Risk Adjustment Coder Specialist
Oscar Health(11 days ago)
About this role
Oscar is a technology-driven health insurance company focused on serving members. The Senior Specialist, Risk Adjustment supports Medicare Advantage (MA) and Affordable Care Act (ACA) lines of business, working with management to meet departmental goals and regulatory deadlines from CMS and HHS. The role reports to the Manager, Risk Adjustment and is remote for candidates located in Arizona, Florida, Georgia, or Texas.
Required Skills
- Risk Adjustment
- ICD-10
- Medical Coding
- Medical Records
- CMS Audits
- EMR
- Compliance
- Process Improvement
- Provider Education
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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