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
- 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 our physician practices remotely. You will perform high-volume chart... ...providers and practice leaders while tracking KPIs such as HCC recapture and AWVs. The ideal candidate has 3-5 years of...SeniorRiskRemote job
$70k - $85k
...Risk Adjustment Coding Specialist II - Remote 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$75k - $85k
Risk Adjustment Coding Specialist II Department: Strategy and Operations Employment Type: Full... ...Condition Categories (HCC) Perform code abstraction and/or coding quality audits of medical records to ensure... ...overread assignments. Supports coder training and orientation as...RiskFull timeWork at officeWork from homeHome office- ...JOB TITLE: Sr. Manager, Risk Adjustment FLSA STATUS: Exempt DEPARTMENT... ...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
- Astrana Health is seeking a Risk Adjustment Coding Specialist II to support remote chart reviews, identify coding gaps, and deliver provider education. This role emphasizes interpreting HCC data, monitoring KPIs, and providing insights to improve accuracy across payer requirements...RiskRemote jobWork from homeHome office
$95.4k - $208.3k
...Specialist - Medicare Advantage Risk Adjustment, you will be an expert... ...with physicians, IPA coders, and risk adjustment... ...Conduct medical record audits for physicians (MD, DO,... ...experience in CMS-HCC Risk Adjustment models... ...of ICD-10, CPT and CPT (II), and HCPCS coding systems...RiskWork at office3 days per week- Astrana Health is seeking a Risk Adjustment Coding Specialist to support physician practices remotely from CST/EST time zones. You will review records for HCCs, educate providers, and track KPIs like HCC recapture and AWVs, contributing to program success. Requirements...SeniorRiskRemote jobFull time
$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$180.2k - $355.1k
...Work you'll do As an Actuarial Senior Manager on the Human Capital... ...capital modeling, enterprise risk management, and strategic planning... ...model and factor development, audit support activities, and... ...disclosed range estimate has not been adjusted for the applicable geographic...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
$78.97k - $126.14k
Banking Product Analyst II, Consumer and Small Business400 Park Ave... ...to product enhancements under senior guidance.WHAT WILL YOU DO?... ...ensure timely solutions.Conduct risk assessments and ensure compliance... ...requirements.Maintain documentation for audits and controls.Create...RiskRemote work- ...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
- ...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
- ...outside of NCAL. Support Health Plan Risk Adjustment operations through government audit readiness, compliance oversight,... ...reports to regional staff and senior management and supporting compliance... ...requirement. Certified Risk Adjustment Coder from American Academy of...RiskWork experience placement
- ...public research university, invites applications for an Auditor II to join Internal Audit. You will conduct operational, financial, compliance, and... ...resources while uncovering efficiency improvements and risk mitigation across campus. Collaborate with experienced auditors...SeniorRisk
- ...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
- ...Formulate questions and propose basic adjustments based on the identification of key risks and business drivers. Lead... ...statements. Team with partners and senior managers on proposals and business... ...Solid experience in accounting, audit, or transaction advisory services....SeniorRiskWork experience placement
- ...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
$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$103k - $156k
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 placementWork at office- ...Optro helps enterprises transform risk into opportunity through its... ...to create the most loved audit, risk, ESG, and InfoSec platform... ...to achieving our goals. As our Senior Compensation Manager you are a... ...promotions, and out-of-cycle adjustments. Oversee the end-to-end administration...SeniorRiskTemporary workLocal areaRemote workFlexible hours
$95k - $110k
...Angeles. POSITION SUMMARY The Senior Accountant is involved in all... ...discrepancies, ensure appropriate adjusting entries are recorded, and... ...close deadlines. Lead external audit engagements by proactively preparing... ...to management about areas of risk. Support the annual budget...SeniorRiskWork at officeLocal areaFlexible hours2 days per week- ...SENIOR PROPERTY MANAGER Boardwalk Investments Group, LLC ("Boardwalk") is a privately... ...(monthly, quarterly, etc.). Review and audit monthly rent roll and prime lease payment... ...Insurance issue management Builders Risk and General Liability REQUIRED QUALIFICATIONS...SeniorRiskWork at officeFlexible hours
- ...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
- 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
- ...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
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 leadership Monterey Park, CA
- senior manager automotive Monterey Park, CA
- senior application administrator Monterey Park, CA
- senior accountant work from home Monterey Park, CA
- senior manager accenture Monterey Park, CA
- remote senior project manager Monterey Park, CA
- senior performance engineer Monterey Park, CA
- srs Monterey Park, CA
- senior vice president of operations Monterey Park, CA
- senior manager m&a tax Monterey Park, CA

