• University Health (Boerne, TX)
    …Ambulatory setting by gathering information, coordinating utilization efforts, and reviewing HCC quality indicators, and RAF scores to eligible Medicare Advantage ... beneficiary. Will monitor opportunities within the Medicare managed group to enhance financial outcomes. Will coordinate the transition of care and the interdisciplinary treatment for Medicare managed patients across the healthcare continuum. Facilitates the… more
    Joboru (12/08/25)
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  • MVP Health Care (Rochester, NY)
    …opportunities and obstacles. Measure capture rate of Hierarchical Condition Categories ( HCC )s and diagnosis codes related to Risk Adjustment programs to improve ... and optimize program targeting for Medicare and commercial exchange populations. Use Clinical Risk Group (CRG) software to target interventions for improved coding for Medicaid members. Calculates ROIs for Risk Adjustment programs. Maintain regulatory agency… more
    Appcast IO CPA (11/18/25)
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  • Disease Burden ( HCC ) Business…

    Corewell Health (Grand Rapids, MI)
    …Reporting + Develop and deliver recurring and ad-hoc reports on RAF trends, HCC capture rates, provider performance, and suspect lists. + Analyze large datasets ... files) to identify gaps and missed opportunities. + Monitor RAF impacts, HCC prevalence, V28 mapping changes, and quality indicators. + Build dashboards and… more
    Corewell Health (12/10/25)
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  • HCC Coding Specialist - Exempt - Full Time…

    Emanate Health (Covina, CA)
    …company in the country. **J** **ob Summary** Responsible for the oversight of HCC Program and STAR measures coding related functions. The coding specialist will work ... the IPA Director, Health Plan, and MSO personnel on HCC and STAR measures related tasks. Responsible to ensure...have at least one year of experience in Medicare HCC program within IPA, HMO, or clinic setting. Two… more
    Emanate Health (10/17/25)
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  • Coding Team Lead, HCC Risk Adjustment…

    Datavant (Atlanta, GA)
    …to 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 ... (CPC, CPC-H, COC, CIC, CRC) + Extensive knowledge of ICD -10 + 2 years' HCC coding experience + 1+ years' Team Lead experience a plus + A strong knowledge… more
    Datavant (12/10/25)
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  • Registered Nurse - Mental Health BHIP…

    Veterans Affairs, Veterans Health Administration (Fredericksburg, VA)
    Summary This Registered Nurse - Mental Health BHIP (non-MHTC) (Fredericksburg HCC ) position is located at the Fredericksburg Health Care Center in Fredericksburg, ... the duties. Responsibilities Registered Nurse - Mental Health BHIP-non MHTC (Fredericksburg HCC ) is a vital member of the Behavioral Health Interdisciplinary Team.… more
    Veterans Affairs, Veterans Health Administration (12/04/25)
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  • HCC Risk Adjustment Coder - Full Time…

    Datavant (Topeka, KS)
    …and life experiences to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and ... credentials (CPC, CPC-H, COC, CIC, or CRC). + A minimum of 2 years HCC coding experience, while certified. + Full understanding and knowledge of ICD-10, medical… more
    Datavant (11/14/25)
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  • Supervisor, HCC Risk Adjustment Coding…

    Datavant (Atlanta, GA)
    …+ People Leader experience managing a team of employees. + Familiarity with HCC coding. + A strong knowledge base of medical terminology, medical abbreviations, ... pharmacology and disease processes. + Ability to work in a fast-paced production environment while maintaining adherence to high quality standards. + Must be able to follow instructions, meet deadlines and work independently. + Ability to be flexible in work… more
    Datavant (12/06/25)
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  • Profee Coding Consultant ( HCC /Profee)…

    Datavant (Indianapolis, IN)
    …in both hospitals and alternative care settings. Candidates with Profee and HCC coding experience with annual wellness visits are strongly encouraged to apply! ... **What You Will Do:** + Review medical records and assign precise codes to ensure accurate coding aligned with client needs (CPT, ICD-10-CM, ICD-10 procedures, ICD-10-CM and ICD-10 PCS, HCPCS). + Conduct data quality reviews of records to assess compliance… more
    Datavant (10/31/25)
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  • CDI & Quality Supervisor - Risk Adjustment…

    BJC HealthCare (St. Louis, MO)
    …setting. Background to be successful in the role: + **Hierarchical Condition Category ( HCC )** **coding and risk adjustment** + **Bachelors degree** + **2 years in a ... supervisory role** + **5 years of relevant experience** + **Ambulatory care experience** \#LI-DS2 \#LI-TP1 **Overview** **BJC Medical Group** is the multi-specialty physician-led organization of BJC HealthCare and includes over 600 doctors and advanced… more
    BJC HealthCare (10/23/25)
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  • Housekeeper HCC

    PruittHealth (Macon, GA)
    …1. Sweeps, damp mops, and wet mops tile floors. May occasionally be required to spray buff, strip or wax floors, following center procedures, including the use of wet ... **JOB PURPOSE:** Provides cleaning services to provide a safe sanitary, comfortable and homelike environment for residents, staff and the public. Housekeeping services provided are in accordance with facility policies and procedures and consistent with state… more
    PruittHealth (12/11/25)
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  • FT PM Dietary Aide HCC

    PruittHealth (Austell, GA)
    …1. Follows diet orders and NPO diet orders 2. Assists cook in preparing meals, desserts and/or snacks for patients/residents; ie salads and desserts and other dishes ... 3. Uses proper food handling processes, procedures and policies 4. Delivers trays to patients/residents on halls 5. Delivers and serves meals to patients/residents in dining area; food and beverages 6. Prepares between-meal nourishments (make sandwiches, etc.)… more
    PruittHealth (12/11/25)
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  • Cook - Dietary Aide HCC

    PruittHealth (New Bern, NC)
    …1. Assists cook in the preparation of meals, salads, desserts, snacks or other dishes for patients/residents, also prepares between-meal nourishments (make ... sandwiches, etc.) 2. Follows diet orders and NPO diet orders 3. Serves nourishments in accordance with procedural guidelines 4. Properly stores leftovers/ opened food 5. Follows procedures for serving partner meals 6. Offers menu substitutions and records them… more
    PruittHealth (12/11/25)
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  • Maint Asst HCC

    PruittHealth (Milton, FL)
    …1. Performs routine maintenance of air conditioners/heaters. 2. Uses pressure washer as requested. 3. Uses electrical tools and equipment when appropriate. (Including ... **JOB PURPOSE:** Assists in repairs and maintenance of physical structure of nursing center in a safe and efficient manner in accordance with applicable federal, state, and local regulations and our established procedural guidelines, and as may be directed by… more
    PruittHealth (12/11/25)
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  • Financial Counselor HCC

    PruittHealth (Moultrie, GA)
    …1. Primary contact for partners, patients/residents, and family members. 2. Discusses and educates family members on various services offered by the nursing home and ... **JOB PURPOSE:** Directs and coordinates administrative and financial services which may include office, clerical, human resources support and supportive services. Familiar with medical financial concepts, practices and procedures. Relies on experience and… more
    PruittHealth (12/11/25)
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  • Housekeeper Supv Hourly HCC

    PruittHealth (Valdosta, GA)
    …1. Coordinates and oversees the actives and actions assigned to housekeeping partners 2. Inspects and makes daily rounds to ensure housekeeping duties are being ... performed and to assure that procedures are being rendered to meet the needs of the facility. 3. Evaluates productivity and quality of work of each employee and determines additional training needs. 4. Reports occupational exposure to bodily fluids, infectious… more
    PruittHealth (12/11/25)
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  • Floor Tech HCC

    PruittHealth (Macon, GA)
    …1. Dust, sweep, mop, buff, strip, and wash floors as scheduled by supervisor. 2. Clean and store equipment at the end of each shift. 3. Report any needed repairs. 4. ... Perform waste disposal procedures as required by supervisor. 5. Assist in the proper care and use of housekeeping equipment. M **INIMUM EXPERIENCE REQUIRED:** On-the-job training provided. **ADDITIONAL QUALIFICATIONS: (Preferred qualifications)** Experience… more
    PruittHealth (12/11/25)
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  • Receptionist HCC

    PruittHealth (Port Wentworth, GA)
    …include performing the day-to-day administrative secretarial and receptionist functions of the facility in accordance with current established procedures, and as ... directed by the Office Supervisor. **KEY RESPONSIBILITIES:** 1. Answers incoming telephone calls and direct to appropriate person or department. 2. Maintains confidentiality of all pertinent personnel information in accordance with the Privacy Act, as well as… more
    PruittHealth (12/11/25)
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  • Dietary Manager Salaried HCC

    PruittHealth (Milton, FL)
    …1. Interviews patient/family to obtain food preferences, habits, diet history and other pertinent nutrition information. 2. Completes appropriate clinical ... **JOB PURPOSE:** Plans, organizes, develops, and directs the overall operation of the Dietary Department in accordance with current federal, state, and local regulations governing the center and as directed by the Administrator. Responsible for maintaining the… more
    PruittHealth (12/11/25)
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  • Laundry Aide HCC

    PruittHealth (Macon, GA)
    …1. Folds and sorts laundry (blankets, sheets, towels etc.) and personal clothing items 2. Hangs clothes on racks according to name and numbers. 3. Delivers ... **JOB PURPOSE:** Tends laundering machines to clean sheets, blankets, pillow coverings, and personal articles of patients. Loads articles in washer and adds specified amount of detergent or other cleaning agents. Lifts clean, wet articles from washer and… more
    PruittHealth (12/11/25)
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