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
$72.8k - $80k
...Job Summary The Risk Adjustment Coding Auditor is responsible for conducting... ...documentation assessments, and compliance monitoring activities to... ...education, and continuous quality improvement efforts aimed... ...office 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
$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 workRiskFull timeLocal areaMonday to FridayFlexible hours$82.72k - $108.57k
...Auditor, Risk Adjustment Arizona, 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$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$188.9k - $359.8k
...Centene's Corporate Risk Adjustment program operations and... ...subsidiaries. Oversee compliance with Risk Adjustment... ...improve scalability, quality, and compliance. ~... ...of certified coders, auditors, and quality professionals... ...to work with remote, hybrid, field or office...Remote workRiskFull timePart timeWork at officeLocal areaFlexible hours- ...Internal Auditor Department: Quality Assurance & Compliance Reports To: Director of Compliance Location: Remote with occasional travel as needed Employment Type:... ...plays a critical role in identifying risks, strengthening processes, improving...Remote workRiskFull timeWork at officeFlexible hours
$27.88 - $32.21 per hour
...conditions by identifying risk earlier, coordinating thoughtful... ...! Benefits & Perks Hybrid-Remote Flexibility – Work from... ...You’ll Do The Coder, Risk Adjustment Coding is responsible for supporting... ...physicians, team members, quality, and compliance partners at enterprise and...Remote workRiskHourly payWork from homeFlexible hours$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 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
- ...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
- ...Beach, CA/Surrounding areas (Remote, must be withing 50 miles of Long... ...to improving healthcare quality, affordability, and access through... ...health initiatives, and regulatory compliance excellence. This role supports enterprise-wide risk adjustment, medical record review, and...Remote workRiskWork at officeImmediate start
- ...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 while...Remote workRiskFlexible 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 work$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 shift- ...Role type: Risk Adjustment Coding Auditor Quantity of resources: 2 Duration: 6 months JD: 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 certified CRC certified...Risk
$49.1k - $97.53k
...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$26.29 - $48.91 per hour
...13 Job Description Performs quality reviews on coded records to... ...considerations with regulatory compliance. Prepares statistical... ...to work independently in a remote setting. Critical thinking and... .... Possesses knowledge about risk adjustment and publicly reported hospital...Remote workRiskFull timeWork experience placementWork at officeLocal areaShift work- ...volume chart reviews with specific productivity expectations. The ideal candidate will have at least one year of experience in risk adjustment coding and hold an active coding certification. This position offers competitive hourly compensation, medical benefits, and a stable...RiskHourly pay
$70k - $75k
...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 homeFlexible hours$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$18.5 per hour
...Facility Inpatient Coding Auditor is responsible for auditing... ...Rehab auditing, for accuracy, compliance, and quality, while providing education and... ...metrics, and compliance risk Validate documentation supports... ...or supporting global or remote coding teams •Proficiency...Remote workRiskHourly payFull 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- 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
- ...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
- ...Nebraska is seeking a Healthcare Analytics professional to support Risk Adjustment Programs by analyzing healthcare data and delivering... ...operational decisions. The candidate will work in a hybrid or remote setup and should have 3+ years of data analysis experience with...Remote workRisk
$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
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