Remote Risk Adjustment Auditor | QA & Compliance
$82.72k - $108.57kNAME Inc
Oscar is hiring an Associate, Risk Adjustment Auditor to join our Risk Adjustment team. This role involves conducting quality audits related to ICD-10 code abstraction and working closely with management to implement benchmarks and quality assurance programs. This is a remote position available to candidates from select states. The base pay ranges from $82,717 to $108,566 annually and includes extensive employee benefits such as unlimited vacation, medical, dental, and vision coverage. #J-18808-Ljbffr
- 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-... ...completeness. You will engage in audit operations and compliance, while working with the management team to...Remote jobRisk
$82.72k - $108.57k
...Oscar is seeking an Associate, Risk Adjustment Auditor for a remote role to conduct internal and external quality audits focusing on ICD-10 code abstraction. The role requires collaboration with management to establish benchmarks and quality assurance programs. This position...Remote workRisk- ...Oscar is seeking an Associate, Risk Adjustment Auditor to join their Risk Adjustment team. This remote position will involve conducting internal and external quality audits of ICD-10 code abstraction and working to implement benchmarks. The ideal candidate has a Bachelor...Remote workRisk
$64.38k - $96.58k
...that really matters, not only changing lives but saving them. Together. Job Summary Alignment Health is seeking a remote Risk Adjustment Compliance Auditor to support auditing and compliance activities related to risk adjustment data submitted to CMS. In this role, you...Remote workRiskFull timeLocal areaMonday to FridayFlexible hours$82.72k - $108.57k
...we're Oscar. We're hiring a Associate, Risk Adjustment Auditor to join our Risk Adjustment team.... ...Adjustment. Work Location: This is a remote position, open to candidates who reside... ...education are implemented. Maintain compliance with national standards and coding...Remote workRiskFull timeWork experience placementWork from homeHome office- Oscar Health is hiring an Associate, Risk Adjustment Auditor to join their Risk Adjustment team. This remote position focuses on conducting quality audits specific to ICD-10 code abstraction accuracy. You will work with management to implement benchmarks and quality assurance...Remote jobRisk
- 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 a remote Associate, Risk Adjustment Auditor to join their Risk Adjustment team. This role involves conducting internal and external... ...operations related to risk adjustment, maintaining compliance with coding guidelines, and fostering relationships...Remote jobRisk
- ClinDCast LLC is seeking a Risk Adjustment Coding Auditor with 8+ years of experience to support CMS RADV first- and second-pass audits. The ideal... ...expertise and proficiency in Microsoft Office Suite. This is a remote position, offering an opportunity to contribute to federal...Remote jobRiskWork at office
- ...identify opportunities to improve provider documentation and tailor education plans. The role reports to the Manager, Medicare Risk Adjustment. Responsibilities include arranging educational sessions, analyzing coding quality, and delivering on-site education while collaborating...Remote jobRiskWork from home
$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- ...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
- ...Now Hiring – Coding Educator & Auditor Revenue Integrity University... .... Provides onsite and remote quality assurance reviews/audits with appropriate compliance with governmental and payer regulations... ...provided to Providers, Coding, Risk, CDI, and Quality team members...Remote workRiskFull timeWork at officeLocal areaImmediate start
- ...Educator 2 to drive documentation improvements and tailor education plans for providers. The role reports to the Manager, Medicare Risk Adjustment and will lead sessions, analyze trends, and present findings. You will use Excel/Power BI to visualize data, develop materials,...Remote jobRisk
$95k - $125k
...Job Description The GCP Auditor supports and... ...quality programs, including QA training, document control... ...and CAPA, while ensuring compliance with current GCP regulations... ...and provides a fully remote work arrangement with... ...as the modification or adjustment of the job application...Remote workPermanent employmentContract workLocal areaHome office$57.4k - $99k
...based on experience The Physician Coding Auditor develops and implements strategic needs... ...provides reports related to compliance risks when requested. Experience We Love: 5 years... ...patient and client experiences. This is a remote position; however, candidates must be willing...Remote workRiskTemporary workWork at officeImmediate start- The City of Lincoln is seeking a Coder Auditor to ensure the accuracy of clinical data supporting risk adjustment coding for the Medicare plan. The ideal candidate will work closely with healthcare providers to identify documentation gaps. Responsibilities include auditing...Risk
$54.3k - $145.86k
...Manager of the RI Retro Ops Team, the Risk Adjustment Outreach Manager is responsible for leading... ...organizational goals. ~This is a remote position within the continental US.... ...processes, resolving barriers, and maintaining compliance. ~Provider Engagement: Conduct...Remote workRiskFull time- ...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
- The Central California Alliance for Health is seeking a Risk Adjustment Director to lead their Risk Adjustment Department. This position can be based in one of several counties or remotely in California, requiring quarterly travel. The ideal candidate will possess extensive...Remote jobRisk
- Central California Alliance for Health is seeking a Risk Adjustment Director responsible for leading the Risk Adjustment Department. This... ...specifically in Medicare risk adjustments. The position is available remotely in California or in one of the service counties and offers...Remote jobRisk
- ...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
- ...Senior Product Manager to lead the strategy and execution of a risk adjustment product. The ideal candidate should have 5-7 years of... ...across teams to enhance product offerings. The position is fully remote and offers a competitive salary and comprehensive benefits. #J...Remote jobRisk
- Oasis Health Partners seeks a Head of Risk Adjustment/Coding Operations to oversee strategy, design, and performance of their risk adjustment program. The role involves leading a coding team, ensuring alignment with enterprise priorities and regulatory standards, and shaping...Remote jobRisk
$33.69 - $56.15 per hour
Role Description As a Senior Risk Adjustment Informatics & Workflow Analyst, you will design... ...with coding, provider education, QA/RADV, compliance, and network teams to ensure documentation... ...ready and defensible. This is a remote opportunity with a schedule of Monday...Remote workRiskFull timeMonday to FridayShift work- ...Manager Risk Adjustment Program At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists... ...clinical excellence. Position details: Location: Tampa, FL (Remote - Must Reside in the State of Florida) Status: Full Time,...Remote workRiskFull timeShift work
- Role Description Director, Product Manager - Risk Adjustment (Remote) About the Role: ~Type: Full-Time, Salaried ~Compensation: $152,... ...Partnering with Clinical, Coding Operations, Engineering, Compliance, Finance, Customer Success, and Executive Leadership. ~...Remote workRiskFull timeTemporary workFlexible hours
$70k - $95k
GMP Quality Assurance Auditor (fully onsite) The Quality... ...a robust internal compliance program that ensures adherence... ...determine the level of risk, and follow up on... ...documentation. Experience with QA-related functions and... ...as the modification or adjustment of the job application...RiskPermanent employmentFull timeContract workTemporary workWork at officeRelocation packageMonday to FridayDay shift- ...for assigned providers to ensure accurate documentation and risk adjustment capture. The role includes quarterly reviews, targeted education... ..., with travel within the defined market. Facilities a hybrid/remote work model, with standard hours and quarterly travel as...Remote jobRisk
- ...primary resource for assigned providers, guiding documentation and risk adjustment capture with education and specialized guidance. The role... ...delivery, and support for coding tools, in a hybrid/remote setup with local travel within Virginia. #J-18808-Ljbffr CenterWell...Remote workRiskLocal area
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