Remote Risk Adjustment Quality Review Analyst

$24 - $27 per hour

The Cigna Group

Remote job

The Cigna Group is looking for a Quality Review and Audit Analyst for a temporary assignment. This fully remote position involves conducting medical record reviews, confirming coding accuracy, and ensuring compliance with CMS regulations. Candidates should have at least 2 years of experience in medical chart reviews, a high school diploma, and relevant coding certifications. The role offers a pay rate of $24.00-$27.00 per hour and includes benefits such as medical, dental, and vision insurance. #J-18808-Ljbffr The Cigna Group

Apply

Vacancy posted 2 days ago

Similar jobs that could be interesting for youBased on the Remote Risk Adjustment Quality Review Analyst in Nashville, TN vacancy

Remote Coding Quality Analyst - Risk Adjustment
...Solutions, Inc. is looking for a Coding Quality Specialist in Tempe, Arizona. This role involves conducting coding quality reviews for Medicaid lines, ensuring accurate diagnosis... ...coding experience, particularly in Risk Adjustment. A supportive work environment with...
Remote job
Risk
Centauri Health Solutions, Inc.
Tempe, AZ
3 days ago
Quality Review and Audit Analyst
$24 - $27 per hour
Job Title Quality Review and Audit Analyst Temporary Assignment Notice This position is a temporary assignment... ...Schedule: M-F, 9am-5pm EST. This is a fully remote role open to candidates across the US. Role Summary The Risk Adjustment Quality & Review Analyst in IFP brings...
Remote work
Risk
Temporary work
For contractors
WillHire
Nashville, TN
2 days ago
Quality Review and Audit Analyst - Cigna Healthcare - Remote
$58.4k - $97.4k
Job Summary: The Quality Review & Audit Senior Analyst (“Analyst”) exhibits expertise in evaluating complex medical documentation for diagnosis code accuracy and compliance in support of the HHS’ Risk Adjustment (RA) program and Risk Adjustment Data Validation (RADV) audits...
Remote work
Risk
Full time
Work experience placement
Local area
Work from home
Cigna Healthcare
Tennessee
7 hours ago
Repricing Quality Assurance Analyst I
$19.21 - $28.73 per hour
...The Repricing Quality Assurance Analyst is responsible for reviewing, analyzing, and monitoring repricing... .... This is a remote position. ESSENTIAL... ...repricing standards Conduct risk assessments to mitigate... ...salary range and these adjustments would be clarified...
Remote work
Risk
Hourly pay
Minimum wage
Full time
Work at office
Local area
Flexible hours
CERIS Health
Fort Worth, TX
13 days ago
Product Configuration Quality Analyst
$80.06k - $106.06k
...Product Configuration Quality Analyst is responsible for ensuring... ...# Own the weekly review of the Claim Check Run... ...identify systematic quality risks and control... ...~ Schedule may adjust based on business need... ...schedule. (Mon & Fri - remote, Tues - Thurs onsite in...
Remote work
Risk
Contract work
Temporary work
Work experience placement
Flexible hours
Afternoon shift
Inland Empire Health Plan
Rancho Cucamonga, CA
1 day ago
Remote Risk Adjustment Coder Coding Associate
...Coding Associate responsible for delivering high-quality risk adjustment coding services for clients. This role requires reviewing medical records, assigning diagnosis codes,... ...for professional growth. This is a fully remote role based in the United States. #J-18808-Ljbffr...
Remote work
Risk
Intus Care
New York, NY
4 days ago
Remote Risk Adjustment Coding Specialist (CRC/CPC)
$24.6 - $32.8 per hour
Byrne Dairy is seeking a Certified Risk Adjustment Coding Specialist to join our team in Syracuse. This full-time position works remotely but may require local travel. The specialist will be responsible for reviewing clinical documentation and coding according to established...
Remote work
Risk
Hourly pay
Full time
Local area
Byrne Dairy
Syracuse, NY
4 days ago
Remote Medicare Risk Adjustment Coder — Audits & Compliance
American Health Partners in Franklin, TN seeks a Medicare Risk Adjustment Coding Specialist to conduct coding audits and reviews. The role involves ensuring coding accuracy for Medicare claims and providing educational correspondence to providers. Candidates should have...
Remote job
Risk
American Health Partners
Franklin, TN
4 days ago
Senior Workers Compensation Claims Adjuster - Remote Oregon Residency Required
...you will administer and resolve highest risk management expectations claims in a timely... ...with documented rationale, maintain and adjust reserves over the life of the claim to reflect... ...face to face interactions during claims reviews, stewardship meetings and similar account...
Remote work
Risk
Work experience placement
PMA Companies
Portland, OR
14 hours ago
Senior Risk Adjustment Coding Specialist II - Hybrid/Travel
$70k - $85k
Astrana Health is looking for a Risk Adjustment Coding Specialist in Houston, TX. The role involves conducting chart reviews, educating providers, and tracking performance metrics... ...a hybrid work structure combining field and remote work. #J-18808-Ljbffr Astrana Health
Remote work
Risk
Astrana Health
Houston, TX
1 day ago
Remote Medicare Risk Adjustment Coding Expert
...American Health Plans is seeking a Medicare Risk Adjustment Coding Specialist to conduct coding audits and perform post-payment coding reviews to ensure compliance with CMS regulations. This remote role requires strong knowledge of ICD-9 and ICD-10 coding, experience with...
Remote work
Risk
American Health Plans Inc.
Franklin, TN
14 hours ago
Risk Adjustment Analyst
$65k - $75k
...Description Job Description Risk Adjustment Specialist – Primary Care Location: Remote Employment Type: Full-Time... ...organization committed to delivering high-quality, value-based care. Our team... ...pre-visit and post-visit chart reviews to identify risk adjustment...
Remote work
Risk
Full time
PCC MEDICAL HOLDINGS LLC
North Palm Beach, FL
a month ago
Remote EPIC IP Quality Analyst
...Global is looking for an EPIC IP Quality Analyst. The Epic Inpatient Quality... ...clearly presents findings, risks, and recommendations to clinical... ..., and Virginia to work remote. We are a company committed... ...private information, please review Insight Global's Workforce Privacy...
Remote work
Risk
Insight Global
United States
14 hours ago
QA Analyst - Medicare Domain
...Technical Recruiter at Talent Groups Location: Remote Mandatory Skills: Medicaid, CHIP, SNAP,... ...testing. Understand and identify risk, issues, for the testing scope Participate... ...as needed in specific testing activities (reviews, walk‑throughs etc) Create test scenarios...
Remote work
Risk
Contract work
Talent Groups
New York, NY
4 days ago
QA Analyst
...solutions is looking for a QA Analyst Details: QA... ...: Whippany NJ - Initially Remote Duration: 6-12 months... ...test strategies for high quality product releases Analyze new feature impacts and risks for release, review the test strategy and plans...
Remote work
Risk
Nava Software Solutions
Whippany, NJ
3 days ago
Temporary Workers Compensation Claims Adjuster III
$85k - $100k
...Temporary Workers Compensation Claims Adjuster III Temporary Workers... ...Compensation Claims Adjuster III Fully Remote Full-time Description AvonRisk... ...nation’s leading specialty risk manager for self-insured... ...contracts and company guidelines. Review and approve all vocational...
Remote work
Risk
Full time
Temporary work
Intercareins
California, MO
1 day ago
Remote HCC Coding Specialist | Risk Adjustment Expert
...AHIMA is seeking a Risk Adjustment Coding Specialist to join their team. This remote position requires reviewing medical records to code accurate ICD-10 codes, specifically related... ...supports flexible hours and aims for a quality score of 95% or higher. #J-18808-Ljbffr...
Remote work
Risk
Flexible hours
AHIMA
New York, NY
1 day ago
Remote Healthcare AI Risk & Quality Analyst
$20 per hour
...A technology company in Tennessee is looking for a Risk Adjustment Analyst to train AI models and evaluate their performance. This role requires... ...-related problems for AI chatbots and ensuring the quality of AI responses. The position offers flexibility and pays hourly...
Remote work
Risk
Hourly pay
For contractors
DataAnnotation
Nashville, TN
1 day ago
QA Analyst (Global Contract)
...Job Description As a Quality Assurance Specialist, you will be responsible... ...effective asynchronous and remote collaboration. Demonstrated... ..., AI tooling hands‑on testing Risk‑based and context‑driven testing... ...quality throughout the SDLC Reviewing and analyzing requirements Defining...
Remote work
Risk
Full time
Contract work
Jump Co
New York, NY
4 days ago
Remote Healthcare AI Risk & Quality Analyst
$20 per hour
A healthcare technology company is seeking a Risk Adjustment Analyst to enhance AI models through evaluating their logic and performance. The ideal candidate will have a deep understanding of healthcare, bolstered by a relevant degree. This role offers flexible hours and...
Remote work
Risk
Hourly pay
Flexible hours
DataAnnotation
Hartford, CT
1 day ago
Remote Healthcare AI Risk & Quality Analyst
$20 per hour
A leading data annotation company is seeking a Risk Adjustment Analyst to join their team in Hawaii. This role involves training AI chatbots,... ...logic, and solving healthcare-related issues to enhance model quality. Applicants must have a healthcare background and fluency...
Remote work
Risk
Hourly pay
Flexible hours
DataAnnotation
Honolulu, HI
2 days ago
RCIS Crop Claims Field Adjuster I (Ohio)
...RCIS Crop Claims Field Adjuster I (Ohio) Zurich is currently looking... ...States Department of Agriculture's Risk Management Agency. Together... ...of negligence. Complete claim reviews and audits on lower-level... ...Recruiting Agency Portal. Location(s): Remote Working: Yes Schedule: Full...
Remote work
Risk
Full time
Temporary work
Work at office
Local area
Work from home
Zurich 56 Company Ltd
New York, NY
4 days ago
Remote Healthcare AI Risk & Quality Analyst
$20 per hour
A healthcare technology firm in the United States seeks a Risk Adjustment Analyst to enhance AI models by evaluating their healthcare-related outputs. Candidates should possess a strong background in healthcare and be fluent in English. Responsibilities include providing...
Remote work
Risk
Hourly pay
Full time
Part time
Flexible hours
DataAnnotation
Wyoming, OH
1 day ago
Quality Assurance Analyst II
...Summary: The Quality Associate supports the setup and qualification of... ...distribution and warehousing processes • Review, approve, and help implement... ...activities, including risk assessments and audits (on site or remote) • Ensure proper handling of temperature...
Remote work
Risk
Katalyst Healthcares and Life Sciences
Indianapolis, IN
2 days ago
Workers' Compensation Claims Adjuster II
$92.99k - $113.02k
...-2024A Department: Risk Management Opening Date... ...' Compensation Claims Adjuster II to join our Risk... ...one that prioritizes the quality of service to our internal... ...and Release Reviewing and documenting diaries... ...team We offer a hybrid remote work schedule You will...
Remote work
Risk
Permanent employment
Full time
Temporary work
Work experience placement
Work at office
Local area
Immediate start
Contra Costa County, CA
Martinez, CA
14 hours ago
Remote Healthcare AI Risk & Quality Analyst
...healthcare technology company is seeking a Risk Adjustment Analyst to train AI models and evaluate their... ...chatbots, ensuring their accuracy and quality. Applicants should be fluent in... ...flexible position allows you to work remotely with project selection and offers hourly...
Remote work
Risk
Hourly pay
Flexible hours
DataAnnotation
Annapolis, MD
2 days ago
Remote Healthcare AI Risk & Quality Analyst
$20 per hour
...A healthcare technology firm based in the United States is seeking a Risk Adjustment Analyst to enhance AI models by evaluating their logic and performance. The ideal candidate will be an expert in healthcare with a strong background in areas like Revenue Cycle Management...
Remote work
Risk
Hourly pay
For contractors
DataAnnotation
Florida, NY
1 day ago
Remote Healthcare AI Risk & Quality Analyst
A health-focused AI company is seeking a Risk Adjustment Analyst to improve AI chatbots. The role requires expertise in healthcare, including... ...position paying hourly, aimed at candidates in the United States. The role offers bonuses for high-quality work. #J-18808-Ljbffr
Remote work
Risk
Hourly pay
For contractors
Flexible hours
DataAnnotation
Washington DC
1 day ago
Remote Healthcare AI Risk & Quality Analyst
...A leading AI training company is seeking a Risk Adjustment Analyst to help train healthcare-related AI models. This role involves evaluating... ...projects paid hourly starting at $20, and bonuses for high-quality work. Only applicants from the United States will be considered...
Remote work
Risk
Hourly pay
For contractors
DataAnnotation
New York, NY
1 day ago
Quality & Risk Data Analyst
...Quality & Risk Data Analyst We are seeking a Quality & Risk Data Analyst who is comfortable working in a remote setting. On a day-to-day basis you will be the primary data analyst responsible... ...steps Participating in peer reviews of SQL/query logic and version-...
Remote work
Risk
Insight Global
United States
21 hours ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Risk Adjustment Quality Review Analyst. Be the first to apply!