• Auditor , Risk Adjustment…

    Molina Healthcare (Buffalo, NY)
    …**Knowledge/Skills/Abilities** * Assist in the daily operations of all aspects of risk adjustment data validation related activities, including, but not limited ... file transmissions, and adherence to applicable timelines * Support all risk adjustment audit related projects to ensure goals, objectives, milestones and… more
    Molina Healthcare (07/25/25)
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  • Risk Adjustment Auditor…

    Trinity Health (Syracuse, NY)
    …Ability to conduct Education if needed. Auditing Experience Posting **POSITION PURPOSE:** A Risk Adjustment Auditor Educator is responsible for ensuring ... experience required. Must have 5 or more years' experience as a risk adjustment auditor and educator and/or clinical documentation improvement specialist… more
    Trinity Health (07/18/25)
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  • HCC Risk Adjustment Auditor…

    Datavant (Albany, NY)
    …coded in a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... We're Looking For:** As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been...and verbal communication skills, ability to work in a remote environment and time management skills + Working knowledge… more
    Datavant (08/01/25)
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  • Risk Adjustment Auditor…

    Trinity Health (Albany, NY)
    …-St. Peter's Health Partners - Full-time - Remote **POSITION PURPOSE:** A Risk Adjustment Auditor Educator is responsible for ensuring accurate coding ... **Employment Type:** Full time **Shift:** Day Shift **Description:** ** Risk Adjustment Auditor Educator**...to sit for long periods of time. + 100% remote , if local may include some travel to sites… more
    Trinity Health (07/29/25)
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  • Risk Adjustment Coding Specialist…

    Trinity Health (Albany, NY)
    … adjustment payment models. . Identify coding discrepancies and work with risk adjustment auditor to communicate deficiencies to providers. **Core ... Coding Specialist -St. Peter's Health Partners - Full-time - Remote **POSITION PURPOSE:** The Risk Adjustment Coding Specialist works in a team environment… more
    Trinity Health (07/31/25)
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  • Sr Compliance RCM & Coding Auditor

    Humana (Albany, NY)
    …analyze large data sets + Knowledge of healthcare compliance, mainly primary care and risk adjustment , pharmacy knowledge a plus + Certified Coder (CPC, CRC, ... to assess, investigate, audit and validate the mitigation of compliance risk across the organization. This team ensures that healthcare providers align… more
    Humana (07/29/25)
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  • Compliance Auditing Specialist- Remote…

    WMCHealth (Valhalla, NY)
    …Applicant link Job Details: Job Summary: Serves as an internal expert on Risk Adjustment and Hierarchical Conditions Categories (HCC) coding. Specific duties ... Compliance Auditing Specialist- Remote /Hybrid available Company: NorthEast Provider Solutions Inc. City/State:...with one or more of the following credentials: Certified Risk Coder (CRC), Certified Professional Coder certification (CPC), Certified… more
    WMCHealth (07/09/25)
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