Remote Risk Adjustment Auditor: Quality & Compliance
Oscar Health
- Remote job
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 programs. The ideal candidate should possess a Bachelor's degree or relevant experience, have CPC certification, and at least 3 years of risk adjustment coding experience. Benefits include medical, dental, and annual performance bonuses. #J-18808-Ljbffr Oscar Health
- 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... ...conducting internal and external quality audits specific to ICD-10 code... ...related to risk adjustment, maintaining compliance with coding guidelines, and...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... ...will engage in audit operations and compliance, while working with the management team...Remote jobRisk
$82.72k - $108.57k
...Auditor, Risk Adjustment Arizona, United States Hi, we're Oscar. We're hiring... ...internal and external quality audits. Quality audits are... ...Work Location: This is a remote position, open to candidates... ...are implemented. Maintain compliance with national standards and...Remote workRiskFull timeWork experience placementWork from homeHome office$80k - $108k
...Auditor II Product Certification NSF is... ...evaluates implemented quality and product safety... ...audit Verify compliance with applicable standards... ...Identify systemic risks, recurring issues,... ...from a remote/home?based location... ...estimate has not been adjusted for the applicable...Remote workRiskLive inWork from homeWorldwideShift work$27.88 - $32.21 per hour
...Risk Adjustment Coder Denver, CO; United States (Central Time Zone); United States (Eastern... ...with physicians, team members, quality, and compliance partners at enterprise and leadership... ...communication skills. Ability to work in a remote team environment while also being a...Remote workRiskHourly payFlexible hours$90k - $120k
...Description Job Title: Quality Assurance Engineer... ...Manufacturing Organizations' compliance with cGMPs, reviewing... ...and compliance risks to QA Management, including... ...is potential for remote/hybrid work after the... ...as the modification or adjustment of the job application...Remote workRiskPermanent employmentContract workWork at officeMonday to FridayShift work$26.29 - $48.91 per hour
...Job Description: Performs quality reviews on coded records to... ...considerations with regulatory compliance. Prepares statistical... ...to work independently in a remote setting. [Required] • Critical... ...• Possesses knowledge about risk adjustment and publicly reported hospital...Remote workRiskFull timeWork experience placementWork at officeLocal areaShift work- ...Position: Senior Auditor Location: Remote Clearance: N/A Responsibilities The Senior... ...work plan and communicate schedule adjustments to managers and/or partners.... ...apply concepts of materiality and audit risk. Prepare work papers that are informative...Remote workRiskContract workFor contractorsLocal area
$56.17k - $70.22k
...Medical Coding Auditor - Must have a NM Residence UNM Medical... ...Auditor to join our Compliance Team. This opportunity is a REMOTE, full-time, day shift opening... ...will be prorated and adjusted to the appropriate FTE. Summary... ...of the annual work plan risk assessment and evaluates...Remote workRiskPermanent employmentFull timeFor contractorsLive inWork from homeRelocationRelocation packageDay shift$59.3k - $80.9k
...The Medical Coding Auditor extracts clinical information... ...and records for compliance with federal coding regulations... ...in process and quality improvement projects... ...experience (Preferably in a risk adjustment setting) ~ Knowledge... ...: While this is a remote position, occasional travel...Remote workRiskFull timeTemporary workApprenticeshipWork at officeNight shift- ...days onsite and 2 days remote (onsite Tuesdays, Wednesdays... ...for executing risk-based audits from planning... ...reporting, delivering high-quality work within established... ..., notifying the lead auditor promptly of any issues... ...goals. Sets goals and adjusts throughout the year...Remote workRiskFlexible hours
- ...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...Risk
- ...or practices that are not in compliance with Company service standards... ...Company audits2.2. Conduct risk assessment of assigned departments... ...1. Provides documentation of quality and compliance activities,... ...the audience.Coordination – Adjusting actions in relation to others...Risk
$70k - $75k
...Services & Insurance Attorney Auditor This is a fully remote position, and candidates... ...with law firms to discuss compliance with client’s billing... ...Sedgwick is the world’s leading risk and claims administration... ...administration, loss adjusting, benefits administration,...Remote workRiskLocal areaWork from homeFlexible hours$75k - $80k
...MondayFriday Work Model: Fully Remote Jurisdictions: All except... ...to solve their most complex risk management challenges,... ...investigation, evaluation, and adjustment of assigned multi-line... ...throughout the day while maintaining quality and compliance. This position plays a...Remote jobRiskMonday to FridayShift work$95k - $125k
...Description The GCP Auditor supports and strengthens the Quality Management System by leading... ...CAPA, while ensuring compliance with current GCP regulations... ...and provides a fully remote work arrangement with... ...as the modification or adjustment of the job application process...Remote workPermanent employmentContract workLocal areaHome office$68.57k - $104.84k
...Clinical Review QC Auditor CERIS in Fort Worth, TX is seeking a DRG Quality Control/Clinical Auditor.... ...necessity rules. This is a remote position. Essential... ...salary range and these adjustments would be clarified... ...Careers | Opportunities in Risk Management In...Remote workRiskMinimum wageFull timeWork at officeLocal areaFlexible hours- A leading insurance and risk management firm is seeking a Claims Adjuster in Dallas, Texas. The ideal candidate will have 3-5 years of experience managing lost... ...compensation package and the possibility for remote work. Join a team committed to making a difference during...Remote workRisk
$70k - $90k
...hire a Site Security Auditor in the near future. The... ...practices, including risk management, control implementation... ...controls and verify compliance. Assess the severity... ...leadership to develop adjustments to existing policies... ...life and wellbeing Quality, integrity, dedication...Remote jobRiskWork from homeFlexible hours$66.3k
...Health And Safety Auditor At Jacobs, we're... ...audits to ensure compliance with internal policies... ...and deliver high quality reports and... ...identify hazards, assess risk, and prioritize... ...offices/projects and remote locations enabling... ...or reasonable adjustments with regards to the...Remote workRiskFull timeFor contractorsWork at officeLocal area$68.57k - $104.84k
...Worth, TX is seeking a DRG Quality Control/Clinical Auditor. The Diagnostic Related... ...necessity rules. This is a remote position. ESSENTIAL... ...the salary range and these adjustments would be clarified during... ...Careers | Opportunities in Risk Management In general,...Remote workRiskMinimum wageFull timeWork at officeLocal areaFlexible hours- ...Associate responsible for delivering high-quality risk adjustment coding services for clients. This role... ...diagnosis codes, and ensuring compliance with CMS standards. Required qualifications... ...professional growth. This is a fully remote role based in the United States. #J-18...Remote workRisk
$80k - $90k
...to preventing health risks related to food, environment... ...We are looking for a Remote Auditor in USA. Your mission... ...Support corporate quality and continuous improvement... ...individual determines compliance against a given set of... ...Flexibility to adjust to accommodate scheduling...Remote jobRiskFull timeWork experience placementWork at officeLocal areaWork from homeNight shiftWeekend work$57.4k - $99k
...The Physician Coding Auditor develops and implements strategic... ...annual performance reviews and quality assurance reviews to assess... ...provides reports related to compliance risks when requested. Experience... ...experiences. ~ This is a remote position; however,...Remote workRiskTemporary workWork at officeImmediate start$36.06 - $50.48 per hour
...: Correctional Health Auditor/Monitor Pay: $36.06 - $50.48 per hour Remote: Must be able to travel... ...processes, mitigate risks, and enhance transparency... ...to support nationwide compliance inspections for a... ...professional who can evaluate the quality of medical care...Remote workRiskHourly pay$38.72 - $58.08 per hour
...offers a 1 day per week remote option Summary... ..., financial and compliance audits to identify process... ...provides feedback on the risk assessment. Responsibilities... ...to our success in quality, patient experience,... ...standards. Base pay rates are adjusted as needed to stay...Remote workRiskFull timeTemporary workLocal areaFlexible hoursShift work1 day per week$57.73k - $80.24k
...Summary The RCS Medical Coding Auditor is responsible for... ...coding to ensure accuracy, compliance, and alignment with AMA... ...integrity, mitigates compliance risk, and drives continuous quality improvement through... ...laws, and making budgetary adjustments accordingly, we strive to...RiskWork at officeLocal area- ...data analytics tools like Excel and Power BI is essential. This position supports hybrid work with some travel to provider offices required. A strong knowledge of Risk Adjustment and coding guidelines is necessary, along with excellent communication skills. #J-18808-LjbffrRemote workRisk
$20.04 - $21.71 per hour
...difference? Apply to be a Compliance Auditor today! What will your day... ...billable services and compliance risks specific to CCBHC... ...leadership, clinical staff, and quality teams to communicate audit results... ...and education. Compensation adjustments are evaluated annually. *...RiskFull timeRelocation packageMonday to Friday
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