You're a seasoned Risk Adjustment Coder Specialist with a Bachelor's degree in a relevant field or equivalent experience, holding a Certified Professional Coder
Work type: remote
Location: Miami, Florida, United States
Salary: $67,813 – $89,004/yr
Type: Full-time
You're a seasoned Risk Adjustment Coder Specialist with a Bachelor's degree in a relevant field or equivalent experience, holding a Certified Professional Coder (CPC) credential and at least two years of retrospective risk adjustment coding experience. **What makes it worth a look...** Oscar Health is hiring for this fully remote role, offering a competitive annual salary of $67,813 - $89,004, with eligibility for unlimited vacation and annual performance bonuses. **You might be a good fit if you...** * Review medical records to report ICD-10-CM diagnosis codes for ACA and MA lines of business. * Participate in CMS audits, including Risk Adjustment Data Validation audits. * Maintain compliance with national standards and coding practices. * Have experience with Certified Risk Adjustment Coder (CRC) or similar certification.
Hi, we're Oscar. We're hiring a Risk Adjustment Coder Specialist to join our Risk Adjustment.
Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.
About the role:
The Senior Specialist, Risk Adjustment for Medicare Advantage (MA) and Affordable Care Act (ACA) lines of business will work closely with management to meet communicated individual and departmental goals, deadlines set forth by Centers for Medicare & Medicaid Services (CMS) and Health and Human Services (HHS) , and be active and engaged in establishing effective Risk Adjustment processes.
You will report into the Manager, Risk Adjustment.
Work Location:This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. #LI-Remote
Pay Transparency:The base pay for this role is: $67,813 - $89,004 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.
Responsibilities:
At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.