Senior Risk Adjustment Coder II - HCC & Audits
Astrana Health Management
Astrana Health seeks a Risk Adjustment Coding Specialist II to join our Strategy and Operations team in Monterey Park, CA. The role requires converting provider documentation into compliant HCC coding and educating providers on CMS requirements while traveling to provider sites as needed. Qualified candidates hold CCS/CPC certification with 3+ years of risk adjustment coding experience, strong EHR skills, and the ability to work in a hybrid setting, including on-site visits and remote #J-18808-Ljbffr Astrana Health Management
$75k - $85k
Astrana Health, Inc. in Monterey Park, CA is seeking a Risk Adjustment Coding Specialist II to verify provider documentation, educate providers, and support... ...+ years of risk adjustment coding, with strong ICD-10-CM/HCC knowledge and EHR proficiency. Competitive salary is $75,...SeniorRisk- Astrana Health in Monterey Park, CA is seeking a Risk Adjustment coder to review and ensure accurate ICD-10-CM/HCC documentation across Medicare Advantage, ACA, and commercial lines. You will educate providers and work with IPAs to improve coding quality. You will travel...SeniorRisk
- Astrana Health, Inc. is seeking a Risk Adjustment Coding Specialist II to support risk adjustment efforts across provider practices. The role involves... ...delivering education to providers, and tracking KPIs such as HCC recapture and AWVs. Travel to provider offices in the...SeniorRiskRemote job
- ...DESCRIPTION JOB TITLE: Sr. Manager, Risk Adjustment FLSA STATUS: Exempt... ...teams, driving RADV audit readiness, and informing enterprise... ...including Medicare Advantage (CMS-HCC), Marketplace (HHS-HCC), and... ...Certified Risk Adjustment Coder (CRC) — AAPC Certified Professional...SeniorRiskWork at officeShift work
$70k - $85k
Risk Adjustment Coding Specialist II (CST/EST) Department: Quality - Risk Adjustment Employment... ...metrics—such as HCC recapture rates, AWVs, and... ...abstraction and/or coding quality audits of medical records to ensure... ...overread assignments. Supports coder training and orientation as...RiskFull timeWork at officeRemote workHome office- NECC is seeking a detail‑oriented HCC Coder to ensure accurate outpatient coding and documentation. You will work with Billing and Medical... ..., HCPCS and HCC guidelines, promoting quality measures and risk adjustment accuracy. You will review records for accuracy, educate staff...Risk
$80k - $85k
...job description for all the RA coder positions and add on Inpatient... ...Care Act (ACO) and Commercial risk adjustment documentation requirements are... ...Hierarchical Condition Categories (HCC) Perform code abstraction and/or coding quality audits of medical records to ensure...RiskWork at officeWork from homeHome office- Astrana Health seeks a Risk Adjustment Coding Specialist II to support the Houston market. You will review medical records to identify coding gaps, deliver... ...offices in the Houston area. Strong communication and auditing skills are essential. #J-18808-Ljbffr Astrana Health...RiskRemote job
- ...HCC CoderAdministration Office - Alhambra, CA 91801OverviewSalary Range $34.00 - $3... ...HourlyDescriptionPosition SummaryThe HCC Coder will be responsible for evaluating the accuracy... ...Measures with focus on HEDIS and Risk Adjustment HCC.Lead the development and implementation...RiskFull timeWork at officeLocal areaFlexible hoursAfternoon shift
$105.4k - $207.8k
...strategic business partners, manage risk, and unlock new levels of... ...role ends on 09/30/2026. As a Senior Consultant and ServiceNow... ..., and technical decisions for audit readiness and operational continuity... ...range estimate has not been adjusted for the applicable geographic...SeniorRiskLocal areaVisa sponsorship$134.48k - $269.88k
...We are seeking an experienced Senior Manager to lead delivery, drive... ...deadlinesProactively manage risks and resolve issues across engagementsDemonstrate... ...-job learning opportunities. Audit & Assurance services are... ...range estimate has not been adjusted for the applicable geographic...SeniorRiskWork at officeLocal areaVisa sponsorship$116.2k - $229.1k
...operational performance, manage financial and audit risks, drive organizational change, and become... ...are seeking a motivated and analytical Senior Consultant to join our Operational... ...The disclosed range estimate has not been adjusted for the applicable geographic...SeniorRiskLocal area$121.44k - $154.84k
As a Financial Due Diligence Senior Associate, you’ll focus on middle-market... ...questions and propose basic adjustments based on the identification of key risks and business drivers.Lead analysis... ...experience in the following: accounting, audit, or transaction advisory services....SeniorRiskWork experience placementInternshipSeasonal workWork at officeLocal areaFlexible hours3 days per week- ...Edison is seeking a Regulatory Affairs and Compliance Senior Advisor to lead external regulatory audits and oversee the compliance program. You will... ..., and WECC audits, ensuring regulatory alignment and risk mitigation while guiding cross-functional teams. The...SeniorRisk
- ...(SCE) is hiring a Regulatory Affairs and Compliance Senior Advisor to manage external regulatory audits by CPUC, OEIS, FERC, and WECC, while overseeing the Compliance... ...with a strong emphasis on data-driven compliance and risk management. #J-18808-Ljbffr Southern California...SeniorRisk
- ...and fixed asset accounts. Lead all audits and reviews, both internal and external. Post patient revenue contractual adjustments, bad debt, and credit balances. Manage... ...capitation revenue and shared/full risk revenue. Compile and analyze financial...SeniorRiskContract workWork at office
$171.6k - $338.3k
...trusted partner and apply to this Senior Manager role today!... ...financial, accounting, and tax risks associated with transactions and... ...execution through purchase price adjustment mechanisms, deal structuring considerations... ...administration• Experience in audit at a large public accounting...SeniorRiskLocal areaVisa sponsorship- ...and procedures Prepare monthly/quarterly risk-based capital ratios and support all... ...development of ESG reporting process. Provide audit, accounting, and compliance support by... ...ability to perform under pressure and to adjust plans to meet changing needs and requirements...SeniorRisk
- Job Highlights Title : Audit Manager II Type : Full Time Experience : Required Function : Audit... ...will guide a team of auditors to assess risks, develop detailed audit programs,... ...communicate audit results to the Audit Senior Manager/ Director and senior management...RiskFull timeWork experience placementWork at office
- ...Edison in Rosemead, CA is seeking a Technical Audits Advisor to lead complex audit engagements, assess enterprise risks, and strengthen internal controls across operations... ...expertise, and communicate results to senior management to improve compliance and efficiency...SeniorRiskRemote job
- ...Hollywood.Position Summary:The Senior Accountant with assistance... ...accounts and is the lead for all audits and reviews both internal and... ...Patient Revenue contractual adjustments, Bad Debt and Credit... ...capitation revenue, shared/full risk revenue Compile and analyze financial...SeniorRiskFull timeContract workWork experience placementWork at office
$120.75k - $243.92k
...KPMG is currently seeking a Manager or Senior Manager, Financial Services Valuation to join... ...client deliverables, and effectively manage risk associated with engagements Support... ...modeling, credit risk, transaction advisory, audit) to deliver integrated solutions to...SeniorRiskFull timeLocal area$76.2k - $151k
...a core part of our DNA across our audit, tax, and consulting groups. That's... ...Crowe is seeking a Loan Review Senior Consultant to perform credit risk consulting projects for a variety of... ...disclosed range estimate has not been adjusted for the applicable geographic differential...SeniorRisk$137.5k - $167k
...DescriptionBusiness Title(s): Senior Claims Account ManagerEmployment... ...runoff management goals.Lead audits, claim reviews, large loss... ...handling discipline during TPA adjuster transitions, staffing changes,... ...expense management, operational risk, capital considerations, and portfolio...SeniorRiskFull timeWork at officeLocal areaImmediate start- ...RevolutionBecome a Regulatory Affairs and Compliance Senior Advisor at Southern California Edison (SCE... ..., you’ll act as the External Regulatory Audit Manager, responsible for managing the... ...identifies strategies for controls and risk mitigation.Facilitates training and...SeniorRiskWork at officeRemote workRelocation
- ...accessible hiring process. If you need any adjustments along the way, let us know. The Role We are hiring a Senior Product Manager for the Risk Platform to join the Product team at... ...investigation workflows, case management, and audit logs, and design and scale transaction...SeniorRiskWork at officeLocal areaRelocation package
$116.2k - $229.1k
...Senior Consultant, Operational Finance Transformation Our Operational Finance Transformation... ...performance, manage financial and audit risks, drive organizational change, and become... ...disclosed range estimate has not been adjusted for the applicable geographic differential...SeniorRisk- ...RevolutionBecome a Corporate Services Procurement Senior Specialist at Southern California Edison (... ...supplier relationships, and deliver cost, risk, and performance outcomes aligned with... ...strategies.Conducts contract reviews for audit compliance and spend analysis to assess...SeniorRiskContract workRemote workRelocation
- ...Description As a Financial Due Diligence Senior Associate, you ’ll focus on middle-... ...questions and propose basic adjustments based on the identification of key risks and business drivers. Lead... ...experience in the following: accounting, audit, or transaction advisory services....SeniorRiskWork experience placementInternshipSeasonal workWork at officeLocal areaFlexible hours3 days per week
$90k - $120k
...Los Angeles, New York, Hong Kong, Taipei Requirements: 3+ years audit experience, 2+ years SOX compliance testingAbout UsWe're a top-tier... ...communicationsWhat You Need3+ years of professional audit or risk experience (internal audit, external audit, and ERP expertise in...SeniorRisk
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Risk Adjustment Coder II - HCC & Audits. Be the first to apply!
- senior manager legal Monterey Park, CA
- senior manager tax Monterey Park, CA
- senior construction accountant Monterey Park, CA
- senior implementation project manager Monterey Park, CA
- sr. financial reporting accountant Monterey Park, CA
- senior payroll accountant Monterey Park, CA
- senior manager pmo Monterey Park, CA
- senior manager accenture Monterey Park, CA
- senior accountant work from home Monterey Park, CA
- senior real estate accountant Monterey Park, CA



