• HCC Risk Adjustment…

    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 ... our bold vision for healthcare. **What We're Looking For:** As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been… more
    Datavant (08/01/25)
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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 ... Must have 5 or more years' experience as a risk adjustment auditor and educator...to the PCP prior to their next visit. + HCC education and training will be conducted per Excellus… more
    Trinity Health (07/18/25)
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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 ... system work queues and natural language processing (NLP) tools to support addressing HCC codes for Risk Adjustment before a claim is submitted to payers. .… more
    Trinity Health (07/31/25)
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  • Compliance Auditing Specialist- Remote/Hybrid…

    WMCHealth (Valhalla, NY)
    …Details: Job Summary: Serves as an internal expert on Risk Adjustment and Hierarchical Conditions Categories ( HCC ) coding. Specific duties include performing ... Monitors and reports key performance indicators relative to clinical documentation and HCC coding. . Documents and maintains records of all query, audit, and… more
    WMCHealth (07/09/25)
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