Senior Remote Risk Adjustment Auditor
NACBA
NACBA is seeking a Risk Adjustment Coding Auditor to ensure accuracy in coded clinical data for compliant reporting and reimbursement. This remote role requires 5+ years of experience and an active CRC certification. Responsibilities include evaluating coding accuracy, ensuring HIPAA compliance, and reviewing diagnosis codes based on medical records. The position offers a pay range of $31.48 - $39.35 - $47.22 hourly, along with a comprehensive benefits package that includes medical insurance and 401k. #J-18808-Ljbffr
$31.48 - $47.22 per hour
...Blue Cross and Blue Shield of Minnesota is looking for a Risk Adjustment Coding Auditor to ensure coding accuracy and improve data integrity. This remote position requires 5+ years of risk adjustment coding experience and CRC certification. The auditor will evaluate risk...Remote workSeniorRiskHourly pay- ...E2E Alignment Healthcare USA, LLC is seeking a Medical Risk Adjustment Coding Auditor to conduct quality assessments and audits on coding performed... ...vendors to ensure accurate data submission to CMS. This fully remote role requires a minimum of three years' experience in...Remote workSeniorRisk
- ...Blue Cross and Blue Shield of Minnesota is seeking a Risk Adjustment Coding Auditor to ensure the accuracy and completeness of coded clinical data. The position evaluates risk adjustment codes, protects patient records, and contributes to audit efforts. Qualified candidates...Remote workRisk
- ...Oscar is looking for a qualified Associate, Risk Adjustment Auditor to join their team. This remote position involves conducting quality audits related to ICD-10 code accuracy and engaging in risk adjustment operations while collaborating with management. The ideal candidate...Remote workRisk
- ...Senior Auditor The Senior Associate works directly with all levels of the firm, including... ...the work plan and communicate schedule adjustments to managers and/or partners. Following... ...concepts of materiality and audit risk. Prepare work papers that are informative...Remote workSeniorRiskContract workFor contractorsLocal area
- ...model of 3 days onsite and 2 days remote (onsite Tuesdays, Wednesdays... ...is responsible for executing risk-based audits from planning... ...allocated budget, notifying the lead auditor promptly of any issues that... ...goals. Sets goals and adjusts throughout the year while having...Remote workSeniorRiskFlexible hours
- ...Neier Inc. seeks a Senior Clinical Documentation Integrity (CDI) Specialist to ensure... ...for providers. This position is mostly remote, but may require travel across various states... ...degrees and certifications and have experience in risk adjustment coding. #J-18808-Ljbffr...Remote workSeniorRisk
$67.9k - $199.14k
...The Hispanic Alliance for Career Enhancement is seeking a Senior Informatics Manager to join their Risk Adjustment Analytics team in Montana. This role involves leading complex data analyses to improve health plan performance. You will manage a small team and work closely...Remote workSeniorRisk- ...Namely is seeking an Associate, Risk Adjustment Auditor to join their Risk Adjustment team. This remote role involves conducting internal and external quality audits specific to ICD-10 code abstraction related to accuracy and completeness. Applicants should hold a Bachelor...Remote workRisk
- A health insurance technology company is hiring a Senior Actuarial Analyst to join its Actuarial team in Dallas, TX. This is a fully remote position where you'll manage actuarial models for risk adjustment across ACA markets. The role requires a STEM degree, SOA credentials...Remote workSeniorRisk
- Stanford Health Care is seeking a Senior Risk Adjustment Coder in Newark, NJ, responsible for code audits and abstraction in line with regulations. This role requires collaboration with clinicians to ensure accurate coding and compliance initiatives. Applicants should...SeniorRisk
$33 - $36 per hour
...RadNet, Inc. is seeking experienced HCC Risk Adjustment Auditors/Coders in Los Angeles. Responsibilities include maintaining and monitoring quality assurance auditing plans and improving coding documentation accuracy. The role requires collaboration with healthcare providers...SeniorRiskHourly pay- ...CVS Health is looking for a Senior Informatics Manager to lead the Risk Adjustment Analytics team in New York. In this role, you will spearhead complex data analyses to enhance health plan performance and manage a small team responsible for delivering advanced analytics...Remote workSeniorRisk
- 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
- ...A healthcare technology firm is seeking a Senior Product Manager to lead the strategy and execution of a risk adjustment product. The ideal candidate should have 5-7 years... ...enhance product offerings. The position is fully remote and offers a competitive salary and...Remote workSeniorRisk
- A leading insurance and risk management firm is seeking a Claims Adjuster in Dallas, Texas. The ideal candidate will have 3-5 years of experience managing lost... ...compensation package and the possibility for remote work. Join a team committed to making a difference during...Remote workSeniorRisk
- Oscar Health is hiring a remote Associate, Risk Adjustment Auditor to join their Risk Adjustment team. This role involves conducting internal and external quality audits specific to ICD-10 code accuracy. The ideal candidate will have experience in risk adjustment coding...Remote jobRisk
- ...Oscar Health is seeking a Senior Actuarial Analyst to join their Actuarial team, focusing on risk adjustment in ACA markets. This position involves managing and enhancing actuarial... ...for actuarial accreditation. The role is remote, primarily open to applicants in Hartford, CT...Remote workSeniorRisk
- 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-10 code accuracy and completeness. You will engage in audit operations and compliance, while working with the...Remote jobRisk
$31.48 - $47.22 per hour
...based on any legally protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Risk Adjustment Coding Auditor Location: Remote Career Area: Customer Service/Operations About Blue Cross and Blue Shield of Minnesota At Blue Cross...Remote workRiskHourly payFull timeFor contractorsShift work- ...CVS Health is seeking a Senior Informatics Manager to join their Risk Adjustment Analytics team in South Dakota. This role involves leading complex data analyses to enhance health plan performance and improve quality outcomes. The ideal candidate will have extensive experience...Remote workSeniorRisk
$105k
...Job Category: Compliance / Risk / Quality Assurance Job Level... ...of Internal Audit, the Senior IT Auditor is responsible for evaluating... ...is hybrid working from your remote office and in-person at the... ...standards, while proactively adjusting work plans as needed....Remote workSeniorRiskWork at office$156.4k - $268k
...Join Optum as the Sr. Director Compliance - Risk Adjustment Coding, a vital role responsible for the compliance program across the organization... ...closely with various internal partners. This position offers remote flexibility with office requirements for select locations....Remote workSeniorRiskWork at office- ...Blue Cross and Blue Shield of North Carolina is seeking a Senior Data Analyst in Durham. This role focuses on ACA Risk Adjustment and EDGE server submissions. The candidate will work with stakeholders to ensure accurate data reporting and provide complex analytic support...Remote workSeniorRisk
- ...CVS Health® is looking for a Senior Informatics Manager to lead the Risk Adjustment Analytics team. This role entails managing data analyses to optimize health plan performance through data-driven insights. The candidate will handle a small team to deliver advanced analytics...Remote workSeniorRisk
- ...CVS Health in Louisiana is looking for a Senior Informatics Manager to lead their Risk Adjustment Analytics team. The successful candidate will direct complex data analyses and manage a small team focused on improving health plan performance through data insights. Key...Remote workSeniorRiskFull time
$82.72k - $108.57k
...Auditor, Risk Adjustment Arizona, United States Hi, we're Oscar. We're hiring an Associate, Risk Adjustment Auditor to join our Risk Adjustment... ...the Manager, Risk Adjustment. Work Location: This is a remote position, open to candidates who reside in: Arizona;...Remote workRiskFull timeWork experience placementWork from homeHome office- ...Blue Cross and Blue Shield of North Carolina is seeking a Senior Data Analyst to join their team in Arkansas. This role will focus on ACA Risk Adjustment and data submissions, acting as a liaison between business stakeholders and technical teams. The ideal candidate will...Remote workSeniorRisk
- ...Blue Cross and Blue Shield of North Carolina is seeking a Senior Data Analyst with expertise in ACA Risk Adjustment to support business decision-making. The role requires strong analytical skills and experience with ACA data flows. You will work collaboratively to provide...Remote workSeniorRisk
- ...Blue Cross and Blue Shield of North Carolina is seeking a Senior Data Analyst with expertise in ACA Risk Adjustment and EDGE submissions. This role involves providing complex analytic support, data validation, and collaboration with various stakeholders to ensure timely...Remote workSeniorRisk
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