Associate, Risk Adjustment Auditor (Fully Remote)

The Associate, Risk Adjustment Auditor conducts internal and external quality audits specific to ICD-10 code abstraction. Work with management to implement benchmarks and quality assurance programs. Responsibilities: Perform medical record reviews and report ICD-10-CM diagnosis codes for ACA and MA lines of business. Validate EDGE data is supported by provider encounter documentation and report audit trends to leadership. Conduct CMS audits and develop clinical documentation improvement resources. Requirements: Bachelor's degree or commensurate work experience. Certified Professional Coder (CPC) with 3+ years retrospective risk adjustment coding experience. 1+ years quality auditing or RADV experience. Medical, dental, and vision benefits. Unlimited vacation program and 11 paid holidays. Paid parental leave, 401(k) plan, life and disability insurance. Oscar Health Oscar is a health insurance company built around a full-stack technology platform and a relentless focus on serving its members. Founded in 2012, it cultivates an inclusive environment where employees can be their authentic selves. #J-18808-Ljbffr Oscar Health