• BlueCross BlueShield of Tennessee (Chattanooga, TN)
    …for a **Supervisor** to lead a dynamic team dedicated to accuracy and compliance in risk adjustment coding \. **About the Team:** This team plays a critical ... experienced leader with a strong background in medical records coding and quality assurance? Risk Adjustment...\(CPC, CCS, CRC, RHIT, RHIA\)\. + Must acquire the Certified Risk Adjustment Coder \(CRC\)… more
    DirectEmployers Association (12/09/25)
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  • Certified Risk Adjustment

    Trinity Health (Livonia, MI)
    **Employment Type:** Full time **Shift:** **Description:** ** CERTIFIED RISK ADJUSTMENT CODING SPECIALIST** **Location:** Trinity Health PACE Corp ... **Must be certified or obtaining certification for Certified Risk Adjustment Coder thru...year if hired.** + **Two-years of experience in a risk adjustment coding environment required.**… more
    Trinity Health (12/08/25)
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  • Senior Risk Adjustment Coding

    Centene Corporation (Jefferson City, MO)
    coding guidelines. + Validate clinical documentation to support appropriate risk adjustment coding , including Hierarchical Condition Categories (HCCs), ... reviews and advise on clinical best practices related to risk adjustment coding , HCC capture,...Specialist (CCS) required + NP or PAN preferred + Certified Risk Adjustment (CRC) preferred… more
    Centene Corporation (10/29/25)
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  • Supervisor, HCC Risk Adjustment

    Datavant (Atlanta, GA)
    … 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 (12/06/25)
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  • Coding Team Lead, HCC Risk

    Datavant (Atlanta, GA)
    …realize our bold vision for healthcare. We're looking for experienced and credentialed HCC Coding Team Leads to become an integral part of our team. The ideal ... from your own workspace! **What you will do:** + Coding Team Lead is responsible for supporting the ...**What you will bring to the table:** + AHIMA certified credentials (CCS, CCS-P) or AAPC certified more
    Datavant (12/10/25)
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  • CDI & Quality Supervisor - Risk

    BJC HealthCare (St. Louis, MO)
    …setting. Background to be successful in the role: + **Hierarchical Condition Category (HCC)** ** coding and risk adjustment ** + **Bachelors degree** + **2 ... Requirements** **Licenses & Certifications** + Cert Clinical Documentation + Certified Coding Spec + Cert Doc Improve Practitioner **Benefits and Legal… more
    BJC HealthCare (10/23/25)
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  • Certified Risk Adjustment

    Ascension Health (Elk Grove Village, IL)
    …Candidates must have the following certification thru AAPC (credentialing board): ** Certified Risk Adjustment Coder (CRC) - STRONGLY ... Registration: + One or more of the following required:* Certified Coding Specialist (CCS) credentialed from the...in the CRC program please apply!** + 1 year ** RISK CODING ** experience, preferred (NEW GRADUATES WELCOME)… more
    Ascension Health (12/03/25)
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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 (12/10/25)
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  • Quality & Risk Adjustment Provider…

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …of provider-facing or leadership-facing experience * Knowledge of Health Care Quality measures * Certified Risk Adjustment Coder (CRC via AAPC) or ... characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Quality & Risk Adjustment Provider Consultant Location: Hybrid | Eagan, Minnesota Career… more
    Blue Cross and Blue Shield of Minnesota (09/30/25)
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  • HCC Risk Adjustment Coder - Full…

    Datavant (Topeka, KS)
    …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... COC, CIC, or CRC). + A minimum of 2 years HCC coding experience, while certified . + Full understanding and knowledge of ICD-10, medical terminology, medical… more
    Datavant (11/14/25)
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  • Ambulatory Certified Coding

    Trinity Health (Newtown Square, PA)
    …degree in Medical Field + If RN, Current Registered Nurse License + Certified Coding Specialist (CCS), Certified Clinical Documentation Specialist (CCDS), ... documentation in the record which impacts HCC or other risk score coding . + Conducts pre and...the outpatient setting required. + Minimum of one year Risk Adjustment Validation experience required. **We offer… more
    Trinity Health (11/14/25)
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  • Senior Coding Educator

    Humana (Salt Lake City, UT)
    …+ 5+ years of experience in risk adjustment coding /auditing/education and provider relations/engagement + Certified Professional Coder (CPC) + Prior ... gained from actual experience of chronic condition documentation and coding audits, risk adjustment program...quickly to change **Preferred Qualifications** + Bachelor's Degree + Certified Risk Adjustment Coder (CRC)… more
    Humana (12/04/25)
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  • Clinical Documentation Improvement Specialist…

    Bluestone Physician Services (Stillwater, MN)
    …reviews of patient charts to identify gaps in documentation and opportunities for risk adjustment coding improvement. + Collaborate with Bluestone providers ... support to Bluestone providers to enhance their understanding of risk adjustment coding guidelines and...in Health Information Management, Nursing, or related field. + Certified Risk Adjustment Coder (CRC)… more
    Bluestone Physician Services (10/19/25)
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  • Coder IV - Claim Edits Coder (medical…

    Geisinger (Danville, PA)
    …Duties Minimum 1 certification required:CPC - Certified Professional Coder AAPC CRC - Certified Risk Adjustment Coder - AAPC RHIT - Registered Health ... Job Summary Health information coding is the transformation of verbal descriptions of...Information Technician (RHIT) - American Health Information Management Association; Certified Risk Adjustment Coder -… more
    Geisinger (11/26/25)
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  • Compliance Auditor - Medical Coding

    Geisinger (Danville, PA)
    …Minimum one Coding Certification required:-- Certified Professional Coder - AAPC -- Certified Risk Adjustment Coder - American Academy of Professional ... standard coding guidelines. Evaluates whether documentation and coding patterns present a compliance risk to...Information Technician (RHIT) - American Health Information Management Association; Certified Risk Adjustment Coder -… more
    Geisinger (10/18/25)
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  • Senior Medical Coding Specialist (Remote)

    CareFirst (Baltimore, MD)
    …**Education Level:** High School Diploma or GED. **Experience:** 5 years experience in risk adjustment coding , ambulatory coding and/or CRC ... and incentive models. Strategizes alternatives and solutions to maximize quality payments and risk adjustment . Translates from claim language to services in an… more
    CareFirst (09/27/25)
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  • Regional Coding Operations Manager WFH

    HCA Healthcare (Fort Lauderdale, FL)
    …Coder (CPC(R)) credential or Certified Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) EXPERIENCE: + Experience with ... overnight travel. EDUCATION: + Bachelor's Degree preferred. + Must be a Certified Coding Specialist (CCS), Certified Coding Specialist - Physician… more
    HCA Healthcare (10/24/25)
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  • Senior Coder - RCO Coding

    UTMB Health (Galveston, TX)
    …abbreviations is a plus. **Licenses, Registrations, or Certifications:** CCA - Certified Coding Associate American Health Information Management (AHIMA) Or ... Senior Coder - RCO Coding **Galveston, Texas, United States** **New** Business, Managerial...Academy of Professional Coders (AAPC) Or CRC - Cert Risk Adjustment Coder American Academy of Professional… more
    UTMB Health (12/05/25)
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  • Physician Billing (PB) Coding Auditor…

    Hackensack Meridian Health (Hasbrouck Heights, NJ)
    …or must obtain within one (1) year of hire. **Licenses and Certifications Preferred:** + Certified Risk Adjustment Coder (CRAC). If you feel that the above ... Registered Health Information Technician (RHIT); Registered Health Information Administrator (RHIA); Certified Coding Specialist (CCS); or Certified more
    Hackensack Meridian Health (11/01/25)
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  • Medical Coding Educator

    Humana (Fort Lauderdale, FL)
    …in interpreting large data sets **Preferred Qualifications** + Bachelor's Degree + CRC - Certified Risk Adjustment Coder + Experience interacting with ... an impact** **Required Qualifications** + AHIMA or AAPC CPC ( Certified Professional Coder) Certification + 4 or more years...Coder) Certification + 4 or more years of medical coding experience + Risk Adjustment more
    Humana (12/09/25)
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