Advanced Risk Adjustment Coder - ICD-10 & Audits
Millennium Physician Group
Millennium Physician Group is seeking a RISK ADJUSTMENT CODING SPECIALIST to abstract and assign ICD‑10‑CM diagnosis codes and conduct audits of medical records. The role requires advanced knowledge of medical terminology and coding practices, with a strong emphasis on data analysis and technical skills. A minimum of 2 years of relevant experience is necessary, with the ability to manage workloads effectively. Candidates will be responsible for improving documentation standards and coding accuracy while maintaining communication with leadership. #J-18808-Ljbffr Millennium Physician Group
- ...Sinai Medical Center of Florida, Inc. is seeking a Certified Risk Adjustment Coder to ensure accurate coding and documentation standards. The... ...experience in coding and billing, with a strong knowledge of ICD-10-CM and CPT. Benefits include health insurance, paid time off...Risk
- 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...RiskRemote job
$82.72k - $108.57k
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...RiskRemote job- Responsibilities Abstract and assign ICD‑10‑CM diagnosis codes... ...or higher‑level coders. Conduct retrospective audits of medical records to validate... .... Analyze Medicare Risk Adjustment (MRA) data to identify coding... ...1 year of HCC coding. Advanced knowledge of medical terminology...Risk
- ## Certified Risk Adjustment CoderApplylocations: Hialeah, FLtime type: Full timeposted on: Posted... ...the country. We offer the latest in advanced medicine, technology, and comfort in 12... ...in Coding and Billing, Knowledge of ICD-10-CM and CPT**Benefits:**We believe in the...RiskWork at office
- ...knowledge of coding and documentation standards as well as CMS risk adjustment guidelines and hierarchical condition categories (HCCs).... ...Experience: At least five years in coding and billing. Knowledge of ICD‑10‑CM and CPT coding systems. Demonstrated ability to accurately...RiskWork at office
- ...Description Key Responsibilities Advanced Closing & Compliance... ...pre-closing audits to ensure file completeness... ...and resolve compliance risks prior to funding authorization... ..., lender credit adjustments, and investor guideline... ...lifts and/or moves up to 10 pounds and...RiskWork at office
- ...coding procedures and processes. Conducts audits and/or coding reviews with various... ...ACCOUNTABILITY ACCURACY (DRG) ACCURACY - CODER ACCURACY - OUTPATIENT ANALYSIS AND DECISION... ...Professional Medical Auditor (CPMA), Certified Risk Adjustment Coder (CRC) by AAPC, or Certified Coding...RiskWork experience placementWork at officeLocal areaShift work
- ...reviews to assess credit risk and ensures risks are... ...marketing strategies to advance the Credit Union’s... ...recommend risk rating adjustments as defined by policies... ...disclosures and ensures audit compliance, procedural... ...or university; and ten (10) to fifteen (15) or more...RiskLive outWork at officeLocal areaImmediate start
$20.5 - $27.85 per hour
...procedures for medical records according to ICD-10-CM and CPT-4 guidelines, including... ...Requirements : CPC (Certified Professional Coder) Preferred or COC (Certified Outpatient... ...Requirements CRC (Certified Risk Adjustment Coder) required -or- CIC (Certified Inpatient...RiskCasual workRemote work- Cano Health, LLC is seeking a Risk Adjustment Coder to join our hybrid team in New York. The coder will identify and document coding information crucial for Clinical Condition Categories and ensure diagnosis code accuracy. This role involves regular collaboration with healthcare...Risk
- ...strategy, planning, reporting, and risk management functions. This... ...Manage banking, insurance, audit, tax, legal, and other professional... ...QUALIFICATIONS: Minimum of 10–15 years of progressive leadership... ..., growth-oriented business. Advanced degree required, preferably an...RiskContract work
- Cano Health is looking for a Risk Adjustment Coder in the Town of Florida, NY. The role involves identifying and documenting claims coding information while ensuring the accuracy of diagnosis codes. Candidates should have two years of medical coding experience and relevant...RiskWork at office
- ...problems before they occur so that risk‑handling activities may be... ...to records, statistics, auditing, premiums, policy expiration dates... ...Licenses Requires Resident Public Adjuster License. Supplemental... ...time and involves exerting up to 10 pounds of force on a regular...RiskFull time
- Amerant Bank is seeking an experienced Internal Audit Supervisor to oversee and manage internal... ...areas. The role requires at least 10 years of audit experience, with emphasis... ...management. The ideal candidate possesses advanced banking knowledge and strong analytical skills...Risk
$81k - $85k
...Preparation of recurring and adjusting journal entries within areas of... ...Completes financial analysis for audits and performs monthly and year-... ...systemic issues and high risk/high exposure situations. Recommends... ...including knowledge of ICD-10, CPT, and HCPCS codes required...RiskFull timeLocal area- ...offer excellent benefits, advanced opportunities, and... ...on financial strategy, risk, capital adequacy, and economic... ...Partner with internal audit firm, external auditors,... ...advanced degree a plus 10+ years of progressive financial... ...and the ability to adjust focus. Work Environment...Risk
- ...The Senior Clinical Coder serves as a subject matter expert in medical... ...a subject matter expert for ICD-10-CM, ICD-10-PCS, CPT, and... ...systems Escalate complex or high-risk cases to the Medical Director... ...and regulatory guidelines Advanced expertise in inpatient...RiskFull timeWork at officeRemote workWork from homeHome office
- ...industry standards and utilizes advanced software such as Xactimate to... ...; complete weekly file audits with no major errors. Maintain... ...; reduce sequencing errors by 10% annually. Attend minimum of... ...pose a threat or significant risk of substantial harm to the safety...RiskFor contractorsFor subcontractorWork at officeLocal areaWork from homeNight shiftWeekend work
- ...application process. Internal Audit Manager Miramar, FL, US 3 days... ...identifying and evaluating relative risks of the various operational,... ...Requirements At least 10 years of internal audit experience... .../or Other Essential Knowledge Advanced banking knowledge, organizational...RiskWork experience placement
- ...business hours Communicate delays, risks, or challenges to Regional... ...documentation to support underwriting and audit reviews Professional... ...lifts and/or moves up to 10 pounds and occasionally lifts... ..., color vision, and ability to adjust focus. This description outlines...RiskContract workImmediate startRemote work
- ## Risk Adjustment CoderApplyremote type: Hybridlocations: Jupiter, FLtime type: Full timeposted... ...join us.**Job Summary**The Risk Adjustment coder will identify, collect, assess, monitor... ...on-site chart reviews* Performs post-audits on assigned offices and notifies office...RiskWork at officeFlexible hoursWeekend work
$67.9k - $199.14k
...opportunity for a Senior Informatics Manager to join our dynamic Risk Adjustment Analytics team! In this role, you will lead and execute... ...team (1‑2 employees) responsible for designing and delivering advanced analytics, interpreting large healthcare datasets, and translating...RiskRemote jobHourly payFull timeTemporary workWork experience placementLocal area$15k
...those who are homeless and at risk of becoming homeless in Tampa... ...employees. 11 days of PTO and 10 paid holidays annually. Option... ...discrepancies. Prepare adjusting journal entries for any reconciling... ...VP of Finance with the annual audit including the preparation of accurate...RiskFull timePart timeWork at officeLocal areaImmediate start- ...strategic Director of Post-Pay Audit to lead our medical revenue recovery... ...opportunities and mitigate risk. Serve as the subject matter... ...or MBA preferred Minimum of 7-10 years of experience in post-payment... ...of healthcare billing, coding (ICD-10, CPT, HCPCS), and payer...RiskLocal areaRemote work
- ...company by analyzing the performance and risks of the portfolio by applying the KPI framework... ...Prepare for and support the corporate audit by providing necessary documentation Lead... ...verbal and written communication skills Advanced knowledge of MS Excel Expertise in...RiskWork at officeLocal area
- ...Apply enhanced validation for high‑risk regions (Caribbean, Central... ..., 1099 reporting, and external audit requests. Identify and lead process... .... Experience A minimum of 7-10 years of progressive accounts... ...Oracle, NetSuite also valued) Advanced Microsoft Excel (pivots,...RiskDaily paidFull timeContract workImmediate start
$101k - $200k
...the globe address their most significant risk, workforce, wealth management, and retirement... ...Develop, refine, and deliver advanced life insurance planning strategies across... ...CLU®, ChFC®, CFP®) highly preferred Minimum 10 years of experience in advanced life insurance...Risk- ...restricted fund management, compliance, audit coordination, and internal controls. The... ...Establish and maintain strong internal controls, risk mitigation strategies, and financial... ...or foundation funding requirements. Advanced proficiency in financial systems and reporting...RiskLocal area
- ...year-end accounting functions and audit preparation Support payroll... ...experience with Microsoft Office Advanced Excel skills Knowledge of basic... ...be expected to: exert up to 10 pounds of force and/or a negligible... ...a direct threat or significant risk to the health or safety of...RiskFull timeContract workWork at officeLocal areaWorldwide
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Advanced Risk Adjustment Coder - ICD-10 & Audits. Be the first to apply!

