Remote Risk Adjustment Coding & Audits Specialist
Saint Alphonsus
- Remote job
Saint Alphonsus Health System is seeking a full-time Risk Adjustment Coding Specialist for our Population Health team. This fully remote, day-shift role focuses on education, coding accuracy, and collaboration with providers and billing staff. You will develop educational materials, conduct coding training, perform medical record audits for risk adjustment and quality measures, and support performance improvement initiatives across clinics. #J-18808-Ljbffr Saint Alphonsus
- ...Job Summary: We are seeking a Risk Adjustment Coding Auditor with 8+ years of experience to support first- and second-pass audits for CMS RADV (Risk Adjustment Data Validation) projects... ...in Microsoft Office Suite (Excel, Word, Outlook) This is a remote position....Remote workRiskWork at office
$87.7k - $157.8k
...Manage the business processes related to risk adjustment and quality improvement across Centene’s... ...products and plans. Key Details: Remote role with preference in AZ location with... ...and pivoting Strong understanding of coding, RA programming Strong presenter with...Remote workRiskFull timePart timeWork at officeLocal areaFlexible hours- Alignment Healthcare is seeking a Remote Risk Adjustment Compliance Auditor to conduct provider and... ..., review outcomes, and participate in audits related to risk adjustment, with emphasis... ...a minimum of 3 years of professional coding experience in a medical group or...Remote jobRisk
- Cambia Health Solutions is seeking a Risk Adjustment Auditor I or II to perform retrospective and prospective chart reviews to ensure accurate risk adjustment reporting. You will verify codes, identify trends, and collaborate on improvement strategies in a collaborative...Remote jobRisk
- Cambia Health Solutions is seeking a Risk Adjustment Auditor I or II for a hybrid role with three days in office across designated U.S. locations... ...reviews to ensure accurate risk adjustment reporting and coding integrity. You will analyze provider documentation, identify...Remote jobRiskWork at office
$31.03 - $36.03 per hour
...required work experience.3 years of risk adjustment and/or hierarchical condition category coding experience.Strong knowledge of... ...guide less experienced coding specialists.ExperienceExperience supporting... ...Adjustment Data Validation audit activities.Experience reviewing...Remote workRiskTemporary workWork experience placement- Bluestone Physician Services is seeking a detail-oriented Certified Risk Adjustment Coding Specialist to conduct thorough chart reviews and accurately capture risk adjustment diagnoses. This remote role requires Florida residency and a CRC or equivalent certification, with...Remote jobRisk
$60k - $75k
...Physician Services is seeking a detail‑oriented Certified Risk Adjustment Coding Specialist to conduct thorough patient chart reviews and identify... ...documentation and CMS compliance while supporting providers across remote settings. The position offers full‑time hours, remote...Remote jobRiskFull time- TEKsystems is seeking a Risk Adjustment Coding Auditor to ensure accuracy and integrity of coded clinical data across risk adjustment programs.... ...regulatory risk, and supporting compliant reporting. Primarily remote with contract flexibility. The candidate will review CMS HCC...Remote jobRiskContract work
- Datavant is seeking an HCC Auditor to review coded medical records for risk adjustment and reimbursement. This fully remote role requires at least 2 years of HCC coding and 2 years of auditing experience, with strong ICD-10 knowledge and excellent written communication....Remote jobRisk
- Centene Corporation seeks a remote Radv/Risk-Adjustment Education Specialist for the Southern Nevada Territory. You will audit provider medical records, analyze CMS risk adjustment... ...hospital/physician/MCO coder roles, HCC coding knowledge, and teaching experience; CPC/CCS...Remote jobRisk
- Centene Management Company LLC seeks a Risk Adjustment Data Validator who will conduct provider medical record audits, analyze coding patterns, and develop education programs to ensure CMS payment accuracy and quality of care. The role includes leading training across...Remote jobRisk
- .... in the United States (Nevada region) seeks a Remote Risk Adjustment Auditor to conduct provider medical record audits and analyze CMS risk adjustment data. The role... ...focuses on training providers, ensuring compliant coding, and coordinating with Provider Relations,...Remote jobRisk
- ...Insight Global is seeking Medical Coders specializing in Risk Adjustment Coding. You will review medical records to assign ICD-10-CM codes supporting risk adjustment and HCC reporting. Ideal candidates have strong medical record review and coding compliance experience...Remote workRisk
$143.62k - $229.79k
...Consulting Actuary -ACA Risk Adjustment As a Consulting Actuary -ACA Risk Adjustment, you will play a pivotal role in delivering a wide... ...leadership - Highly Preferred Strong understanding of diagnosis coding (ICD-10-CM), provider documentation practices, and their...Remote workRisk- Altais is seeking a Senior Coding Analyst, Risk Adjustment, to code medical records for HCC reimbursement and guide clinical documentation improvement... ...across the Medicare Advantage program. You will support audits, provide analytics, and train provider offices while...Remote jobRisk
$35 - $38 per hour
...Job Description Title : Risk Adjustment Coding Auditor Location : Remote Job Type : Contract (5 months) Compensation : $35.00 - $... ...is responsible for conducting comprehensive coding audits, identifying documentation opportunities, and ensuring...Remote workRiskHourly payContract workWork at office- Kootenai Health seeks a Risk Adjustment Coding and Documentation Specialist for a remote-eligible role, with travel to Coeur d'Alene, ID 2-4 times yearly. You will improve diagnosis coding quality, educate clinicians, and collaborate with payer partners to optimize coding...Remote jobRisk
- Review medical records to validate reportable diagnoses and coding accuracy. Apply MEAT criteria and CMS guidelines for risk adjustment. Qualifications: CRC or related risk adjustment certification required. Minimum 2 years of HCC coding and risk adjustment experience....Remote jobRisk
$64.38k - $96.58k
...saving them. Together. The Remote Risk Adjustment Compliance Auditor is to... ...and coder level reviews and audits to ensure accurate risk adjustment... ...Responsibilities Monitors coding prevalence reporting for... ...for support staff, PCPs, specialists, employees, contracted...Remote workRiskLocal area$56.2k - $101k
...Conduct provider medical record audits, analysis of practice coding patterns, education and training regarding risk adjustment to ensure accurate CMS... ...level. Key Details: Remote role with Southern Nevada... ...WellCare’s Medical Coding Specialists. ~ Communicates QA results...Remote workRiskFull timePart timeWork at officeFlexible hours- Trinity Health Corp. is seeking a full-time Risk Adjustment Coding Specialist to join our Population Health team. This fully remote, day-shift role focuses on creating and... ...The position also supports medical record audits for risk adjustment and core quality measures...Remote jobRiskFull timeDay shift
- ...Job Description: Risk Adjustment Coder Job Summary We are seeking an experienced and certified... ...to perform medical record reviews, coding validation, and audit activities in accordance with... ...discrepancies and support audit requirements. This is a remote position. #J-18808-Ljbffr...Remote workRisk
- ...coder to review medical records, identify diagnoses, and code them accurately for risk adjustment and reimbursement. You will follow ICD-10-CM and DRG... ...coding, robust ICD-10 knowledge, and the ability to work remotely in a fast-paced environment. AHIMA or AAPC credentials...Remote jobRisk
$32 - $37 per hour
...This position is 100% remote Job Description The Risk Adjustment Coding Auditor ensures the accuracy and completeness of coded clinical data to support compliant... ...and best practices Protects patient records and audit information by ensuring compliance with HIPAA,...Remote workRiskContract workTemporary work- ...Minnesota is hiring a Program Manager Risk Adjustment Coding and this position youll be responsible... ...are achieved. The role leads coding and audits review activities including medical... ...: Teleworking is working full time remote. Hybrid is a minimum of 2 days onsite...Remote workRiskFull timeFor contractorsWork at office2 days per week
$67.81k - $98.89k
...we're Oscar. We're hiring a Risk Adjustment Coder Specialist to join our Risk Adjustment... ...Location: This position is fully remote and open to candidates... ...report ICD-10-CM diagnosis codes for ACA and MA lines of business, potential CMS audits and medical record retrieval...Remote workRiskFull timeWork experience placementWork from homeHome office$118.6k - $157.14k
...Reporting to the Director of Risk Adjustment Prospective Programs, the Manager... ...compliance, and maintaining audit readiness. Commitment to... ...quickly identify valid clinical codes that were rejected at the... ...schedule. (Monday & Friday - remote, Tuesday - Thursday onsite in...Remote workRiskTemporary workWork experience placementLocal areaMonday to Friday$29 - $33 per hour
...medical records that have been coded in a standardized system,... ...representation of patient conditions for risk adjustment and reimbursement purposes.... ...said work. What You Will Do: Audit coded charts assigned by... ...skills, ability to work in a remote environment and time...Remote workRiskHourly payFlexible hours$143.62k - $229.79k
...to improve processes, reduce risks, and meet department and enterprise... ...experience with ACA Risk Adjustment, including HHS-HCC model... ...Strong understanding of diagnosis coding (ICD-10-CM), provider... ...giving you flexibility to work remotely with intentional in-person connection...Remote workRiskWork at officeLocal areaFlexible hours2 days per week
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