• HCC Risk Adjustment…

    Datavant (Columbus, OH)
    …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 (10/03/25)
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  • Auditor, HCC Risk Adjustment…

    Datavant (Columbus, OH)
    …educational and life experiences to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder , you will review medical records ... standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will...bring to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of … more
    Datavant (08/08/25)
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  • Coding and Documentation Specialist - Hierarchical…

    Bon Secours Mercy Health (Cincinnati, OH)
    …leadership. + Identifies opportunities for performance improvement related to system-wide RSA and HCC and other risk adjustment coding initiatives. Works ... Coder (CPC) or Certified Coding Specialist (CCS) (required) Certified Risk Coder (CRC) or equivalent (preferred) **Education** Bachelor's Degree (preferred)… more
    Bon Secours Mercy Health (10/04/25)
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  • Manager, Risk Adjustment Coding…

    Evolent (Columbus, OH)
    …or equivelent years of work experience. + **Certification in medical coding (CRC- Certified Risk Adjustment Coder ) or demonstrated ability.** + 5+ years of ... knowledge, understanding industry standards and regulations in healthcare coding, specifically Risk Adjustment and all HCC models to ensure compliance with… more
    Evolent (09/23/25)
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  • Risk Score Accuracy (RSA) Program Manager…

    Bon Secours Mercy Health (Cincinnati, OH)
    …to Population Health Clinical Integration RSA initiatives, including Hierarchical Condition Categories ( HCC ) coding and other risk adjustment payment models. ... + Identifies opportunities for performance improvement related to system-wide HCC and other risk adjustment ...of hire, required within one year of hire) Certified Risk Coder (or equivalent), Licensed Practical Nurse… more
    Bon Secours Mercy Health (10/04/25)
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  • Quality Senior Analyst

    CVS Health (OH)
    … Coder ) **or** CCS-P (Certified Coding Specialist-Physician) and CRC (Certified Risk Adjustment Coder ) required. + CPMA (Certified Professional ... + Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories ( HCC ) required. + Completion… more
    CVS Health (09/30/25)
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  • Clinical Compliance Medical Director

    Elevance Health (Columbus, OH)
    …Skills, Capabilities and Experiences:** + Deep understanding of CMS- HCC and/or HHS- HCC risk adjustment methodologies strongly preferred. + Experience ... MA plans in regulatory, compliance, and legal matters strongly preferred. + Certified Risk Adjustment Coder (CRC) or similar credential strongly preferred.… more
    Elevance Health (09/24/25)
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  • Coding Data Quality Auditor

    CVS Health (Columbus, OH)
    … 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 (09/27/25)
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