Remote Risk Adjustment Auditor - Quality & Compliance
Oscar Health
- 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
- 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
- E2E Alignment Healthcare USA, LLC is seeking a Risk Adjustment Compliance Auditor. This fully remote role involves auditing and compliance activities related to risk adjustment data submitted to CMS. The ideal candidate should have strong knowledge of risk adjustment, HCC...Remote jobRisk
$80k - $108k
...NSF is seeking an Auditor II - Product Certification... ...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$57.73k - $80.24k
...The RCS Medical Coding Auditor is responsible for auditing... ...to ensure accuracy, compliance, and alignment with AMA CPT... ...integrity, mitigates compliance risk, and drives continuous quality improvement through... ...laws, and making budgetary adjustments accordingly, we strive to...Remote workRiskFor contractorsWork at officeLocal area$82.72k - $108.57k
...Auditor, Risk Adjustment Texas, 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- ...Risk Adjustment Coding Auditor Blue Cross and Blue Shield of Minnesota is hiring a Risk Adjustment Coding Auditor. The Risk Adjustment Coding... ...Protects patient records and audit information by ensuring compliance with HIPAA, privacy, security, and regulatory...Remote workRiskHourly payFor contractors
$64.38k - $96.58k
...them. Together. Job Summary Alignment Health is seeking a remote Risk Adjustment Compliance Auditor to support auditing and compliance activities related... ...accuracy percentages to ensure the coding accuracy and quality of the data submitted to CMS. Works with Risk...Remote jobRiskFull timeLocal areaMonday to FridayFlexible hours- ...For roles that are 100% remote or hybrid, you must have access... ...The Corporate Director, Risk Adjustment Operations is the executive... ...Clinical Operations, and Legal/Compliance to translate regulatory requirements... ...performance, documentation quality standards, timely data...Remote workRiskContract workWork experience placementWork at officeFlexible hours
- ...QIMA is a global leader in quality control solutions, providing... ...companies ensure the quality and compliance of their products, promoting... ...We are seeking an RSPO SCC auditor to join our team, as a crucial... ...non-compliance. - Performing risk assessments and evaluating...Remote workRisk
- ...is seeking a professional specializing in HCC risk adjustment coding to deliver high-quality coding and support compliance with CMS requirements. This position involves... ...certifications, including CPC. This role offers a remote office-based opportunity in Pennsylvania. #J-1...Remote jobRiskWork at office
- ...Engagement Details :Fully remote/work from... ...Assessments (CDAs), Health Risk Assessments (HRAs), and... ...seeking an experienced Risk Adjustment & Coding Expert to... ...documentation, Medicare coding compliance, and program-level... ...to deliver high-quality, accurately documented...Remote jobRiskContract workPart timeFor contractorsWork from homeFlexible hours
$170k - $195k
...senior leader within the Quality Assurance organization responsible... ...evolution of a scalable, risk-based vendor management and compliance framework, both external... ...strategies. Location: Remote (West Coast hours... ...Qualifications ASQ Certified Quality Auditor (CQA) or equivalent...Remote workRisk- ...Restoration Job File Auditor / QA Specialist Servpro... ...File Auditor to lead quality assurance and ensure excellence... ...in maintaining compliance, driving accuracy, and... ...discrepancies, mitigate risk, and ensure proper documentation... ...pto and benefits. This is a remote position....Remote workRisk
$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 hours$64k - $95k
...Employee Title: Senior Claims Adjuster - Crop The Opportunity... .... Location: Work Remotely Iowa, USA Work... ...policies. Ensure compliance with insurance statutes and... .... Participate in quality control tasks, audits, risk assessments, and field reviews...Remote workRiskFull timePart timeWork experience placementWork at officeWork from homeWorldwideHome office$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- Role Overview The Lead Internal Auditor within the Customer Quality & Compliance team is responsible for planning, leading, and executing risk‑based internal audits within regulated medical... ...globally up to 50%; role may be remote or site‑based within the EU/UK. Additional...Remote workRiskFull timeShift work
$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$43.92k
...Developer for U.S. Loss Adjusting, this role delivers... ...input, and producing high-quality, client-focused... ...Perform quality and compliance checks throughout the... ...claims handling and/or risk-related industries a plus... ...Corners, GA, 30092, US (Remote) Pay Range/Salary $...Remote workRiskFull timeWork experience placement- ...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
$56.17k - $70.22k
...Medical Coding Auditor UNM Medical Group, Inc. is hiring... ...Auditor to join our Compliance Team. This opportunity is a remote, full-time, day shift opening... ...week will be prorated and adjusted to the appropriate FTE.... ...of the annual work plan risk assessment and evaluates...Remote workRiskPermanent employmentFull timeFor contractorsLive inWork from homeRelocationRelocation packageDay shift$50.9k - $101.1k
...operational, financial, regulatory and compliance controls to ensure processes... ...in the development of the risk assessment for the business... ...to the Senior and Lead auditors on the status of outstanding... ...range estimate has not been adjusted for the applicable geographic...Remote workRiskWork experience placementImmediate start- ...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 workRiskWork experience placementInternshipWork at officeShift work
$80k - $90k
...Remote Auditor Remote Regular (US Only) MERIEUX... ...to preventing health risks related to food, environment... ...* Support corporate quality and continuous... ...individual determines compliance against a given set of... ...* Flexibility to adjust to accommodate scheduling...Remote workRiskFull timeWork experience placementWork at officeLocal areaWork from homeNight shiftWeekend work- ...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
$89k - $106k
...for a North America Regional Compliance Principal Auditor Located in Chicago, New... ...including a strong appreciation of risks and controls applicable to... ...-person collaboration and remote working. Please feel free... ...succeed. If you need any adjustments to be made during the application...Remote workRiskPermanent employmentFull timeContract workWork at officeLocal areaWorldwideVisa sponsorshipWork visaFlexible hours$52k - $72.8k
...Category: Admin - Clerical Compliance Auditor is an essential part of the... ...and conduct audits, identify risks, and maintain compliance records... ...: Provides documentation of quality and compliance activities,... ...the audience Coordination - Adjusting actions in relation to...RiskFull timeWork at officeShift work$26.29 - $48.91 per hour
...Coding Inpatient Auditor Performs quality reviews on coded records to validate... ...with regulatory compliance. Prepares statistical reports... ...to work independently in a remote setting. [Required] Critical... ...Possesses knowledge about risk adjustment and publicly reported hospital...Remote workRiskWork experience placementWork at officeLocal area
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