Risk Adjustment Coder Specialist
Oscar Health(11 days ago)
About this role
Senior Specialist on the Risk Adjustment team supporting Medicare Advantage (MA) and Affordable Care Act (ACA) lines of business. The role partners with management to meet departmental goals and federal deadlines (CMS/HHS) and helps establish effective risk adjustment processes. This position reports to the Manager, Risk Adjustment and may require occasional travel for team meetings and events.
Required Skills
- Medical Coding
- ICD-10
- Risk Adjustment
- CMS Audits
- EMR Experience
- Provider Education
- Process Improvement
- Compliance
Qualifications
- Bachelor's Degree
- Certified Professional Coder (CPC)
- Certified Risk Adjustment Coder (CRC)
About Oscar Health
hioscar.comOscar 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.
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