• CDI & Quality Supervisor - Risk Adjustment…

    BJC HealthCare (St. Louis, MO)
    …crucial support in a dynamic 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… more
    BJC HealthCare (10/23/25)
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  • HCC Risk Adjustment Coder - Full Time…

    Datavant (Topeka, KS)
    …educational and life experiences to realize our bold vision for healthcare. As an HCC ( Hierarchical Condition Category ) coder you will review ... 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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  • RN Population Health Risk Adjustment Specialist

    Corewell Health (Grand Rapids, MI)
    …Risk Adjustment Specialist will play a critical role in improving clinical documentation for Hierarchical Condition Category ( HCC ) coding accuracy across ... ability to manage multiple practices and priorities Preferred + Knowledge of HCC coding, risk adjustment, and value-based care model Preferred + Change management… more
    Corewell Health (12/05/25)
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  • Medical Assistant - $3,000 Sign On Bonus

    Spira Care, LLC (Overland Park, KS)
    …Preferred Qualifications: + Experience with coding and documentation for Medical Advantage and Hierarchical Condition Category ( HCC ) coding. Spira Care ... + Spira Care has specific vaccinations requirements as a condition of employment. You must be able to comply...employment. You must be able to comply with this condition of employment with or without a reasonable accommodation… more
    Spira Care, LLC (11/12/25)
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  • Medical Assistant, Float

    Spira Care, LLC (Kansas City, MO)
    …Preferred Qualifications: + Experience with coding and documentation for Medical Advantage and Hierarchical Condition Category ( HCC ) coding. + perience ... + Spira Care has specific vaccinations requirements as a condition of employment. Ability to comply with this is...of employment. Ability to comply with this is a condition of employment, with or without a reasonable accommodation… more
    Spira Care, LLC (11/05/25)
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  • DRG Revenue Integrity Auditor

    Insight Global (Plano, TX)
    …Present on Admission (POA) indicators, Severity of Illness (SOI), Risk of Mortality (ROM), Hierarchical Condition Category ( HCC ) capture, Case Mix Index ... high-quality standards in chart reviews to accurately reflect the patient's condition . Stay current with medical coding guidelines and industry developments. Assist… more
    Insight Global (10/30/25)
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  • Risk Adjustment Coding Specialist (Remote)

    CareFirst (Baltimore, MD)
    …required in addition to the required work experience. **Experience:** 3 years risk adjustment/ hierarchical condition category ( HCC ) coding experience. ... **Knowledge, Skills and Abilities (KSAs)** + Adobe Acrobat Professional. + Microsoft Word, Excel, Outlook, Claims Processing Facets. + Ability to adapt to various coding technology platforms, such as Electronic Medical Record (EMR) or Electronic Health Record… more
    CareFirst (12/11/25)
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  • Edits Coder

    University of Washington (Seattle, WA)
    …Common Procedure Coding System (HCPCS) codes in Epic work queues (WQ) and/or Hierarchical Condition Category ( HCC )/Risk Adjustment Factor (RAF) ... and/or Care Gap review to ensure optimal reimbursement for facility and/or professional fee coding and billing for Clinic, Outpatient and related charges needing coding review in compliance with State and Federal guidelines. **PRIMARY JOB RESPONSIBILITIES** +… more
    University of Washington (12/06/25)
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  • APP, Supervisor - General Internal Medicine - Full…

    University of Miami (Miami, FL)
    …Knowledge of HEDIS Quality Care Gaps - review and closure preferred + Knowledge of Hierarchical Condition Category ( HCC ) - review and recertification ... preferred + Physical presence required at all GIM sites + Conducts or participates in multidisciplinary rounds and ensures appropriate and quality care for patients. + Serves as a liaison and advocate between the APP and hospital leadership, department heads,… more
    University of Miami (11/06/25)
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  • Clinical Documentation Improvement Specialist…

    Bluestone Physician Services (Stillwater, MN)
    …+ Minimum of 2 years of experience in healthcare coding, with a focus on Hierarchical Condition Category ( HCC ) coding and risk adjustment. ... Knowledge/Skills/Abilities + Proficiency in reviewing and analyzing medical records for documentation deficiencies and coding opportunities. + Strong understanding of ICD-10-CM coding guidelines, particularly as they relate to risk adjustment. + Excellent… more
    Bluestone Physician Services (10/19/25)
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  • Director, Risk Bearing Provider Sales

    Datavant (Topeka, KS)
    …of Risk Bearing Provider Sales to lead our efforts in selling chart retrieval and HCC ( Hierarchical Condition Category ) coding solutions to risk-bearing ... Execution** + Develop and execute a sales strategy to grow adoption of HCC coding solutions among risk-bearing providers (eg, health systems, ACOs, provider groups,… more
    Datavant (12/10/25)
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  • Risk Adjustment Medical Record Coder

    BlueCross BlueShield of Tennessee (Chattanooga, TN)
    …certified, you must obtain it within one year of hire\. + Strong expertise in HCC \( Hierarchical Condition Category \) coding, with experience in MA ... Perform comprehensive 1st pass reviews of medical records and physician assessment forms \( HCC coding\)\. + Assist with the intake and quality assurance of medical… more
    BlueCross BlueShield of Tennessee (12/10/25)
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  • Facility Inpatient Coder (Remote)

    Cedars-Sinai (Los Angeles, CA)
    …codes for statistical purposes such as Social Determinants of Health (SDOH), Hierarchical Conditions ( HCC ), and severity impacting conditions. Abstracts data ... Coding Hospital Inpt **Business Entity** : Cedars-Sinai Medical Center **Job Category ** : Patient Financial Services **Job Specialty** : Medical Coding **Overtime… more
    Cedars-Sinai (11/15/25)
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