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
$72.8k - $80k
...Risk Adjustment Coding AuditorHuntington Beach Office - Huntington... ...Adjustment Coding Auditor is responsible for... ...assessments, and compliance monitoring activities... ...education, and continuous quality improvement efforts... ...environment and/or remotely. The job involves frequent...Remote workRiskWork at office$32 - $37 per hour
Risk Adjustment Coding AuditorOverviewWe are seeking a detail... ...Adjustment Coding Auditor to support the accuracy, integrity, and compliance of clinical coding data... ...maintaining compliance and high-quality audit standards.Job... ...TypeThis is a fully remote position.Application...Remote workRiskContract workTemporary workWork 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$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$82.72k - $108.57k
...Auditor, Risk Adjustment Florida, 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- ClinDCast LLC is seeking a Risk Adjustment Coding Auditor with 8+ years of experience to support CMS RADV first- and second-pass audits. The ideal... ...expertise and proficiency in Microsoft Office Suite. This is a remote position, offering an opportunity to contribute to federal...Remote jobRiskWork at office
$32 - $37 per hour
...Job Description Job Description Risk Adjustment Coding Auditor (Remote) Location: 100% Remote (Approved U... ...auditing, and regulatory compliance who thrive in a production-driven environment... ...adjustment programs that support quality healthcare outcomes and reimbursement...Remote workRiskContract workTemporary workWork at officeDay shift- Baptist Health Integrated Care in Boca Raton is seeking a Risk Adjustment Coordinator (Remote) to support risk coding education and chart review across provider practices. This full-time role requires coordinating pre- and post-visit analyses and collaborating with hospital...Remote jobRiskFull time
- ...is looking for a Director, Provider Risk Adjustment based in United States. This is... ...domestic and global teams while ensuring quality, productivity, compliance, and contractual performance.... ...stakeholder environments. This remote role offers the opportunity to shape...Remote workRiskFull timeTemporary workWork at officeFlexible hours
- ...Description Description: Full-Time, Remote The Facility Inpatient Coding Auditor is responsible for prebill... ...with a focus on accuracy, compliance, and quality, while providing education and... ...quality metrics, and compliance risk Validate documentation supports...Remote workRiskFull timePart timeWork at office
- ...seeking a full – time GCP Auditor to join our team. This... ...is offered fully remote. As a GCP Auditor, you... ...clinical projects to ensure compliance with applicable... ...subject matter expertise to quality and compliance activities... ...feedback on compliance risks to QA management and...Remote workRiskFull timeLocal area
$36 per hour
...Solutions Full-Time | Remote Help Shape the... ...Accuracy and Healthcare Compliance Are you passionate... ...experienced Coding Compliance Auditor to join our growing... ..., identify compliance risks, and provide meaningful... ...that improves coding quality across complex...Remote workRiskFull timeFlexible hours$60k
...Compliance Auditor needed! Join our growing organization! Onco360 has an... ...payers, and manufacturers. Remote opportunity! Some Travel required... ...of operations audit and/or risk assessment tools utilized... .... Working knowledge of quality assurance/improvement and compliance...Remote workRiskWork experience placementWork at officeImmediate startNight shift$75k - $115k
...Role As a GCP Clinical Auditor III, you will lead complex... ...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- ...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
- ...goal of delivering high quality, efficient care while... ...Documentation Improvement (CDI) Auditor Educator will... ...MEMORIAL HERMANN CANNOT HIRE REMOTE WORKERS IN THE... ...analytical with strong risk assessment, impact analysis... ...to ensure quality and compliance, using audit tools developed...Remote workRiskTemporary workFlexible hours
- ...Claims Property Damage Adjuster to join our team.... ...commitment to providing quality service to our agents... ...This position offers a remote work arrangement, allowing... ...fleet and commercial risks while delivering... ...quality documentation and compliance. Experience handling...Remote workRiskFull timeTemporary workFlexible hours
- ...seeking an experienced MRA Coding Auditor to support QA audits of the... ...Team and vendors, ensuring high-quality data submitted to CMS. The role involves risk adjustment data validation, chart reviews,... ...leading EHR systems. This is a remote position with competitive pay and...Remote workRisk
- Internal Auditor Department: Quality Assurance & Compliance Reports To: Director of Compliance Location: Remote with occasional travel as needed Employment Type: Full-Time Help Protect... ...plays a critical role in identifying risks, strengthening processes, improving accountability...Remote workRiskFull timeWork at officeFlexible hours
- ...Coding Auditor This position is responsible for providing Quality Assurance and coding audit services for risk adjustment purposes, supporting ACA Commercial, Medicare and Medicaid programs... ...records in accordance with current compliance policies to analyze provider...Remote workRisk
- ...Supporting quality assessment audits, the full-time Certified Medicare Coding Auditor will work remotely to ensure accurate data submission to CMS, assist in risk adjustment data audits, and analyze audit results for process improvement. Key responsibilities Conducts...Remote workRiskFull time
- ...Role As a Medical Coding Auditor, you will be responsible... ...medical coding to ensure compliance, accuracy, and quality. You'll play a critical role... ...independently in a remote setting, yet you value being... ...Strong understanding of HCC / risk adjustment coding principles,...Remote workRiskFull time
- 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
- ...Full-Time Coding Auditor. This role requires normal... ...-Friday and is a remote position with occasional... ...thresholds, and effective quality assurance programs.... ...and documentation compliance performance. Performs... ...Clinic Guidance, and CMS Risk Adjustment guidance. Performs...Remote workRiskFull timeWork at officeWork from homeMonday to Friday
$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$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- ...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
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