• Coding Team Lead , HCC

    Datavant (Hartford, CT)
    …of ICD -10 + 2 years' HCC coding experience + 1+ years' Team Lead experience a plus + A strong knowledge base of medical terminology, medical ... vision for healthcare. We're looking for experienced and credentialed HCC Coding Team Leads to...from your own workspace! What you will do: + Coding Team Lead is responsible… more
    Datavant (09/10/25)
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  • Risk Adjustment Coding Coordinator I/II

    Excellus BlueCross BlueShield (Rochester, NY)
    …* Serves as a coordinator and key business resource for the Risk Adjustment Coding Coordination Team . * Conducts reviews and audits utilizing knowledge and ... ICD-9-CM/ICD-10-CM coding , Medicare Advantage and Commercial Hierarchical Condition Category ( HCC ) coding , and Medicaid Clinical Risk Groups (CRGs) to ensure… more
    Excellus BlueCross BlueShield (08/27/25)
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  • Manager, Risk Adjustment Coding Support

    Evolent (Helena, MT)
    …+ Hires and oversees the initial orientation and development of Risk Adjustment coding team members, including coding support specialists. + Provides ... and updates. + Oversee and manage day-to-day risk adjustment coding team and operations, ensuring accurate and...supervisory role with strong leadership to manage, motivate and lead a team of coders to ensure… more
    Evolent (08/29/25)
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  • Director Enterprise Hospital Coding

    University of Virginia (Charlottesville, VA)
    …business objectives, process and organizational goals and workflow standardization + Serves as lead in fully integrating technical coding operations + Serves as ... the subject matter expert on Centers for Medicare and Medicaid Services (CMS) HCC documentation requirements and ICD-10-CM coding guidelines + Ensures key… more
    University of Virginia (07/03/25)
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  • Coding Supervisor - CPC

    Trinity Health (Fort Lauderdale, FL)
    …time **Shift:** **Description:** **Position Purpose:** **Provides direct day-to-day leadership of professional coding team for simple and/or complex coding ; ... professional coding experience.** **Previous supervisor or leadership experience, includes team leader or educator role** **Using Epic preferred.** **Four (4) to… more
    Trinity Health (08/20/25)
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  • Managed Care Quality Improvement Specialist

    HCA Healthcare (Campbell, CA)
    …CMS RADV audits) Schedule and participate in provider training as needed. (Eg HCC software, documentation and coding guidelines) + Recommend projects to improve ... **_Note: Eligibility for benefits may vary by location._** Come join our team as a Managed Care Quality Improvement Specialist. We care for our… more
    HCA Healthcare (09/11/25)
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  • Director, Prospective + Concurrent Risk Adjustment…

    Datavant (Augusta, ME)
    …between revenue, compliance, and user experience arise. **Leadership & Culture:** + Build, lead , and coach a team of Product Managers working across different ... healthcare technology solutions. + Solid understanding of clinical suspecting, concurrent coding workflows, risk adjustment models (eg, CMS- HCC , HHS- HCC more
    Datavant (08/08/25)
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  • Value Based Coder II

    Dignity Health (Phoenix, AZ)
    …security. **Qualifications** **Minimum Qualifications:** - Familiarity and understanding of CMS HCC Risk Adjustment coding and data validation requirements. - ... Dignity Health. As a member of the Clinical Performance team , the Value Based Coder II works with providers...Qualifications:** - 2-3 years of experience in outpatient and/or HCC /risk adjustment coding preferred. - Certified Risk… more
    Dignity Health (08/01/25)
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  • Field Reimbursement Manager (Immunology…

    J&J Family of Companies (St. Louis, MO)
    …**Johnson & Johnson Innovative Medicine's Patient Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a ... Manager (FRM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs),… more
    J&J Family of Companies (09/10/25)
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  • Field Reimbursement Manager - Immunology…

    J&J Family of Companies (Smithtown, NY)
    …Johnson & Johnson Innovative Medicine's Patient Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a ... Manager (FRM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs),… more
    J&J Family of Companies (09/09/25)
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