Top 6 Risk adjustment coder Jobs in San Antonio Tx

Auditor, Risk Adjustment Data Validation
University Health —San Antonio, TX
- $22.10 - $38.25 an hour
- Full-time
- Mid-level
- Analysis skills
- Bachelor's degree
Medical Coder and Biller
Kellum Family Medicine —Schertz, TX
- $19 - $21 an hour
- Full-time
- Anatomy knowledge
- HIPAA
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
IPA Consultative Coder
Centerwell —San Antonio, TX
- $59,300 - $80,900 a year
- Full-time
- Hybrid work
- Mid-level
- 3 years
- Clinic
- Paid parental leave
- Paid holidays
Risk Adjustment Coder (On-site)
Gonzaba Medical Group —San Antonio, TX
- Full-time
- CPR Certification
- Nursing
- Anatomy knowledge
Quick Apply

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Remote Behavioral Health Charge Entry Specialist
Athra Systems —San Antonio, TX
Traits: Strong attention to detail, ability to multi-task, and a proven ability to meet high-volume productivity quotas independently.
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Medical Biller/AR Specialist
ADAM BRUGGEMAN MD PLLC —San Antonio, TX
High school diploma or equivalent; associate's degree in medical billing or a related field is preferred. Provide excellent customer service to patients and…
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13d

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Reimbursement Variance Analyst
Orthopedic One —Westerville, OH
Revises Standard Fees to comply with federal & state billing regulations & guidelines. Candidates must have current certification as a Certified Professional…

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risk adjustment coder jobs near san antonio tx

Auditor, Risk Adjustment Data Validation

University Health -
San Antonio, TX

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Job Details

Full-time
$22.10 - $38.25 an hour

Qualifications

Bachelor's degree

Full Job Description

POSITION SUMMARY/RESPONSIBILITIES

The Risk Adjustment Data Validation (RADV) Auditor is responsible for auditing medical records to validate ICD-10-CM coding accuracy and ensure compliance with Centers for Medicare and Medicaid (CMS) and RADV guidelines. This role focuses on performing detailed audits, analyzing data, and collaborating with providers and internal teams to support Hierarchical Condition Categories (HCC) ratio goals and risk adjustment improvement initiatives. The auditor prepares customized reports based on data analysis and provides actionable recommendations to enhance operational and clinical performance. Additionally, the position assists in managing data collection processes and develops procedures for monitoring, validating, and reconciling data for accuracy. Working closely with cross-functional teams, the auditor supports compliance, quality assurance, and risk mitigation strategies while contributing to the development of tools and processes to improve coding accuracy and audit efficiency.

EDUCATION/EXPERIENCE

Bachelor’s degree required. Coding certification (such as CPC, CRC, or CCS) is preferred, or candidates must demonstrate a willingness to obtain certification within 6–12 months of hire. Applicants should have 1–2 years of healthcare experience; prior coding experience is preferred. Strong analytical and problem-solving skills, coupled with attention to detail, are essential. Candidates must possess the ability to learn and apply ICD-10-CM coding principles, exhibit excellent communication and organizational skills. Proficiency in health information systems, electronic health records (EHRs), HEDIS, RADV, and claims data analysis is a plus.

LICENSURE/CERTIFICATION

Coding certification within 2 years of employment (e.g., Certified Professional Coder - CPC, Certified Risk Adjustment Coder-CRC)

Location: University Health · Quality Management
Schedule: Full Time, Day Shift, 40

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risk adjustment coder jobs in san antonio tx

Auditor, Risk Adjustment Data Validation

Medical Coder and Biller

IPA Consultative Coder

Risk Adjustment Coder (On-site)

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