Remote Risk Adjustment Auditor: Quality & Compliance
Oscar Health
Phoenix, AZ
- 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
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Remote Risk Adjustment Auditor: Quality & Compliance in Phoenix, AZ vacancy
- 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
...innovation. Job Summary The Risk Adjustment Coding Auditor is responsible for... ...documentation assessments, and compliance monitoring activities to support... ...education, and continuous quality improvement efforts aimed... ...office environment and/or remotely. The job involves frequent...Remote workRiskWork at officeClever Care Health Plan
Huntington Beach, CA3 days ago- ...: 2026-08-10TEKsystems is seeking a Risk Adjustment Coding Auditor to ensure accuracy of coded clinical... ...position, based out of Eagan, MN but fully remote, requires CRC certification and 3+... ...review CMS HCC categories, ensure compliance, and guide others on coding errors....Remote workRiskContract work
$32 - $37 per hour
...TEKsystemsPosted: 2026-08-09*Description* The Risk Adjustment Coding Auditor ensures the accuracy and... ...records and audit information by ensuring compliance with HIPAA, privacy, security, and... ...) *Workplace Type*This is a fully remote position. *Application Deadline*This...Remote workRiskContract workTemporary work- ...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
ClinDCast LLC
Albany, NY1 day ago $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 workClinDCast
United States1 day ago$35 - $38 per hour
...Job Description Title : Risk Adjustment Coding Auditor Location : Remote (To be eligible for this position, candidate must currently reside in... ...a strong commitment to data integrity, regulatory compliance, and accurate reimbursement. In this role, you...Remote workRiskFull timeContract workDahl Consulting
United States5 days ago$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 officeOscar Health
United States4 days ago- 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
- 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
$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 shiftOnco360
Louisville, KY5 days ago$70k - $95k
...QA Auditor Full time, with travel Travel : 20... ...seeking an experienced Quality Assurance Auditor to lead... ...production processes, risk assessment,... ...meet company quality and compliance requirements. This individual... ...Perform on-site and remote audits of: Raw material...Remote workRiskHourly payFull timeContract workLocal areaAkkodis
Lancaster, SC2 days ago- ...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
Avery Healthcare Group Ltd.
United States2 days ago - ...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
Memorial Hermann Health System
Houston, TX1 day ago $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 jobRiskContract workTemporary workWork at officeDay shift- ...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
$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 hoursSedgwick
United States3 days ago- 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
- ...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
Virtual Vocations Inc
United States1 day ago - ...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
Javen Technologies
United States1 day ago - 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
UNIVERSITY PHYSICIANS ASSOC INC.
Knoxville, TN2 days ago $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 homeEmployers
United States2 days ago- ...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
Merit 321
United States1 day ago $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 hoursCentene Corporation
Topeka, KS4 days ago- ...role brings IT and technology risk expertise into our Financial and... ...genuinely improve testing quality or coverage, not just for speedCommunicate... ...non-technical stakeholders, adjusting your language without losing... ...for this role’s success, and remote placement will not be...Remote workRiskFull timeWork at officeLocal areaRelocationFlexible hours
$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 hoursCERIS Health
United States4 days ago- ...Senior Auditor Key responsibility is to work with the Audit... ...individual audits; Deliver quality internal audit service /audits... ...; Working with the Risk & Compliance team and other second line functions... ...opportunities and process adjustments, please visit the Capita...Remote workRiskPermanent employmentFull timeContract workWork at officeWork from homeFlexible hours
Capita
United States1 day ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Risk Adjustment Auditor: Quality & Compliance. Be the first to apply!
