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
- ...is seeking an ACO Coding Auditor to review medical records and ensure Medicare Risk Adjustment codes are captured accurately... ...to practices, driving quality improvements and compliance across coding procedures.... ...role requires on-site and remote audits, with travel to clinics...Remote jobRisk
$72.8k - $80k
...Orange County. Job Summary The Risk Adjustment Coding Auditor is responsible for... ...documentation assessments, and compliance monitoring activities to... ...conditions. Conduct second‑level quality assurance reviews and root... ...office environment and/or remotely. The job involves frequent...Remote workRiskFull timeWork at office$30 - $35 per hour
...Job Summary: We are seeking a Risk Adjustment Coding Auditor with 8+ years of experience to support first... ...(Excel, Word, Outlook) This is a remote position. Compensation: $30.... ..., data conversion, regulatory and quality reporting, enterprise data analytics,...Remote workRiskHourly payWork at officeShift work- 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
- ...Summary The ACO Coding Auditor is responsible for reviewing... ...it pertains to Medicare Risk Adjustment. You implement ongoing quality improvement activities... ...ACO’s for quality compliance. Essential Duties & Responsibilities... ...Performs on-site and remote clinical validation...Remote workRiskWork at officeFlexible hoursWeekend work
- Centene Corporation is seeking a Senior Risk Adjustment Auditor to support CMS payments and quality of care across our provider network in New York. The role... ...efforts, participate in the RADV Committee, and ensure compliance with risk adjustment guidelines while maintaining...Remote jobRisk
$35 - $38 per hour
...Title : Risk Adjustment Coding Auditor Location : Remote (To be eligible for this position, candidate must currently reside in one of the following... ...a strong commitment to data integrity, regulatory compliance, and accurate reimbursement. In this role, you will...Remote workRiskFull timeContract workTemporary work$151k - $176k
...Supplier & Internal Auditor to support the Quality Assurance organization... ...for assessing compliance with applicable global... ...audits (on-site and remote) in support of supplier... ...audit findings and risk.Internal AuditsExecute... ...Arrangement (may be adjusted based on business...Remote workRisk3 days per week$29 - $32 per hour
...Hierarchical Condition Category) Auditor you will review medical... ...representation of patient conditions for risk adjustment and reimbursement purposes.... ...coded charts assigned by quality supervisor per the client... ..., ability to work in a remote environment and time...Remote workRiskFlexible hours- ...Summary The ACO Coding Auditor is responsible for reviewing... ...it pertains to Medicare Risk Adjustment. You implement ongoing quality improvement activities... ...ACO’s for quality compliance. Essential Duties & Responsibilities... ...Performs on-site and remote clinical validation...Remote workRiskWork at officeFlexible hoursWeekend work
$56.2k - $101k
...and training regarding risk adjustment to ensure accurate... ...payment and improve quality of care. Analysis of... ...state assigned to ensure compliance of CMS risk... ...requests (i.e. outside auditors’ requests). Serves on... ...approach to work with remote, hybrid, field or office...Remote workRiskFull timePart timeWork at officeFlexible hours- UASI is actively seeking a Clinical Risk Adjustment Documentation Specialist to support... ...CDI and HCC coding in a fully remote capacity. You'll collaborate with physicians... ...care teams to ensure documentation quality and regulatory compliance while optimizing capture of patient...Remote jobRisk
- ...maintain an unrelenting focus on quality, client success, and team... ...POSITION TITLE: HCC Auditor ROLE TYPE: Full Time /... ...official ICD-10-CM and appropriate Risk Adjustment guidelines. This role will... ...FUNCTIONS: This is a remote role; the majority of the work...Remote workRiskFull timeTemporary workPart timeWork at officeHome office
- ...ProPharma Life Sciences Auditor Position ProPharma has improved... ...research solutions, quality & compliance, pharmacovigilance, medical... ...consulting solutions that de-risk and accelerate our partners'... ...The work may include onsite, remote, or hybrid audit activity depending...Remote workRiskPermanent employmentTemporary workFor contractorsFreelanceWork at officeFlexible hours
- ...bereavement leave, and hybrid/remote options Career Growth:... ...and cold. Job Summary: The Quality Assurance Auditor is responsible for ensuring... ...the accuracy, quality, and compliance of integration builds prior... ...defects, non-conformances, and risks prior to shipment to...Remote workRiskHourly payDaily paidSeasonal workWork at officeLocal areaFlexible hoursShift workDay shift
$60k - $90k
...Role As a GCP Clinical Auditor II , you will lead and... ...external audits to help ensure compliance with established quality assurance processes,... ...strategies to address identified risks. You may also conduct... ...(25-50%). Location: Remote United States. Relocation...Remote workRiskFull timeWork at officeWork from homeRelocation package- ...seeking a healthcare data coder to support risk adjustment coding for Medicare Advantage and ACA programs. This remote role emphasizes HCC coding, ICD-10, CMS... ...and RADV audits, while collaborating with quality and compliance teams to ensure accurate risk capture. You...Remote jobRisk
$88k - $120k
...Construction Defect Adjuster The Commercial General Liability (... ..., litigation management, and risk transfer, particularly across... ...control loss costs, and ensure compliance with client service standards... ...requirements, and internal quality expectations. Essential Functions...Remote workRiskWork experience placementWork at officeLocal areaFlexible hours- ...Datavant is seeking a meticulous HCC Auditor to translate clinical documentation into precise ICD-10 codes for risk adjustment and reimbursement. You will audit charts,... ...multiple client guidelines, and uphold high quality in a remote, fast-paced environment. Required are...Remote workRisk
- ...is seeking a Senior HCC Coding Auditor to perform audits, abstractions, and quality reviews aligned with ICD-10-CM and... .... This onsite role offers a remote option within a hybrid structure... ...Commercial and Medicare Advantage risk adjustment programs. The ideal candidate will...Remote workRisk
$28k
...Senior Premium Auditor (Workers' Compensation) | 100% Remote Opportunity General... ...base for each risk of assigned accounts... ...audit report in compliance with company policies... ...company standards for quality and production.... ...organization and may be adjusted as needed....Remote workRiskWork from home- ...Senior Auditor The Senior Associate works directly with all levels of the firm, including... ...the 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
$56.2k - $101k
...consideration. Work Schedule: This is a fully remote position with a standard Monday through... ...and operational requirements Execute risk based audits evaluating controls and... ...work schedules. Actual pay will be adjusted based on an individual's skills, experience...Remote workRiskFull timeContract workPart timeWork at officeWork from homeMonday to FridayFlexible hours$65k - $90k
...and conducted according to a risk-based approach, and advisory services... ...consists of approximately 50 auditors that review insurance,... ...hybrid schedule of onsite and remote. It reports directly to a Corporate... ...projects on time, and adjust to changing priorities. Ability...Remote workRiskFlexible hours3 days per week- JOB SUMMARY:The Risk Adjustment Auditor is responsible for reviewing medical records and related documentation... ...accurate capture of diagnoses in compliance with CMS risk adjustment guidelines... ...teams to improve documentation quality and coding accuracy.• Assist with education...RiskWork at office
$29 - $32 per hour
...Hierarchical Condition Category) Auditor you will review medical... ...representation of patient conditions for risk adjustment and reimbursement purposes.... ...coded charts assigned by quality supervisor per the client... ..., ability to work in a remote environment and time...Remote workRiskFlexible hours$73.45k - $132.78k
...Mission Assurance is seeking a Compliance Auditor to join our team in support of Quality activities across the sector. The... ...repositories.Assess audit and compliance risk within assigned processes and... ...effectiveness and schedule adjustments.Promote a culture of...RiskFull timeContract workWorldwide
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