Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Medicare Risk Adjustment ACO Coding Auditor

Cano Health

Cano Health is seeking an ACO Coding Auditor to perform on-site and remote clinical validation audits, capturing Medicare Risk codes and ensuring CMS/HCC alignment. You will drive improvements in MRA coding accuracy through expert guidance and data analysis. The role requires reviewing diverse medical records, educating staff on CMS guidelines, and collaborating with the Quality department to meet HEDIS and other measures. Travel may be required. #J-18808-Ljbffr Cano Health

Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Medicare Risk Adjustment ACO Coding Auditor in Miami, FL vacancy
  •  ...seeking healthcare enthusiasts to join us.Job SummaryThe ACO Coding Auditor is responsible for reviewing medical records and...  ...documenting claims and encountering information as it pertains to Medicare Risk Adjustment. You implement ongoing quality improvement activities to... 
    Risk
    Work at office
    Remote work
    Flexible hours
    Weekend work

    Cano Health

    Miami, FL
    1 day ago
  •  ...of Compliance, the Compliance Auditor is responsible for ongoing analysis and review of coding accuracy, medical necessity documentation...  ...and audits based on high risk, problem prone, or otherwise...  ...three to five years experience in Medicare, Medicare Advantage, and/or... 
    Risk
    Remote work

    PRECISION HEALTHCARE SPECIALISTS LLC

    Miami, FL
    8 days ago
  • Medical Record Audit / Coding Auditor Miami, Florida, United States About the Job Our client is a contracting and data management services...  ...to provide the necessary training identified Conduct routine, risk based, proactive or reactive compliance reviews of procedural... 
    Risk

    DaMar Staffing

    Miami, FL
    4 days ago
  •  ...coordinating retrospective and concurrent chart reviews using HCC coding to translate, input, extract and validate medical record data....  ..., a CPC/CPMA/CRC/CCS-P/CCS credential, and expert Excel skills are required to support compliant risk #J-18808-Ljbffr DaMar Staffing
    Risk

    DaMar Staffing

    Miami, FL
    1 day ago
  •  ...Description Job Description Medical Auditor Job Type: Contractor Location: Remote...  ...in outpatient professional fee coding and coding audits , preferably within academic...  ...review coding records, identify compliance risks, and provide expert feedback to support AI... 
    Risk
    Remote job
    For contractors

    YO AI Labs

    Miami, FL
    14 days ago
  •  ...Description Job Description Job Title: Medical Auditor Job Type: Contractor Location:...  ..., evaluating, and refining medical coding and audit-related content. This opportunity...  ...quality. Identify coding trends, gaps, risks, and opportunities for improvement.... 
    Risk
    Remote job
    For contractors

    YO AI Labs

    Miami, FL
    23 days ago
  • $70k - $75k

     ...Financial Services & Insurance Attorney Auditor ** This is a fully remote position,...  ...roles. Sedgwick is the world’s leading risk and claims administration partner, which...  ...solutions in claims administration, loss adjusting, benefits administration, and product recall... 
    Risk
    Local area
    Remote work
    Work from home
    Flexible hours

    Sedgwick

    Miami, FL
    3 days ago
  •  ...Job Description Job Description IT GRC Auditor Consultant ONSITE - CORAL GABLES,...  ...professional with experience identifying risks, evaluating controls, and providing strategic...  ...by this job include close vision, color vision, and the ability to adjust focus.... 
    Risk
    Work at office

    Elevate

    Miami, FL
    13 days ago
  •  ...calculations, reserving estimates, risk score calculations, risk...  .... You will build risk adjustment and medical economic models used...  ...pharmacy claims data for the Medicare and Medicaid lines of businessCollaborate...  ...with Operations and Coding teams on documentation initiatives... 
    Risk
    Work at office
    Flexible hours
    Weekend work

    Cano Health

    Miami, FL
    1 day ago
  • $150k - $180k

     ...Systematic Strategies Portfolio Strategy and Risk team as an Analyst. The individual will...  ...things in Quantitative Finance Strong coding skills in Python and databases Strong mathematical...  ...strives to deliver industry-leading risk-adjusted returns for our investors. We leverage... 
    Risk

    Aplaro Ltd

    Miami, FL
    1 day ago
  • $148.2k - $292.3k

     ...design discussions, architecture reviews, and code reviews to improve solution quality and...  ..., estimation, capacity planning, and risk management across delivery teams.Oversee...  ...The disclosed range estimate has not been adjusted for the applicable geographic differential... 
    Risk
    Local area

    Deloitte

    Miami, FL
    7 hours ago
  •  ...Description We're Hiring! Nurse Practitioner – Medicare Experience | North Miami Beach Join...  ...Advantage, HEDIS measures, and MRA coding . Position: Nurse Practitioner (NP...  ...Categories) for MRA (Medicare Risk Adjustment) Ensure compliance with HEDIS (Healthcare... 
    Risk
    Full time

    Preferred Family Care, Inc.

    Miami, FL
    28 days ago
  •  ...Job Description The Senior Auditor will perform end‐to‐end reviews of key business processes to assess the design and effectiveness of internal controls across operational and financial risk areas. Responsibilities include planning and scoping audits, conducting walkthroughs... 
    Risk

    Insight Global

    Miami, FL
    1 day ago
  •  ...clients build resilience from within. We blend risk strategy, digital identity, cyber defense...  ...security posture improvement.Agentic coding is not a supporting skill for this role—...  ...for client CISO and CTO: build risk-adjusted investment cases, security architecture roadmaps... 
    Risk
    Full time
    Work experience placement
    Live in
    Work at office
    Local area

    Accenture

    Miami, FL
    7 hours ago
  •  ...which will results in meaningful improvement in employee development, customer satisfaction, and business results; takes responsible risks to improve performance; able to deal with frequent change, delays, or unexpected events; creates excitement in his/her area for... 
    Risk
    Work experience placement
    Work at office
    All shifts
    Weekend work

    Hilton Worldwide Holdings

    Miami, FL
    5 days ago
  •  ...Join Davies Risk Services as a Premium Auditor - No Experience Required! Are you a self-starter who thrives on independence, loves working with...  ..., sales journals, cost records, etc. Verifying class codes based on business operations Watch our Premium Audit... 
    Risk
    For contractors

    Davies Public Affairs

    Miami, FL
    4 days ago
  •  ...Group has an exciting career opportunity for a full time Senior Auditor reporting to the Senior Manager of Audit and Assurance. This...  ...that all key business stakeholders are involved, and key risks are communicated and addressed. Ensure the Company remains in... 
    Risk
    Full time
    Interim role

    Royal Caribbean Group

    Miami, FL
    2 days ago
  •  ...preliminary schedule is created; review and adjust for constructability. Review all...  ...application process including reviewing and coding of project related invoices for payment,...  ...the Director of Construction. Develop risk management and recovery strategies when project... 
    Risk
    Contract work
    For subcontractor
    Work at office

    Brodson Construction Inc

    Miami, FL
    8 days ago
  • NCCI is seeking an IT Auditor in Boca Raton, FL, to perform technology-focused audits and strengthen risk management, controls, and governance. You\'ll evaluate IT risks, assist in audits, and work with business and IT partners. The role requires a Bachelor’s degree, one... 
    Risk

    NCCI

    Miami, FL
    5 days ago
  •  ...Department: Job Description Summary: Position Responsibilities Demonstrates knowledge of coding and documentation standards as well as CMS risk adjustment guidelines and HCCs (hierarchical condition categories) Reviews medical record to ensure all... 
    Risk
    Work at office

    Mount Sinai Medical Center of Florida

    Hialeah, FL
    3 days ago
  • $78.68k - $157.88k

     ...Audit and Assurance Information Technology Auditor - Senior Consultant Do you thrive in...  ...organizations effectively navigate business risks and opportunities—from strategic, reputation...  ...| Deloitte US Careers Requisition code: 364912 Job ID 364912 Cyber and... 
    Risk
    Work experience placement
    Work at office
    Local area
    Visa sponsorship

    Deloitte

    Miami, FL
    1 day ago
  • Join Davies Risk Services as a Premium Auditor — No Experience Required! Are you a self-starter who thrives on independence, loves working with numbers...  ..., sales journals, cost records, etc. Verifying class codes based on business operations What You’ll Love About This... 
    Risk

    Davies North America

    Coral Gables, FL
    2 days ago
  •  ...methodologies. This individual will serve as a key advisor to clients, manage and develop engagement teams, identify financial and operational risks, and provide recommendations that support compliance and business objectives.Key Responsibilities: Lead multiple audit, review,... 
    Risk
    Hourly pay
    Contract work

    Kforce

    Miami, FL
    4 days ago
  • $66.27k

     ...Professional Practice of Internal Auditing of The Institute of Internal Auditors (IIA), as well as reviews or other oversight engagements in...  ..., in conducting more complex audits/reviews, establishing a risk universe, developing an annual work plan, engagement planning, fieldwork... 
    Risk
    Full time
    Work at office

    Collier County Clerk of the Circuit Court

    Miami, FL
    2 days ago
  •  ...Position Summary The Dental Auditor is responsible for reviewing...  ...accuracy. Verify correct CDT codes, tooth numbers, surfaces,...  ...posted or billed. Review adjustments, discounts, write-offs, refunds...  ...coding. Understanding of PPO, Medicare/Medicare Advantage, and other... 
    Work at office
    Immediate start

    Teeth R' Us Dental Dental Design Center

    Miami Gardens, FL
    1 day ago
  •  ...measures such as HEDIS, Star Ratings, risk adjustment, and patient experience Support population...  ...‑site management Experience managing Medicare Advantage populations and medical cost...  ...management Knowledge of compliant coding practices within a value‑based care environment... 
    Risk
    Work at office

    Confidential Jobs

    Miami, FL
    5 days ago
  • Juan Fernandez-Barquin, Esq., Miami-Dade Clerk of the Court and Comptroller is seeking experienced Senior Auditors who are curious enough to ask why, disciplined enough to prove it, and clear enough to explain what matters. Our audit team is growing, and Senior Auditors... 
    Risk

    Juan Fernandez-Barquin, Esq., Miami-Dade Clerk of the Court ...

    Miami, FL
    5 days ago
  • Risk Advisory and Assurance Services (RAAS) is a diverse global team, recognized by the Audit Committee and senior management as their partner for providing advisory and assurance services on the company’s most significant strategic, financial, operational, technology... 
    Risk
    Full time
    Part time
    Internship
    Work at office
    Local area
    Remote work
    Work from home
    Relocation
    Monday to Thursday

    Carnival Corporation

    Miami, FL
    2 days ago
  • $150k - $170k

     ...Portfolio Management and execution of 1A risk management activities in a manner consistent...  ...pricing and fees have been applied / adjusted correctly Remain active and engaged in periodic...  ...other skills tests (such as simulation, coding, MS Office). Our goal for the application... 
    Risk
    Local area

    CIBC US

    Miami, FL
    2 days ago
  • Position Summary View all jobs Contracts Auditor Miami, FL Grant & Government Contracts Auditor Position Summary The Grant & Government...  ...internal policies. The auditor evaluates internal controls, identifies risks, and provides recommendations to strengthen compliance,... 
    Risk
    Contract work
    For contractors
    Local area

    Cherry Bekaert Foundation

    Miami, FL
    3 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Medicare Risk Adjustment ACO Coding Auditor. Be the first to apply!