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Seasonal Optum Health Coding Risk Adjustment Jobs

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 ...

Oscar Health

Auditor, Risk Adjustment

Miami, FL · 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 ...

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 ...

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 ...

Point32health

Risk Adjustment Consultant

Canton, MA · On-site

Who We Are Point32Health is a leading not-for-profit health and well-being organization dedicated ... Support the Risk Adjustment department in efforts to assess additional diagnosis coding ...

Mass Advantage

Manager, Risk Adjustment

Worcester, MA · On-site

Description Mass Advantage is a Medicare Advantage health plan, located in the heart of Worcester ... Serve as the plan-side counterpart to UMMH CDI, HIM, and Coding leadership, coordinating with the ...

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

As of Jun 7, 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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What cities are hiring for Seasonal Optum Health Coding Risk Adjustment jobs? Cities with the most Seasonal Optum Health Coding Risk Adjustment job openings:
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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 May 2026, with employment types broken down into 14% Internship, 43% Full Time, 14% Contract, and 29% Nights. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $60,920 per year, or $29.3 per hour.

Risk Adjustment Coding Specialist II - Houston, Texas

Astrana Health, Inc.

Houston, TX • Remote

Full-time

Posted yesterday

Job description

Description
We are currently seeking a highly motivated Risk Adjustment Coding Specialist to support our Beaumont market.  In this role, you will support risk adjustment efforts by conducting high-volume chart reviews to identify coding gaps, trends, and opportunities for improved accuracy for our providers. You’ll translate your findings into actionable insights, creating and delivering education to providers and practice leaders while navigating complex conversations. Additionally, you’ll track and report on key performance metrics—such as HCC recapture rates, AWVs, and other KPIs, helping drive provider performance and overall program success.
We are seeking candidates who have experience with provider education and at least 3-5 years of risk adjustment experience! We are seeking candidates who reside in Houston and are able to travel to Beaumont on a monthly basis. 

Our Values: 
  • Put Patients First
  • Empower Entrepreneurial Provider and Care Teams
  • Operate with Integrity & Excellence
  • Be Innovative
  • Work As One Team

What You'll Do
  • Review provider documentation of diagnostic data from medical records to verify that all Medicare Advantage, Affordable Care Act (ACO) and Commercial risk adjustment documentation requirements are met, and to deliver education to providers on either an individual basis or in a group forum, as appropriate for all IPAs managed by the company
  • Review medical record information on both a retroactive and prospective basis to identify, assess, monitor, and document claims and encounter coding information as it pertains to Hierarchical Condition Categories (HCC) 
  • Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10- CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS Risk Adjustment guidelines 
  • Interacts with physicians regarding coding, billing, documentation policies, procedures, and conflicting/ambiguous or non-specific documentation
  • Prepare and/or perform auditing analysis and provide feedback on noncompliance issues detected through auditing
  • Maintain current knowledge of coding regulations, compliance guidelines, and updates to the ICD-10 and HCC codes, Stay informed about changes in Medicare, Medicaid, and private payer requirements.
  • Provides recommendations to management related to process improvements, root-cause analysis, and/or barrier resolution applicable to Risk Adjustment initiatives.
  • Trains, mentors and supports new employees during the orientation process. Functions as a resource to existing staff for projects and daily work.
  • Provides peer to peer guidance through informal discussion and overread assignments. Supports coder training and orientation as requested by manager.
  • May assist or lead projects and/or higher work volume than Risk Adjustment Coding Specialist I
  • Other duties as assigned

Qualifications
  • Required Certification/Licensure: Must possess and maintain AAPC or AHIMA certification -  Certified Coding Specialist (CCS-P), CCS, or CPC.
  • 3-5+ years of experience in risk adjustment coding and/or billing experience required
  • Reliable transportation/Valid Driver’s License/Must be able to travel up to 75% of work time
  • PC skills and experience using Microsoft applications such as Word, Excel, and Outlook
  • Excellent presentation, verbal and written communication skills, and ability to collaborate 
  • Must possess the ability to educate and train provider office staff members
  • Proficiency with healthcare coding software and Electronic Health Records (EHR) systems.
You're great for this role if:    
  • Strong billing knowledge and/or Certified Professional Biller (CPB) through APPC
  • Certified Risk Adjustment Coder (CRC) and/or Risk Adjustment coding experience
  • Have knowledge of Risk Adjustment and Hierarchical Condition Categories (HCC) for Medicare Advantage
  • Strong PowerPoint and public speaking experience
  • Ability to work independently and collaborate in a team setting
  • Experience with Monday.com
  • Experience collaborating with, educating, and presenting to provider teams in a face-to-face setting

Environmental Job Requirements and Working Conditions
  • The national target pay range for this role is $70,000 - $85,000 per year. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.
  • This role follows a hybrid work structure where the expectation is to work on the field and at home on a weekly basis. This position requires monthly travel to Beaumont from Houston.
Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation.    

Additional Information:     
The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.