Remote Risk Adjustment Auditor - Quality & Coding Expert
Oscar Health
- Remote job
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 occasional travel for meetings and events. Candidates must reside in AZ, FL, GA, or TX and have CPC plus 3+ years RADV/QA experience. #J-18808-Ljbffr Oscar Health
$30 - $35 per hour
...Risk Adjustment Coding Auditor We are seeking a Risk Adjustment Coding Auditor with... ..., Outlook). This is a remote position. Compensation:... ...them innovative solutions and expert guidance. Our suite of... ...conversion, regulatory and quality reporting, enterprise data...Remote workRiskHourly payWork at officeShift work$32 - $37 per hour
...hrCompany: TEKsystemsPosted: 2026-10-07DescriptionRisk Adjustment Coding AuditorThe Risk Adjustment Coding Auditor ensures the accuracy and completeness of coded... ...or Sick Leave)Workplace TypeThis is a fully remote position.Application DeadlineThis position is anticipated...Remote workRiskContract workTemporary work$64.38k - $96.58k
...lives but saving them. Together.The Remote Risk Adjustment Compliance Auditor is to conduct provider and coder... ...Duties/Responsibilities: 1. Monitors coding prevalence reporting for coding... ...to ensure the coding accuracy and quality of the data submitted to CMS. 5....Remote workRiskFull timeLocal area$75.58k - $93.37k
...as a "Great Place to Work" since 2015. Position Summary The Risk Adjustment Auditor is responsible for the ongoing monitoring, quality assurance, auditing and validating coding and documentation for the risk adjustment. The Auditor is responsible for auditing...Remote workRiskFull time$82.72k - $108.57k
...Oscar. We're hiring a Associate, Risk Adjustment Auditor to join our Risk Adjustment... ...conducts internal and external quality audits. Quality audits are specific to ICD-10 code abstraction relative to... ...Work Location: This is a remote position, open to candidates who...Remote workRiskFull timeWork experience placementWork from homeHome office$35 - $38 per hour
...Title : Risk Adjustment Coding Auditor Location : Remote Job Type : Contract (6 months) Compensation : $35.... ...programs. As a subject matter expert in risk adjustment coding, you will... ...opportunities to improve coding quality and regulatory compliance. This position...Remote workRiskContract workTemporary workWork at office$72.8k - $80k
...Risk Adjustment Coding AuditorHuntington Beach Office - Huntington... ...Adjustment Coding Auditor is responsible for conducting... ...as a subject matter expert in HCC coding,... ...education, and continuous quality improvement efforts... ...environment and/or remotely. The job involves frequent...Remote workRiskWork at office- ...is seeking an experienced Quality Assurance Auditor with a coding background. The role focuses... ...provider education and risk mitigation initiatives.Location is Phoenix, AZ or remote. Requirements include 5+ years... ..., 3+ years in HCC/risk adjustment, 2+ years auditing/QA, and...Remote workRisk
- ...applications for an outpatient Certified Coding Auditor to work in its New York office or remotely. Principal duties and... ...to identify areas of risk in a variety of healthcare settings... ...Auditor (CPMA) Certified Risk Adjustment Coder (CRC™) Certified Coding...Remote workRiskWork at officeLocal area
- ...SummaryResponsible for leading coding teams, coder training,... ...improve CC/MCC capture, Risk Variable capture, HAC/PSI, HCC and Quality Indicator validation.... ...and sequencing of risk adjustment diagnoses following... ...Participates in on site, remote and/or external training...Remote workRiskWork at officeLocal area
$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 and accuracy. You will work with management... ...the Manager, Risk Adjustment. This is a remote role open to multiple states, with...Remote jobRisk- ...seeking a Full-Time Coding Auditor. This role requires... ...-Friday and is a remote position with occasional... ..., and effective quality assurance programs. The... ...as a Subject Matter Expert in coding and documentation... ...Guidance, and CMS Risk Adjustment guidance. Performs...Remote workRiskFull timeWork at officeWork from homeMonday to Friday
$68.57k - $104.84k
...DRG Quality Control/Clinical AuditorCERIS... .../Clinical Auditor. The Diagnostic... ...validation (clinical/coding) reviews of... ...rules.This is a remote position.... ...assignedKnowledge & Skills:Expert knowledge of... ...and these adjustments would be clarified... ...in Risk ManagementIn general...Remote workRiskMinimum wageFull timeLocal areaFlexible hours- ...CommercialPay Type: SalaryJOB SUMMARY:The Risk Adjustment Auditor is responsible for reviewing medical... ...adjustment guidelines and ICD-10-CM coding standards. This role plays a critical... ...operations teams to improve documentation quality and coding accuracy.• Assist with...RiskWork at office
- Vytwo in Dallas, TX seeks a Risk Adjustment Coding Auditor for a 6-month engagement to support CMS RADV audit passes. The role requires a CPC and CRC certification and 5+ years of risk adjustment experience, with proficiency in MS Office. The team will run first and second...Risk
- ...Details Compliance Auditor Job Description... ..., performs risk-based audits of clinical... ...documentation, coding, and billing records... ...audit conclusions and quality assurance review.... ...- Certified Risk Adjustment Coder - American... ...WORKING CONDITIONS Remote Usual Workday...Remote workRiskDaily paidFull timeTemporary workPart timeFlexible hoursShift work
- ...the cloud.Identify risks and assess the... ...organization to develop and adjust audit plans as... ...of other IT Auditors (including project... ...Information Security.Expert knowledge of cyber... ...Plotly, Seaborn).Coding skills and experience... ...noted as open to remote.Fannie Mae is an...Remote workRiskFull timeWork at office
- ...highlight of our 12th Annual Quality Summit . POSITION... ...is seeking a Medical Coding Auditor with emphasis on... ...coding compliance risks (including undercoding... ...in either a hybrid or remote setting. If remote, must... ...perception, and the ability to adjust focus While...Remote workRiskFull timeWork at officeLocal areaFlexible hoursNight shift
$18 - $30 per hour
...experienced Provider Auditor and Educator. This is a fully remote position, with... ...conducting comprehensive coding, documentation, and... ...coding compliance, quality measure capture, and risk adjustment performance. The Auditor... ...as a subject matter expert in Evaluation and...Remote jobRiskHourly payWork at office- Job Overview Role type: Risk Adjustment Coding Auditor. Quantity of resources: 2. Duration: 6 months. JD: This role will be occupied by a certified risk adjustment coder to support first and second pass auditing for CMS RADV's. Required Skills MS Suite CPC certified...Risk
- Baptist Health in Boca Raton is seeking a Risk Coding Regional Auditor to support the Director of risk coding with chart reviews and up-coding... ...years of experience, and certification requirements in risk adjustment coding. Join a faith-driven health system focused on...Risk
- ...Kaiser Permanente is seeking a Compliance Specialist focused on coding functions within all settings of care to ensure alignment with... ...clinical, and compliance teams to sustain regulatory adherence, drive quality improvements, and maintain the KP code of conduct across all...Risk
$31.03 - $36.03 per hour
...to the required work experience. ~3 years of risk adjustment and/or hierarchical condition category coding experience. ~ Strong knowledge of diagnosis code... ...identifying coding discrepancies and supporting quality and provider education initiatives. Experience...Remote workRiskTemporary workWork experience placement- ...independently performing program, compliance and risk-based reviews of health care related... ...of related medical record documentation, coding, billing and policies. Provides written... ...: RequiredCertified Professional Medical Auditor (CPMA) or Certified E&M Auditor (CEMA) or...Remote workRiskWork experience placement
$118.6k - $157.14k
...Reporting to the Director of Risk Adjustment Prospective Programs,... ..., dashboards, quality controls, and staff workflows... ...valid clinical codes that were rejected at... ...executing data sweeps.Expert-level Microsoft Excel... ...schedule. (Monday & Friday - remote, Tuesday - Thursday...Remote workRiskTemporary workWork experience placementLocal areaMonday to Friday$143.62k - $229.79k
...Consulting Actuary -ACA Risk Adjustment As a Consulting Actuary -ACA... ...timeliness, compliance, and quality of work Provide proactive... ...partnerships with vendors, auditors, regulators, and health care... ...understanding of diagnosis coding (ICD-10-CM), provider documentation...Remote workRisk- ...Title: Coding Quality Auditor and Specialist, HB Coding Duration: Full... ...Employment Location: 100% Remote (occasional onsite meeting... ...Specialist is required to be the expert in the work related to... ...but, is not limited to, Risk Adjustment, Mortality Review, Hospital...Remote workRiskFull timeImmediate start
- ...detail-oriented Claims Auditor to join our team in Sherman... ...and reduce financial risk Document audit findings... ...ICD-10, CPT, and HCPCS coding standards Requirements:... ...to delivering high-quality, coordinated healthcare... ...healthcare industry. This is a remote position. #J-18808-...Remote workRiskWork at office
- Tier4 Group is seeking an Experienced Risk Adjustment Coder with Medicare Advantage and ACA coding expertise to support risk adjustment initiatives, medical record... ...compliance and revenue integrity while working remotely under general supervision. The candidate will review...Remote jobRisk
$160k - $195k
Sr. Director - Risk Adjustment Department: Quality - Risk Adjustment Employment Type: Full... ...in risk capture, coding accuracy, provider engagement... ...CRC, CPC, CCS, RHIA, RHIT Expert knowledge of CMS-HCC, Medicare... ...Conditions This is a remote position. Travel is required...Remote workRiskFull timeContract work
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