• Certified Risk Adjustment

    Redeemer Health Home Care & Hospice (Huntingdon Valley, PA)
    …part of your professional journey. We invite you to apply today. SUMMARY OF JOB The Certified Risk Adjustment Coding /Audit Reviewer is a physician facing ... pathophysiology, and medical terminology necessary to correctly code diagnoses. The Certified Risk Adjustment Coding /Audit Specialist analyzes and… more
    Redeemer Health Home Care & Hospice (08/13/25)
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  • Risk Adjustment Coder

    MVP Health Care (Schenectady, NY)
    …Coder (Physician) or CCS-P - Certified Coding Specialist (Physician), and CRC- Certified Risk Adjustment Coding Credential required. + Minimum of ... Actively participates in and supports the Risk Adjustment team-based environment to educate providers on coding...coding compliance and consistency. + Works with the Coding Leader of Risk Adjustment more
    MVP Health Care (10/25/25)
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  • Certified Medical Coder ( Risk

    Apex Health Solutions (Houston, TX)
    …required: . Certified Professional Coder (CPC) . Certified Risk Adjustment Coder (CRC) . Certified Coding Specialist (CCS) . Registered Health ... h3> SUMMARY: Certified Medical Coder role is responsible for reviewing,...medical records to ensure proper ICD-10-CM, HCPCS, and CPT coding and compliance with Risk Adjustment more
    Apex Health Solutions (09/26/25)
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  • AVP, Clinical Data Acquisition

    Molina Healthcare (Davenport, IA)
    …Association** * Certified Professional in Health Quality (CPHQ) * Nursing License * Certified Risk Adjustment Coding (CRC) To all current Molina ... Summary** **Job Summary** The AVP, Clinical Data Acquisition is a key Risk Adjustment (QI) leader within the organization enterprise wide. This position advises… more
    Molina Healthcare (10/22/25)
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  • Risk Adjustment Coding

    CareFirst (Baltimore, MD)
    **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Specialist supports the retrospective risk adjustment supplemental filing, Risk ... to coding and documentation guidelines. The development and ongoing maintenance of the Risk Adjustment Coding guidelines, as well as, guiding junior … more
    CareFirst (09/26/25)
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  • Risk Adjustment Coding

    AdventHealth (Maitland, FL)
    ** Risk Adjustment Coding Auditor AdventHealth...of coding acute care hospital charts + Certified Coding Specialist (CCS), or + Registered Health ... **Location:** Remote **The role you'll contribute:** The inpatient or outpatient coding team Corporate Quality Auditor (QA)/Educator supports the operations of the… more
    AdventHealth (10/18/25)
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  • Auditor, HCC Risk Adjustment

    Datavant (Denver, CO)
    …and life experiences to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder, you will review medical records to identify and code ... standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will...to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of HCC Auditing… more
    Datavant (08/08/25)
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  • Auditing Team Lead, HCC Risk

    Datavant (Madison, WI)
    …bold vision for healthcare. We're looking for experienced and credentialed Auditing Team Lead, HCC Risk Adjustment Coding to become an integral part of our ... through the process if they agree the coder's initial coding was correct. + Answers coding questions...What you will bring to the table: + AHIMA certified credentials (CCS, CCS-P) or AAPC certified more
    Datavant (10/23/25)
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  • Supervisor, HCC Risk Adjustment

    Datavant (Boise, ID)
    … Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring production and quality of ... daily basis, including education on time management and best coding practices. + Provide coaching and feedback on achieving...**What you will bring to the table:** + AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified more
    Datavant (09/20/25)
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  • Risk Adjustment QA Consultant

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …you'll play a critical role in ensuring the accuracy, completeness, and compliance of risk adjustment coding across both internal teams and external ... data. Your Responsibilities * Ensure accuracy and compliance of risk adjustment coding , including the...and ACA risk adjustment . * Certified Risk Adjustment Coder (CRC)… more
    Blue Cross and Blue Shield of Minnesota (09/10/25)
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