Blue Shield of California
The Risk Adjustment Compliance Coding Specialist (Consultant) ensures compliance with risk adjustment regulations across ACA, Medi-Cal, and Medicare Advantage lines by reviewing clinical documentation and assigning accurate ICD-10-CM codes. The role conducts audits, collaborates with providers, monitors regulatory updates, and supports internal and external audit processes to maintain accurate coding and reimbursement.
Headquarters
Oakland, California, United States
Company Size
5001-10000 employees
Founded
1939
Blue Shield of California is a health insurance provider serving California with both employer-sponsored and individual & family plans. It offers HMO and PPO options, along with dental and vision coverage. The plans are designed to fit a range of budgets, making health insurance accessible for individuals, families, and employers. The company presents these offerings on blueshieldca.com to help customers compare options and enroll.
Headquarters
San Francisco, CA
Company Size
201-500 employees
Founded
2018
Industry
Technology
Glassdoor Rating
4.2 / 5
Sarah Johnson
Chief Executive Officer
Michael Chen
Chief Technology Officer
Emily Williams
VP of Engineering
David Rodriguez
VP of Product
Jessica Thompson
Chief Financial Officer
Andrew Park
VP of Sales
View leadership team, funding history,
and employee contacts for Blue Shield of California.
Blue Shield of California didn’t post a salary, so this is our estimate from similar listings.
29% below the average for this role
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