ApplyBlast uses AI to match you with the right jobs, tailor your resume and cover letter, and apply automatically so you can land your dream job faster.

Features

Auto Apply Resume Optimizer Cover Letter Optimizer Interview Prep

Company

Social Media

Need Help?

team@applyblast.com

Auditor, Risk Adjustment at Oscar Health - ApplyBlast

Auditor, Risk Adjustment

Oscar Health

5 months ago

3.0 on Glassdoor

Remote

Full Time

Junior

3 applicants

View Job Listing

Apply to 100+ jobs

About this role

The Associate, Risk Adjustment Auditor conducts internal and external quality audits focusing on ICD-10 code abstraction, accuracy, and completeness. This role supports benchmark implementation, quality assurance programs, and clinical documentation improvements within the Risk Adjustment team.

Responsibilities

Conduct internal and external quality audits on medical records
Validate Encounter Data Gathering Environment Server data accuracy
Maintain compliance with national ICD-10 coding guidelines
Report audit trends and performance metrics to leadership
Develop clinical document improvement resources for provider education

Skills

Qualifications

Bachelor's degree in relevant fieldCertified Prober Coder (CPC)3+ years risk adjustment coding experience1+ years quality auditing or RADV experience

About Oscar Health

hioscar.com

Headquarters

New York, New York, United States

Company Size

1001-5000 employees

Founded

2012

View Profile

Oscar Health is a technology-driven health insurance company offering individual, family, and Medicare plans in select U.S. markets. It pairs insurance coverage with consumer-focused digital tools — a mobile app, telemedicine, and dedicated care teams — to simplify enrollment, care navigation, and claims management. Using data and provider partnerships, Oscar emphasizes preventive care, personalized support, and greater cost transparency for members.