Mar 19, 2026

Risk Adjustment Coder II — HCC & CMS Specialist

Job Description

A nonprofit managed care organization in Texas seeks a Risk Adjustment Coder II to conduct complex medical record reviews and ensure coding accuracy for various programs like Medicare risk adjustment. The ideal candidate will have a Bachelor’s degree or equivalent experience in risk adjustment, along with relevant certifications. The role requires strong analytical, written, and verbal skills, with at least 3-5 years of experience in risk adjustment coding. This position demands adherence to CMS guidelines and involvement in quality assurance processes. #J-18808-Ljbffr