Find your next role
Discover roles across ambitious teams
19,674 jobs
- More jobs
Oscar Health
Risk Adjustment Coder Specialist
Remote · US · Full time · Senior level
$67.8k–$98.9k / year
About the role
The Senior Specialist will work on Medicare Advantage and ACA lines to meet goals and deadlines set by CMS and HHS. The role involves establishing effective Risk Adjustment processes and reporting to the Manager, Risk Adjustment.
What you’ll do
• Perform medical record reviews for ICD-10-CM diagnosis codes. • Maintain compliance with ICD-10-CM coding guidelines. • Participate in CMS Risk Adjustment audits. • Develop relationships to improve Risk Adjustment understanding. • Identify process improvements for medical encounter review.
What you’ll bring
• Bachelor's degree or equivalent experience. • Certified professional coder (CPC). • 2+ years retrospective risk adjustment coding experience. • Work authorization for US (excluding some states).
Life at Oscar Health
Employees receive medical, dental, vision benefits, paid holidays, sick time, parental leave, 401(k), life and disability insurance, and wellness reimbursements. Unlimited vacation and annual bonuses offered.
About Oscar Health
Oscar Health is a technology-driven health insurance company focused on serving members with innovative insurance solutions.