Lead Risk Adjustment & HCC Coding for AI Systems
Mercor
Mercor seeks experienced Risk Adjustment and HCC Coding leaders to guide AI-enabled risk capture improvements for Medicare Advantage, Medicaid managed care, and ACA markets. You will evaluate AI outputs, oversee chart reviews, and drive regulatory compliance across CMS guidelines. You will collaborate with clinical, coding, and compliance teams to optimize documentation capture and risk score accuracy, while leading RADV preparedness and KPI monitoring in a fast-paced AI research environment. #J-18808-Ljbffr Mercor
- Obsidian is seeking experienced leaders in Risk Adjustment and HCC Coding to work with a leading AI research lab focused on improving AI systems for Medicare Advantage and ACA markets. The role involves evaluating AI tool outputs and ensuring coding and compliance accuracy...Risk
$25 - $26.7 per hour
...records to powering the AI revolution in healthcare,... ...in healthcare. As an HCC (Hierarchical Condition Category... ...records to identify and code diagnoses using a standardized system, ensuring accurate... ...of patient conditions for risk adjustment and reimbursement purposes...RiskRemote workFlexible hours- ...excellence. As an Applied AI and Machine Learning Lead at JPMorganChase within the... ...results, tuning models Hands on coding to bring the experimental... ...solutions. Optimizing system accuracy and performance by... ...of areas from finance and risk to human resources and marketing...Risk
- Alignment Health is seeking an experienced HCC Coding Analyst to interface with provider partners, audit RAPS submissions, and ensure CMS data accuracy in risk adjustment initiatives. The role requires 3+ years in medical coding, certification, and experience with CMS guidelines...Risk
- 1099 HCC Risk Adjustment & Professional-Fee (Physician) Coder Remote- As needed... ...for championing innovation, leading from the front with... ...transforming the healthcare system. What You Want to Know! 10... ...Minimum of three (3) years of coding experience (recent hands-on...RiskHourly payPart timeRemote workWork from homeFlexible hours
$190k
...Data & Digital Platforms, AI at Scale, Cybersecurity... ...Application and Risk functions. We balance vision... ...strategies into leading-edge tech platforms, at... ...alignment and delivery.Systems thinkers. They design robust... ...using modern AI-assisted coding and development tools (...RiskWork at officeLocal area- Avalara is seeking a Principal-level AI-first Technical Program Manager to own end-to-end... ...with scope across Salesforce and revenue systems. You will partner with Sales Ops, Revenue... ...tooling to accelerate discovery, status, risk detection, and executive #J-18808-Ljbffr...RiskRemote job
$134.6k - $230.8k
...Executive Director of Risk Adjustment join our team in New York... ...is responsible for leading the strategic execution... ...clinical leadership, coding teams, and enterprise... ...adherence to ICD-10, CMS-HCC, and state-specific... ...lives and make the health system work better for...RiskMinimum wageFull timeWork experience placementLocal areaWork from home$33.88 - $42.35 per hour
...documents ICD-10 diagnoses based coding information as it pertains to... ...Hierarchical Condition Categories (HCC). Participates in and supports the Medicare Risk Adjustment team-based environment to... ...including ICD-10-CM or current coding system and medical record systems required...RiskContract workWork experience placementFlexible hours- Insight Global is seeking an experienced HCC Risk Adjustment Coder for a fully remote, high-volume Medicare project. This 5-month contract offers... .... Applicants should have 2+ years in risk adjustment coding, strong ICD-10 knowledge, and an active CPC (AAPC) or CCS (AHIMA...RiskRemote jobHourly payFull timeContract workFlexible hours
- Norwood in the United States is seeking a Risk Adjustment professional to join our team. You will review Medicare/Medicare Advantage HCC coding, perform retrospective audits of encounters, and ensure accurate risk adjustment documentation. Proficiency in Excel is essential...RiskRemote jobPermanent employmentFull time
- Datavant is seeking a skilled HCC coder to join our healthcare data platform team. You will review medical records, identify diagnoses, and code them according to ICD-10-CM guidelines to support risk adjustment and payer reimbursement. Ideal candidates have at least 2...RiskRemote job
- ...We Are Rendr is the leading primary care focused, multi... ...Overview: A Certified Risk Adjustment Coder works to improve the quality of coding documentation and data in the HCC database. This position collaborates... ..., pharmacology and metric system. Excellent...RiskFlexible hours
$171k - $235.2k
...services operate. By combining frontier agentic AI, an enterprise-grade platform, and deep... ...-market engine, and we're looking for a Lead System Administrator, CX is a senior individual... ...stakeholders, and communicate scope, risks, and schedule changes proactively. Meet...Risk$45 - $70 per hour
...elite creative and technical talent with leading AI research labs. Headquartered in San Francisco... ...to elevate team standards. Flag risks and blockers early. Propose solutions and... ...Excel ) working knowledge of SQL and some coding experience. People leadership...RiskFull timeContract workSummer workRemote workWeekday work- Tribe AI is seeking a Security and AI Governance Lead to own corporate security, compliance, and AI governance. You will... ...response, and customer-facing risk discussions while partnering with Engineering... .... You will shape governance for coding agents and AI workflows, drive...Risk
$141.2k - $278.3k
Position Summary Lead Solution Architect - AI & Engineering/... ...to manage priorities, risks, dependencies, and quality... ..., Information Systems, Data Science, Electrical... ...estimate has not been adjusted for the applicable geographic... ...Requisition code: 365011 Job ID...RiskLocal areaFlexible hours- ...Posted: 2026-10-07The Senior Risk Adjustment Coder is responsible for accurate... ...compliant risk adjustment coding through retrospective... ...on documentation integrity, HCC capture, coding guidelines, and... ...environmentProficiency with EHR systems, coding tools, audit workflows...RiskWork at officeRemote work
- LMH Health in Kansas offers a hybrid work environment for a Risk Adjustment Quality Specialist who coordinates reviews to support patient care management and HCC coding validation. You will educate staff and participate in audits to improve documentation and reimbursement...RiskRemote job
$170k - $300k
...CitiAbout CitiCiti, the leading global bank, has... ...economic value that is systemically responsible and in our... ...rigorous governance and risk management practices, and... ...history of establishing coding standards and guiding engineering... ...with AI/ML frameworks such as TensorFlow...RiskFull timeLocal area- ...building the next generation of AI-powered workflow automation.... ...reliable, high-leverage agentic systems that transform how we respond to... ...and maintain production-grade code and systems that are observable... ...advice, raises capital, manages risk and extends liquidity in markets...Risk
$150k - $200k
...on role at the intersection of systems engineering and quantitative research... ..., position tracking, and risk monitoring• Architect the data... ...Python) into production-grade C++ code• Leverage Al-assisted... ...best practices.• Experience with AI-assisted coding tools (Cursor,...Risk$192k
...technology trends. You will lead a talented technical... ...through to deployment. Lead system architecture design and... ...implementing proactive risk management solutions.... ...Evaluate advancements in AI, machine learning, and blockchain... ...with teams across coding, marketing, compliance,...RiskWork at officeImmediate startFlexible hours$145.02k - $175.73k
Principal Research AI Innovation Lead At Bristol Myers Squibb, our employees... ..., computational and systems biology, patient selection and... ...Communicate AI opportunities, risks, limitations, evidence quality... ...an ongoing basis and may be adjusted over time to reflect evolving...RiskHourly payFull timeSummer workLive inLocal areaRemote workFlexible hours- ...Florida, New York, United StatesCompany: ADPPosted: 2026-10-07ADP, Inc. in New York is seeking a Senior Risk Adjustment Coder to drive accurate, compliant risk adjustment coding through retrospective audits, chart reviews, and provider education. The role partners with...Risk
$137.6k - $189.2k
...programming is hard-coded. Thousands of lines of... ...degrades. Phaidra creates AI-powered control systems for the industrial... ...satisfaction. Lead program strategy and... ...resource allocation, and risk mitigation plans across... ...reviewed and may be adjusted in response to market...RiskTemporary workWork at officeLocal areaRemote workFlexible hours$130.97k - $183.68k
...Apply NowGet to Know the Opportunity:The Lead AI Product Manager is a senior individual contributor... ...in large language models (LLMs), agentic systems, AI evaluation methodologies, and... ..., technology, compliance, legal, and risk functions, the Lead AI Product Manager identifies...RiskFull timePart timeWork experience placementLocal areaWork from homeFlexible hours$130k - $180k
...Payments verticals, supplemented with Data & AI, Cybersecurity, Risk & Compliance, Change Management and... ...development platforms and AI-assisted coding tools including Claude Code, Cursor,... ...with APIs, databases, and enterprise systems. ~ Strong analytical and problem-...RiskTemporary workRemote workWorldwide$175k - $250k
...to collaboration, disciplined risk management and continuous learning... ...and advanced proprietary systems, including the development of... ...production-grade application and AI solutions for Fixed Income... .../tools, building and using AI coding agent automation (Claude Code/...RiskFlexible hours- ...coders on behalf of a healthcare AI partner building advanced... ...role you will apply your coding and documentation expertise... ...and reliability of medical AI systems. This role is part of a multilingual... ...with Epic Experience with HCC or risk-adjustment coding Prior AI/ML...RiskPart timeWork experience placementRemote work10 hours per weekFlexible hours
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