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. We are currently hiring a Risk Adjustment Coder 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 If you are interested in exploring this career opportunity with GeBBS Consulting, please reply with your current resume and the best time to contact you. Recr uiting Fraud Over the past year, online recruitment scams have increased frequently, impacting both applicants and employers. To help protect yourself against potential scammers, please note the following recruitment practices employed by GeBBS Consulting.GeBBS Consulting uses a single domain name for all recruiting activities and all Authorized GeBBS Consulting Recruiters use the same domain name for all email correspondences. The official GeBBS Consulting domain is gebbsconsulting.com. If you receive emails or are directed to an email other than GeBBSconsulting.com, you are not responding to GeBBS Consulting.GeBBS Consulting screens applicants through a combination of over-the-phone, video and in-pers on meetings.GeBBS Consulting will never ask a candidate for payment of any kind as part of the hiring or onboarding process.
- Location: 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...Risk
ADP - Automatic Data Processing
New York, NY1 day ago - ...to this opportunity below, as well as required skills.We are currently hiring a Risk Adjustment CoderSummaryOne 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...RiskCurrently hiring
GeBBS Consulting
New York, NY1 day ago - Tier4 Group is seeking an Experienced Risk Adjustment Coder with Medicare Advantage and ACA coding expertise to support risk adjustment initiatives, medical record review, documentation validation, and QA activities. This role ensures CMS compliance and revenue integrity...RiskRemote job
- Location: Florida, New York, United StatesCompany: ADP, Inc.Posted: 2026-10-07The Senior Risk Adjustment Coder is responsible for accurate and compliant risk adjustment coding through retrospective documentation auditing, provider-facing education, and two-sided chart reviews...RiskWork at officeRemote work
ADP - Automatic Data Processing
New York, NY1 day 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
- 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
- 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
$25 - $26.7 per hour
...in healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses... ...system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in...RiskRemote workFlexible hoursDatavant
New York, NY1 day ago$33.88 - $42.35 per hour
...Condition Categories (HCC). Participates in and supports the Medicare Risk Adjustment team-based environment to educate providers on coding... ...Qualifications Licenses and Certifications: Preffered Active Certified Coder Certification through AHIMA or AAPC preferred Certified...RiskContract workWork experience placementFlexible hours- Managing business processes related to risk adjustment and quality improvement, the full-time Remote New York Risk Adjustment Manager will develop action plans, implement operational workflows, and evaluate strategies across various departments for assigned products and...RiskFull timeRemote work
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- 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
$130k - $145k
...experience to match. Our mission is to deliver highly personalized risk and claims management through a blend of expert independent... ...lines property claims for high-net-worth clients. As a General Adjuster (Property Field Adjuster), you will be responsible for quality...RiskFull timeFor contractorsRemote workBerkley
New York, NY1 day ago- ...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, NY4 days ago - ...fully remote role across Eastern and Central time zones. You will conduct analysis, pricing, and risk assessment to estimate financial outcomes, supporting the Risk Adjustment team through data analytics, risk modeling, and complex data validation initiatives. The ideal...RiskRemote job
$15 - $21 per hour
...We're hiring experienced HCC Risk Adjustment Coders for a high-volume Medicare risk adjustment project. This is a fully remote opportunity with a flexible schedule and full-time hours. Remote 5-Month Contract $15-$21/hour 40 hours per week, Monday-Friday What You'll Do...RiskHourly payFull timeContract workRemote workMonday to FridayFlexible hoursInsight Global
New York, NY4 days ago$82.72k - $108.57k
Oscar Health is hiring an Associate, Risk Adjustment Auditor to conduct internal and external quality audits focused on ICD-10 code abstraction and accuracy. You will work with management to set benchmarks, thresholds, and QA programs, reporting to the Manager, Risk Adjustment...RiskRemote job$134.6k - $230.8k
Improve the lives of others while Caring. Connecting. Growing together. Job Description - Executive Director of Risk Adjustment (2381661) Executive Director of Risk Adjustment - 2381661 Optum NY, is seeking an Executive Director of Risk Adjustment join our team in New York...RiskMinimum wageFull timeWork experience placementLocal areaWork from homeMonday to Friday- 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
- 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
- ...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, NY4 days ago $27 per hour
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New York, NY3 days ago- 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
- ...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, NY18 hours ago - ...inpatient / professional fee / ambulatory surgery / emergency / risk adjustment (HCC)], depending on your specialty Work in EHR and encoder... ...Pick your track Level Typical experience What you’ll own Medical Coder I - 0-2 years : Less complex charts, guided coding with audit...RiskRemote work
SMARTFOX
New York, NY1 day ago - 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
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$130k - $145k
...sophisticated individuals and families who require world‑class risk and claims management customized to their needs, a team of select... ...opportunity employer. Responsibilities As a Field Property General Adjuster, you will be responsible for quality handling and resolution of...RiskFull timeFor contractors
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