• HCC Risk Adjustment

    Datavant (Sacramento, CA)
    …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... experiences to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code… more
    Datavant (12/27/25)
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  • Hierarchical Condition Category ( HCC

    Highmark Health (Sacramento, CA)
    …anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits. Works closely with ... leadership to identify and deliver high quality and accurate risk adjustment coding. Supports all Remote Patient...CERTIFICATIONS** **Required** (any of the following) + Certified Professional Coder (CPC) + Certified Risk Coder more
    Highmark Health (12/19/25)
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  • Senior Director, Revenue Cycle - Clinical…

    Scripps Health (San Diego, CA)
    …understanding of ICD, CPT, and HCPCS coding systems, MS-DRG/APR-DRG methodologies, and risk adjustment / HCC principles. * Strong technical proficiency and ... experience in professional fee/physician services operations, analytics, and reporting. **Job:** **Business Office* **Organization:** **Scripps Health Corp* **Title:** *Senior Director, Revenue Cycle - Clinical Documentation Integrity* **Location:** *Central… more
    Scripps Health (10/29/25)
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