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Freelance Remote Risk Adjustment Coder Jobs in Texas

Oscar Health

Senior Actuarial Analyst

Dallas, TX · Remote

$91K - $120K/yr

This role will own the maintenance and review of actuarial models used to develop risk adjustment ... This is a remote position, open to candidates who reside in: Dallas, TX. You will be fully remote ...

Datavant

Payer Coding Ops Hourly

Dallas, TX · Remote

$25 - $26.70/hr

... coder you will review medical records to identify and code diagnoses using a standardized system ... for risk adjustment and reimbursement purposes. You will play a critical role in translating ...

Dane Street, LLC

Freelance Medical & Billing Coder

Houston, TX · Remote

$18 - $23.75/hr

Calling all bill review professionals, CPC coders, AAPC, and DRG coders! Dane Street is looking for ... Experience working in a remote environment is preferred. Experience in a medical office or health ...

CERiS

CERIS Certified Coder I

Fort Worth, TX · Remote

$43K - $65K/yr

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives claim and processes ... The level may impact the salary range and these adjustments would be clarified during the offer ...

CERiS

CERIS Certified Coder II

Fort Worth, TX · Remote

$48K - $71K/yr

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives claim and processes ... The level may impact the salary range and these adjustments would be clarified during the offer ...

Corvel

CERIS Certified Coder II

Fort Worth, TX · Remote

$48K - $71K/yr

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives claim and processes ... The level may impact the salary range and these adjustments would be clarified during the offer ...

Corvel

CERIS Certified Coder I

Fort Worth, TX · Remote

$43K - $65K/yr

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives claim and processes ... The level may impact the salary range and these adjustments would be clarified during the offer ...

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Freelance Remote Risk Adjustment Coder information

What are Freelance Remote Risk Adjustment Coders?

Freelance Remote Risk Adjustment Coders are healthcare professionals who work independently from various locations to review medical records and assign codes that reflect patients’ health conditions and treatments, focusing on risk adjustment models. Their primary role is to ensure accuracy in coding so that healthcare organizations receive appropriate reimbursement and maintain compliance with regulatory standards. These coders typically work on a contract basis, using secure digital platforms to access records and submit their coding work. They must be highly knowledgeable in ICD-10-CM coding guidelines, risk adjustment methodologies (such as HCC), and HIPAA regulations.

What are the key skills and qualifications needed to thrive as a Freelance Remote Risk Adjustment Coder, and why are they important?

Thriving as a Freelance Remote Risk Adjustment Coder requires deep knowledge of medical coding (especially ICD-10-CM), risk adjustment models, and compliance standards, typically verified by certifications like CRC, CPC, or CCS. Proficiency with coding software, EHR systems, and secure remote work platforms is essential for accurate and efficient coding. Strong attention to detail, self-motivation, and reliable communication are vital soft skills for managing independent workloads and collaborating with clients remotely. These abilities ensure accurate risk score calculations, regulatory compliance, and successful client relationships in a virtual work environment.

How do Freelance Remote Risk Adjustment Coders typically manage communication and workflow with healthcare clients and team members?

Freelance Remote Risk Adjustment Coders commonly use secure online platforms and project management tools to receive assignments, submit coded charts, and communicate with healthcare providers or project managers. Maintaining clear and prompt communication via email or dedicated messaging systems is crucial to clarify documentation, resolve coding queries, and ensure deadlines are met. Coders must be proactive in scheduling regular check-ins and staying updated on client-specific guidelines, as workflows can be fast-paced and require strong organizational skills. Collaboration often involves working independently but also participating in virtual meetings or training sessions to stay aligned with team quality standards.
What are the most commonly searched types of Remote Risk Adjustment Coder jobs in Texas? The most popular types of Remote Risk Adjustment Coder jobs in Texas are:
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Freelance Remote Risk Adjustment Coder jobs near you
Senior Actuarial Analyst

Senior Actuarial Analyst

Oscar Health

Dallas, TX • Remote

$91K - $120K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 20 days ago

Oscar Health rating

6.9

Company rating: 6.9 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

226th of 260 rated insurance

Job description

Hi, we're Oscar. We're hiring a Senior Actuarial Analyst to join our Actuarial 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 Senior Analyst, Actuarial will play a key role in Oscar's valuation function, focusing specifically on risk adjustment across all Affordable Care Act (ACA) markets. This role will own the maintenance and review of actuarial models used to develop risk adjustment accrual estimates, forecasting estimates, and various other analyses. This is a very dynamic space, which makes this a great opportunity to work on interesting projects and have a BIG impact.

You will report into the Director, Actuarial.

Work Location: This is a remote position, open to candidates who reside in: Dallas, TX. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area. #LI-Remote

Pay Transparency: The base pay for this role is: $91,659 - $120,303 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:

  • Model Management: Maintain and enhance core risk adjustment reporting and forecasting models, ensuring consistency and standardization across all team users.
  • Infrastructure & Design: Serve as a key contributor in improving modeling infrastructure; develop recommendations for model design decisions, best practices, and automation/documentation standards.
  • Financial Strategy: Develop recommendations for the risk adjustment accrual setting process and provide data-driven insights for the financial planning process.
  • Trend Analysis: Identify, triage, and investigate core drivers of observed trends across plan designs, providers, vendors, and markets.
  • Stakeholder Engagement: Maintain strong relationships and clear lines of communication with internal and external stakeholders.
  • Team Development: Aid in the onboarding of new analysts by collaborating and integrating them into existing processes.
  • Governance: Compliance with all applicable laws and regulations.
  • Other duties as assigned.

Requirements:

  • Bachelor's degree in a STEM field.
  • Associate or Fellow of the Society of Actuaries (SOA), or on the track to become one.
  • 3+ years of experience in a related field.

Bonus points:

  • Strong knowledge of core health insurance concepts and experience with actuarial applications.
  • Highly technical with a strong enthusiasm to apply tech-forward methods in actuarial models.

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.