Risk Adjustment Coder
GeBBS Consulting
GeBBS Consulting is a healthcare technology professional services and consulting firm based in Towson, Maryland servicing clients throughout the US. We are celebrating our 28th year in business. We have two divisions: 1) Hospital / Provider Practice 2) Managed Care / Payer Practice – we work directly with health plans (very strong in the Blue Cross Blue Shield space). GeBBS Consulting has over two decades of experience supporting healthcare clients throughout the US. Summary
One of our New York-based health plan partners is seeking a Risk Adjustment Coder to support the validation of health risk factors identified through prior coding activities. The ideal candidate will have ACA RADV coding experience, strong Excel skills, and a proven ability to review medical records, validate diagnoses, and ensure documentation meets risk adjustment and compliance standards. Required Skilled Minimum 3 Years of experience as a Medical Coder. Prior experience with ACA RADV coding. Strong Excel skills. Medical Coder certification is a plus. QNXT is nice to have but not required. Location: Remote #J-18808-LjbffrVacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Risk Adjustment Coder in New York, NY vacancy
- ...IncPosted: 2026-10-12Location: Florida, New York, United StatesCompany: ADPPosted: ADP, 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...Risk
ADP - Automatic Data Processing
New York, NY11 hours ago - Virtual Vocations Inc. is seeking a full-time HCC Risk Adjustment Coder to review and code medical records, ensuring accurate representation of patient conditions for risk adjustment and reimbursement while working remotely. Responsibilities include analyzing records, adhering...RiskRemote jobFull time
- DaMar Staffing is seeking a qualified CMS HCC/Risk Validation coder for a flexible, seasonal audit project. The role allows nights and weekends... .... You will review member and claim data, validate risk-adjusting diagnoses, and ensure coding accuracy. Requirements include...RiskHourly paySeasonal workFlexible hoursNight shiftWeekend work
- Optum in New York, NY is seeking an Executive Director of Risk Adjustment to lead enterprise risk adjustment strategy and operational performance across networks. This role directly influences financial performance through accurate risk capture and compliant coding in value...Risk
- ...Health is seeking a Regional Director of Burden of Illness Operations to lead BOI initiatives across physician practices, guiding risk adjustment programs and documentation improvement. You will translate CMS-HCC methodologies into scalable workflows, collaborating with...Risk
- Humana is seeking a Remote Risk Adjustment Coding Analyst to provide analytical and operational support across programs. You will analyze data, prepare executive-ready summaries, and develop dashboards to monitor performance and compliance. This role emphasizes turning...RiskRemote job
- ...Position Overview Risk Adjustment is a growing and critical field within Health Insurance Finance. This is your opportunity to support this function at MetroPlusHealth, New York City's not-for-profit health insurance company. As a Risk Adjustment Specialist...Risk
MetroPlusHealth
New York, NY1 day ago - A.G. Risk Management, Inc. is seeking an experienced Claims Adjuster to join our team. This role involves investigating insurance claims, evaluating coverage, and negotiating fair settlements while coordinating with policyholders and external experts. The ideal candidate...RiskRemote job
- ...Insight Global is seeking experienced HCC Risk Adjustment Medical Coders to support a large-scale Medicare Risk Adjustment initiative. This is a fully remote, high-volume seasonal opportunity ideal for coding professionals who thrive in a flexible work environment while...RiskHourly payWeekly payFull timeSeasonal workImmediate startRemote workFlexible hours
Insight Global
New York, NY2 days ago $27 per hour
...HCC Medical Coder Location: Fully Remote Positions Available: Up to 200 Employment Type: Contract (2 months) Pay Rate: $27/hour Schedule... ...will review medical charts, assign accurate ICD-10 codes for risk adjustment, and ensure compliance with coding standards. Successful...RiskFull timeContract workRemote workMonday to FridayThe Judge Group, LLC
New York, NY22 hours ago- ...network of registered nurses and certified coders professionally acquire, audit, and... ...organizations. Altegra Health specializes in:CMS HCC Risk AdjustmentHEDISMedical Record Reviews (... ...both Official Coding Guidelines and Risk Adjustment Guidelines).Responsibilities:Abstract...RiskTemporary workRemote workWork from home
Altegra Health
Atlantic City, NJ3 days ago $163.94k - $215.18k
Hi, we're Oscar. We're hiring a Senior Manager, Actuarial - Risk Adjustment to join our Actuarial team. 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...RiskFull timeRemote workWork from homeHome office- A.G. Risk Management, Inc. is a growing and dynamic business operating in the global insurance and reinsurance market, focusing on the... ...team. We are currently seeking a highly motivated Claims Adjuster to join our dynamic team. This individual will play a critical role...RiskWork at officeRemote workFlexible hours
- ...diagnosis codes and applicable hierarchical condition categories. The coder validates that each reported condition is documented by an... ...policies. The role requires advanced proficiency in risk adjustment coding platforms, electronic medical records, encoder applications...RiskWork experience placement
Kaiser Permanente
New York, NY2 days ago - Day-to-Day Responsibilities Insight Global is seeking experienced HCC Risk Adjustment Medical Coders for a high-volume seasonal project supporting Medicare risk adjustment initiatives. Responsible for coding 2 Charts per hour. Perform accurate HCC risk adjustment coding...RiskHourly paySeasonal work
- Managed Resources, Inc. is seeking a skilled HCC/E/M coder for a fully remote, full-time role serving healthcare clients nationwide. The position emphasizes accurate ICD-10-CM coding, risk adjustment, and client collaboration to ensure compliant documentation and optimal...RiskRemote jobFull time
- ...company expertise. Our Crop Division has been helping farmers manage risk since 1915 and is one of the few private companies authorized by... ...part‑time. Hours fluctuate based on seasonal needs. As a Crop Adjuster, You Will Understand and work claims for all major crops,...RiskFull timePart timeSeasonal work
- Reviewing and coding medical records, the full-time HCC Risk Adjustment Coder will ensure accurate representation of patient conditions for risk adjustment and reimbursement purposes while working remotely. Key responsibilities Review, analyze, and code diagnostic information...RiskFull timeRemote work
$85k - $95k
All Jobs > Workers Compensation Adjuster AvonRisk is the nation’s leading specialty risk manager for self-insured organizations, uniting respected regional leaders in workers’ compensation, liability, managed care, and risk management across 32 states. With nearly 700...RiskWork at officeRemote work- ...As a leading provider of crop insurance and other agricultural risk management tools, we recognize that our success is derived directly... ...? AgriSompo has a unique opportunity for a Crop Insurance Adjuster to join our Upper Midwest team , supporting our Multi-Peril Crop...RiskFull timeWork at officeRemote workWorldwideHome officeFlexible hoursWeekend work
$58.7k - $70.4k
Remote The Risk Adjustment Coding Analyst provides operational, analytical, and administrative support to business leaders and teams. You will analyze data to support decision-making, performance monitoring, project tracking, and partner communication. You will develop...RiskFull timeWork at officeRemote workWork from homeHome office- The Associate, Risk Adjustment Auditor conducts internal and external quality audits specific to ICD-10 code abstraction. Work with management... ...or commensurate work experience. Certified Professional Coder (CPC) with 3+ years retrospective risk adjustment coding experience...RiskRemote jobWork experience placement
- ...Solutions is a leading provider of Revenue Cycle Management (RCM) and Risk Adjustment services, helping healthcare organizations optimize operations... ...healthcare. Outpatient Facility Emergency Department Coder (temp)- part time (20 hours) We are currently recruiting for...RiskTemporary workPart timeRemote work
- ...Accel and enjoy multi-year runway. About the Role As a Medical Coder, you will be responsible for reviewing and abstracting... ...processes. Stay current with updates to CPT, ICD-10, HCPCS, and CMS risk adjustment guidelines. Maintain confidentiality and adhere to all HIPAA...RiskRemote jobFull timeTemporary workWork at officeFlexible hours
$62.9k - $85.1k
Risk Adjustment Campaign Associate Hybrid role (3 days/week in office) at our Portland, Medford, Burlington, Vancouver, Renton, Boise, Lewiston, Spokane or Salt Lake City offices. Candidates must reside within commutable distance of that location. Build a career with purpose...RiskWork at officeImmediate startRemote workWork from homeFlexible hours3 days per week$73k - $117k
Job Title Managerial Hire In Rate $73,000.00 - $117,000.00 About NYC Health + Hospitals MetroPlus Health provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products...RiskWork at officeShift workMetroPlus Health Plan
New York, NY2 hours ago- Cambia Health Solutions is seeking a Risk Adjustment Auditor I or II for a hybrid role with three days in office across designated U.S. locations, including OR/UT/ID states. The role focuses on retrospective and prospective chart reviews to ensure accurate risk adjustment...RiskRemote jobWork at office
- Oscar Health is seeking an Associate, Risk Adjustment Auditor to conduct internal and external quality audits of ICD-10 code abstraction and collaborate with management on benchmarks and quality assurance programs. Responsibilities include medical record reviews, reporting...Risk
$90k - $110k
...closely with Treasury Management, Client Service, Account Officers, Risk, Compliance, Fraud, Technology, and other operational areas.Key... ..., origination, settlement, returns, exceptions, reversals, and adjustments.Monitor ACH processing throughout established processing...RiskWork at officeLocal areaIDB Bank
New York, NY1 day ago- ...documentation and tailor an education plan for each assigned provider group. You will report to the Manager, Coding Education and lead risk adjustment initiatives, data analysis, and targeted webinars. The role emphasizes collaboration with QCS and Network Performance,...RiskRemote job
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Risk Adjustment Coder. Be the first to apply!
