (10/09/25)
    - Related Jobs

  • Healthcare Clinical Documentation Specialist

    Deloitte (Kansas City, MO)
    …reimbursement, MS-DRG, APR-DRG, PSIs, HACs, POA, Vizient, Elixhauser, public profiling, and risk adjustment + Has strong interpersonal skills to collaborate with ... Analyze medical records for inpatient and outpatient service areas for accuracy of coding and documentation to ensure regulatory compliance + Apply knowledge of… more
    Deloitte (11/08/25)
    - Related Jobs

  • Clinical Documentation Specialist, First Reviewer…

    SSM Health (MO)
    …support an accurateDRGassignment, SOI, and/or ROM.Assists in the mortality review and risk adjustment process utilizing third-party models. + Demonstrates an ... PRN **Job Summary:** Performs concurrent analytical reviews of clinical and coding data to improving physician documentation for all conditions and treatments… more
    SSM Health (11/08/25)
    - Related Jobs