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Vice President Hcc Risk Adjustment Coder Jobs in Nevada

CreditOne

AVP, Artificial Intelligence

Las Vegas, NV · On-site

Reporting to the VP of AI, this role acts as a hands-on technical leader and people manager for AI ... Partner with Risk, Compliance, Legal, Cybersecurity, and Data teams to ensure Responsible AI ...

Centerwell

IPA Consultative Coder

Las Vegas, NV · On-site

$18 - $24/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Use your skills to make an impact Qualifications 3+ years of risk adjustment medical coding experience CCS, CRC OR CPC Certification Familiarity in value-based care Must live within 50 miles of ...

Tract

VP of Network Operations Engineering

Reno, NV · On-site

$175K - $250K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Position Overview The VP of Network Operations Engineering oversees the day-to-day operations of ... Risk Management * Guide teams using project management tools to deliver milestones safely, on time ...

Whittier Trust

VP/SVP-Client Advisor

Reno, NV · On-site

$130K - $220K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

... Code. * New business activities. Call on network contacts and prospects regarding the development of new business for the firm. Achieving calling and new business revenue goals is an essential part ...

Whittier Trust

VP/SVP-Client Advisor

Reno, NV · On-site

$130K - $220K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

... Code. * New business activities. Call on network contacts and prospects regarding the development of new business for the firm. Achieving calling and new business revenue goals is an essential part ...

Whittier Trust

VP/SVP-Client Advisor

Reno, NV

$130K - $220K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

... Code. * New business activities. Call on network contacts and prospects regarding the development of new business for the firm. Achieving calling and new business revenue goals is an essential part ...

CenterWell Primary Care

IPA Consultative Coder

Las Vegas, NV · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Use your skills to make an impact Qualifications 3+ years of risk adjustment medical coding experience CCS, CRC OR CPC Certification Familiarity in value-based care Must live within 50 miles of ...

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Vice President Hcc Risk Adjustment Coder information

What is a Vice President HCC Risk Adjustment Coder?

A Vice President HCC (Hierarchical Condition Category) Risk Adjustment Coder is a senior executive responsible for overseeing the medical coding operations related to risk adjustment in healthcare organizations. They lead teams that ensure accurate coding of patient diagnoses and health information, which impacts how healthcare providers are reimbursed by insurance payers, especially Medicare Advantage plans. Their role typically involves compliance oversight, quality assurance, training coders, and strategic planning to optimize risk scores. These professionals require extensive experience in medical coding, deep knowledge of HCC models, and strong leadership skills. They play a critical part in helping organizations maximize compliant reimbursement and improve patient outcomes.

What are the key skills and qualifications needed to thrive as a Vice President HCC Risk Adjustment Coder?

To thrive as a Vice President HCC Risk Adjustment Coder, you need deep expertise in HCC coding, risk adjustment methodologies, healthcare regulations, and a relevant certification such as CPC, CRC, or CCS. Mastery of coding software, EHR systems, and data analytics platforms is typically required. Leadership, strategic thinking, attention to detail, and strong communication skills distinguish top performers in this role. These skills are crucial for ensuring coding accuracy, regulatory compliance, and driving organizational success in value-based care environments.

What are some common challenges faced by a Vice President HCC Risk Adjustment Coder, and how can they be managed?

A Vice President HCC Risk Adjustment Coder often faces the challenge of ensuring coding accuracy and compliance across large teams while keeping up with evolving CMS guidelines. Managing remote or distributed coding staff, integrating new technology solutions, and balancing productivity with quality assurance are also common hurdles. Success in this role requires strong communication skills, ongoing coder education, and the implementation of robust audit processes to maintain data integrity and regulatory compliance.

What is the difference between Vice President Hcc Risk Adjustment Coder vs Hcc Risk Adjustment Coder?

AspectVice President Hcc Risk Adjustment CoderHcc Risk Adjustment Coder
CredentialsAdvanced certifications, leadership experienceCertifications like CPC, CCS, or RHIT
Work EnvironmentExecutive-level, strategic planningOperational, coding departments
Industry UsageUsed in large healthcare organizations, insurersCommon in hospitals, clinics, coding firms

The Vice President Hcc Risk Adjustment Coder focuses on strategic leadership and oversight of risk adjustment coding programs, often requiring advanced certifications and leadership skills. In contrast, the Hcc Risk Adjustment Coder handles day-to-day coding tasks, ensuring accurate HCC coding based on medical records. Both roles are vital in healthcare risk management but differ mainly in scope, responsibilities, and experience level.

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Vice President Hcc Risk Adjustment Coder jobs near you

AVP, Artificial Intelligence

CreditOne

Las Vegas, NV • On-site

Full-time

Re-posted 20 days ago

Job description

Description
Position Summary
The Assistant Vice President of Artificial Intelligence (AVP of AI) is responsible for leading delivery and execution of AI and machine learning capabilities within a regulated banking, credit card, and financial services environment. Reporting to the VP of AI, this role acts as a hands-on technical leader and people manager for AI Engineers, ensuring AI solutions drive fraud prevention, credit risk management, customer experience personalization, and operational efficiency while meeting regulatory, privacy, and model risk requirements.
Essential Job Functions
  • Lead development and deployment of AI/ML and Generative AI solutions for fraud detection, credit scoring, underwriting, AML, and customer engagement.
  • Serve as technical authority for model architecture, feature engineering, training pipelines, and inference services.
  • Manage and mentor AI Engineers and ML practitioners; provide code and design reviews.
  • Implement AIOps/MLOps and model governance practices aligned with banking regulations and internal Model Risk Management (MRM) standards.
  • Partner with Risk, Compliance, Legal, Cybersecurity, and Data teams to ensure Responsible AI adoption.
  • Oversee model validation, explainability, bias testing, and audit readiness.
  • Collaborate with product and business leaders to translate financial use cases into scalable AI solutions.

Position Requirements
Core AI Concepts and Technologies Required:
  • Machine Learning & Modeling
    • Supervised, unsupervised, reinforcement learning
    • Deep learning (CNNs, RNNs, Transformers)
    • Natural Language Processing (NLP) & LLMs
    • Generative AI (diffusion models, fine-tuning, RAG)
    • AI Engineering & MLOps

  • AI Engineering & MLOps
    • Model training, deployment, monitoring, and retraining
    • Feature stores, vector databases, and model registries
    • CI/CD pipelines for ML (MLOps)
    • GPU/accelerator compute architectures

  • Cloud & Infrastructure
    • Azure AI, Azure ML, AWS Sagemaker, or Google Vertex AI
    • Kubernetes, containerization, microservices
    • Data platforms (Databricks, Snowflake, Synapse)

  • Responsible AI & Governance
    • Model explainability (SHAP, LIME)
    • Fairness, bias detection, model risk controls
    • Privacy-preserving ML techniques (differential privacy, federated learning)

  • Programming & Tooling
    • Python, PyTorch, TensorFlow, JAX
    • LangChain, semantic search, vector embeddings
    • Prompt engineering & LLM orchestration frameworks

  • Excellent communication, problem-solving, and project management skills
  • Ability to collaborate effectively and follow up ensure achievement of deadlines, outcomes and results.
  • Demonstrate company core values of excellence, ownership, collaboration, and integrity.

Preferred
  • Bachelor's degree in Computer Science, Engineering, Data Science, or related field.
  • 5-8 + years of experience in AI/ML or data science.
  • Experience working with large-scale financial or transactional data is preferred.

Credit One Bank, N.A. is a data-driven financial services company based in Las Vegas. Founded in 1984, Credit One Bank offers a spectrum of credit card products for people in all stages of financial life. Credit One Bank is an equal opportunity employer committed to diversity and inclusion and does not discriminate against any employee or applicant for employment because of age, race, religion, color, disability, sex, sexual orientation, or national origin. Reasonable accommodations can be made for those who require them, including access to job applications and workplace accommodations. Employment at Credit One Bank is based on mutual consent (also known as at-will). This means that employees and the Bank may terminate the employment relationship at any time, with or without cause and with or without notice. Please contact the recruiter for this position to learn more. Credit One Bank does not accept unsolicited resumes from agencies and is not responsible for related fees.

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