3 risk adjustment coder jobs found in Providence, RI

Intermountain Health in Las Vegas is seeking an entry-level Risk Adjustment Analyst to learn and perform coding for MA, Medicaid, and ACA programs. You will audit clinical documentation post-visit to ensure coding accuracy according to CMS/HHS guidelines and internal policies. CRC certification must be obtained within 1 year of hire. The role supports senior analysts, maintains coding workflow knowledge, and documents results in a Risk Adjustment database. #J-18808-Ljbffr

Title: Certified Risk Coder Reports to: Manager, Risk Coding Classification: Individual Contributor Location: Boston (Remote) Job description revision number and date: 2.0, 01.06.2025 Organization Summary: Community Care Cooperative (C3) is a 501(c)(3) non-profit, Accountable Care Organization (ACO) governed by Federally Quality Health Centers (FQHCs). Our mission is to leverage the collective strengths of FQHCs to improve the health and wellness of the people we serve. We are a fast-growing organization founded in 2016 with 9 health centers and now serving hundreds of thousands of beneficiaries who receive primary care at health centers and independent practices across Massachusetts. We are an innovative organization developing new partnerships and programs to improve the health of members and communities, and to strengthen our health center partners. Job Summary: The Certified Risk Coder will be a part of an emerging coding team and coding service that...

CVS Health is seeking a full‑time Medical Records Auditor to perform audit and abstraction of medical records for ICD coding used in CMS risk adjustment. You will ensure codes are accurate, well-documented, and compliant with state and federal rules. The role requires 1 year of related experience, CPC/CCS-P certification, and proficiency with ICD coding. Strong organizational skills and adherence to deadlines are essential. #J-18808-Ljbffr