Remote Risk Adjustment Educator & Auditor
Centene Corp.
- Remote job
Centene Corporation seeks a remote Radv/Risk-Adjustment Education Specialist for the Southern Nevada Territory. You will audit provider medical records, analyze CMS risk adjustment patterns, and develop interventions with cross-functional teams. Training venues include offices, webinars, calls, and emails. The role requires 5+ years in hospital/physician/MCO coder roles, HCC coding knowledge, and teaching experience; CPC/CCS/CPMA/CRC certifications preferred. Salary range shown below. #J-18808-Ljbffr Centene Corp.
$56.2k - $101k
...analysis of practice coding patterns, education and training regarding risk adjustment to ensure accurate CMS payment and... ...market level. Key Details: Remote role with Southern Nevada... ...adjustment audit requests (i.e. outside auditors’ requests). ~ Serves on the RADV...Remote workRiskFull timePart timeWork at officeFlexible hours- Centene Corporation is seeking a remote risk adjustment auditor to conduct provider medical record audits and educate providers on CMS risk-adjustment coding. The role emphasizes collaboration with Provider Relations, Quality teams and the Medical Director for the state...Remote jobRisk
- Centene Management Company LLC seeks a Risk Adjustment Data Validator who will conduct provider medical record audits, analyze coding patterns, and develop education programs to ensure CMS payment accuracy and quality of care. The role includes leading training across...Remote jobRisk
- Centene Corp. in the United States (Nevada region) seeks a Remote Risk Adjustment Auditor to conduct provider medical record audits and analyze CMS risk adjustment data. The role focuses on training providers, ensuring compliant coding, and coordinating with Provider Relations...Remote jobRisk
$70.72k - $116.69k
...Responsibilities As our Coding Auditor and Educator Professional Fee, you will utilize ICD... ...and provide continuous education on Risk Adjustment, HCCs, and MEAT criteria to improve documentation... ...KS and NM, this position is open to remote/out of state candidates residing in...Remote workRiskTemporary workWork experience placement- CommonSpirit is seeking a Coding Auditor and Educator for Professional Fee coding across a national footprint, including remote work from select US states. You will audit, educate... ...on strategic coding initiatives, risk adjustment, and MEAT criteria. #J-18808-Ljbffr Mountain...Remote jobRisk
- CommonSpirit Health seeks an experienced Coding Auditor and Educator for Professional Fee services. You will audit and educate on ICD-10-... ...You will onboard new hires, deliver ongoing education on Risk Adjustment, HCCs, and MEAT criteria, and lead initiatives to standardize...Remote jobRisk
- CommonSpirit is seeking a Coding Auditor and Educator for Professional Fee coding. You will audit ICD-10-CM, CPT-4, and HCPCS, educate the... ...and implementing updates. You will also lead training on Risk Adjustment, HCCs, MEAT criteria, and maintain SME-level knowledge to...Remote jobRisk
- CommonSpirit is seeking a Coding Auditor and Educator Professional Fee to ensure accurate professional fee coding across the organization... ...will lead onboarding, develop ongoing training programs on Risk Adjustment, HCCs, MEAT criteria, and communicate regulatory changes...Remote jobRisk
- CommonSpirit is seeking a Coding Auditor and Educator for Professional Fee coding, auditing, and training across the organization. You will... ...coding practices. You will leverage expertise in risk adjustment, MEAT criteria, and documentation improvement to drive accuracy...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... ...Coder) certification Proficiency in Microsoft Office Suite (Excel, Word, Outlook) This is a remote position....Remote workRiskWork at office
- Baptist Health in Boca Raton is seeking a Risk Coding Regional Auditor to support the Director of risk... ...reviews and up-coding workflows. You will educate providers on documentation and coding... ...certification requirements in risk adjustment coding. Join a faith-driven health...Risk
- Centene is seeking a senior risk adjustment specialist to lead provider education and CMS data validation across assigned markets. You will analyze MRA data, identify patterns, and coordinate with multiple internal teams to ensure accurate coding and compliant CMS risk...Risk
- ...analysis, create reports & develop educational materials. Incorporates basic... ...coding patterns to identify risks related to compliance,... ...Certified Professional Medical Auditor (CPMA), Certified Risk Coder... ...Sit with the ability to vary / adjust physical position or activity...Remote jobRiskLocal areaShift work
- Alignment Healthcare is seeking a Remote Risk Adjustment Compliance Auditor to conduct provider and coder reviews ensuring accurate risk adjustment data is submitted to CMS. You will develop tracking tools, review outcomes, and participate in audits related to risk adjustment...Remote jobRisk
$35 - $38 per hour
...Job Description Title : Risk Adjustment Coding Auditor Location : Remote Job Type : Contract (5 months) Compensation : $35.00 -... ...analytical skills. ~ Experience providing coding education, audit feedback, and error trend analysis. ~ Proficiency...Remote workRiskHourly payContract workWork at office- Cambia Health Solutions is seeking a Risk Adjustment Auditor I or II to perform retrospective and prospective chart reviews to ensure accurate risk adjustment reporting. You will verify codes, identify trends, and collaborate on improvement strategies in a collaborative...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, including OR/UT/ID states. The role focuses on retrospective and prospective chart reviews to ensure accurate risk adjustment...Remote jobRiskWork at office
$32 - $37 per hour
...This position is 100% remote Job Description The Risk Adjustment Coding Auditor ensures the accuracy and completeness of coded clinical data to support compliant reporting and appropriate reimbursement across risk adjustment programs. The role strengthens organizational...Remote workRiskContract workTemporary work$64.38k - $96.58k
...not only changing lives but saving them. Together. The Remote Risk Adjustment Compliance Auditor is to conduct provider and coder level reviews and... ...as needed. Suggests customizations of Risk Adjustment education for support staff, PCPs, specialists, employees, contracted...Remote workRiskLocal area- TEKsystems is seeking a Risk Adjustment Coding Auditor to ensure accuracy and integrity of coded clinical data across risk adjustment programs. The... ...regulatory risk, and supporting compliant reporting. Primarily remote with contract flexibility. The candidate will review CMS...Remote jobRiskContract work
- Datavant is seeking an HCC Auditor to review coded medical records for risk adjustment and reimbursement. This fully remote role requires at least 2 years of HCC coding and 2 years of auditing experience, with strong ICD-10 knowledge and excellent written communication...Remote jobRisk
- Community Care Cooperative seeks a Provider Educator - Risk Adjustment & Value-Based Care to develop, implement, and deliver education programs focused on clinical documentation, risk adjustment coding, population health, and value-based care performance. You will partner...Remote jobRisk
- Community Care Cooperative (C3) seeks a Provider Educator - Risk Adjustment & Value-Based Care to lead education programs on clinical documentation, risk adjustment coding, and population health. You will partner with health centers, providers, and leadership to improve...Remote jobRisk
- Astrana Health is seeking a Certified Risk Coder to support risk adjustment initiatives by ensuring accurate capture and validation of diagnoses through medical record review and coding analysis. The role partners with providers and clinical teams to improve documentation...Remote jobRisk
$29 - $33 per hour
...HCC (Hierarchical Condition Category) Auditor you will review medical records that have... ...of patient conditions for risk adjustment and reimbursement purposes. You will play... ...communication skills, ability to work in a remote environment and time management skills...Remote workRiskHourly payFlexible hours- Astrana Health, Inc. is seeking a Risk Adjustment Coding Specialist II to support the Northern... ...chart reviews to identify coding gaps and educate providers to improve CMS risk... ...hybrid work structure combining field and remote work. #J-18808-Ljbffr Astrana Health,...Remote workRiskWork at office
$29 - $33 per hour
...this space are in consistent demand as risk adjustment and value-based care models expand under... ...on the lower end for experienced HCC Auditors. Industry benchmarks from AAPC and AHIMA... ...data interoperability Green Flags: Fully remote position; mission-driven company in the...Remote workRiskHourly payFlexible hours$35 - $38 per hour
Title: Risk Adjustment Coding Auditor Location: Remote Job Type: Contract (6 months) Compensation: $35.00 - $38.00 per hour Industry: Health Insurance About... ...experience, including applicable work experience, education, transferable skills, or military experience. 5+ years...Remote workRiskHourly payContract workWork experience placementWork at office- ...through accessible, compassionate, high-quality care. Learn more at valleymed.org. Job Description The Risk Adjustment Auditor and Physician Educator is responsible for developing the process and reporting for performing annual, period, and other quality assurance...RiskWork at officeFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Risk Adjustment Educator & Auditor. Be the first to apply!


