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
$59.3k - $80.9k
...of our caring community The Medical Coding Auditor extracts clinical information from a... ...terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The... ...outpatient coding experience (Preferably in a risk adjustment setting) ~ Knowledge of several...RiskFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeNight shift$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
$73k - $104.4k
...then please apply through the internal career site. The coding & compliance auditor evaluates medical record documentation and coding accuracy... .... Participate in professional societies relevant to ICD‑9‑CM, ICD‑10‑CM, PCS, and CPT. Attend continuing education activities...SuggestedWork experience placementLocal areaMonday to Friday$48.3k - $65.9k
...Become a part of our caring community The Risk Adjustment Coder conducts quality assurance coding of medical records and ICD-10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Risk Adjustment...RiskFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to FridayShift work- 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
$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$71.1k - $97.8k
...Become a part of our caring community The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical... ...assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor...Bi-weekly payFull timeContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday$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$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- 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
$53k - $80k
...Overview An Underwriting Auditor plays a critical role as a subject matter expert role... ...to identify trends and emerging risks; make recommendations to drive underwriting... ...audit processes. Proactively recommend adjustments to audit methodology and underwriting practices...RiskWork at officeFlexible hours- ...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
$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- ...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 placementImmediate start
- ...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$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- ...the Internal Classification of Disease (ICD) coding. • Responsible for all required network reporting... ...compliance with all company and FMS risk management initiatives. • Collaborates... ...training, and ICD-9 code training when ICD-10 applicable for new hires and works with...RiskTemporary workWork experience placementWork at office
- ...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
- ...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 officeRemote work
$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- Auditor | Professional and Administrative Support Services ProSidian is a consulting firm focused on Risk Management, Compliance, and other services for clients across various industries. We seek an Auditor to support professional services engagements for Environmental...RiskFull timeContract workWork at office
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