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
...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 office- ...: 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
- ...Risk Adjustment Coding Auditor Location: Remote (U.S.) Employment Type: Contract-to-Hire About the Role... ...the accuracy, completeness, and compliance of diagnosis coding used in risk... ...standards. Meet productivity, quality, and audit performance expectations...Remote workRiskContract workWork at office
$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... ...are implemented. Maintain compliance with national standards and...Remote workRiskFull timeWork experience placementWork from homeHome office- ...technical specifications, and quality standards through a... ...supporting materials to verify compliance with program requirementsPerform... ...staff to address quality‑related risks and improve overall delivery... ...opportunity to succeed. Canada Remote Office (CD99)SummaryLocation:...Remote workRiskFull timeFor contractorsWork 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$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 area- ...clinical research solutions, quality & compliance, pharmacovigilance, medical... ...consulting solutions that de-risk and accelerate our partners’... ...programs. LOCATION Japan, Remote ENGAGEMENT TYPE Freelance, contractor... ...freelance life sciences auditors based in Japan to support...Remote workRiskPermanent employmentTemporary workFor contractorsFreelanceWork at officeFlexible hours
- ...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
- ...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
- ...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
$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 work$32 - $37 per hour
...Risk Adjustment Coding Auditor (Remote) *Location:* 100% Remote (Approved U.S. States Only) *Employment Type... ...auditing, and regulatory compliance who thrive in a production-driven environment... ...adjustment programs that support quality healthcare outcomes and reimbursement...Remote workRiskContract workTemporary workWork at officeDay shift- ...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
- ...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
- 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
$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 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
$58.7k - $86.88k
...The Auditor I position will examine and analyze accounting... ...records, conduct compliance audits pertaining to... ...site employment with no remote or hybrid options... ...with payment. Completes adjustment forms to correct employer... ...audits to identify risks, inefficiencies, or irregularities...Remote workRiskFor contractorsWork at office- ...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
- ...THE ROLE The Attorney Auditor reviews legal and non-... ...law firms to discuss compliance with client’s billing... ...applications. This is a fully remote position, and... ...is the world’s leading risk and claims administration... ...administration, loss adjusting, benefits administration...Remote workRiskLocal areaWork from home
$68.57k - $104.84k
...DRG Quality Control/Clinical Auditor CERIS in Fort Worth, TX is seeking a DRG Quality... ...rules. This is a remote position. Essential Functions... ...salary range and these adjustments would be clarified during... ...Careers | Opportunities in Risk Management In general,...Remote workRiskMinimum wageFull timeWork at officeLocal areaFlexible hours- ...Blue Cross Blue Shield of Nebraska is seeking a Healthcare Analytics professional to analyze healthcare data for Risk Adjustment programs, evaluate performance, and drive actionable insights for intervention planning and decision‑making. The role supports reporting, forecasts...Remote workRisk
$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.... ...of the annual work plan risk assessment and evaluates...Remote workRiskPermanent employmentFull timeFor contractorsLive inWork from homeRelocationRelocation packageDay shift- ...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
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