• HCC Risk Adjustment…

    Datavant (Nashville, TN)
    …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 (Nashville, TN)
    …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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  • Manager, Risk Adjustment Coding…

    Evolent (Nashville, TN)
    …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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  • Sr Coding Compliance Auditor

    Catholic Health Initiatives (Chattanooga, TN)
    …team to support the needs of the organization. The position will support risk adjustment improvement efforts across the medical group. The Hierarchical Condition ... Category ( HCC ) Quality program was developed by CMS to promote...clinicians, and committees as appropriate. + Reports areas of risk directly to the Coding Integrity Manager/Supervisor. + Maintains… more
    Catholic Health Initiatives (10/04/25)
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  • Coding Data Quality Auditor

    CVS Health (Nashville, TN)
    … 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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  • Medical Coding Auditor

    CenterWell (Nashville, TN)
    …+ 2 or more years of outpatient coding experience (Preferably in a risk adjustment setting) + Knowledge of various reimbursement methodologies, including ... (ie, spreadsheets) that have been created based on the CMS- HCC model and established coding guidelines + Prepares written...risk adjustment and fee for service +… more
    CenterWell (10/01/25)
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