Remote ACO Coding Auditor - Medicare Risk Adjustment
Cano Health
- Remote job
Cano Health is seeking an ACO Coding Auditor to review medical records and ensure Medicare Risk Adjustment codes are captured accurately for CMS and Commercial ACOs. You will act as a consultant to practices, driving quality improvements and compliance across coding procedures. The role requires on-site and remote audits, with travel to clinics as needed. The ideal candidate has CPC/CRC/CCS-P/CCS-H/RHIT certification and 3+ years in Medicare Risk Adjustment, plus strong ICD-10/CPT expertise. #J-18808-Ljbffr Cano Health
$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 states... ...health plan serving members across commercial, Medicare, and Medicaid lines of business, with a strong commitment...Remote workRiskFull timeContract workTemporary work- ...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
- 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
- Oscar Health is hiring a remote Associate, Risk Adjustment Auditor to join their Risk Adjustment team. This role involves conducting internal and external quality audits specific to ICD-10 code accuracy. The ideal candidate will have experience in risk adjustment coding...Remote jobRisk
- 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-10 code accuracy and completeness. You will engage in audit operations and compliance, while working with the...Remote jobRisk
$30 - $35 per hour
...Risk Adjustment Coding Auditor We are seeking a Risk Adjustment Coding Auditor with 8+ years of experience to support first- and second-pass audits... ...Office Suite (Excel, Word, Outlook). This is a remote position. Compensation: $30.00 - $35.00 per hour The...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
- Cambia Health Solutions is seeking a Risk Adjustment Auditor I or II for a hybrid role with three days in office across designated U.S. locations... ...reviews to ensure accurate risk adjustment reporting and coding integrity. You will analyze provider documentation,...Remote jobRiskWork at office
$72.8k - $80k
...Risk Adjustment Coding AuditorHuntington Beach Office - Huntington Beach, CA... ...California's fastest-growing Medicare Advantage plans with an... ...SummaryThe Risk Adjustment Coding Auditor is responsible for... ...office environment and/or remotely. The job involves frequent...Remote workRiskWork at office$29 - $32 per hour
...Hierarchical Condition Category) Auditor you will review medical records that have been coded in a standardized system,... ...representation of patient conditions for risk adjustment and reimbursement purposes. You... ...skills, ability to work in a remote environment and time management...Remote workRiskFlexible hours- ...POSITION TITLE: HCC Auditor ROLE TYPE: Full Time /... ...official ICD-10-CM and appropriate Risk Adjustment guidelines. This role will be... ...validating the assignment of HCC codes (and possibly complete code... ...FUNCTIONS: This is a remote role; the majority of the work...Remote workRiskFull timeTemporary workPart timeWork at officeHome office
- ...ACO Coding AuditorIt's rewarding to be on a team of people that... ...to join us.The ACO Coding Auditor is responsible for reviewing... ...information as it pertains to Medicare Risk Adjustment. You implement ongoing... ...ResponsibilitiesPerforms on-site and remote clinical validation audits...Remote workRiskWork at officeFlexible hoursWeekend work
- ...enthusiasts to join us. Job Summary The ACO Coding Auditor is responsible for reviewing medical... ...information as it pertains to Medicare Risk Adjustment. You implement ongoing quality improvement... ...Performs on-site and remote clinical validation audits and interpretation...Remote workRiskWork at officeFlexible hoursWeekend work
- The Jacobson Group is seeking a Medicare risk adjustment coder to support a long-term MA risk adjustment initiative. The role involves high-volume... ...and requires attention to accurate, specific diagnosis coding. You will audit and validate codes, review medical documentation...Risk
- ...is seeking an experienced Quality Assurance Coder/Auditor with strong expertise in HCC coding, risk adjustment, and medical record auditing to join our team in Phoenix... ...compliant and accurate coding practices across Medicare and commercial plans. #J-18808-Ljbffr DaMar...Risk
- ...Datavant is seeking a meticulous HCC Auditor to translate clinical documentation into precise ICD-10 codes for risk adjustment and reimbursement. You will audit charts, adapt... ...client guidelines, and uphold high quality in a remote, fast-paced environment. Required are 2...Remote workRisk
$28k
...Senior Premium Auditor (Workers' Compensation) | 100% Remote Opportunity General Summary... ...premium base for each risk of assigned accounts by performing... ..., proper classification coding and proper allocation of... ...organization and may be adjusted as needed. Travel:...Remote workRiskWork from home- ...Quality Assurance Coder/Auditor" for a Contract... ...Location: 100% Remote Responsibilities... ...of HCC Coding rules, regulations... ...signature, according to Medicare Managed Care... ...program in support of risk mitigation analysis... ...Chapter 7 - Risk Adjustment and Medicare outpatient...Remote workRiskFull timeContract workWork at office
- ...Working remotely in a full-time capacity, the Certified Risk Adjustment Coder will perform risk adjustment coding and quality assurance validation, including prospective medical record... ..., while ensuring compliance with Medicare guidelines and coding regulations. Key...Remote workRiskFull time
- JOB SUMMARY:The Risk Adjustment Auditor is responsible for reviewing medical records and related documentation... ...adjustment guidelines and ICD-10-CM coding standards. This role plays a critical... ....• Previous auditing experience in Medicare Advantage and ACA preferred.•...RiskWork at office
- ...is seeking a Full-Time Coding Auditor. This role requires normal... ...hours Monday-Friday and is a remote position with occasional on... ...Clinic Guidance, and CMS Risk Adjustment guidance. Performs ambulatory... ...and regulations, Medicare, other MA and commercial plans...Remote workRiskFull timeWork at officeWork from homeMonday to Friday
$68.57k - $104.84k
...Control/Clinical Auditor. The Diagnostic Related... ...(clinical/coding) reviews of medical... ...rules. This is a remote position. ESSENTIAL... ..., including Medicare and Medicaid Understand... ...range and these adjustments would be clarified... ...Opportunities in Risk Management In...Remote workRiskMinimum wageFull timeWork at officeLocal areaFlexible hours- ...as hybrid, onsite or remote. While the majority... ...Quality Assurance Coder/Auditor will develop a risk mitigation and... ...historical diagnoses/coding error trends, accurate... ...with a valid Risk Adjustable provider. Coder/Auditor... ..., according to Medicare Managed Care requirementsPerform...Remote workRiskFull timeWork at office1 day per week
$56.17k - $70.22k
...Medical Coding Auditor - Must have a NM Residence UNM Medical... ...This opportunity is a REMOTE, full-time, day shift... ...will be prorated and adjusted to the appropriate FTE... ...the annual work plan risk assessment and evaluates... ...third party payers, Medicare Advantage plans, and Recovery...Remote workRiskPermanent employmentFull timeFor contractorsLive inWork from homeRelocationRelocation packageDay shift$70k - $85k
...currently seeking a highly motivated Risk Adjustment Coding Specialist. This role will... ...medical records to verify that all Medicare Advantage, Affordable Care Act (ACO) and Commercial risk adjustment... ...(approximately 75% travel) with remote support to help practices. The...Remote workRiskWork at officeWork from homeHome office- ...About the Role As a Medical Coding Auditor, you will be responsible for conducting routine... ...comfortable working independently in a remote setting, yet you value being part of a... .... Strong understanding of HCC / risk adjustment coding principles, clinical documentation...Remote workRiskFull time
- ...Job Overview Role type: Risk Adjustment Coding Auditor. Quantity of resources: 2. Duration: 6 months. JD: This role will be occupied by a certified risk adjustment coder to support first and second pass auditing for CMS RADV's. Required Skills MS Suite CPC certified CRC...Risk
- Vytwo in Dallas, TX seeks a Risk Adjustment Coding Auditor for a 6-month engagement to support CMS RADV audit passes. The role requires a CPC and CRC certification and 5+ years of risk adjustment experience, with proficiency in MS Office. The team will run first and second...Risk
- ...the health plan and supplies the model of care. The Coding and Medical Records Auditor will be responsible for conducting coding audits prior... ...Condition Categories (HCC) conditions applicable to Medicare Risk Adjustment reimbursement initiatives. Work assigned coding...Remote jobRisk
- ...seeking a Certified Medical Coding Auditor with emphasis on auditing surgical... ...identifies coding compliance risks (including undercoding,... ...can work in either a hybrid or remote setting. If remote, must... ...perception, and the ability to adjust focus While performing the...Remote workRiskFull timeWork at officeLocal areaFlexible hoursNight shift
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