Average salary: $57,100 /yearly
More statsGet new jobs by email
- Community Health Choice is a nonprofit managed care organization serving Texas. The Risk Adjustment Coder II will review complex medical records, code chronic conditions, and map to HCCs under CMS guidelines. The role supports Commercial and Medicare risk adjustment programs...Risk
- Community Health Choice, Inc. seeks a Risk Adjustment Coder II in Houston, Texas. The role involves advanced medical record reviews and coding of chronic conditions to ensure correct risk scoring, complying with CMS guidelines and internal policies. The ideal candidate...Risk
- ...Risk Adjustment Coder II The Risk Adjustment Coder II provides advanced support for complex medical record reviews to ensure the correct capture of chronic conditions and complexities to calculate a patient's risk score, by mapping diagnoses to Hierarchical Condition...RiskWork experience placement
- ...Category: Managed Care General Summary This role focuses on the Risk Adjustment process that supports the documentation of acuity diagnoses... ...policies, Official Coding Guidelines and the Gonzaba Medical Group Coder's Pledge. Provides queries or technical guidance to physicians...RiskFull timeWork at office
- Astrana Health Management in Houston is seeking a Risk Adjustment Coding Specialist II to drive risk adjustment efforts through chart reviews, provider education, and KPI reporting. You’ll translate findings into actionable insights and support education for providers and...Risk
$70k - $85k
Risk Adjustment Coding Specialist II - Houston Department: Quality - Risk Adjustment Employment Type: Full Time Location: 19500 HWY 249, Suite... ...informal discussion and overread assignments. Supports coder training and orientation as requested by manager. May assist...RiskFull timeWork at office- ...Role type: Risk Adjustment Coding Auditor Quantity of resources: 2 Duration: 6 months JD: This role will be occupied by a certified risk adjustment coder to support first and second pass auditing for CMS RADV's. Required skillset: MS Suite CPC certified CRC certified...Risk
Vytwo
Prosper, TX3 days ago - Vytwo in Dallas, TX seeks a Risk Adjustment Coding Auditor for a 6-month engagement to support CMS RADV audit passes. The role requires a CPC and CRC certification and 5+ years of risk adjustment experience, with proficiency in MS Office. The team will run first and second...Risk
- Gonzaba Medical Group in San Antonio, TX, is seeking a skilled Risk Adjustment Specialist to document acuity diagnoses for Medicare Advantage programs under capitated contracts. You will review medical records, apply ICD-10-CM, CPT, HCPCS guidelines, and ensure supporting...Risk
- ...Certified Medical Coder Certified Medical Coder role is responsible for reviewing, abstracting, and coding inpatient and/or outpatient... ...proper ICD-10-CM, HCPCS, and CPT coding and compliance with Risk Adjustment requirements. Key Responsibilities Follows CMS Risk...Risk
Apex Health Solutions
Houston, TX1 day ago - Astrana Health, Inc. is seeking a Risk Adjustment Coding Specialist II to support Houston market. Travel to provider offices is required twice weekly, with responsibilities including chart reviews, HCC coding, and education delivery to providers. Candidate will review documentation...Risk
- CenterWell Senior Primary Care in San Antonio seeks an IPA Consultative Coder to enhance documentation accuracy and provide coding education to healthcare staff. In this hybrid role, you will support providers and conduct audits in a senior-focused care environment. The...Risk
- Vytwo Technologies Inc. seeks a Risk Adjustment Coding Auditor to perform first and second pass auditing for CMS RADV programs. The role supports... .... The candidate should be a certified risk adjustment coder with CPC and CRC credentials and at least five years of risk adjustment...Risk
- ...Job Description: A prominent insurance organization specializing in claims handling and risk management seeks a highly skilled Senior Claims Adjuster to join its dedicated claims team. This role is ideal for an experienced professional with a strong background in commercial...RiskFull time
The Jacobson Group
Texas6 days ago - Astrana Health in Houston, TX is seeking a Risk Adjustment Coding Specialist II to join the Quality - Risk Adjustment team. The role conducts provider medical record audits, analyzes coding patterns, and educates providers to ensure accurate CMS payment and quality care...Risk
- Oscar Health is hiring an Associate, Risk Adjustment Auditor for their Risk Adjustment team. This remote role focuses on conducting quality audits related to ICD-10 code accuracy and completeness. You will engage in audit operations and compliance, while working with the...RiskRemote job
$143.62k - $229.79k
...Job Description As a Consulting Actuary -ACA Risk Adjustment, you will play a pivotal role in delivering a wide array of actuarial and analytical services for our organization. Responsibilities include leading pricing strategies and actuarial initiatives for business segments...RiskLocal areaBlue Cross and Blue Shield of North Carolina
Houston, TX1 day ago- ...Health Information Technician (AHIMA)CIC - Certified Inpatient Coder (AAPC) orCOC - Certified Outpatient Coder (AAPC) orCPC -... ...Certified Professional Coder - Apprentice (AAPC) orCRC - Certified Risk Adjustment Coder (AAPC)JOB SUMMARY:Properly codes and/or audits professional...RiskFull timeFor contractorsApprenticeshipWork at officeLocal areaRemote workMonday to Friday
- ...Altegra's nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data... ...QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines). Responsibilities Abstract pertinent information...RiskTemporary workRemote workWork from home
Altegra Health
Dallas, TX10 hours agonew - ...POSITION SUMMARY/RESPONSIBILITIES The Risk Adjustment Data Analyst supports Community First Health Plans' Risk Adjustment program through... ...certification within 2 years of employment (e.g., Certified Professional Coder - CPC, Certified Coding Specialist - CCS and/or data analytics...Risk
$59.3k - $80.9k
...under the CenterWell and Conviva brands. As an IPA Consultative Coder, you will collaborate with a multidisciplinary team to support... ...and documentation completeness. Qualifications 3+ years of risk adjustment medical coding experience CCS, CRC OR CPC Certification...RiskFull timeTemporary workApprenticeship- ...Value Based Coder II Inspired by faith. Driven by innovation. Powered by humankindness... ...within the Quality Management/Risk team, responsible for independently reviewing... ...identifying clinically appropriate risk-adjusting conditions and supporting provider documentation...RiskWork at office
- ...located in Dallas, Texas, is seeking a Commercial Liability Claims Adjuster to analyze and manage property damage claims efficiently. Ideal... ...claim files, and communicating with underwriting to manage risks effectively. AIG offers a collaborative environment that fosters...Risk
$29 - $32 per hour
..., ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in... ...diagnosis level Answer rebuttals entered on the auditor by coders and or auditors Participate in weekly coding project review...RiskRemote workFlexible hoursDatavant
Dallas, TX8 days ago- ...Benefit Coder The role is responsible for execution of requests related to benefit maintenance, additions and changes across all business... ...-based decision-maker Ability to quickly identify issues and risks and provide recommendations High motivational skills...Risk
- A leading risk and claims administration partner is seeking a Commercial Property Claims Desk Adjuster to evaluate and manage claims for insurers. This role includes conducting investigations, negotiating settlements, and utilizing technology for efficient claim handling...RiskRemote job
- ...Dallas, United States | Posted on 06/15/2026 The Desk Adjuster is responsible for the examination, evaluation, and resolution of property... ...location and shape of the dwelling/building. Verify photographs of the risk to ensure they match the scope notes. Create an estimate using...RiskFor contractors
Elevateclaims
Fort Worth, TX2 days ago - ...The Risk Management & Claims Analyst is responsible for assisting with the overall management of insurance claims and company risk... ...Risk Management, this position will work closely with insurance adjusters, insurance brokers, the Safety and Legal teams, and other internal...RiskContract work
Coca-Cola Southwest Beverages
Dallas, TX3 days ago - ...Commercial Liability Claims Adjuster, TPA OversightAt AIG, we are reimagining the way we help customers to manage risk. Join us as a Commercial Liability Claims Adjuster, TPA Oversight to play your part in that transformation. It's an opportunity to grow your skills and...Risk
AIG
Dallas, TX4 days ago - ...Vendor Management is responsible for the sourcing, onboarding, risk assessment, monitoring and offboarding of third-parties; and assists... ...• Participate in the identification of policy and procedure adjustments to address the evolving risk environment and emerging risks...Risk
