Auditor, Risk Adjustment
Dallas, TX · Remote
$82K - $108K/yr
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 ...
Dallas, TX · Remote
$82K - $108K/yr
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 ...
Dallas, TX · Remote
$82K - $108K/yr
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 ...
Dallas, TX · Remote
$22.25 - $30.50/hr
Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ... Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk ...
Dallas, TX · Remote
$22.25 - $30.50/hr
Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ... Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk ...
Dallas, TX · Remote
$29 - $32/hr
... risk adjustment and reimbursement purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity and severity of a patient's health ...
Dallas, TX · Remote
$29 - $32/hr
... risk adjustment and reimbursement purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity and severity of a patient's health ...
Dallas, TX · On-site +1
$22.25 - $30.50/hr
Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ... Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk ...
Dallas, TX · On-site +1
$22.25 - $30.50/hr
Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ... Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk ...
Prefer AAPC Certified Risk Adjustment Coder (CRC) certification. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance ...
Prefer AAPC Certified Risk Adjustment Coder (CRC) certification. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance ...
Grand Prairie, TX · On-site
AAPC Certified Risk Adjustment Coder (CRC) is highly preferred. * Knowledge of medical terminology and anatomy strongly preferred. Please be advised that Elevance Health only accepts resumes for ...
Grand Prairie, TX · On-site
AAPC Certified Risk Adjustment Coder (CRC) is highly preferred. * Knowledge of medical terminology and anatomy strongly preferred. Please be advised that Elevance Health only accepts resumes for ...
ICD-10-CM coding principles, including clinical specificity, laterality, condition relationships, and complications * CMS risk-adjustment requirements and organizational documentation standards
ICD-10-CM coding principles, including clinical specificity, laterality, condition relationships, and complications * CMS risk-adjustment requirements and organizational documentation standards
Dallas, TX · Remote
$25 - $26.70/hr
... Category) coder you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and ...
Dallas, TX · Remote
$25 - $26.70/hr
... Category) coder you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and ...
Desoto, TX · On-site
Accurately and on a timely basis document encounters and diagnoses in eCW, ensuring complete and compliant coding for risk adjustment * Participate in multidisciplinary meetings and quality ...
Desoto, TX · On-site
Accurately and on a timely basis document encounters and diagnoses in eCW, ensuring complete and compliant coding for risk adjustment * Participate in multidisciplinary meetings and quality ...
Mansfield, TX · On-site
Accurately and on a timely basis document encounters and diagnoses in eCW, ensuring complete and compliant coding for risk adjustment * Participate in multidisciplinary meetings and quality ...
Quick apply
Mansfield, TX · On-site
Accurately and on a timely basis document encounters and diagnoses in eCW, ensuring complete and compliant coding for risk adjustment * Participate in multidisciplinary meetings and quality ...
Dallas, TX · On-site
Accurately and on a timely basis document encounters and diagnoses in eCW, ensuring complete and compliant coding for risk adjustment * Participate in multidisciplinary meetings and quality ...
Quick apply
Dallas, TX · On-site
Accurately and on a timely basis document encounters and diagnoses in eCW, ensuring complete and compliant coding for risk adjustment * Participate in multidisciplinary meetings and quality ...
Mansfield, TX · On-site
Accurately and on a timely basis document encounters and diagnoses in eCW, ensuring complete and compliant coding for risk adjustment * Participate in multidisciplinary meetings and quality ...
Mansfield, TX · On-site
Accurately and on a timely basis document encounters and diagnoses in eCW, ensuring complete and compliant coding for risk adjustment * Participate in multidisciplinary meetings and quality ...
Desoto, TX · On-site
Accurately and on a timely basis document encounters and diagnoses in eCW, ensuring complete and compliant coding for risk adjustment * Participate in multidisciplinary meetings and quality ...
Desoto, TX · On-site
Accurately and on a timely basis document encounters and diagnoses in eCW, ensuring complete and compliant coding for risk adjustment * Participate in multidisciplinary meetings and quality ...
Mansfield, TX · On-site
Accurately and on a timely basis document encounters and diagnoses in eCW, ensuring complete and compliant coding for risk adjustment * Participate in multidisciplinary meetings and quality ...
Mansfield, TX · On-site
Accurately and on a timely basis document encounters and diagnoses in eCW, ensuring complete and compliant coding for risk adjustment * Participate in multidisciplinary meetings and quality ...
Dallas, TX · On-site
Accurately and on a timely basis document encounters and diagnoses in eCW, ensuring complete and compliant coding for risk adjustment * Participate in multidisciplinary meetings and quality ...
Dallas, TX · On-site
Accurately and on a timely basis document encounters and diagnoses in eCW, ensuring complete and compliant coding for risk adjustment * Participate in multidisciplinary meetings and quality ...
Mansfield, TX · On-site
Accurately and on a timely basis document encounters and diagnoses in eCW, ensuring complete and compliant coding for risk adjustment * Participate in multidisciplinary meetings and quality ...
Mansfield, TX · On-site
Accurately and on a timely basis document encounters and diagnoses in eCW, ensuring complete and compliant coding for risk adjustment * Participate in multidisciplinary meetings and quality ...
$34.50 - $46.25/hr
... risk adjustment * Has strong interpersonal skills to collaborate with clinicians, physicians, NP/PAs, ancillary departments, Quality, Case Management, Finance, Revenue Cycle, and Coders * Other ...
$34.50 - $46.25/hr
... risk adjustment * Has strong interpersonal skills to collaborate with clinicians, physicians, NP/PAs, ancillary departments, Quality, Case Management, Finance, Revenue Cycle, and Coders * Other ...
Frisco, TX · On-site
$107K - $129K/yr
... code under senior engineer guidance. • Land source data into the team's unified ingestion ... UST HealthProof offers risk adjustment, quality programs, and healthcare payer technology services ...
Frisco, TX · On-site
$107K - $129K/yr
... code under senior engineer guidance. • Land source data into the team's unified ingestion ... UST HealthProof offers risk adjustment, quality programs, and healthcare payer technology services ...
Dallas, TX · On-site
$14.50 - $19.50/hr
Accurately and thoroughly document medical visits and procedures as they are being performed by the physician, ensure care and ensure accurate risk adjustment and coding. * Accurately document all ...
Dallas, TX · On-site
$14.50 - $19.50/hr
Accurately and thoroughly document medical visits and procedures as they are being performed by the physician, ensure care and ensure accurate risk adjustment and coding. * Accurately document all ...
Dallas, TX · On-site +1
$14.50 - $19.50/hr
Accurately and thoroughly document medical visits and procedures as they are being performed by the physician, ensure care and ensure accurate risk adjustment and coding. * Accurately document all ...
Dallas, TX · On-site +1
$14.50 - $19.50/hr
Accurately and thoroughly document medical visits and procedures as they are being performed by the physician, ensure care and ensure accurate risk adjustment and coding. * Accurately document all ...
$18.13 is the 25th percentile. Wages below this are outliers.
$15.69 - $18.18
26% of jobs
$18.18 - $20.67
9% of jobs
$20.67 - $23.15
12% of jobs
The median wage is $24.40 / hr.
$23.15 - $25.64
9% of jobs
$25.64 - $28.12
11% of jobs
$28.12 - $30.61
5% of jobs
$32.48 is the 75th percentile. Wages above this are outliers.
$30.61 - $33.10
6% of jobs
$33.10 - $35.58
5% of jobs
$35.58 - $38.07
5% of jobs
$38.07 - $40.55
3% of jobs
$40.55 - $43.04
10% of jobs
$15
$27
$43
An Entry Level Risk Adjustment Coder reviews medical records to identify and assign accurate diagnosis codes for risk adjustment purposes. Their work ensures healthcare organizations receive appropriate reimbursement based on patient health conditions. They typically use ICD-10-CM codes and follow guidelines from CMS and other regulatory bodies. This role requires strong attention to detail, knowledge of medical terminology, and an understanding of risk adjustment models. Entry-level coders may work in various healthcare settings, including insurance companies, hospitals, or coding firms.
A typical day for an entry level risk adjustment coder involves reviewing patient medical records to identify and assign appropriate diagnostic codes based on clinical documentation. You’ll use specialized coding software and electronic health record systems to ensure accuracy and compliance with federal guidelines. Collaboration with senior coders, team leads, and occasionally clinicians is common when clarification or additional documentation is needed. Most entry level coders work in an office or remote environment and spend much of their day analyzing records, updating databases, and participating in training sessions to stay current on coding updates.
To thrive as an Entry Level Risk Adjustment Coder, you need a strong understanding of medical terminology, anatomy, and ICD-10-CM coding guidelines, typically supported by completion of a coding training program or relevant coursework. Familiarity with coding software, electronic medical records (EMR) systems, and coding certification such as CPC or CRC is often preferred. Attention to detail, analytical thinking, and effective communication are essential soft skills for this role. These skills and qualifications ensure the accurate coding of diagnoses for risk adjustment, compliance with regulations, and contribute to optimal healthcare reimbursement.
The most popular types of Risk Adjustment Coder jobs in Dallas, TX are:
For Entry Level Risk Adjustment Coder jobs in Dallas, TX, the most frequently searched job titles are:
The top searched job categories for Entry Level Risk Adjustment Coder jobs in Dallas, TX are:
Cities near Dallas, TX with the most Entry Level Risk Adjustment Coder job openings:

Dallas, TX • Remote
6.9
Based on 6 frontline employees who took The Breakroom Quiz
262nd of 315 rated insurance
Respectful managers
Uninterrupted breaks
$82K - $108K/yr
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
This job post has expired today. Applications are no longer accepted.
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:
Requirements:
Bonus points:
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 (accommodations@hioscar.com) 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.
Sourced by ZipRecruiter
Insurance services
1,001 - 5,000 Employees
New York, NY, US
2012
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