Average salary: $54,216 /yearly

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  • Department: UHC: Managed Care-LLUHC/41077 Job Summary: The Coder 1 * Risk Adjustment is responsible for clinical documentation review related to Risk Adjustment Data Validation (RADV) timelines, focusing on completeness and accuracy of provider documentation concerning... 
    Risk
    Work experience placement
    Work at office

    Loma Linda University Health

    Redlands, CA
    5 days ago
  •  ...clinical ethics. Our core values are compassion, integrity, humility, excellence, justice, teamwork, and wholeness. Position: Coder 1 - Risk Adjustment The Coder 1 - Risk Adjustment is responsible for clinical documentation review related to Risk Adjustment Data Validation... 
    Risk
    Work at office

    Loma Linda Univ Health Care

    Loma Linda, CA
    4 days ago
  • Overview Certified Coder - Risk Adjustment (Hybrid in SD) at Optum. Role involves chart review to code for diagnoses and quality, monitor performance, and participate in improvement initiatives with Provider Relations, health plans and providers. Responsibilities Generates... 
    Risk
    Work at office
    Local area

    Optum

    San Diego, CA
    1 day ago
  • Department: UHC: Managed Care-LLUHC/41077 Job Summary: The Coder 1 Risk Adjustment is responsible for concurrent, prospective, and retrospective clinical documentation review as it pertains to Risk Adjustment Data Validation (RADV) timelines, with an emphasis on completeness... 
    Risk
    Work experience placement
    Work at office

    Loma Linda University

    Redlands, CA
    5 days ago
  • Manager, Risk Adjustment, Medical Coding This position is flexible and must be based in a KP location, CA, OR, CO, WA, GA, MD, VA, HI or D.C...  ...Information Management Association OR Certified Professional Coder from American Academy of Professional Coders Additional Requirements... 
    Risk
    Work experience placement
    Flexible hours

    Kaiser Permanente

    Pasadena, CA
    1 day ago
  • Risk Adjustment Coding Specialist:Central Valley Medical Providers in Fresno, CA Position Summary: A great opportunity to workdirectly with...  ...Qualifications and/or Experience: CRC-Certified Risk Adjustment Coder OR CPC-CertifiedProfessional Coder OR AHMA or AAPC Coding... 
    Risk
    Full time
    Work at office

    Central Valley Medical Providers

    Fresno, CA
    5 days ago
  • $44.13 - $57.36 per hour

     ...Hour (United States of America) This is a Stanford Health Care - University Healthcare Alliance job. Brief Overview The Senior Risk Adjustment Coder will perform code audits and abstraction in accordance with all state regulations, federal regulations, internal policies,... 
    Risk
    Hourly pay
    Work experience placement
    Work at office
    Local area

    Stanford Health Care

    Newark, CA
    2 days ago
  •  ...The range is subject to change. We are currently hiring a Risk Adjustment Manager to join our team! What You Will Be Doing: The...  ...Supervises Revenue Analyst Quality and Risk Adjustment Coder Contracted vendors Our Vision: Continuously improve... 
    Risk
    Contract work
    Currently hiring
    Local area
    Flexible hours

    SAN JOAQUIN COUNTY HEALTH COMMISSION

    French Camp, CA
    6 days ago
  •  ...Description Summary We are seeking an experienced medical coder with a strong background in Hierarchical Condition Category (...  ...with CMS guidelines. This role will directly support our risk adjustment reporting and ensure coding accuracy for audit readiness. The... 
    Risk
    Temporary work
    Work at office

    Florence Health

    Hacienda Heights, CA
    3 days ago
  • $75k - $85k

    Overview We are currently seeking a highly motivated Risk Adjustment Coding Specialist II. This role will report to a Sr. Manager - Risk Adjustment...  ...through informal discussion and overread assignments; support coder training and orientation as requested by manager May assist or... 
    Risk
    Work at office
    Monday to Friday

    Astrana Health

    Alhambra, CA
    4 days ago
  • $75k - $85k

    Risk Adjustment Coding Specialist II (Central Maryland) Department: Quality - Risk Adjustment Employment Type: Full Time Location: 1668 S. Garfield...  ...informal discussion and overread assignments. Supports coder training and orientation as requested by manager. May assist or... 
    Risk
    Full time
    Work at office
    Monday to Friday

    Astrana Health, Inc.

    Alhambra, CA
    4 days ago
  • $57.08k - $94.16k

     ...data quality issues and areas of coding improvements for CMS Risk Adjustment and Quality Incentive programs. The SCA is responsible to continuously...  ...Processes ICD-10 Certified/Proficient Certified Professional Coder (CPC) required. Certified Risk Adjustment Coder (CRC)... 
    Risk
    Work at office
    Shift work

    PIH Health Hospital

    Whittier, CA
    2 days ago
  • $135k - $150k

    About the Role Risk Adjustment Manager is responsible for leading and optimizing risk adjustment operations across all lines of business and entities, including Medicare Advantage, Marketplace, and other affiliated health plans, medical groups, and MSO functions. This role... 
    Risk
    Full time

    Imperial Health Plan of California, Inc.

    Pasadena, CA
    3 days ago
  • $70k - $85k

    Risk Adjustment Coding Specialist II (San Gabriel Valley, CA) Department: Quality - Risk Adjustment Employment Type: Full Time Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 Compensation: $70,000 - $85,000 / year Description We are currently seeking a highly... 
    Risk
    Full time

    Astrana Health, Inc.

    Monterey Park, CA
    3 days ago
  • Data Analyst II, Risk Adjustment Performance Management Join to apply for the Data Analyst II, Risk Adjustment Performance Management role at National Association of Latino Healthcare Executives . Overview The Data Analyst II will play a key role in supporting multiple... 
    Risk

    National Association of Latino Healthcare Executives

    Sacramento, CA
    5 days ago
  •  ...Industry: Healthcare Services Why consider this job opportunity: - Opportunity for career advancement and leadership in national risk adjustment studies - Competitive benefits and compensation package - Analyze and synthesize data to make a significant impact on Medicaid... 
    Risk
    Remote job
    Immediate start

    Molina Healthcare

    Long Beach, CA
    4 days ago
  • Overview Contra Costa County is seeking two (2) Workers' Compensation Claims Adjuster II to join our Risk Management team. The County Workers’ Compensation Program is self-insured and self-administers the claims and benefits to industrially injured employees of the County... 
    Risk
    Permanent employment
    Full time
    Temporary work
    Immediate start
    Remote work

    Contra Costa College

    Martinez, CA
    2 days ago
  •  ...Industry: Healthcare Services Why consider this job opportunity: - Opportunity for career advancement and leadership in national risk adjustment studies - Competitive benefits and compensation package - Engage with data analysis to drive improvements in Medicaid risk... 
    Risk
    Remote job
    Immediate start

    Molina Healthcare

    Long Beach, CA
    4 days ago
  • Job Description Job Summary The Analyst, Risk Adjustment-Predictive Analytics role will support Molina's Risk Adjustment Predictive Analytics team. Designs and develops Suspect, Targeting, and Tracking System to support Molina’s Prospective and Retrospective Interventions... 
    Risk
    Work at office

    Molina Healthcare

    Long Beach, CA
    1 day ago
  • $97.34k

     ...The Job Earn an annual salary up to $97,344. The Department of Risk Management is recruiting for Workers' Compensation Adjusters who receive and review workers' compensation claims and reports and determine if occupational illness or injury is compensable; develop documentation... 
    Risk
    Hourly pay
    Temporary work
    Remote work
    Visa sponsorship
    Flexible hours

    Government Jobs

    San Bernardino, CA
    4 days ago
  • $35.46 per hour

    Overview Staffmark is hiring an experienced Workers' Compensation Claims Adjuster for a leading risk management company in San Bernardino. If you're skilled in handling complex and litigated claims, this is your chance to join a professional team that values your expertise... 
    Risk
    Weekly pay
    Temporary work
    For contractors
    Local area
    Monday to Friday

    Staffmark Group

    San Bernardino, CA
    2 days ago
  •  ...Supervising Workers' Compensation Adjuster The Risk Management Department is recruiting for a Supervising Workers' Compensation Adjuster who, under direction, supervises the activities of the Workers' Compensation Division of the Risk Management Department. Duties... 
    Risk
    Full time
    Temporary work
    Work experience placement
    Immediate start
    Remote work
    Visa sponsorship
    Flexible hours

    Government Jobs

    San Bernardino, CA
    5 days ago
  • University HealthCare Alliance (dba Stanford Medicine Partners) is the medical foundation of Stanford Health Care and Stanford Medicine. Stanford Medicine Partners was born out of the aspiration for Stanford Medicine and local, leading providers to partner together to bring...
    Risk
    Local area

    Stanford Health Care - ValleyCare

    Newark, CA
    1 day ago
  •  ...personal service. Alliant is changing the way our clients approach risk management and benefits, so they can capitalize on new...  ...updates on litigated claims, serious injuries, and claims over the adjuster\'s authorization limits. Sets and manages reserve accounts, and... 
    Risk
    Work at office
    Local area
    Immediate start

    Alliant Insurance Services

    San Diego, CA
    3 days ago
  •  ...South Los Angeles based FQHC looking for onsite Certified HCC coder . *This is not a remote position Conduct the necessary...  ...the diagnoses then code these diagnoses in ICD-10 for Medicare Risk Adjustments/Medicare Advantage. Evaluate medical information (Outpatient... 
    Risk
    Work at office

    To Help Everyone Health & Wellness Centers

    Los Angeles, CA
    7 days ago
  • $21.67 - $30.48 per hour

    Join to apply for the Certified Coder/Billing Clerk role at Boutique Recruiting 1 day ago Be among the first 25 applicants Join to...  ...Certified Medical Coder jobs in San Diego, CA . Certified Coder - Risk Adjustment (Hybrid in San Diego) Coding Auditor - Sharp Health Plan... 
    Risk
    Full time
    Work at office
    Day shift

    Boutique Recruiting

    San Diego, CA
    2 days ago
  •  ...Staffing & Recruiting Firm by 2x Sign in to set job alerts for “Coder” roles. Regional Professional Services Coder I PT20 HIM Coder...  ...III - The Angeles Clinic and Research Institute Manager, Risk Adjustment, Medical Coding Clinical Documentation Improvement Specialist... 
    Risk
    Full time
    Contract work
    Remote work
    Flexible hours

    HireTalent - Staffing & Recruiting Firm

    Duarte, CA
    4 days ago
  • $166.1k - $214.94k

     ...Job Summary: This role will focus on advancing actuarial insights that improve risk adjustment performance across Medicare Advantage and ACA populations. Key areas of emphasis include HCC model analytics, forecasting of RAF scores, and the development of predictive... 
    Risk
    Remote job
    Full time
    Work experience placement
    Work at office
    Shift work

    Kaiser Permanente

    Oakland, CA
    more than 2 months ago
  • The Medical Coder is primarily responsible for performing chart reviews and coding audits; reviewing appropriate ICD-10 diagnoses...  ...related activities such as pre-appointment chart audits for HCC or risk adjustment, appeals of denied claims, providing information or education... 
    Risk
    Work at office

    North East Medical Services

    Daly City, CA
    1 day ago
  • $58.53k - $87.8k

    CMS HCC Coder (Finance) Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those...  ...accuracy and quality of the data submitted to CMS. 4. Works with Risk Adjustment Management on any Data Validation and /or RADV coding audit to... 
    Risk
    Local area

    Alignment Healthcare USA, LLC in

    Orange, CA
    4 days ago