• HCC Risk Adjustment

    Datavant (Albany, NY)
    …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... experiences to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code… more
    Datavant (11/14/25)
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  • Coding Team Lead, HCC Risk

    Datavant (Albany, NY)
    …to realize our bold vision for healthcare. We're looking for experienced and credentialed HCC Coding Team Leads to become an integral part of our team. The ideal ... Reviews rebuttals submitted by coders. Provides education to the coder if the error is correct or sends the...+ Extensive knowledge of ICD -10 + 2 years' HCC coding experience + 1+ years' Team Lead experience… more
    Datavant (12/10/25)
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  • Risk Adjustment Coding Specialist…

    Trinity Health (Albany, NY)
    …and Medicaid Services (CMS). **SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:** **. Certified Risk Adjustment Coder (CRC) required** . Excellent verbal ... 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 (12/12/25)
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  • Network Practice Coder /Auditor

    WMCHealth (Valhalla, NY)
    …in a large multispecialty practice setting, including surgical speacialties is required. HCC Risk adjustment Coding esperience is preferred. Education: ... Network Practice Coder /Auditor Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support Department: Health Info… more
    WMCHealth (11/01/25)
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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 ... reports key performance indicators relative to clinical documentation and HCC coding. . Documents and maintains records of all...with one or more of the following credentials: Certified Risk Coder (CRC), Certified Professional Coder more
    WMCHealth (12/12/25)
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  • Coding Data Quality Auditor

    CVS Health (Albany, NY)
    Coder ) or CCS-P (Certified Coding Specialist-Physician) required. + CRC (Certified Risk Adjustment Coder ) + Computer proficiency including experience ... Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and...with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories ( HCC )… more
    CVS Health (12/12/25)
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  • Senior Director of Coding - Professional…

    Mount Sinai Health System (New York, NY)
    …leading coding operations in a multi-entity or academic health system. - Familiarity with risk adjustment , HCC coding, and value-based care models. - Proven ... response, and corrective action planning. - Manage performance metrics including DNFB, coder productivity, and denial rates. Compliance & Quality - Ensure adherence… more
    Mount Sinai Health System (11/07/25)
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