Remote Risk Adjustment Educator & Auditor
Centene Corporation
- Remote job
Centene Corporation is seeking a Senior Risk Adjustment Auditor to support CMS payments and quality of care across our provider network in New York. The role emphasizes education, audits, and data analysis of MRA patterns, with collaboration across Provider Relations and Quality teams. You will lead training efforts, participate in the RADV Committee, and ensure compliance with risk adjustment guidelines while maintaining policy standards and high accuracy in coding. #J-18808-Ljbffr Centene Corporation
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$56.2k - $101k
...analysis of practice coding patterns, education and training regarding risk adjustment to ensure accurate CMS payment and... ...audit requests (i.e. outside auditors’ requests). Serve on the RADV Committee... ...a flexible approach to work with remote, hybrid, field or office work...Remote workRiskFull timePart timeWork at officeFlexible hours- ...Job Summary: We are seeking a Risk Adjustment Coding Auditor with 8+ years of experience to support first- and second-pass audits for CMS RADV (Risk... ...Coder) certification Proficiency in Microsoft Office Suite (Excel, Word, Outlook) This is a remote position....Remote workRiskWork at office
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- ...analysis, create reports & develop educational materials. Incorporates basic... ...coding patterns to identify risks related to compliance,... ...Certified Professional Medical Auditor (CPMA), Certified Risk Coder... ...Sit with the ability to vary / adjust physical position or activity...Remote jobRiskFull timeLocal areaShift work
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$30 - $35 per hour
...Job Summary: We are seeking a Risk Adjustment Coding Auditor with 8+ years of experience to support first- and second-pass audits for CMS RADV... ...Microsoft Office Suite (Excel, Word, Outlook) This is a remote position. Compensation: $30.00 - $35.00 per hour...Remote workRiskHourly payWork at officeShift work- Oscar Health is hiring an Associate, Risk Adjustment Auditor to join their Risk Adjustment team. This remote position focuses on conducting quality audits specific to ICD-10 code abstraction accuracy. You will work with management to implement benchmarks and quality assurance...Remote jobRisk
$82.72k - $108.57k
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$32 - $37 per hour
*Job Description* The Risk Adjustment Coding Auditor ensures the accuracy and completeness of coded clinical... ...relevant experience including work, education, transferable skills, and military... ...) *Workplace Type*This is a fully remote position. *Application Deadline*...Remote workRiskContract workTemporary work- ...full-time Administrative Family Medicine nurse practitioner in Anaheim, CA to join the Risk Adjustment and HCC Coding Department. The role includes weekly telehealth visits, educating providers to improve documentation and coding accuracy, and primarily administrative...Remote jobRiskFull time
$35 - $38 per hour
...Title : Risk Adjustment Coding Auditor Location : Remote (To be eligible for this position, candidate must currently reside in one of the following... ...experience. All relevant experience, including work, education, transferable skills, and military experience, will...Remote workRiskFull timeContract workTemporary work$29 - $32 per hour
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...HCC (Hierarchical Condition Category) Auditor you will review medical records that have... ...of patient conditions for risk adjustment and reimbursement purposes. You will play... ...communication skills, ability to work in a remote environment and time management skills...Remote workRiskFlexible hours$72.8k - $80k
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...learning and advancement And so much more Description E\&M Coding Auditor/Educator performs comprehensive audits to determine integrity of coding... ...subject matter expert with all parties to provide input on risk and ensure a sustained understanding of federal coding...Remote jobRiskWork at office- ...Health is seeking an experienced MRA Coding Auditor to support QA audits of the internal... ...submitted to CMS. The role involves risk adjustment data validation, chart reviews, and process... ...and leading EHR systems. This is a remote position with competitive pay and benefits...Remote workRisk
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- ...seeking a Full-Time Coding Auditor. This role requires normal... ...Monday-Friday and is a remote position with occasional on-... ...superior customer experience by educating internally and externally of... ...Clinic Guidance, and CMS Risk Adjustment guidance. Performs ambulatory...Remote workRiskFull timeWork at officeWork from homeMonday to Friday
$28k
...Senior Premium Auditor (Workers' Compensation) | 100% Remote Opportunity General Summary... ...premium base for each risk of assigned accounts by performing... ...combinations of education and experience may be considered... ...organization and may be adjusted as needed. Travel:...Remote workRiskWork from home- JOB SUMMARY:The Risk Adjustment Auditor is responsible for reviewing medical records and related documentation to ensure accurate capture of diagnoses... ...documentation quality and coding accuracy.• Assist with education and training initiatives related to risk adjustment and...RiskWork at office
- ...Auditor RSSB are now seeking a home-based Auditor to join our... ...will prepare reports, perform risk management tasks to protect and... ...procedures. Undertake remote audits through verification and... ...If you require any reasonable adjustments with respect to our selection...Remote workRiskPermanent employmentWork at officeWork from homeFlexible hours
$65k - $90k
...and conducted according to a risk-based approach, and advisory services... ...consists of approximately 50 auditors that review insurance,... ...hybrid schedule of onsite and remote. It reports directly to a Corporate... ...projects on time, and adjust to changing priorities. Ability...Remote workRiskFlexible hours3 days per week- ...Position: Senior Auditor Location: Remote Clearance: N/A Responsibilities The Senior... ...work plan and communicate schedule adjustments to managers and/or partners.... ...apply concepts of materiality and audit risk. Prepare work papers that are informative...Remote workRiskContract workFor contractorsLocal area
$56.2k - $101k
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