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
$24.04 - $33.65 per hour
Boston Medical Center is looking for a Risk Adjustment Coder to accurately assign ICD-10-CM diagnosis codes based on clinical documentation. The role entails reviewing medical records for coding accuracy and compliance, requiring two years of relevant coding experience...Risk- Title: Certified Risk Coder Reports to: Manager, Risk Coding Classification: Individual Contributor Location:... ...complexity while ensuring accurate risk adjustment for patient care. The Certified... ...Serves as an expert on ICD‑10‑CM coding guidelines, AHA Coding...RiskRemote job
- Join Dana-Farber Cancer Institute as a Senior Billing Compliance Reviewer where you will oversee the accuracy of ICD-10 coding and audit processes. This role involves collaboration with various departments, ensuring compliance with billing guidelines, and assisting in the...Suggested
- ...Risk Adjustment Coder/Auditor Location: Braintree, Massachusetts The coder’s primary responsibilities are to code, abstract and analyze outpatient medical records using ICD-10 and CPT coding guidelines and educate network providers on proper documentation and coding practice...Risk
$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$86.4k
...plans and managing activities in support of Risk Adjustment and Quality/HEDIS. Directs the daily... ...direct reports supporting Risk Adjustment Coding and Quality/HEDIS. Assesses viability of... ...work site required No Lifting: up to 10 pounds Constantly Lifting: 10 to 25...RiskFor contractorsWork at officeLocal areaRemote work- 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
$73k - $104.4k
...40 Shift: Day (United States of America) The Coding & Compliance Auditor evaluates medical record documentation and coding accuracy,... ...clinical documentation supports accurate CPT, HCPC's, PCS and ICD-10-CM codes. Perform prospective and retrospective audits...Full timeWork experience placementLocal areaMonday to FridayShift work$24.04 - $33.65 per hour
POSITION SUMMARY The Risk Adjustment Coder determines the appropriate ICD10-CM diagnoses codes based on clinical documentation that follows the Official Guidelines for... ...Categories (HCC). Risk adjustment coding relies on ICD-10-CM coding to assign risk scores to patients....RiskFull timeWork experience placementFlexible hours- 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...Work experience placementLocal area
$175k
Category/Area of Expertise: Risk Management & Insurance Job Requisition... ...-1385 Hancock Street Store Code: Claims Management (5157503) Position... ...III role is a senior-level adjusting position responsible for the... ...Basic Qualifications Minimum 10 years of progressively responsible...RiskFull timeRemote workFlexible hours$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- Risk Adjustment Coding Specialist will play a pivotal role in supporting accurate and complete diagnosis documentation as part of Gather Health’s commitment to value-based care under Medicare Advantage and ACO REACH contracts. Embedded within a collaborative, interdisciplinary...RiskTemporary workLive inWork at officeLocal areaImmediate start
$100k - $231.54k
...seeks a Lead Director - Revenue Integrity, focusing on Medicaid risk adjustment and revenue integrity initiatives. This position involves... ...regulated environment. The ideal candidate will have a minimum of 10 years of experience and strong analytical and leadership skills...RiskFull time$29 - $52 per hour
...organizations reduce costs while improving risk management, quality and revenue... ...system. Where applicable, the Auditor will support appeal and fraud... ...of medical terminology and claim coding with familiarity of CPT-4, HCPCs and ICD-10 code terminology Familiarity with...RiskHourly payMinimum wageFull timeContract workWork experience placementLive inLocal areaRemote workMonday to FridayShift work$196.75k - $255.7k
...on revenues, expenditures, and adjustments to the operating and capital... ...finance, tax, budget management, risk management, and compliance,... ..., occasional lifting of up to 10 pounds, reaching, lifting, stooping... ...computer screen, detect color-coding and read fine print will be...RiskWork at officeRemote work$2,400 - $10,000 per month
...Diem This position covers all zip codes in: Norfolk 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$93.8k - $106k
...analyzing documentation, educating staff, and collaborating with various teams. Ideal candidates should have 5 years of healthcare coding experience and required certifications. The position offers a salary range of $93,800 to $106,000 and is a full-time opportunity....RiskFull time$100k - $231.54k
...responsible for driving segment-level performance across Medicaid risk adjustment and revenue integrity initiatives. This role leads strategic... ...dynamics. 4. Talent Leadership & Organizational Development (10%) Lead and develop a high‑performing team with clear accountability...RiskHourly payFull timeTemporary workWork experience placementWork at officeLocal area- Gather Health Gather Health Primary Care, Inc. in Boston is seeking a Risk Adjustment Coding Specialist to ensure accurate coding practices that align with Medicare Advantage regulations. This role involves collaborating with a clinical team to improve patient outcomes...Risk
- Gather Health is seeking a Risk Adjustment Coding Specialist to support accurate diagnosis documentation as part of its value-based care initiatives. This role plays a crucial part in ensuring compliance with coding practices and enhancing quality outcomes under Medicare...Risk
$63.44k - $95.16k
...Category/Area of Expertise: Risk Management & Insurance Job Requisition: 483515... ...USA-MA-Quincy-1385 Hancock Street Store Code: Claims Management (5157503) Ahold... ...The Analyst II role is an experienced adjusting position responsible for managing a caseload...RiskFull timeLocal areaRemote work$276.93k - $338.47k
...Vice President, Stars & Risk Adjustment Performance Reports to: Senior Vice President, Government Programs Position Overview The Vice President of Stars & Risk Adjustment Performance is a strategic and analytical senior leader responsible for directing and monitoring...RiskShift work$86.4k - $138.6k
A leading health organization in Boston is seeking a manager for Risk Adjustment and Quality/HEDIS. The role involves directing daily operations, improving coding processes, and ensuring compliance with regulatory standards. The ideal candidate has a health-related degree...RiskRemote job$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$20 per hour
...maintenance, financial, administration & risk management. As an on-site leader, you will... ...trends and recommend strategies and adjustments Develop yearly operating budgets/forecasts... ...the timely receipt, reconciliation, and coding of all vendor invoices Ensure property closeout...RiskHourly payPermanent employmentFull timeFor contractorsWork at officeNight shiftWeekend work$58.5k - $85k
...closely with Product, Regional Underwriting, Sales teams to ensure risks are evaluated consistently, efficiently, and in alignment with... ...opportunities. Support Product by providing insight to help adjust underwriting appetite based on portfolio performance, market dynamics...RiskFlexible hours- 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
$40 - $45 per hour
...looking for a Domestic Content Adder Compliance Auditor (DCACA) on behalf of our client. This is a... ...is necessary to secure an additional 10% tax credit under the Inflation Reduction... ...status updates to management (open items, risk areas, aging, and trends) and recommend...RiskContract workFor contractorsRemote work$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
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