Remote Risk Adjustment Auditor - Medicare HCC & Data Expert
Norwood
- Remote job
Norwood in the United States is seeking a Risk Adjustment professional to join our team. You will review Medicare/Medicare Advantage HCC coding, perform retrospective audits of encounters, and ensure accurate risk adjustment documentation. Proficiency in Excel is essential. Remote opportunities are available with nationwide scope. Permanent opportunities exist; travel expenses are covered upfront if travel is required. Full-time employees enjoy 6 paid holidays, PTO, and health benefits. #J-18808-Ljbffr Norwood
- 1099 HCC Risk Adjustment & Professional-Fee (Physician) Coder Remote- As needed / Hourly / Part-Time HCC Risk... ...Adjustment and Professional-Fee Auditor 1099 hourly Pinnacle... ...experience in Medicare Risk Adjustment What Will... ...Adjustment coding and data validation requirements...Remote workRiskHourly payPart timeWork from homeFlexible hours
$64.38k - $96.58k
...Together.This is a remote position. The MRA Coding Auditor supports departmental... ...accurate and complete data is submitted to CMS. Assists in Risk Adjustment related data audits... ...quality (95% HCC accuracy). These ongoing... ...Minimum three years of Medicare Risk Adjustment...Remote workRiskFull timeLocal area- Insight Global is seeking experienced HCC Risk Adjustment Medical Coders for a high-volume, remote seasonal project supporting Medicare initiatives. Coders will review and code records with a target of 2 charts per hour. Candidates must have Medicare HCC experience, at...Remote jobRiskHourly paySeasonal work
$35 - $38 per hour
...Title : Risk Adjustment Coding Auditor Location : Remote Job Type : Contract (6 months... ...across commercial, Medicare, and Medicaid... ...gaps, and providing expert guidance on risk adjustment... ...with strong HCC auditing experience... ...is passionate about data accuracy,...Remote workRiskHourly payContract workTemporary workWork experience placementWork at office$35 - $38 per hour
...Title : Risk Adjustment Coding Auditor Location : Remote Job Type : Contract (6 months... ...members across Medicare, Medicaid, and Commercial... ...a subject matter expert in risk adjustment... ...within CMS HCC and other risk adjustment... ...Risk Adjustment Data Validation (RADV) audit...Remote workRiskContract workWork at office- ...focus include Medicare, Medicaid, commercial... ...Coding Auditor to work in its... ...York office or remotely. Principal... ...identify areas of risk in a variety of... ...Behavioral health and HCC coding... ...CMS 1500 claims data, as well as understanding... ...Certified Risk Adjustment Coder (CRC™)...Remote workRiskWork at officeLocal area
- ...Job Summary: We are seeking a Risk Adjustment Coding Auditor with 8+ years of experience to support first... ...audits for CMS RADV (Risk Adjustment Data Validation) projects. The ideal candidate... ...in Microsoft Office Suite (Excel, Word, Outlook) This is a remote position....Remote workRiskWork at office
$30 - $35 per hour
...Summary: We are seeking a Risk Adjustment Coding Auditor with 8+ years of experience... ...CMS RADV (Risk Adjustment Data Validation) projects. The... ...Word, Outlook) This is a remote position. Compensation... ...innovative solutions and expert guidance. Our suite of...Remote workRiskHourly payWork at officeShift work- ...DaMar Staffing is seeking a Risk Adjustment HCC Coder for a remote role servicing the Baltimore, MD area. The position supports FQHC, Medicaid and value-based care populations, with review of records to validate ICD-10-CM coding and HCC opportunities. Two openings,...Remote workRiskPermanent employmentFull time
$82.72k - $108.57k
Oscar Health is hiring an Associate, Risk Adjustment Auditor to conduct internal and external quality audits focused on ICD-10 code abstraction... ..., reporting to the Manager, Risk Adjustment. This is a remote role open to multiple states, with potential travel for meetings...Remote jobRisk- Oscar Health is hiring an Associate, Risk Adjustment Auditor to join our Risk Adjustment team. This remote role supports audits, code abstraction accuracy, and QA initiatives across ACA and MA lines. You will report to the Manager, Risk Adjustment and work from home with...Remote jobRiskWork from home
$82.72k - $108.57k
.... We're hiring a Associate, Risk Adjustment Auditor to join our Risk Adjustment... ...Work Location: This is a remote position, open to candidates... ...business, potential Centers of Medicare & Medicaid Services (CMS), Health... ...by validating Encounter Data Gathering Environment Server...Remote workRiskFull timeWork experience placementWork from homeHome office- Datavant seeks an experienced HCC coder to review medical... ...diagnoses using ICD-10 CM for risk adjustment and reimbursement. You will ensure... ...will work in a fast-paced, remote environment, manage multiple... ...time and focuses on healthcare data accuracy. #J-18808-Ljbffr DatavantRemote jobRiskFull time
- Datavant is seeking a skilled HCC coder to join our healthcare data platform team. You will review medical... ...to ICD-10-CM guidelines to support risk adjustment and payer reimbursement. Ideal... ...ability to work independently in a remote setting while delivering high-quality...Remote jobRisk
$72.8k - $80k
...Job Summary The Risk Adjustment Coding Auditor is responsible for... ...support accurate Medicare Advantage risk adjustment... ...coding and HCC capture. Review... ...Risk Adjustment data submission requirements... ...a subject matter expert on CMS Risk... ...environment and/or remotely. The job involves...Remote workRiskFull timeWork at office- The Associate, Risk Adjustment Auditor conducts internal and external quality audits specific to ICD-10 code abstraction. Work with management to... ...codes for ACA and MA lines of business. Validate EDGE data is supported by provider encounter documentation and report...Remote jobRiskWork experience placement
$36k - $45.4k
...Job Title: HCC / Risk Adjustment Medical Coder Location : Remote, US Shift Hours: Applicant should be available to work from 6 AM to 6 PM EST. Pay... ...the completeness, accuracy, and integrity of coded data. Identify and resolve coding discrepancies or discrepancies...Remote workRiskFull timeApprenticeshipMonday to FridayShift work$30 - $35 per hour
...looking for US-based experienced, certified HCC risk adjustment coders to join our contractor network.... ...coder workbench platform. This is a remote, per-chart or hourly contract... ...ambulatory encounter documentation for Medicare Advantage members Validate AI-suggested...Remote jobRiskHourly payContract workFor contractorsFlexible hours- ...experienced Quality Assurance Auditor with a coding background. The... ...supporting provider education and risk mitigation initiatives.Location is Phoenix, AZ or remote. Requirements include 5+ years... ...coding, 3+ years in HCC/risk adjustment, 2+ years auditing/QA, and active...Remote workRisk
- ...improve CC/MCC capture, Risk Variable capture, HAC/PSI, HCC and Quality Indicator validation... ...knowledge of Centers for Medicare & Medicaid Services (CMS)... ...and sequencing of risk adjustment diagnoses following... ...Participates in on site, remote and/or external training...Remote workRiskWork at officeLocal area
$25 - $26.7 per hour
...Clinical Record Retrieval and Abstraction for High-Fidelity Real-World Data. Read more Need help with record requests? Datavant Connect Login Back to Jobs HCC Risk Adjustment Coder 8250 Remote - United States Full-time regular Datavant is the data...Remote workRiskFull timeFixed term contractWork at officeLocal areaFlexible hours- ...Seeking multiple full-time Remote HCC Coders (Coder 1), who will conduct accurate and compliant diagnosis code abstraction for Medicare, Commercial, and Medicaid risk adjustment programs, while applying coding guidelines and communicating findings to team leadership....Remote workRiskFull time
- ...Type: SalaryJOB SUMMARY:The Risk Adjustment Auditor is responsible for reviewing... ...compliance with CMS Risk Adjustment Data Validation (RADV) standards.... ...:• Knowledge of CMS-HCC and HHS-HCC risk adjustment... ...Previous auditing experience in Medicare Advantage and ACA preferred....RiskWork at office
- To ensure accurate risk adjustment data submission to CMS, the full-time Remote Medicare Risk Adjustment Compliance Auditor will conduct provider and coder level reviews, develop tracking tools, and monitor compliance with federal and state regulations. Key responsibilities...Remote workRiskFull time
- ...Specialist to join our team. The role focuses on ICD-10-CM coding for risk adjustment and requires accuracy in a fast-paced environment. The... ...Scottsdale for 30 days, after which it transitions to fully remote. Candidates must reside in Arizona and have a CPC or CRC...Remote jobRisk
- ...Health Medical Group seeks an Ambulatory CDI Specialist to join our team. This remote position requires residency in KY or IN and involves evaluating documentation for coding accuracy and HCC coding. You will guide providers and staff on clinical documentation best...Remote jobRiskWork at office
- Insight Global is seeking experienced HCC Risk Adjustment Medical Coders for a high-volume seasonal project supporting Medicare risk adjustment initiatives. Responsible for coding 2 Charts per hour.Remote workRiskHourly paySeasonal work
- ...Full-Time Coding Auditor. This role... ...Friday and is a remote position with occasional... ...Subject Matter Expert in coding and... ...to ensure data is complete,... ...Guidance, and CMS Risk Adjustment guidance.... ...and regulations, Medicare, other MA and commercial... ...CMS and HHS HCC risk adjustment...Remote workRiskFull timeWork at officeWork from homeMonday to Friday
$78.4k - $107.8k
...community The Nurse Auditor 2 performs clinical audit... ...Identifies members with high risk CMS Hierarchical Condition Categories (HCC) and refers cases for... ...impact WORK STYLE: Remote/Work at Home. While this... ...of life for people with Medicare and Medicaid, families,...Remote workRiskBi-weekly payFull timeTemporary workApprenticeshipWork from homeHome officeMonday to Friday$57.8k - $78.2k
Risk Adjustment Auditor I or II Hybrid role (3 days/week in office) at our Salt Lake City, Boise, Fargo... ...and experience. Risk Adjustment, HCC or Inpatient coding experience required... ...Work primarily performed in office or remote environment. Travel may be required, locally...Remote workRiskHourly payWork at officeImmediate startWork from homeRelocationFlexible hours3 days per week
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