337 (CRC) Certified Risk Adjustment Coder jobs

Job Description Job Description Overview This is a temporary position for approximately 6 months. Responsibilities The Risk Adjustment Coder is responsible for providing support to the Risk Adjustment Department. This position will work closely with the VBC Risk Director, Program Managers, (Nurse Practitoners) NPs and external vendors to assist with managing the Chronic Disease Managed Visit (CDMV) Program through coding charts and queries.     Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned.   Collaborate with Lead Coder to review CDMV progress notes and CDMV Summary Continuous streamlined communication with NPs on queries as needed Weekly meeting with Lead coder to discuss any barriers on receiving responses to queries or any questions regarding coding Stay up to dates with CMS Coding Guidelines as identified for Risk Adjustment (CPT and ICD codes) Collaborate with coordinators and specialists for adhoc...

Datavant, a data collaboration platform for healthcare, is seeking an HCC Auditor to review medical records coded in ICD-10, ensuring accurate reflection of patient conditions for risk adjustment and reimbursement. You will audit charts, adapt to different client guidelines, participate in weekly meetings, and maintain high quality while working in a fast-paced, remote-capable environment. #J-18808-Ljbffr

Job Description Job Description Porter is hiring a Risk Adjustment Coder to join our Team!   Porter combines the power of analytics with the power of care. Porter is a leading healthcare IT and services platform for care and coverage coordination that optimizes outcomes and member experience. We deliver understanding, compassion, information, and peace of mind for your members. Driven by robust AI analytics, Porter’s Care Guide team helps the member navigate the healthcare delivery system, secures the right support for each member’s specific needs, and directs Porter’s team of expert clinicians to perform comprehensive in-home assessments, complete with lab and diagnostic testing. By coordinating the complexities of each unique care journey, Porter helps close the gaps with the largest impact on quality measures, total cost of care, risk adjustment, and member experience.    Position Overview We are seeking a certified coder with expertise in risk adjustment...

Datavant is seeking an HCC Auditor to review medical records coded in ICD-10, ensuring accurate reflection of patient conditions for risk adjustment and reimbursement. You will translate clinical documentation into precise codes reflecting health status and confirm accuracy of work. Responsibilities include auditing charts, adapting to different client guidelines, maintaining high quality, and participating in weekly reviews. Remote work reliability and strong communication are essential. #J-18808-Ljbffr

Datavant, a data collaboration platform for healthcare, is seeking an HCC Auditor to review coded medical records and ensure accurate risk adjustment coding. You will translate clinical documentation into precise ICD-10 codes reflecting patient health status while meeting client guidelines and quality standards. The role requires 2 years of HCC coding and auditing experience, AHIMA or AAPC credentials, and strong medical terminology knowledge. #J-18808-Ljbffr

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you’re stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in translating clinical...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you’re stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in translating clinical...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you’re stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in translating clinical...

Love Where You Work! Team Bronson is compassionate, resilient and strong. We are driven by Positivity which inspires us to be our best and to go above and beyond for our patients, for one another, and for our community. If you're ready for a rewarding new career, join Team Bronson and be part of the experience. Location Portage-2825 Airview Blvd.- Office Building Title HCC Risk Professional Coder Full-Time (80 hours per pay period) The Professional Coder performs detailed review of provider documentation/dictation and performs research on code selection for validation of appropriate codes selected for surgically complex cases (e.g., Neurosurgery, Cardiothoracic Surgery). Provides codes for surgical cases for insurance authorization. Reviews work queues and/or posts charges into Practice Management System for provider hospital and office billing and complex surgical cases (e.g. Neurosurgery, Cardiothoracic Surgery). Employees providing direct patient care must demonstrate...

Clinical Risk Adjustment Coder Alpine Physician Partners partners with independent physician groups to deliver coordinated, value-based care that improves outcomes and lowers the total cost of care. Our clinical and coding teams support providers with the accurate, compliant documentation and coding practices that make value-based care possible. The Clinical Risk Adjustment Coder reviews medical records and provider documentation to identify, validate, and accurately code chronic conditions and diagnoses in accordance with Hierarchical Condition Category (HCC) risk adjustment models. This role plays a key part in ensuring accurate risk score capture, supporting provider education, and maintaining compliance with CMS and payer coding guidelines. Review medical records, encounter notes, and provider documentation to identify and validate diagnosis codes relevant to HCC and other risk adjustment models. Conduct in-home or virtual health assessments with patients, evaluating and...

Datavant is seeking an HCC Auditor to review medical records coded in ICD-10, ensuring accurate representation of patient conditions for risk adjustment and reimbursement. You will translate clinical documentation into precise codes, and verify the accuracy of this work. In this role, you will audit charts, adapt to various client guidelines, maintain a 95% quality standard at the diagnosis level, answer rebuttals, and participate in weekly review meetings while supporting a fast-paced remote #J-18808-Ljbffr

Datavant is seeking an HCC Auditor to review medical records coded in ICD-10, ensuring accurate reflection of patient conditions for risk adjustment and reimbursement. You will translate clinical documentation into precise codes and verify accuracy of work. The role requires 2 years of HCC coding and auditing experience, with AHIMA or AAPC credentials preferred. You will work in a fast-paced environment with potential remote flexibility and participate in weekly review meetings. #J-18808-Ljbffr

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. Patient Revenue Management Organization Pursue your passion for caring with the Patient Revenue Management Organization, which is the fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions for Duke Health. This position is 100% remote. All Duke University remote workers must reside in one of the following states: North Carolina Alabama Arizona Connecticut District of Columbia Florida Georgia Illinois Iowa Kentucky Louisiana Maine Michigan Missouri Montana New Hampshire Ohio Oregon Pennsylvania South Carolina Tennessee Texas Virginia Washington Now...

Trinity Health IHA Medical Group is seeking a Compliance Coding Auditor-Educator to serve as the subject matter expert for CPT, ICD and HCC coding and to be a key contact for IHA offices and the Revenue Department. You will develop and lead audit projects, report results through a standard process, identify errors, conduct one‑on‑one audit meetings, and provide corrective education. You will train staff and providers on coding standards to support accurate, compliant medical documentation. #J-18808-Ljbffr

Jobrapido seeks Medical Coders specializing in Risk Adjustment for a leading healthcare client in the United States. You will review medical records and clinical documentation to accurately assign ICD-10-CM diagnosis codes that support risk adjustment and HCC reporting. Ideal candidates have strong experience with medical record review, coding compliance, and CMS guidelines, ensuring all diagnoses are fully supported by clinical evidence. #J-18808-Ljbffr

BCBST BlueCross BlueShield of Tennessee, Inc. is hiring a Risk Adjustment Medical Record Coder to perform first-pass reviews of member records, identify active conditions, and map them to risk values. This role supports CMS risk adjustment coding within our Risk Adjustment & Quality Division in a remote setting. Ideal candidates hold AHIMA or AAPC certification (CPC, CCS, RHIT, RHIA) and will strive to obtain CRC within a year. #J-18808-Ljbffr

Datavant is seeking an HCC Auditor to review medical records coded in ICD-10, ensuring accurate representation of patient conditions for risk adjustment and reimbursement. You will translate clinical documentation into precise codes and verify the accuracy of work while working remotely. You'll audit coded charts per client guidelines, move across guideline sets, maintain a 95% diagnosis-level quality, and participate in weekly coding reviews in a fast-paced environment. #J-18808-Ljbffr

TEKsystems is seeking an experienced Risk Adjustment Coding Auditor to ensure accurate Medicare/Medicaid/ACA coding. The role focuses on HCC coding, auditing, and regulatory compliance across populations, while guiding documentation best practices. The ideal candidate will have senior-level experience, strong analytical skills, and the ability to educate others. This fully remote contract role supports audits and process improvements within a national scope. #J-18808-Ljbffr

Metaintro, Inc. seeks an experienced Risk Adjustment Auditor to review inpatient and outpatient medical records for HCC support. Requires 5+ years in risk adjustment auditing with CMS/HHS RADV focus, CRC certification, and advanced Excel skills. Must be able to work remotely and meet strict accuracy targets. Responsibilities include chart reviews, coding accuracy reviews, and client communications to ensure compliant and timely claim payments. Strong knowledge of ICD-10 guidelines is essential. #J-18808-Ljbffr

Risk Adjustment CoderThis website stores cookies on your computer. These cookies are used to collect information about how you interact with our website. We use this information in order to improve and customize your browsing experience and for analytics about our visitors both on this website. To find out more, see our Privacy Policy.### Risk Adjustment CoderApply: Remote: Jupiter, FL: Full time: Posted Today: JR4539It's rewarding to be on a team of people that truly believe in making an impact!We are committed to building the best primary care environment for patients and are seeking healthcare enthusiasts to join us.**Job Summary**The Risk Adjustment coder will identify, collect, assess, monitor and document claims and encounter coding information as it pertains to Clinical Condition Categories. Verify and ensure the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered. The Risk Adjustment Coder is required to follow...