Risk Adjustment Coder Specialist
Oscar Health(11 days ago)
About this role
The Senior Specialist, Risk Adjustment at Oscar 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 focuses on establishing and maintaining effective risk adjustment processes and reports to the Manager, Risk Adjustment. This is a remote position available to candidates in AZ, FL, GA, or TX.
Required Skills
- ICD-10-CM
- Medical Coding
- Risk Adjustment
- CMS Audits
- Medical Records
- EMR
- Compliance
- Provider Education
- Process Improvement
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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