• Risk Adjustment Coder

    Humana (Richmond, VA)
    **Become a part of our caring community and help us put health first** The Risk Adjustment Coder conducts quality assurance coding of medical records and ... for Medicare and Medicaid Services (CMS) and other government agencies. The Risk Adjustment Coder assumes ownership and leads advanced and highly specialized… more
    Humana (07/11/25)
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  • HCC Risk Adjustment Coder…

    Datavant (Richmond, VA)
    …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and...a patient's health status. **You will:** + The certified coder reviews, analyzes, and codes diagnostic information in a… more
    Datavant (07/09/25)
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  • Profee Medical Coder General Medicine…

    Banner Health (VA)
    …your years of Multi-Specialty - General Medicine (some HCC) Coding experience** with Certified Risk Adjustment Coder (CRC) certification in an active status, ... Practice Coding Team** is looking for an **experienced Medical Coder with General Medicine: Multi-Specialty experience.** This is a...the above requirements? Check out some of our other Coder positions!_ The hours are flexible with the ability… more
    Banner Health (07/10/25)
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  • Regional Coding Operations Manager WFH

    HCA Healthcare (Richmond, VA)
    …credential or Certified Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) **EXPERIENCE:** + Experience with Cerner ... and eClinicalWorks (eCW) is strongly preferred. + Minimum 7 years professional fee coding and revenue cycle operations experience strongly preferred. + Minimum 5 years health care management/leadership experience required. **Benefits** HCA Healthcare offers a… more
    HCA Healthcare (06/21/25)
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  • IPA Coding Associate Director

    CenterWell (Richmond, VA)
    …entities within the Primary Care Organization. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible for driving ongoing ... (APD) tool) + Responsible for performance management and strategy development for PCO risk adjustment at the division and market level; Partners with Clinical… more
    CenterWell (04/24/25)
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  • Sr Compliance RCM & Coding Auditor

    Humana (Richmond, VA)
    …data sets + Knowledge of healthcare compliance, mainly primary care and risk adjustment , pharmacy knowledge a plus + Certified Coder (CPC, CRC, and/or CMC) + ... to assess, investigate, audit and validate the mitigation of compliance risk across the organization. This team ensures that healthcare providers align… more
    Humana (07/10/25)
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  • Senior Client Coding Project Manager

    Datavant (Richmond, VA)
    …strategic recommendations to help clients understand the shifts and trends happening in the risk adjustment coding space. **What you will bring to the table:** + ... and budget. + Coordinate the development of user manuals, coder training materials, and other documents as needed. +...CCS, CRC, or CPC required. + Previous Medicare Advantage Risk Adjustment , CDI, Medicaid, Commercial RA, and… more
    Datavant (06/28/25)
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  • Client Coding Project Manager

    Datavant (Richmond, VA)
    …The individual will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be responsible for ... compliance and accuracy + Monitor the performance of the Risk Adjustment Operations both internally and with...of study preferred or 3-5 years related work experience coder with a minimum of 5 year's coding experience… more
    Datavant (06/03/25)
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