Remote Risk Adjustment Auditor - Quality & Compliance
Oscar Health
New York, NY
- Remote job
Oscar Health is hiring a remote Associate, Risk Adjustment Auditor to join their Risk Adjustment team. This role involves conducting internal and external quality audits specific to ICD-10 code accuracy. The ideal candidate will have experience in risk adjustment coding and quality audits, along with a relevant bachelor's degree or certification. Responsibilities include managing operations related to risk adjustment, maintaining compliance with coding guidelines, and fostering relationships for better understanding of processes. #J-18808-Ljbffr Oscar Health
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Remote Risk Adjustment Auditor - Quality & Compliance in New York, NY 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 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
- 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
- ...Shield of Minnesota is looking for a Risk Adjustment Coding Auditor. The role ensures the accuracy and... ...records and audit information by ensuring compliance with HIPAA, privacy, security, and... ...Teleworker – working full time remote. Hybrid – minimum of 2 days onsite....Remote workRiskHourly payFull timeFor contractors
BCBSM, Inc.
Eagan, MN4 days ago $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- Oscar Health is looking for an Associate, Risk Adjustment Auditor to conduct quality audits related to ICD-10 coding accuracy. This remote position requires candidates to reside... ...Adjustment, conducting audits, and ensuring compliance with national standards. Candidates must...Remote jobRisk
$82.72k - $108.57k
...We're hiring a Associate, Risk Adjustment Auditor to join our Risk Adjustment... ...conducts 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$70.82k - $106.23k
...saving them. Together. Remote -The Auditor, Delegate Claims,... ...related audits, validating compliance with regulatory and... ..., internal claims, quality, and compliance—to ensure... .... Perform risk assessment and prioritize... ...vision and the ability to adjust focus. Pay Range: $70...Remote workRiskFull timeWork at office$27.88 - $32.21 per hour
...conditions by identifying risk earlier, coordinating thoughtful... ...& Perks Hybrid-Remote Flexibility -Work from home... ...ll Do The Coder, Risk Adjustment Coding is responsible for... ...physicians, team members, quality, and compliance partners at enterprise and...Remote workRiskHourly payWork from homeFlexible hoursStrive Health
United States3 days ago$188.9k - $359.8k
...Centene's Corporate Risk Adjustment program operations and... ...subsidiaries. Oversee compliance with Risk Adjustment... ...improve scalability, quality, and compliance. Oversee... ...of certified coders, auditors, and quality... ...approach to work with remote, hybrid, field or office...Remote workRiskFull timePart timeWork at officeLocal areaFlexible hours- ## Lead Internal Auditor - Global Quality M/F/DApplylocations: Germany-Remote Location-Waldbronn: Option to Work Remote in France... ...Auditor within the Customer Quality & Compliance team is responsible for planning, leading, and executing risk‐based internal audits within...Remote workRiskFull time
$155k - $165k
Principal Quality Internal Auditor Location: Wayne, NJ, US Remote Work: 1-2 days at home (site based) Salary range: $15... ...industry. This position ensures compliance with medical device regulations... ...driving compliance improvements, risk management, and regulatory adherence...Remote workRiskTemporary workWork at officeWork from homeFlexible hours$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 workAdventHealth
Tampa, FL10 hours ago$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 shiftCenterWell
Raleigh, NC1 day ago$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 shiftUNM Medical Group, Inc.
Albuquerque, NM10 hours ago- ...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
Dtcc
Coppell, TX3 days ago - ...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
ICD Tagger
Braintree, MA3 days ago $63.1k - $108.9k
...experience The RN Clinical Auditor performs complete government... ...accurately as possible to uphold quality, compliance and performance standards... ...and to minimize financial risk to Ensemble Health Partners... ...client experiences. This is a remote position; however, candidates...Remote workRiskPermanent employmentFull timeTemporary workFor contractorsWork at officeLocal area- ...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 home
Sedgwick
Madison, WI4 days ago $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 officeActalent
Raleigh, NC3 days ago- 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
Arthur J. Gallagher & Co.
Dallas, TX4 days ago $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- ...Coding Auditor Location: Miramar, Florida At Memorial, we... ...well-being and, most of all, quality of life for the people entrusted... ...queries and assesses for compliance with AHIMA query standards.... ...Category Coder, CRC Certified Risk Adjustment Coder, or CPMA Certified...Remote jobRiskWork experience placementInternshipWork at officeShift work
$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- ...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
Intus Care
New York, NY2 days ago $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- Stanford Health Care is seeking a Senior Risk Adjustment Coder in Newark, NJ, responsible for code audits and abstraction in line with regulations... ...collaboration with clinicians to ensure accurate coding and compliance initiatives. Applicants should have over 5 years of...Risk
$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- ...in assurance and risk management. Driven... ...1 Integrated Lead Auditor with Safety and Environmental... ...to guarantee the quality of their products.... ...current level of compliance or implementation... ...with hybrid/remote opportunities... ...situations. Versatile - adjusts readily to...Remote workRiskTemporary workWork experience placementWork at officeFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Risk Adjustment Auditor - Quality & Compliance. Be the first to apply!
