Risk Adjustment Coder Specialist

Oscar Health

Dallas, Texas, United States
Base: $67,813 - $89,004 py; bonus/equity: annual p...
On-site
Icd-10-cm diagnosis coding
Medicare advantage risk adjustment
Affordable care act coding
The role involves reviewing medical records to report accurate ICD-10-CM diagnosis codes for Medicare Advantage and Affordable Care Act lines of business

Job Summary

  • The role involves reviewing medical records to report accurate ICD-10-CM diagnosis codes for Medicare Advantage and Affordable Care Act lines of business.
  • Candidates will actively participate in CMS audits, including Risk Adjustment Data Validation, while maintaining compliance with national coding standards.
  • Oscar Health offers a competitive salary range, unlimited vacation, annual performance bonuses, and comprehensive benefits including medical, dental, vision, and 401(k) participation.

Matching Summary

The role involves reviewing medical records to report accurate ICD-10-CM diagnosis codes for Medicare Advantage and Affordable Care Act lines of business.

Salary

Base: $67,813 - $89,004 per year; Bonus/Equity: Annual performance bonuses eligible; Benefits: Medical, dental, vision, 401(k), paid holidays, sick time, parental leave

Skills & Requirements

Must-have

  • ICD-10-CM diagnosis coding
  • Medicare Advantage risk adjustment
  • Affordable Care Act coding
  • CMS audit participation
  • Medical record retrieval

Nice-to-have

  • Experience with various EMR systems
  • Process improvement identification
  • Provider education support

Key Requirements

  • Bachelor's degree or commensurate experience
  • Certified Professional Coder (CPC)
  • 2+ years retrospective risk adjustment coding experience

Work Rights

Not specified

Tailored Resume

Cover Letter