• HCC Risk Adjustment

    Datavant (Nashville, TN)
    …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 (Nashville, TN)
    …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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  • Coding Auditor Sr

    Elevance Health (Nashville, TN)
    …hospital medical records to ensure proper ICD-9 coding and compliance with risk adjustment requirements. **Location:** Virtual: This role enables associates to ... project and RADV. + Assists with National and Targeted Risk Adjustment Data Validation audits. + Participates...equivalent and minimum of 3 years of experience as coder of medical records in physician office, hospital, or… more
    Elevance Health (12/22/25)
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