Top 27 Adjustment coder Jobs in Coppell, Tx

Auditor, Risk Adjustment
Oscar Health —Dallas, TX
- $82,717 - $108,566 a year
- Remote
- Mid-level
- Bachelor's degree
- Travel
- Paid parental leave
- Paid holidays
Quick Apply
Patient Account Representative - Physician Claims
Guidehouse —Lewisville, TX
- Hybrid work
- HIPAA
- Office
- Windows
- Health savings account
- Paid holidays
RCM Client Coordinator
Symphony Diagnostic Services No1, LLC —Carrollton, TX
- Remote
- English
- Mid-level
- High school diploma or GED
Quick Apply
4d
Patient Account Representative -Payment Variances - Reimbursement Analysis - Healthcare Claims
Guidehouse Managed Services LLC —Lewisville, TX
- Full-time
- Hybrid work
- Office
- Windows
- High school diploma or GED
- Health savings account
- Paid holidays
Patient Account Representative - Medicare, Medicaid, Commercial Claims
Guidehouse Managed Services LLC —Lewisville, TX
- Full-time
- Hybrid work
- Office
- Windows
- High school diploma or GED
- Health savings account
- Paid holidays
Risk Adjustment Coding Auditor
Vytwo —Dallas, TX
- Full-time
- 5 years
- Senior level
Quick Apply
11h
Patient Account Representative - Physician Claims
Guidehouse Managed Services LLC —Lewisville, TX
- Full-time
- Hybrid work
- HIPAA
- Office
- Windows
- Health savings account
- Paid holidays
Senior Revenue Cycle Specialist
Inform Diagnostics —Coppell, TX
- From $52,541.05 a year
- Full-time
- Hybrid work
- Senior level
- Medical terminology
- Communication skills
Quick Apply
Account Resolution Specialist
Scottish Rite for Children —Dallas, TX
- Full-time
- Hospital
- Mid-level
- Children
Representative, Patient Account
Pediatric Associates —Dallas, TX
- Full-time
- Computer literacy
- Mid-level
- High school diploma or GED
Patient Account Specialist
North Central Surgery Center (10826) —Dallas, TX
- Full-time
- Hospital
- HIPAA
- Research
Technical Denials Management Specialist III
UT Southwestern —Dallas, TX
- 8 hour shift
- Research
- Mid-level
- High school diploma or GED
4d
Senior Consultant - Clinical Documentation Specialist
Deloitte —Dallas, TX
- $110,700 - $218,300 a year
- Full-time
- Microsoft Word
- Nursing
- RN License
Patient Account Representative FT (In Person)
Exceptional Healthcare Inc. —Dallas, TX
- Full-time
- Spanish
- Microsoft Excel
- Microsoft Outlook
Quick Apply
Senior Patient Financial Representative
Virtelligence —Irving, TX
- $21 - $22 an hour
- Contract
- Medical office experience
- Mid-level
- 3 years
Quick Apply
7d
Credit Balance Specialist
Platinum Dermatology Partners LLC —Dallas, TX
- Full-time
- Microsoft Outlook
- HIPAA
- Research
- Paid holidays
- Disability insurance
Quick Apply
9h
AR SPECIALIST
UROLOGY CLINICS OF NORTH TEXAS PLLC —Mesquite, TX
- Full-time
- Microsoft Word
- Private practice
- Microsoft Excel
Quick Apply
Pharmacy Business Office Specialist
Cantex Continuing Care Network —Addison, TX
- Full-time
- Computer literacy
- English
- Mid-level
- Continuing education credits
- Health insurance
Quick Apply
4d
Dental Revenue Cycle Insurance Coordinator
Star Dental Partners —Plano, TX
- Extended hours
- Mid-level
- Office
- High school diploma or GED
- Wellness program
- Paid jury duty
Patient Account Representative - A/R Follow-up - Medicare, Medicaid, Commercial Claims
Guidehouse Managed Services LLC —Lewisville, TX
- Full-time
- Hybrid work
- Office
- Windows
- High school diploma or GED
- Health savings account
- Paid holidays
6d

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Auditor, Risk Adjustment

Oscar Health -
Dallas, TX

Quick Apply

Job Details

$82,717 - $108,566 a year

Benefits

Paid parental leave
Paid holidays
Disability insurance
Health insurance
Dental insurance
Parental leave
Vision insurance
Paid sick time

Qualifications

Certified Professional Coder

Full Job Description

Hi, we're Oscar. We're hiring a Associate, Risk Adjustment Auditor to join our Risk Adjustment 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 create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role:

The Associate, Risk Adjustment Auditor conducts internal and external quality audits. Quality audits are specific to ICD-10 code abstraction relative to accuracy, completeness, and identified clinical documentation improvement opportunities. You will work with management to implement benchmarks, establish acceptable thresholds, and quality assurance programs.

You will report into the Manager, Risk Adjustment.

Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. #LI-Remote

Pay Transparency: The base pay for this role is: $82,717 - $108,566 per year You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:

Responsible for daily operations pertaining to Risk Adjustment including but not limited to: medical record reviews to report ICD-10-CM diagnosis codes for ACA and MA lines of business, potential Centers of Medicare & Medicaid Services (CMS), Health and Human Services (HHS) audits and medical record retrieval efforts.
Mitigate risk by validating Encounter Data Gathering Environment Server (EDGE) data is supported within provider encounter documentation
Review the performance of the Risk Adjustment Coding team and report audit trends to Leadership in a timely, consistent and effective manner to ensure the appropriate changes and education are implemented.
Maintain compliance with national standards and coding practices set by the ICD-10-CM coding guidelines for accuracy, as well as compliance with Risk adjustment production standards.
Conduct CMS audits of Risk Adjustment activities, including but not limited to Risk Adjustment Data Validation audits.
Develop relationships with key individuals to foster an increased understanding of the Risk Adjustment process.
Identify and execute on the creation of clinical document improvement resources for provider education in both MA and ACA line of business.
Manage the implementation process improvements that will maximize risk adjustment factor increases.
Compliance with all applicable laws and regulations
Other duties as assigned

Requirements:

Bachelor's degree in a relevant field of study or commensurate work experience.
Certified professional coder (CPC)
3+ year(s) retrospective risk adjustment coding experience.
1+ year(s) experience Quality Auditing and/or Risk Adjustment Data Validation Audit (RADV) experience

Bonus points:

Certified Risk Adjustment Coder (CRC) or similar certification
Experience coding in a variety of different Electronic Medical Record (EMR) systems.

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care - an experience made whole by our unique backgrounds and perspectives.

Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team ([email protected]) to make the need for an accommodation known.

California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

Quick Apply

Refine Your Search

adjustment coder jobs in coppell, tx

Auditor, Risk Adjustment

Patient Account Representative - Physician Claims

RCM Client Coordinator

Patient Account Representative -Payment Variances - Reimbursement Analysis - Healthcare Claims

Patient Account Representative - Medicare, Medicaid, Commercial Claims

Risk Adjustment Coding Auditor

Patient Account Representative - Physician Claims

Senior Revenue Cycle Specialist

Account Resolution Specialist

Representative, Patient Account

Patient Account Specialist

Technical Denials Management Specialist III

Senior Consultant - Clinical Documentation Specialist

Patient Account Representative FT (In Person)

Senior Patient Financial Representative

Credit Balance Specialist

AR SPECIALIST

Pharmacy Business Office Specialist

Dental Revenue Cycle Insurance Coordinator

Patient Account Representative - A/R Follow-up - Medicare, Medicaid, Commercial Claims

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