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Internship Optum Health Coding Risk Adjustment Jobs in Georgia

Humana

Clinical Coding Educator

Valdosta, GA · On-site +1

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong knowledge of all Microsoft Office applications * Valid Driver's license and reliable transportation

Humana

Clinical Coding Educator

Macon, GA · On-site +1

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong knowledge of all Microsoft Office applications * Valid Driver's license and reliable transportation

Humana

Clinical Coding Educator

Valdosta, GA · On-site +1

$59.30K - $80.90K/yr

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong knowledge of all Microsoft Office applications * Valid Driver's license and reliable transportation

Humana

Clinical Coding Educator

Monroe, GA · On-site +1

$59.30K - $80.90K/yr

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong knowledge of all Microsoft Office applications * Valid Driver's license and reliable transportation

Humana

Clinical Coding Educator

Marietta, GA · On-site +1

$59.30K - $80.90K/yr

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong knowledge of all Microsoft Office applications * Valid Driver's license and reliable transportation

Humana

Clinical Coding Educator

Monroe, GA · On-site +1

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong knowledge of all Microsoft Office applications * Valid Driver's license and reliable transportation

Humana

Clinical Coding Educator

Lavonia, GA · On-site +1

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong knowledge of all Microsoft Office applications * Valid Driver's license and reliable transportation

Humana

Clinical Coding Educator

Milledgeville, GA · On-site +1

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong knowledge of all Microsoft Office applications * Valid Driver's license and reliable transportation

Humana

Clinical Coding Educator

Macon, GA · On-site +1

$59.30K - $80.90K/yr

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong knowledge of all Microsoft Office applications * Valid Driver's license and reliable transportation

Humana

Clinical Coding Educator

Marietta, GA · On-site +1

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong knowledge of all Microsoft Office applications * Valid Driver's license and reliable transportation

Humana

Clinical Coding Educator

Valdosta, GA · On-site +1

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong knowledge of all Microsoft Office applications * Valid Driver's license and reliable transportation

Humana

Clinical Coding Educator

Lawrenceville, GA · On-site +1

$59.30K - $80.90K/yr

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong knowledge of all Microsoft Office applications * Valid Driver's license and reliable transportation

Humana

Clinical Coding Educator

Milledgeville, GA · On-site +1

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong knowledge of all Microsoft Office applications * Valid Driver's license and reliable transportation

Humana

Clinical Coding Educator

Milledgeville, GA · On-site +1

$59.30K - $80.90K/yr

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong knowledge of all Microsoft Office applications * Valid Driver's license and reliable transportation

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Internship Optum Health Coding Risk Adjustment information

What is the difference between Internship Optum Health Coding Risk Adjustment vs Medical Coding Specialist?

AspectInternship Optum Health Coding Risk AdjustmentMedical Coding Specialist
CertificationsTypically none or basic coding certificationsCertified Professional Coder (CPC) or equivalent often required
Work EnvironmentInternship setting, training-focused, healthcare companyHealthcare facilities, outpatient clinics, or insurance companies
Employer & IndustryOptum Health, healthcare and insurance industryHospitals, clinics, insurance providers
Search & Comparison IntentEntry-level, training, risk adjustment codingProfessional coding, billing, compliance

Internship Optum Health Coding Risk Adjustment roles are typically entry-level, training-focused positions within Optum Health, emphasizing risk adjustment coding with minimal certifications. Medical Coding Specialists are more experienced professionals with certifications like CPC, working in healthcare facilities or insurance companies. The internship provides foundational exposure, while the specialist role involves independent coding and billing tasks.

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Internship Optum Health Coding Risk Adjustment jobs near you
Infographic showing various Internship Optum Health Coding Risk Adjustment job openings in Georgia as of May 2026, with employment types broken down into 1% As Needed, 36% Full Time, 54% Part Time, 4% Temporary, 4% Contract, and 1% Nights. Highlights an 100% Physical job distribution.
Business Analyst with Risk Adjustment (Payor) || 1099 only || Need USC or GC only

Business Analyst with Risk Adjustment (Payor) || 1099 only || Need USC or GC only

Pantar Solutions inc

Atlanta, GA • On-site

Contractor

Posted 24 days ago

Job description

We are an Information Technology and Business Consulting firm specializing in Project-based Solutions and Professional Staffing Services. Please have a look at below position which is with our Client and let me know your interest ASAP. I would really appreciate if you could send me your MOST RECENT UPDATED RESUME: 

Title: Business Analyst – Risk Adjustment (Payor)

Location: Richmond or Atlanta  – Hybrid role

Long Term Contract || 1099 only || Need USC or GC only

Need strong Business Analyst – Risk Adjustment (Payor) with  risk adjustment analytics in a healthcare payer environment (Medicare Advantage, ACA (HIX/Exchange), or Medicaid), SQL, Excel, data visualization tools (Tableau/Power BI/SAS), healthcare data formats (claims, encounters, EMR, lab, and eligibility), regulatory processes (CMS, HHS, EDGE server, RADV/IVA audits), HCC coding models (CMS-HCC, HHS-HCC), ICD-10 codes, and claims data Exp.

Consultant LinkedIn profile must have been created before 2018/2019

Need 8-10+yrs of IT Exp. Profiles

Job Summary:Client is seeking a highly analytical and motivated Business Analyst – Risk Adjustment to support risk adjustment operations and data analytics initiatives. This role is critical in helping ensure accurate and compliant capture of risk adjustment data for government-sponsored programs such as Medicare Advantage and ACA (HIX/Exchange). The candidate will play a key role in translating business needs into technical solutions, driving insights, and enabling optimized risk scoring strategies.
Key Responsibilities:

  • Analyze and interpret risk adjustment data (claims, encounters, chart reviews, HCCs) to identify trends, data quality issues, and improvement opportunities.

  • Collaborate with stakeholders across actuarial, clinical coding, IT, and compliance teams to support risk score accuracy.

  • Translate regulatory and business requirements into user stories or functional specifications for data/reporting solutions.

  • Support CMS/HHS risk adjustment submission processes including EDGE server management and encounter reconciliation.

  • Assist in development and enhancement of dashboards/reports for risk score monitoring, suspecting models, and provider performance.

  • Monitor and interpret changes in CMS/HHS risk adjustment guidelines and apply to internal business processes.

  • Participate in audit support (e.g., RADV, IVA) and validation of risk adjustment data submissions.

  • Act as liaison between technical teams and business stakeholders to ensure delivery of actionable and scalable solutions.

Qualifications:

  • Bachelor's degree in Healthcare Administration, Business, Analytics, or related field (Master’s preferred).

  • 8+ years of experience in risk adjustment analytics in a healthcare payer environment (Medicare Advantage, Medicaid, or ACA).

  • Strong knowledge of HCC models (CMS-HCC, HHS-HCC), ICD-10 coding, and risk adjustment methodologies.

  • Experience with healthcare data formats: claims, encounters, EMR, lab, and eligibility.

  • Proficiency in SQL and Excel; experience with BI tools like Power BI, Tableau, or SAS preferred.

  • Familiarity with regulatory processes (CMS, HHS, EDGE server, RADV/IVA audits).

Preferred Skills:

  • Knowledge of data and reporting tools, including Cognos or Watson Health platforms.

  • Experience in Agile environments; ability to write and manage JIRA user stories and tasks.

  • Strong communication and stakeholder engagement skills across technical and business teams.

 
Thanks & Regards,
 
Babu