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Seasonal Optum Health Coding Risk Adjustment Jobs

Harris Health System

Risk Adjustment Coder II

Houston, TX · On-site

$27.69 - $34.61/hr

About Us Community Health Choice, Inc. (Community) is a non-profit managed care organization (MCO ... Ensure coding compliance by following the Official Coding Guidelines, HHS-RADV Protocols, and ...

Community Health Choice

Risk Adjustment Coder II

Houston, TX · On-site

$18 - $23.75/hr

Community Health Choice, Inc. (Community) is a non-profit managed care organization (MCO), licensed ... Stay current with coding standards, risk adjustment methodologies, and CMS Regulatory changes to ...

Mercor

HCC Coding Leader - Risk Adjustment

New York, NY · Remote

$110/hr

Background in health plan, Medicare Advantage organisation , or value-based care setting. * Familiarity with AI-assisted HCC coding tools and comfort evaluating AI-generated risk adjustment content

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Centrum Health

Risk Adjustment Analyst

Doral, FL · On-site

SCOPE OF ROLE The Risk Adjustment and Analytics Team is working to push boundaries to redefine Risk ... Using SQL code, mine data on medical spend, clinical data and population health data and derive ...

Oscar Health

Auditor, Risk Adjustment

Atlanta, GA · Remote

$82K - $108K/yr

Oscar is the first health insurance company built around a full stack technology platform and a ... Quality audits are specific to ICD-10 code abstraction relative to accuracy, completeness, and ...

Cano Health

Risk Adjustment Coder

Jupiter, FL · On-site

We are committed to building the best primary care environment for patients and are seeking healthcare enthusiasts to join us. Job Summary The Risk Adjustment coder will identify, collect, assess ...

Cano Health

Risk Adjustment Coder

Jupiter, FL

We are committed to building the best primary care environment for patients and are seeking healthcare enthusiasts to join us. Job Summary The Risk Adjustment coder will identify, collect, assess ...

Oscar Health

Auditor, Risk Adjustment

Dallas, TX · Remote

$82K - $108K/yr

Oscar is the first health insurance company built around a full stack technology platform and a ... Quality audits are specific to ICD-10 code abstraction relative to accuracy, completeness, and ...

GeBBS Healthcare Solutions

Risk Adjustment Coder (C)

Job Type Full-time Description This is a flexible CMS HCC/Risk Validation Audit role for a seasonal ... Minimum 5 years verifiable risk adjustment coding experience post certification * Must be able to ...

Oscar Health

Auditor, Risk Adjustment

Tempe, AZ · Remote

$82K - $108K/yr

Oscar is the first health insurance company built around a full stack technology platform and a ... Quality audits are specific to ICD-10 code abstraction relative to accuracy, completeness, and ...

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All JobsSeasonal Optum Health Coding Risk Adjustment Jobs

Seasonal Optum Health Coding Risk Adjustment information

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$17

$29

$70

How much do seasonal optum health coding risk adjustment jobs pay per hour?

As of Jul 3, 2026, the average hourly pay for seasonal optum health coding risk adjustment in the United States is $29.29, according to ZipRecruiter salary data. Most workers in this role earn between $21.88 and $29.09 per hour, depending on experience, location, and employer.

What are some common challenges faced by Seasonal Optum Health Coding Risk Adjustment professionals, and how can they be managed?

Seasonal Optum Health Coding Risk Adjustment professionals often encounter challenges such as handling high volumes of medical records within tight deadlines and ensuring coding accuracy to meet regulatory standards. Staying up-to-date with frequent coding guideline changes and adapting quickly to new technologies or platforms are also common hurdles. To manage these challenges, it's helpful to establish efficient workflows, participate in ongoing training, and maintain open communication with team members and supervisors for clarification or support.

What is the difference between Seasonal Optum Health Coding Risk Adjustment vs Medical Coder?

AspectSeasonal Optum Health Coding Risk AdjustmentMedical Coder
CertificationsCPHQ, CPC, or CCS often preferredCPC, CCS, or equivalent certifications
Work EnvironmentHealthcare insurance, risk adjustment teams, remote or office-basedHospitals, clinics, or insurance companies, often office-based
Job FocusAnalyzing and coding health data for risk adjustment, seasonal workload peaksAssigning medical codes to patient records for billing and documentation

Seasonal Optum Health Coding Risk Adjustment specialists focus on analyzing health data for risk adjustment, often during peak seasons, requiring specific certifications. Medical Coders primarily assign codes to medical records for billing, working in various healthcare settings. While both roles involve medical coding, their focus, environment, and seasonal demands differ significantly.

What are the key skills and qualifications needed to thrive as a Seasonal Optum Health Coding Risk Adjustment Specialist, and why are they important?

To excel as a Seasonal Optum Health Coding Risk Adjustment Specialist, you need expertise in medical coding (preferably with a CPC, CRC, or CCS certification), a solid understanding of ICD-10 guidelines, and knowledge of risk adjustment methodologies. Familiarity with electronic health record (EHR) systems, coding software, and Optum's proprietary platforms is typically required. Attention to detail, analytical thinking, and effective communication are essential soft skills for accurately interpreting clinical documentation and collaborating with healthcare teams. These competencies are crucial to ensure precise coding, regulatory compliance, and optimal reimbursement for healthcare organizations.

What is a Seasonal Optum Health Coding Risk Adjustment position?

A Seasonal Optum Health Coding Risk Adjustment position involves reviewing medical records and coding diagnoses for risk adjustment purposes, typically during peak times of the year. These professionals help ensure that patient health conditions are accurately documented and coded according to regulatory guidelines. This role supports healthcare organizations in receiving proper reimbursement and maintaining compliance. Seasonal positions are usually temporary, aligning with periods of increased workload, such as annual data submissions.
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Seasonal Optum Health Coding Risk Adjustment jobs near you
Infographic showing various Seasonal Optum Health Coding Risk Adjustment job openings in the United States as of June 2026, with employment types broken down into 100% Full Time. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $60,920 per year, or $29.3 per hour.
HCC Risk Adjustment Coder

HCC Risk Adjustment Coder

Vertek Staffing

Franklin, TN • Remote

$18 - $24/hr

Contractor

Posted 8 days ago

Job description

HCC / Risk Adjustment Coder - Remote

Risk Adjustment / HCC Coding Experience Required

Required Education
  • High School Diploma required with submission
Required Certifications

Online certification verification required with submission.

Candidates must possess one of the following certifications:

  • Certified Professional Coder (CPC) - AAPC
  • Certified Risk Adjustment Coder (CRC) - AAPC
  • Certified Coding Specialist (CCS) - AHIMA
  • Registered Health Information Technician (RHIT) - AHIMA
  • Registered Health Information Administrator (RHIA) - AHIMA

CRC Certification is highly preferred.

Schedule
  • Monday - Friday
  • Occasional weekend coverage may be required based on client needs
Position Summary

The HCC / Risk Adjustment Coder is responsible for reviewing medical records and clinical documentation to accurately identify, validate, and code chronic and acute conditions impacting patient risk scores and reimbursement.

The coder will ensure accurate assignment of ICD-10-CM diagnosis codes in accordance with CMS Risk Adjustment guidelines, Official ICD-10-CM Coding Guidelines, and client-specific requirements. This role supports Risk Adjustment initiatives through retrospective chart reviews, prospective reviews, coding validation, provider education support, and quality assurance activities.

The HCC Coder will collaborate with providers, CDI professionals, quality teams, population health departments, and coding leadership to ensure complete and accurate capture of chronic conditions and disease burden.

Key Responsibilities
  • Review medical records to identify and code HCC-eligible diagnoses.
  • Assign ICD-10-CM diagnosis codes in accordance with CMS and Risk Adjustment guidelines.
  • Validate chronic conditions and ensure documentation supports code assignment.
  • Perform retrospective and prospective chart reviews.
  • Identify missed HCC opportunities and documentation gaps.
  • Assist with coding validation and quality assurance audits.
  • Support provider education initiatives regarding Risk Adjustment documentation requirements.
  • Maintain productivity and quality standards established by the client.
  • Participate in internal and external audit activities.
  • Stay current on CMS Risk Adjustment regulations, coding updates, and industry best practices.
  • Assist leadership with special projects and additional duties as assigned.
Required Experience
  • Risk Adjustment / HCC coding experience required
  • Strong understanding of ICD-10-CM coding guidelines
  • Experience reviewing outpatient and provider documentation
  • Knowledge of CMS-HCC Risk Adjustment methodologies
  • Experience validating chronic conditions and disease burden
  • Strong attention to detail and coding accuracy
Preferred Experience
  • CRC certification
  • Experience with Medicare Advantage populations
  • Experience with value-based care programs
  • Experience performing coding audits and quality reviews
  • Experience with Epic, Cerner, Athena, eClinicalWorks, NextGen, or other EMR systems
  • Experience educating providers on Risk Adjustment documentation
 
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About Vertek Solutions

Sourced by ZipRecruiter

Vertek Solutions is a boutique staffing firm that specializes in recruiting top level IT talent who can enhance our clients’ teams. Our team works every day to foster relationships with both our consultants and clients to understand their needs and ensure that we are providing a solution that is mutually beneficial.

Industry

Recruiting and staffing services

Company size

11 - 50 Employees

Headquarters location

Franklin, TN, US

Year founded

2006

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