ICD-10 Coding & Risk Adjustment Auditor
ICD Tagger
A healthcare organization in Braintree, Massachusetts, is seeking a Risk Adjustment Coder/Auditor. The successful candidate will code and analyze outpatient medical records according to ICD-10 and CPT guidelines. Responsibilities include ensuring accurate coding and educating network providers on documentation practices. This role plays a crucial part in maintaining accurate medical records according to relevant guidelines. #J-18808-Ljbffr
- ...Title: Certified Risk Coder Reports to: Manager, Risk Coding Classification: Individual Contributor Location: Boston... ...while ensuring accurate risk adjustment for patient care. The Certified Risk... ...Serves as an expert on ICD‐10‐CM coding guidelines, AHA Coding...RiskRemote work
$78k - $113k
Overview Position Summary The Manager of Risk Adjustment Coding manages the day-to-day operations of the Risk Adjustment Coding Team. This position... ...a unique data and reporting model to capture and optimize ICD-10 reporting to Payers to improve quality for our patients and...RiskFixed term contractFlexible hours- A leading healthcare provider in Boston seeks a Manager of Risk Adjustment Coding to oversee daily operations and ensure accurate coding practices. The role includes managing workflows, implementing quality initiatives, and collaborating with stakeholders to enhance patient...Risk
- Job Description Summary The Coding & Compliance Auditor evaluates medical record documentation and coding accuracy, identifies opportunities for improvement... ...documentation supports accurate CPT, HCPC’s, PCS and ICD-10-CM codes. Perform prospective and retrospective audits to...SuggestedWork experience placementLocal area
$110.2k - $122.3k
...Institute and external auditors, ensuring timely and accurate... ...among high-risk and underserved populations... ...external payer charge and coding audits, ensuring... ...medical billing, coding (ICD-10, CPT, HCPCS) and payer... ...change. Flexibility to adjust strategies and approaches...Risk$75k
...Category / Area of Expertise Risk Management & Insurance Job Requisition 483515 Address... ...USA-MA-Quincy-1385 Hancock Street Store Code Claims Management (5157503) Position Summary... ...responsible for the timely, good faith adjustment and disposition of self‑administered casualty...RiskFull timeLocal areaRemote workFlexible hours$116.7k - $132k
...oversight related to reviewing the accuracy and appropriateness of ICD-10-PCS procedure coding and assessing DRG assignment. The Senior Reviewer will... ...developments and work to determine applicability and risk to both technical and operational aspects of the organization...RiskWork at officeFlexible hours$169.4k - $279.6k
...• Help establish governance, risk, and control processes that ensure... ...field or equivalent, with 8 to 10 years of architecture... ...transformational change. Able to adjust plans, priorities and strategies... ...Hands-on experience with agentic coding tools such as Claude Enterprise...RiskTemporary workWork experience placementLocal area- Datavant is seeking a Client Coding Project Manager to provide superior quality in auditing risk adjustment coding efforts and ensuring compliance with organizational regulations. This role involves monitoring operations performance, providing training, and maintaining...Risk
$2,400 - $10,000 per month
...Diem This position covers all zip codes in: Suffolk County, MA... ...gaps in care, potential health risks and care management opportunities... ...Compensation: Pay Range: $2,400.00 - $10,000.00 per month (Potential... ...Association (AHA), Familiarity with ICD-10 and CPT-4 coding practices...RiskDaily paidLocal areaRemote work- ...of CDI and collaborates with coding, clinicians, medical staff, and... ...for accurate DRG assignment, risk of mortality, and severity of... ...changing work environment and adjusts work schedule accordingly. Minimum... ...with DRG reimbursement and ICD-10 coding. Equal Opportunity Employer...RiskRemote jobWork at office
$74k - $110k
...Position Summary: The Pharmacy Network Auditor is responsible for the maintenance and... ...procedures, and best practices Assess the risks outlined by audit vendor, perform... ...results in detail prior to initiating claim adjustments Review results to determine details...RiskContract work- ...Senior Internal Auditor We are one of the oldest investment management firms in the United... ...audit reports. - Identify and assess risk exposures across all business lines. - Keep... ...experience a plus. - Ability for up to 10% travel. Does this describe you? Do...RiskWork at office
- ...Assists in the preparation of Treasury’s risk‑based annual audit plan. Leads and executes... ...to the Director as the liaison to external auditors, third‑party entities, and state agencies.... ...Requirements Ability to lift up to 10 lbs. Ability to sit for extended periods...RiskWork at office
- ...for ER referral or immediate titration adjustment during business hours. ~ Provide warm... ...failure presentations. Documentation & risk capture Document all patient... ...asynchronous — in the EHR with accurate ICD-10 coding. Capture comorbidities accurately (e....RiskHourly payPermanent employmentFull timeContract workPart timeFor contractorsWork at officeImmediate startRemote work
$57.46k - $114.78k
School Adjustment Counselor / District Wraparound Services Coordinator Weymouth Public Schools... ...year (183 days) schedule plus an additional 10 days. This position is split equally... ...student safety. Ensure timely crisis response, risk assessments, safety planning, and...RiskFull timeLocal areaWork visaAfternoon shift$100k - $115k
...a regional cohort of 8-10 Field RNs dedicated to... ...documentation; identify coding errors and trends, and... ...and process (MDS/RAI), ICD‑10 coding, and applicable... ...indicators; flag risks and partner with care teams... ...budget; recommend staffing adjustments as volume grows....RiskContract workRemote workVisa sponsorshipWork visa$200k - $250k
## Portfolio Manager, Alternative Risk PremiaApplylocations: Boston, Massachusetts, United... ..., Education & Certifications* **Requires 10+ years of experience in a systematic or quant... ....* Experience working with python and AI coding tools in a professional investment setting...Risk$151.2k - $184.8k
Director of Risk Adjustment Data & Analytics Under the direction of the Senior Director of Medicare Risk Adjustment and Analytics, the Director of Risk Adjustment Data & Analytics is responsible for developing and executing the analytic plan for the Medicare and Merged...RiskFull time- ...Lead Auditor of Financial Reporting Controls Full-Time Boston, MA or Springfield, MA... ...organization. You’ll have an opportunity as a risk and control expert to lead the effort... ...value. The Minimum Qualifications ~10+ years audit/risk work experience within...RiskFull timeTemporary workPart timeWork experience placement
$75 - $80 per hour
...Continuously track project progress, making adjustments as necessary to ensure successful delivery according to established timelines. Risk Management • Proactively identify potential... ...(E-Verify). (Posting required by OCGA 13/10-91.). Seniority level Seniority level Mid-...RiskHourly payFull timeTemporary workWork at officeRemote workMonday to FridayShift work2 days per week3 days per week$133k - $190k
...into the SDLC while balancing regulatory, risk, and business requirements. As part of... ...enforce application security standards, secure coding practices, and control requirements •... ...Required Experience and Skills • 10 plus years of cybersecurity experience with...RiskLocal areaRemote workFlexible hours- ...Summary: Our award-winning client is seeking a Senior Auditor to join their team. Imagine safeguarding investor interests and strengthening... ...that enhance operational efficiency and mitigate risks. Communicate with clarity: Prepare well-written reports that...Risk
$50.22k - $57.75k
...Outpatient Coder will be a part of an emerging coding team under the billing and credentialing... ...: Assigns appropriate diagnosis codes (ICD‑10) and procedure codes (CPT/HCPCS) to patient... ...or documentation trends that may pose a risk to revenue stream and report such trends to...RiskWork at office$76.8k - $85.74k
...Internal Auditor II Full Time Professional – Canton, MA, US Salary Range: $76,800.00 To $85,740.00 Annually Rockland Federal Credit Union... ...join our team. Under the direction of the SVP, Administration & Risk, this role is responsible for evaluating internal controls, risk...RiskFull timeFlexible hours$200k - $225k
...-based care initiatives through quality coding and documentation Collaborate with an... ...care Effectively identify and document risk-adjustment diagnoses Support patients through... ...time off (vacation, sick leave, and CME) ~10 paid holidays ~$2,000 annual CME/...RiskHourly payTemporary workPart timeFlexible hoursShift work- ...the Internal Classification of Disease (ICD) coding. Responsible for all required network reporting... ...compliance with all company and FMS risk management initiatives. Collaborates with... ...training, and ICD-9 code training when ICD-10 applicable for new hires and works with...RiskTemporary workWork experience placementWork at office
- The Commonwealth of Massachusetts is hiring for the Risk Management Examiner I position in Boston. This hybrid role involves conducting financial examinations and assessing bank risk. Candidates should possess strong analytical skills and a background in finance. The successful...Risk
$106.9k - $147k
...Python, with at least 3 years of experience in coding and data manipulation. Prior experience... ...preferred. Exposure to Value-Based, Risk Sharing, or other alternative payment... ...incentive bonus. Travel Expectations: Up to 10% travel may be required, including...RiskFull timeContract workTemporary workApprenticeshipRemote workWork from home- ...Partner with and advise business stakeholders on internal controls, risk management, and process redesign initiatives Champion a... ...resource for audit methodology and process analysis Assist external auditors and other third parties as required Requirements 5+ years of experience...Risk
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