• Risk Adjustment Coder

    MVP Health Care (Rochester, NY)
    Risk Adjustment Coder Headquarters Office, 625 State Street, Schenectady, New York, United States of America * Rochester Office, 20 S. Clinton Ave, ... innovative thinking and continuous improvement. To achieve this, we're looking for a ** Risk Adjustment Coder ** to join #TeamMVP. This is the opportunity for… more
    MVP Health Care (06/07/25)
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  • Risk Adjustment Coding…

    Trinity Health (Syracuse, NY)
    … capture initiatives, as needed. SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE: . Certified Risk Adjustment Coder (CRC) required . Excellent verbal and ... conduct Education if needed. Auditing Experience Posting POSITION PURPOSE: The Risk Adjustment Coding Specialist works in a team environment and is responsible… more
    Trinity Health (05/29/25)
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  • Medical Coding And Billing Analyst

    CenterLight Health System (NY)
    …Certified Professional Practice Manager (CPPM) 4. Certified Professional Biller (CPB) 5. Certified Risk Adjustment Coder (CRC). Experience: + Three (3) ... physician practices on current performance. + Serves as a subject matter expert on Risk Adjustment Data Validation (RADV) audits from Medicare. + Perform random… more
    CenterLight Health System (05/17/25)
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  • Risk Adjustment Coding Coordinator…

    Excellus BlueCross BlueShield (Buffalo, NY)
    …right for you, we encourage you to apply! Job Description: Summary: The Risk Adjustment Coding Coordinator is responsible for various aspects of decision-making ... coding policies to ensure accurate diagnosis coding. This position is responsible for risk adjustment coding and quality assurance validation for the following… more
    Excellus BlueCross BlueShield (05/20/25)
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  • IPA Coding Associate Director

    CenterWell (Albany, NY)
    …entities within the Primary Care Organization. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible for driving ongoing ... (APD) tool) + Responsible for performance management and strategy development for PCO risk adjustment at the division and market level; Partners with Clinical… more
    CenterWell (04/24/25)
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  • Client Coding Project Manager

    Datavant (Albany, NY)
    …The individual will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be responsible for ... compliance and accuracy + Monitor the performance of the Risk Adjustment Operations both internally and with...of study preferred or 3-5 years related work experience coder with a minimum of 5 year's coding experience… more
    Datavant (06/03/25)
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  • Compliance Auditing Specialist- Remote/Hybrid…

    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 ... setting with one or more of the following credentials: Certified Risk Coder (CRC), Certified Professional Coder certification (CPC), Certified Professional… more
    WMCHealth (04/09/25)
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  • Claims And Encounter Analyst

    CenterLight Health System (NY)
    …identify improvement areas. + Assist the Director with analytics to support Medicare risk adjustment process through advanced medical records review to identify ... process improvement. JOB RESPONSIBILITIES: + Analyze claims data to identify risk -adjustable conditions and uncover opportunities to improve risk capture… more
    CenterLight Health System (06/06/25)
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  • Associate Director, Cell Therapy Field Market…

    Bristol Myers Squibb (Huntington, NY)
    …bill experience required, complex, high cost buy and bill therapy experience preferred. Certified Coder or Biller is a plus + Exhibit a high degree of Market Access ... by your state of residence, and 3) a driving risk level deemed acceptable by the Company. The starting...in their roles. Applicants can request a reasonable workplace accommodation/ adjustment prior to accepting a job offer. If you… more
    Bristol Myers Squibb (06/05/25)
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