Remote Risk Adjustment Auditor - Quality & Compliance
Oscar Health
- Remote job
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 completeness. You will engage in audit operations and compliance, while working with the management team to enhance quality assurance programs. Required qualifications include a Bachelor's degree or equivalent experience, a CPC certification, and at least 3 years of risk adjustment coding experience. The position offers competitive pay and a robust benefits package. #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 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...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- ...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
- ...Corporation is seeking an experienced HCC Auditor to review medical records and ensure accurate risk adjustment coding for reimbursement. This remote role requires solid ICD-10 knowledge... ...audit coded charts, maintain a high-quality standard, participate in project meetings...Remote jobRisk
$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$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- ...Job SummaryThe ACO Coding Auditor is responsible for... ...it pertains to Medicare Risk Adjustment. You implement ongoing quality improvement activities to... ...Commercial ACO’s for quality compliance.Essential Duties &... ...ResponsibilitiesPerforms on-site and remote clinical validation...Remote workRiskWork at officeFlexible hoursWeekend 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$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
7843 Remote - United States Full-time regular Auditor, HCC Risk Adjustment Coding Datavant is the data collaboration platform trusted for healthcare. Guided by our... ...What You Will Do: Audit coded charts assigned by quality supervisor per the client guidelines Ability...Remote workRiskFull 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
- ...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
$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- Cano Health is seeking an ACO Coding Auditor to perform on-site and remote clinical validation audits, capturing Medicare Risk codes and ensuring CMS/HCC alignment. You will drive... ...CMS guidelines, and collaborating with the Quality department to meet HEDIS and other measures...Remote workRisk
$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- ...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
$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- ...Auditor RSSB are now seeking a home-based Auditor... ...prepare reports, perform risk management tasks to... ...efficiency and ensure compliance with appropriate standards... .... Undertake remote audits through verification... ...any reasonable adjustments with respect to our selection...Remote workRiskPermanent employmentWork at officeWork from homeFlexible hours
- ...Position: Senior Auditor Location: Remote Clearance: N/A Responsibilities The Senior Associate... ...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
- 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
$56.2k - $101k
...Auditor Position You could be the one who changes everything for... ...Work Schedule: This is a fully remote position with a standard Monday... ...requirements Execute risk based audits evaluating controls... ...schedules. Actual pay will be adjusted based on an individual's skills...Remote workRiskFull timeContract workPart timeWork at officeWork from homeMonday to FridayFlexible hours- ...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
$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$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$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- ...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
- ...Quality Assurance Coder/AuditorAwarded a Healthiest Employer,... ...classified as hybrid, onsite or remote. While the majority of our... ...Quality Assurance Coder/Auditor will develop a risk mitigation and provider education... ...visit with a valid Risk Adjustable provider. Coder/Auditor...Remote workRiskFull timeWork at office1 day per week
- ...Risk Adjustment Coding Auditor Role type: Risk Adjustment Coding Auditor Quantity of resources: 2 Duration: 6 months This role will be occupied by a certified risk adjustment coder to support first and second pass auditing for CMS RADV's. Required Skillset MS Suite CPC...Risk
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Risk Adjustment Auditor - Quality & Compliance. Be the first to apply!


