• Oscar Health Insurance
  • $186,460.00 -186,460.00/year*
  • New York, NY
  • Healthcare - Allied Health
  • Full-Time
  • 21 Warren St

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What we want you for

We are changing how health insurance works, from signing up new members to paying claims. Oscar is also doing Risk Adjustment differently, finding innovative ways to document our members' health conditions.

In this role, you will be responsible for our Risk Adjustment coding efforts. You will code charts, manage contracted coders, and interact with auditors, vendors and providers to evaluate and improve medical record documentation. The position involves project management in addition to actual coding of medical records, and acting as an internal expert for all coding questions.

Winning factors: What leads to success

We are looking for a Certified Coder with 5+ years of experience coding medical records, preferably including inpatient coding and RADV, who is also a capable project manager.

In this role, you will oversee all risk adjustment coding in our fast-moving environment. We think you will be successful if you...

* Have experience coding inpatient and outpatient charts for risk adjustment
* Know how to manage vendor relationships
* Are comfortable interacting with provider offices to retrieve charts for auditing
* Have ideas about how to educate providers on coding quality
* Have experience setting up new workflows and managing projects
* Are comfortable managing temporary contractors
* Are organized and detail-oriented
* Are intimately familiar with ICD-10 CM Expert and other AAPC guidelines
* Can write and update guidelines for risk adjustment medical record coding that are consistent with RADV standards

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Associated topics: account, accounts receivable, authorization, biller, clinical documentation specialist, data entry, front, hospital transcriptionist, medical transcriptionist, receivable

* The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.

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