Risk Adjustment Coder Specialist - Remote

Overview

The Risk Adjustment Coder Specialist will be responsible for daily operations related to Risk Adjustment, including medical record reviews and compliance with coding standards, while working within a blended work culture.

In Short

• Join Oscar's Risk Adjustment team.
• Work on Medicare Advantage and ACA lines of business.
• Conduct medical record reviews and report ICD-10-CM codes.
• Maintain compliance with national coding standards.
• Participate in CMS audits.
• Develop relationships to enhance understanding of Risk Adjustment.
• Identify document improvement opportunities.
• Implement process improvements for efficiency.
• Work remotely with occasional office visits.
• Eligible for benefits and performance bonuses.

Requirements

• Bachelor’s degree or equivalent experience.
• Certified professional coder (CPC).
• 2+ years of risk adjustment coding experience.

Benefits

• Unlimited vacation program.
• Comprehensive medical, dental, and vision benefits.
• Paid holidays and sick leave.
• 401(k) plan participation.
• Life and disability insurance.
• Paid wellness time and reimbursements.