Remote Risk Adjustment Auditor | QA & Compliance
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- Remote job
Oscar is seeking an Associate, Risk Adjustment Auditor to join their Risk Adjustment team. This remote position will involve conducting internal and external quality audits of ICD-10 code abstraction and working to implement benchmarks. The ideal candidate has a Bachelor's degree and at least 3 years of risk adjustment coding experience. This role offers a competitive salary and benefits including medical, dental, and a 401(k) plan. #J-18808-Ljbffr name
- Oscar Health is hiring an Associate, Risk Adjustment Auditor for their Risk Adjustment team. This remote role focuses on conducting quality audits related to ICD-... ...completeness. You will engage in audit operations and compliance, while working with the management team to...Remote jobRisk
- 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
$64.38k - $96.58k
...that really matters, not only changing lives but saving them. Together. Job Summary Alignment Health is seeking a remote Risk Adjustment Compliance Auditor to support auditing and compliance activities related to risk adjustment data submitted to CMS. In this role, you...Remote workRiskFull timeLocal areaMonday to FridayFlexible hours$82.72k - $108.57k
Oscar is hiring an Associate, Risk Adjustment Auditor to join our Risk Adjustment team. This role involves conducting quality audits related to... ...benchmarks and quality assurance programs. This is a remote position available to candidates from select states. The base...Remote jobRisk$82.72k - $108.57k
Oscar is seeking an Associate, Risk Adjustment Auditor for a remote role to conduct internal and external quality audits focusing on ICD-10 code abstraction. The role requires collaboration with management to establish benchmarks and quality assurance programs. This position...Remote jobRisk$36.83 - $42.74 per hour
Honest Medical Group LLC is seeking a Risk Adjustment Auditor to ensure the accuracy and compliance of risk adjustment coding for providers and patients. The role requires auditing documentation and claims, identifying inaccuracies, and translating findings into educational...Remote jobRiskHourly pay- Quality Assurance Auditor II Join us as Quality Assurance... ...by ensuring regulatory compliance and quality standards.... ...on-site, virtual and remote audits of service providers... ...qualification Previous QA and GxP vendor auditing... ...problem solving, risk assessment and impact analysis...Remote workRisk
$150k - $206.3k
Humana Inc is looking for a Director of Risk Adjustment & Quality Record Retrieval to lead a national remote team of 300 associates. The role involves managing retrieval operations, driving performance through data-informed decisions, and fostering collaboration across...Remote jobRisk- Humana Inc is seeking a Director of Risk Adjustment & Quality Record Retrieval based in Hartford, CT, to lead a team of 300. This role involves... ...and a proven track record in operational management and compliance. Flexibility in work location is offered with occasional...Remote jobRisk
- Humana Inc. is seeking a Director of Risk Adjustment & Quality Record Retrieval to lead a national, remote workforce of 300 associates and drive all retrieval operations tied to Risk Adjustment and Quality priorities. The role focuses on performance management, escalation...Remote jobRisk
- Humana Inc. is seeking a Director of Risk Adjustment & Quality Record Retrieval to lead a national remote team, optimize retrieval operations, and drive compliance across risk, quality, and regulatory initiatives. The role emphasizes collaboration with Risk Adjustment,...Remote jobRisk
- 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... ...Adjustment Coder) certification Proficiency in Microsoft Office Suite (Excel, Word, Outlook) This is a remote position.Remote workRiskWork at office
- Oscar Health is hiring an Associate, Risk Adjustment Auditor for their Risk Adjustment team. This remote role requires conducting quality audits specific to ICD-10 code abstraction and ensuring compliance with coding standards. The ideal candidate holds a Bachelor's degree...Remote jobRisk
$82.72k - $108.57k
...Auditor, Risk Adjustment Arizona, United States Hi, we're Oscar. We're hiring an Associate,... ...Adjustment. Work Location: This is a remote position, open to candidates who... ...education are implemented. Maintain compliance with national standards and coding practices...Remote workRiskFull timeWork experience placementWork from homeHome office- Oscar Health is hiring a remote Associate, Risk Adjustment Auditor to join their Risk Adjustment team. This role involves conducting internal and external... ...operations related to risk adjustment, maintaining compliance with coding guidelines, and fostering relationships...Remote jobRisk
- ...Risk Adjustment Quality Specialist The Risk Adjustment Quality Specialist plays a vital role... .... Utilize coding software to ensure compliance with Medicare, Medicaid, and other... ...Management ~3M Coding Solution Knowledge Remote Work/Work-from-Home: This position...Remote workRiskWork from home
$70k - $75k
...& Insurance Attorney Auditor ** This is a fully remote position, and candidates... ...with law firms to discuss compliance with client's billing requirements... ...is the world's leading risk and claims administration... ...administration, loss adjusting, benefits administration,...Remote workRiskLocal areaWork from homeFlexible hours- ...identify opportunities to improve provider documentation and tailor education plans. The role reports to the Manager, Medicare Risk Adjustment. Responsibilities include arranging educational sessions, analyzing coding quality, and delivering on-site education while collaborating...Remote jobRiskWork from home
- ## Auditor, Branch and RealtyApplylocations: Columbia, MOtime... ...a background in auditing, compliance, operations, or risk management, you can be successful... ...locations.* Traveling to Remote/Branch locations as needed... ...* You’re adaptable and can adjust when priorities, timelines,...Remote workRisk
- ...Coding Auditor Location: Miramar, Florida At Memorial, we are dedicated to improving... ...compliant queries and assesses for compliance with AHIMA query standards. Reports results... ...Category Coder, CRC Certified Risk Adjustment Coder, or CPMA Certified Professional Medical...Remote jobRiskWork experience placementInternshipWork at officeShift work
- ...Educator 2 to drive documentation improvements and tailor education plans for providers. The role reports to the Manager, Medicare Risk Adjustment and will lead sessions, analyze trends, and present findings. You will use Excel/Power BI to visualize data, develop materials,...Remote jobRisk
- ...responsible for delivering high-quality risk adjustment coding services for clients. This role... ...assigning diagnosis codes, and ensuring compliance with CMS standards. Required... ...for professional growth. This is a fully remote role based in the United States. #J-188...Remote workRisk
$70k - $90k
...Job Title: QA Auditor (FSQA - Supplier & Internal) Job Description... ...supplier and co-manufacturer compliance for a growing food manufacturing... ...audits, including risk assessments and performance evaluations... ...such as the modification or adjustment of the job application process...RiskPermanent employmentTemporary workInternshipWork at office- The City of Lincoln is seeking a Coder Auditor to ensure the accuracy of clinical data supporting risk adjustment coding for the Medicare plan. The ideal candidate will work closely with healthcare providers to identify documentation gaps. Responsibilities include auditing...Risk
$30 - $37 per hour
...Billing Compliance Auditor (Law Firm Experience Required) San Diego, CA... ...within a collaborative, fully remote team that communicates directly... ...the billing department to adjust invoices following appeal... ...billing trends or compliance risks to management for resolution...Remote workRiskHourly payWork at officeShift work- The Alliance seeks a Risk Adjustment Director in California or hybrid. This role involves overseeing risk adjustment functions, managing the team, and providing expert advice on coding methodologies. Ideal candidates are seasoned leaders in managed care with substantial...Remote jobRiskLocal area
- ...Manager Risk Adjustment Program At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists... ...clinical excellence. Position details: Location: Tampa, FL (Remote - Must Reside in the State of Florida) Status: Full Time,...Remote workRiskFull timeShift work
$31.03 - $36.03 per hour
...in addition to the required work experience. ~3 years of risk adjustment and/or hierarchical condition category coding experience.... ...resolve complex medical record diagnosis questions and determine compliance with coding guidelines accepted by the federal government....Remote workRiskTemporary workWork experience placement- ...Senior Product Manager to lead the strategy and execution of a risk adjustment product. The ideal candidate should have 5-7 years of... ...across teams to enhance product offerings. The position is fully remote and offers a competitive salary and comprehensive benefits. #J...Remote jobRisk
- Role Description Director, Product Manager - Risk Adjustment (Remote) About the Role: ~Type: Full-Time, Salaried ~Compensation: $152,... ...Partnering with Clinical, Coding Operations, Engineering, Compliance, Finance, Customer Success, and Executive Leadership. ~...Remote workRiskFull timeTemporary workFlexible hours
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