• Emanate Health (Covina, CA)
    …**J** **ob Summary** Responsible for the oversight of HCC Program and STAR measures coding related functions. The coding specialist will work with the ... STAR measures related tasks. Responsible to ensure the IPA risk adjustment factor maintains or exceeds 1.0...and achieves or improves upon 4.0 STAR rating. The coding specialist is responsible for education to… more
    DirectEmployers Association (10/17/25)
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  • Risk Adjustment Coding

    Trinity Health (Albany, NY)
    **Employment Type:** Full time **Shift:** Day Shift **Description:** Risk Adjustment Coding Specialist -St. Peter's Health Partners - Full-time - Remote ... **POSITION PURPOSE:** The Risk Adjustment Coding Specialist works in a team environment and is responsible for reviewing clinical documentation and … more
    Trinity Health (12/12/25)
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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, ... to coding and documentation guidelines. The development and ongoing maintenance of the Risk Adjustment Coding guidelines, as well as, guiding junior … more
    CareFirst (12/11/25)
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  • Risk Adjustment Coding

    Trinity Health (Columbus, OH)
    …chronic conditions. + Collaborate with providers to clarify documentation and educate on risk adjustment coding best practices. + Conduct retrospective and ... regulatory changes. + Train and mentor peers and new coders on risk adjustment coding standards, MEAT/TAMPER documentation, and E&M/CPT capture. +… more
    Trinity Health (01/07/26)
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  • Certified Medical Coder

    Apex Health Solutions (Houston, TX)
    …the following is required : Certified Professional Coder (CPC) Certified Risk Adjustment Coder (CRC) Certified Coding Specialist (CCS) Registered Health ... medical records to ensure proper ICD-10-CM, HCPCS, and CPT coding and compliance with Risk Adjustment requirements. Key Responsibilities Follows CMS … more
    Apex Health Solutions (12/20/25)
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  • Hierarchical Condition Category (HCC)…

    Highmark Health (Cheyenne, WY)
    …partners at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding . Supports all Remote Patient Monitoring (RPM) ... Supports other key objectives to drive capture of correct Risk Adjustment coding including documentation...+ Certified Risk Coder (CRC) + Certified Coding Specialist (CCS) + Registered Health Information… more
    Highmark Health (12/19/25)
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  • SIU Medical Coding Specialist

    CareFirst (Baltimore, MD)
    … or + Certified Coder (CCS or CPC)-AHIMA or AAPC **Experience:** 3 years' experience in risk adjustment coding , ambulatory coding and/or CRC coding ... models. Supports to use of alternatives and solutions to maximize quality payments and risk adjustment . Translates from claim language to services in an episode… more
    CareFirst (12/24/25)
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  • Coding Quality Specialist

    St. Luke's Health System (Boise, ID)
    …Health Information Administrator), RHIT (Registered Health Information Technician), CCS (Certified Coding Specialist ), CCS-P (Certified Coding Specialist ... work. **What You Can Expect:** Under limited supervision, the Coding Quality Specialist is responsible for ensuring...Outpatient Coder), CIC (Certified Inpatient Coder), or CRC (Certified Risk Adjustment Coder). **What's in it for… more
    St. Luke's Health System (01/07/26)
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  • Ambulatory CDI Specialist - Coding

    Hawaii Pacific Health (Honolulu, HI)
    …education to physicians and advanced practice providers (APPs). Previous experience with risk adjustment coding or clinical documentation improvement (CDI). ... experience. **Preferred Qualifications:** Certified Professional Coder - Risk Adjustment (CRC) or Certified Documentation Specialist (CCDS). Previous… more
    Hawaii Pacific Health (11/26/25)
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  • Ambulatory Coding and Doc Specialist

    Penn Medicine (Bala Cynwyd, PA)
    coding medical professional services experience including ambulatory outpatient and risk adjustment coding (Required) + Additional experience could ... Bala Cynwyd** **Hours: Full-Time, Per Departmental Needs** **Job Summary:** The Ambulatory Coding and Documentation Specialist reports to the Primary Care… more
    Penn Medicine (12/24/25)
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