ICD-10 Coding & Risk Adjustment Auditor
ICD Tagger
A healthcare organization in Braintree, Massachusetts, is seeking a Risk Adjustment Coder/Auditor. The successful candidate will code and analyze outpatient medical records according to ICD-10 and CPT guidelines. Responsibilities include ensuring accurate coding and educating network providers on documentation practices. This role plays a crucial part in maintaining accurate medical records according to relevant guidelines. #J-18808-Ljbffr ICD Tagger
- ...A healthcare organization in Braintree, Massachusetts, is seeking a Risk Adjustment Coder/Auditor. The successful candidate will code and analyze outpatient medical records according to ICD-10 and CPT guidelines. Responsibilities include ensuring accurate coding and educating...Risk
- ...Title: Certified Risk Coder Reports to: Manager, Risk Coding Classification: Individual Contributor Location: Boston... ...while ensuring accurate risk adjustment for patient care. The Certified Risk... ...Serves as an expert on ICD‐10‐CM coding guidelines, AHA Coding...RiskRemote work
$59.3k - $80.9k
...of our caring community The Medical Coding Auditor extracts clinical information from a... ...terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The... ...outpatient coding experience (Preferably in a risk adjustment setting) ~ Knowledge of several...RiskFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeNight shift$78k - $113k
Overview Position Summary The Manager of Risk Adjustment Coding manages the day-to-day operations of the Risk Adjustment Coding Team. This position... ...a unique data and reporting model to capture and optimize ICD-10 reporting to Payers to improve quality for our patients and...RiskFixed term contractFlexible hours- Risk Adjustment Coder/Auditor Location: Braintree, Massachusetts The coder’s primary responsibilities are to code, abstract and analyze outpatient medical records using ICD-10 and CPT coding guidelines and educate network providers on proper documentation and coding practice...Risk
- A leading healthcare provider in Boston seeks a Manager of Risk Adjustment Coding to oversee daily operations and ensure accurate coding practices. The role includes managing workflows, implementing quality initiatives, and collaborating with stakeholders to enhance patient...Risk
$73k - $104.4k
...then please apply through the internal career site. The coding & compliance auditor evaluates medical record documentation and coding accuracy... .... Participate in professional societies relevant to ICD‑9‑CM, ICD‑10‑CM, PCS, and CPT. Attend continuing education activities...Work experience placementLocal areaMonday to Friday- Job Description Summary The Coding & Compliance Auditor evaluates medical record documentation and coding accuracy, identifies opportunities for improvement... ...documentation supports accurate CPT, HCPC’s, PCS and ICD-10-CM codes. Perform prospective and retrospective audits to...Work experience placementLocal area
$110.2k - $122.3k
...Institute and external auditors, ensuring timely and accurate... ...among high-risk and underserved populations... ...external payer charge and coding audits, ensuring... ...medical billing, coding (ICD-10, CPT, HCPCS) and payer... ...change. Flexibility to adjust strategies and approaches...Risk$73k - $104.4k
...Budgeted Hours: 40 Shift: Day (United States of America) The Coding & Compliance Auditor evaluates medical record documentation and coding accuracy... ...documentation supports accurate CPT, HCPC’s, PCS and ICD-10-CM codes. Perform prospective and retrospective audits to...Full timePart timeWork experience placementLocal areaRemote workMonday to FridayShift work$68k - $80k
...Services & Insurance Claims Adjuster - Workers Comp This role... ...properly documented and claims coding is correct. May process complex... ...is the world’s leading risk and claims administration partner... ...With over 33,000 colleagues and 10,000 clients across 80...RiskContract workFlexible hours- ...Reviewer to lead audits ensuring accuracy and compliance with billing practices. This critical role requires 5 years of healthcare coding experience and a coding certification (CPC, CCS, RHIT, or RHIA). The Reviewer will collaborate with various stakeholders to address...Risk
$71.1k - $97.8k
...Become a part of our caring community The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical... ...assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor...Bi-weekly payFull timeContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday$116.7k - $132k
...oversight related to reviewing the accuracy and appropriateness of ICD-10-PCS procedure coding and assessing DRG assignment. The Senior Reviewer will... ...developments and work to determine applicability and risk to both technical and operational aspects of the organization...RiskWork at officeFlexible hours$169.4k - $279.6k
...• Help establish governance, risk, and control processes that ensure... ...field or equivalent, with 8 to 10 years of architecture... ...transformational change. Able to adjust plans, priorities and strategies... ...Hands-on experience with agentic coding tools such as Claude Enterprise...RiskTemporary workWork experience placementLocal area$75k
Category / Area of Expertise Risk Management & Insurance Job Requisition 483515 Address... ...USA-MA-Quincy-1385 Hancock Street Store Code Claims Management (5157503) Position... ...is responsible for the timely, good faith adjustment and disposition of self‑administered casualty...RiskFull timeLocal areaRemote workFlexible hours$2,400 - $10,000 per month
...Diem This position covers all zip codes in: Plymouth County, MA... ...gaps in care, potential health risks and care management opportunities... ...Compensation: Pay Range: $2,400.00 - $10,000.00 per month (Potential... ...(AHA), Familiarity with ICD-10 and CPT-4 coding practices Complete...RiskDaily paidLocal areaRemote work- ...Vice President of Coding Operations About the Company Premier... ...Founded 2007 Employees 10,001+ Specialties iks margin... ...satisfaction, compliance, and risk management. Candidates for the... ..., particularly with a focus on ICD-10-CM/PCS, HCPCS/CPT, and modifiers...Risk
$53k - $80k
...Overview An Underwriting Auditor plays a critical role as a subject matter expert role... ...to identify trends and emerging risks; make recommendations to drive underwriting... ...audit processes. Proactively recommend adjustments to audit methodology and underwriting practices...RiskWork at officeFlexible hours- ...of CDI and collaborates with coding, clinicians, medical staff, and... ...for accurate DRG assignment, risk of mortality, and severity of... ...changing work environment and adjusts work schedule accordingly. Minimum... ...with DRG reimbursement and ICD-10 coding. Equal Opportunity Employer...RiskRemote jobWork at office
- ...for ER referral or immediate titration adjustment during business hours. ~ Provide warm... ...failure presentations. Documentation & risk capture Document all patient... ...asynchronous — in the EHR with accurate ICD-10 coding. Capture comorbidities accurately (e....RiskHourly payPermanent employmentFull timeContract workPart timeFor contractorsWork at officeImmediate startRemote work
- ...Assists in the preparation of Treasury’s risk‑based annual audit plan. Leads and executes... ...to the Director as the liaison to external auditors, third‑party entities, and state agencies.... ...Requirements Ability to lift up to 10 lbs. Ability to sit for extended periods...RiskWork at office
- ...Senior Internal Auditor We are one of the oldest investment management firms in the United... ...audit reports. - Identify and assess risk exposures across all business lines. - Keep... ...experience a plus. - Ability for up to 10% travel. Does this describe you? Do...RiskWork at office
$100k - $115k
...a regional cohort of 8-10 Field RNs dedicated to... ...documentation; identify coding errors and trends, and... ...and process (MDS/RAI), ICD-10 coding, and applicable... ...indicators; flag risks and partner with care teams... ...budget; recommend staffing adjustments as volume grows....RiskContract workRemote workVisa sponsorshipWork visa$27.02 - $41.85 per hour
...Highmark Health is seeking an experienced HCC Coder in Boston, Massachusetts. The candidate will perform coding for Medicare Advantage and ACA programs, ensure accuracy, and adhere to CMS guidelines. Preferred qualifications include an associate degree in medical billing...RiskHourly payRemote work$200k - $250k
## Portfolio Manager, Alternative Risk PremiaApplylocations: Boston, Massachusetts, United... ..., Education & Certifications* **Requires 10+ years of experience in a systematic or quant... ....* Experience working with python and AI coding tools in a professional investment setting...Risk$151.2k - $184.8k
Director of Risk Adjustment Data & Analytics Under the direction of the Senior Director of Medicare Risk Adjustment and Analytics, the Director of Risk Adjustment Data & Analytics is responsible for developing and executing the analytic plan for the Medicare and Merged...RiskFull time$55.37k - $74.11k
...Director, Revenue Integrity and Coding at Harvard Medical Faculty... ...improvement, identify and address risks, monitor key revenue integrity... ...Classification of Diseases (ICD-10) Reimbursement theories to include... ...and using new information to adjust approach and to quickly...RiskWork at officeLocal area$75 - $80 per hour
...Continuously track project progress, making adjustments as necessary to ensure successful delivery according to established timelines. Risk Management • Proactively identify potential... ...(E-Verify). (Posting required by OCGA 13/10-91.). Seniority level Seniority level Mid-...RiskHourly payFull timeTemporary workWork at officeRemote workMonday to FridayShift work2 days per week3 days per week$133k - $190k
...into the SDLC while balancing regulatory, risk, and business requirements. As part of... ...enforce application security standards, secure coding practices, and control requirements •... ...Required Experience and Skills • 10 plus years of cybersecurity experience with...RiskLocal areaRemote workFlexible hours
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