• HCC Risk Adjustment

    Datavant (St. Paul, MN)
    …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 (08/01/25)
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  • Remote HCC Coder

    Insight Global (Tampa, FL)
    Job Description Insight Global is hiring HCC / Risk Adjustment Medical coders to support a backlog for inpatient and outpatient Medicare advantage projects . ... more risk adjustment vs profee. Most of the markets are strictly risk adjustment focusing on HCC ICD-10 codes only. We do code from the problem list… more
    Insight Global (07/26/25)
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  • Risk Adjustmt Coder Educator…

    Hartford HealthCare (Hartford, CT)
    …recognition programs and other common practices across the system. *JOB SUMMARY:* The Risk Adjustment Coder Educator develops and implements an ... program requirements and ICD 10 coding guidelines. The Risk Adjustment Coder Educator will...of complex and advanced ICD-10 and Hierarchical Condition Category ( HCC ) coding and documentation training programs including defining training… more
    Hartford HealthCare (06/12/25)
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  • Coder III (Medical Coding)

    Geisinger (Danville, PA)
    …certifications is required:CPC - Certified Professional Coder CRC - Certified Risk Adjustment Coder RHIT - Registered Health Information Technician ... in decision making relevant to physician coding education and HCC targeting purposes. + Provides encoder software and EMR...Technician (RHIT) - American Health Information Management Association; Certified Risk Adjustment Coder - American… more
    Geisinger (06/04/25)
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  • Certified Coder - REMOTE

    Molina Healthcare (Scottsdale, AZ)
    Adjustment Data Validation **Preferred License, Certification, Association** + Certified Risk Adjustment Coder - (CRC) + Certified Professional Payer ... Education** Bachelor's Degree in related field **Preferred Experience** + Familiar with HCC (Hierarchical Condition Categories) Risk Adjustment Model +… more
    Molina Healthcare (07/31/25)
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  • Senior Professional Coder

    Albany Medical Center (Albany, NY)
    …instruction and training to providers and coding staff. Act as an expert for the HCC / Risk adjustment coding. This position is remote but does require onsite ... America) Salary Range: $60,367.47 - $90,551.20 The Senior Professional Coder will apply an advanced professional coding skill set...for Coding and Reporting. Code chronic disease that meets HCC and Risk Adjustment criteria.… more
    Albany Medical Center (07/30/25)
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  • Physician Office Medical Coder /Biller II

    Florida Health Care Plans, Inc. (Daytona Beach, FL)
    …communication. + Experience with Electronic Health Record preferred. + Understanding Risk Adjustment coding and supportive documentation preferred. + Ability ... POSITION SUMMARY: The Physician Office Medical Coder /Biller (POMB) conducts a documentation review of electronic...will support the physician and mid-level providers to capture HCC codes within the clinical visit. The POMB will… more
    Florida Health Care Plans, Inc. (07/20/25)
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  • Clinical Quality Coder II

    Sutter Health (Sacramento, CA)
    …+ HS Diploma or General Education Diploma (GED) **CERTIFICATION & LICENSURE:** + CRC-Certified Risk Adjustment Coder OR CPC-Certified Professional Coder ... of Quality Coding Program requirements such as the Medicare Advantage Coding Program/ HCC , as well as medical terminology and abbreviations of disease, illness and… more
    Sutter Health (06/29/25)
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  • Risk Adjustment Consultant

    Tufts Medicine (Burlington, MA)
    …provider education when necessary. **Job Description** **Minimum Qualifications:** 1. Certified Risk Adjustment Coder (CRC) **OR** Certified Professional ... experience, . **Preferred Qualifications:** 1. Associate's degree. 2. Certified Risk Adjustment Coder (CRC) highly...to physicians on a regular basis in regard to Risk Adjustment Coding guidelines ( HCC /DxCG),… more
    Tufts Medicine (07/14/25)
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  • Risk Adjustment Coding Specialist…

    Trinity Health (Albany, NY)
    …and Medicaid Services (CMS). **SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:** **. Certified Risk Adjustment Coder (CRC) required** . Excellent verbal ... system work queues and natural language processing (NLP) tools to support addressing HCC codes for Risk Adjustment before a claim is submitted to payers. .… more
    Trinity Health (07/31/25)
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