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Coding specialist Jobs in San Francisco, CA

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Coding specialist • san francisco ca

Last updated: 5 days ago

Remote Risk-adjustment / HCC coding leader - AI Trainer ($110-$110 per hour)

MercorDaly City, California, US
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Risk Adjustment and HCC Coding leaders to evaluate AI tools des... Show more

Marketing Specialist

TradeJobsWorkforce94164 San Francisco, CA, US
Full-time

Marketing Specialist Job Duties: Develops marketing strategy by studying economic indicators, tracking... Show more

 • Promoted

Intake Specialist

Compass Family ServicesSan Francisco, California, United States
$27.00 hourly
Full-time

Compass Family Services is a 100+ year old nonprofit working on the front lines of San Francisco's homeless crisis.We provide families experiencing or at risk of homelessness with comprehensive sup... Show more

Strategic Project Lead, Coding

TalentplutoSan Francisco, CA, United States
Full-time

Industry: Applied AI / AI Research Data.Compensation: $130K-$150K base, ~$300K OTE (profit share).Our partner is a fast-growing applied AI research lab that produces expert-level training data for ... Show more

STEM & Coding Teaching Opportunities

Concorde EducationOakland, CA, United States
$50.00 hourly
Full-time
Quick Apply

POTENTIAL INDEPENDENT CONTRACTOR INSTRUCTIONAL ASSIGNMENTS.Coding Instructor Opportunities.On-site at partner schools; varies by assignment.Elementary, Middle, and High School; varies by assignment... Show more

Strategic Project Lead, Coding

talentplutoSan Francisco, CA, US
Full-time
Quick Apply

K-$150K base, ~$300K OTE (profit share).Our partner is a fast-growing applied AI research lab that produces expert-level training data for the world's leading AI labs.In under two years they have s... Show more

HR Specialist/ER Specialist

Fenty BeautySan Francisco, CA, United States
$81,900.00 yearly
Full-time

San Francisco-based beauty brand developer and wholesaler owned by LVMH Mot Hennessy - Louis Vuitton, the world's largest luxury group.A play on the words "can do", Kendo has become the hub of crea... Show more

Marketing Operations Specialist/Senior Specialist

SS&C TechnologiesSan Francisco, CA, US
$70,000.00 yearly
Full-time

As a leading financial services and healthcare technology company based on revenue, SS&C is headquartered in Windsor, Connecticut, and has 27,000+ employees in 35 countries.Some 20,000 financia... Show more

Events Specialist

CROSSMARKOakland, CA, United States
Part-time +1

CROSSMARK is a leading sales and marketing services company in the consumer goods industry that expertly guides our clients along "The Way to Market" by delivering growth solutions with exceptional... Show more

Risk Adjustment Compliance Coding Specialist, Consultant

Blue Shield of CaliforniaOakland, CA, United States
Full-time

The Risk Adjustment Compliance Coding Specialist (Consultant) helps to ensure organizational compliance with laws related to Risk Adjustment across our Marketplace (ACA), Medi-Cal (Medicaid), and M... Show more

Coding Expert

micro1San Francisco Bay Area, California, United States
Part-time

Master’s degree in Computer Science or Bachelor’s with 4+ years of strong coding experience.Proficiency in at least one core language: Python, Java, C++, JavaScript, Go, or Rust.Solid understanding... Show more

 • Promoted

Remote Coding Manager / HIM Coding Leader - AI Trainer ($80-$80 per hour)

MercorOakland, California, US
$80.00 hourly
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Coding Managers and HIM Coding leaders to evaluate AI-powered c... Show more

Strategic Projects Lead - Coding

Scale AISan Francisco, CA, United States
Full-time

Strategic Projects Lead - Coding.Scale's Generative AI business unit is currently seeing historic levels of growth.As a Strategic Projects Lead (SPL), you will lead initiatives that will drive $XXM... Show more

Medical Billing and Coding - Entry Level Training Program

Dreambound Inc.Tamalpais-Homestead Valley, California, US
Full-time

Note : This is an educational program, not a job.Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market.Looking to ... Show more

 • Promoted

Remote Coding Manager / HIM Coding Leader - AI Trainer ($80-$80 per hour)

MercorAlameda, California, US
$80.00 hourly
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Coding Managers and HIM Coding leaders to evaluate AI-powered c... Show more

Security Engineer - AI Coding Agent

MercorSan Francisco, California, United States
$85.00 hourly
Remote
Part-time
Quick Apply

Headquartered in San Francisco, our investors include.Security Engineer (Coding Agent Experience).Review model-generated code and architectures for vulnerabilities and security risks.Identify bugs,... Show more

Educational Specialist

The Community Wellness Project LLCSan Francisco, CA, US
Full-time

We are seeking a dedicated and student‑centered.This role supports students with diverse learning needs across general and special education settings, collaborating closely with teachers, families,... Show more

Strategic Projects Associate - Coding

Career LaunchSan Francisco, CA, USA
Remote
Full-time
Quick Apply

Career Launch is hiring for this role and related opportunities.We review candidate profiles across active roles and use resumes/profiles to understand which backgrounds may be a fit.As a Strategic... Show more

Marketing Operations Specialist/Senior Specialist

Blue Prism GroupSan Francisco, CA, United States
Full-time

Senior Marketing Operations Specialist.SS&C Advent, a leading provider of award-winning software and services for the global investment management industry, is seeking a Senior Marketing Operations... Show more

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Remote Risk-adjustment / HCC coding leader - AI Trainer ($110-$110 per hour)

Remote Risk-adjustment / HCC coding leader - AI Trainer ($110-$110 per hour)

MercorDaly City, California, US
25 days ago
Job type
  • Full-time
  • Remote
Job description
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems. We are seeking experienced Risk Adjustment and HCC Coding leaders to evaluate AI tools designed to improve risk score accuracy and coding completeness in Medicare Advantage, Medicaid managed care, and ACA markets. Your expertise in hierarchical condition category (HCC) methodology, RADV audit preparation, and risk adjustment coding will directly shape AI systems that enhance documentation capture and risk score integrity. **Responsibilities** - Lead risk adjustment and HCC coding operations across Medicare Advantage, Medicaid, and/or ACA risk adjustment programs. - Evaluate AI-generated HCC coding assignments and risk adjustment recommendations for clinical accuracy and regulatory compliance. - Review medical records to ensure complete and accurate capture of HCC-eligible conditions supported by clinical documentation. - Conduct and oversee retrospective and prospective chart reviews for risk score optimisation. - Manage RADV (Risk Adjustment Data Validation) audit preparation and response processes. - Monitor risk adjustment KPIs including HCC capture rates, risk score accuracy, and chart retrieval rates. - Collaborate with clinical, coding, and compliance teams to improve documentation and coding for risk adjustment purposes. - Ensure compliance with CMS risk adjustment guidelines (RAPS, EDGE submissions) and Official Coding Guidelines. - Annotate AI outputs and provide structured coding feedback to support AI training datasets. **Requirements** - 5+ years of experience in risk adjustment coding, HCC coding, or Medicare Advantage coding operations, with at least 2 years in a leadership role. - Deep expertise in CMS-HCC, RxHCC, and/or ACA HHS-HCC risk adjustment methodologies. - Strong knowledge of ICD-10-CM coding guidelines as applied to HCC risk adjustment. - Experience with RADV audit preparation and CMS compliance requirements. - Familiarity with RAPS and EDGE submission processes. - Exceptional written and verbal English communication skills. - High attention to detail with the ability to identify coding inaccuracies and documentation gaps in AI-generated outputs. **Preferred Qualifications** - CRC (Certified Risk Coder), CCS, CPC, or RHIA credential. - Experience with risk adjustment analytics platforms and chart retrieval systems. - 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. - Experience presenting risk adjustment performance to actuarial or executive teams. **Why Join?** - Contribute to the development of frontier AI systems in healthcare. - Collaborate with a world-class AI research organisation. - Gain exposure to cutting-edge AI workflows in risk adjustment and value-based care. - Opportunity to work on high-impact projects shaping the future of healthcare AI.