Remote Coding Quality Auditor (Risk Adjustment)
Centauri Health Solutions Inc
Centauri Health Solutions, Inc is seeking a Coding Quality Specialist to perform coding quality reviews and ensure accurate ICD‑10‑CM code assignments. The candidate must have a minimum of 5 years of certified coding experience, including recent production coding in Retrospective Risk Adjustment. Responsibilities include providing audit reports and maintaining knowledge of coding guidelines. This role offers a supportive environment for personal and professional growth, along with comprehensive benefits. #J-18808-Ljbffr
- ...Coding Quality Auditor and Specialist, HB Coding, Full-time, Days (Remote) At Northwestern Medicine, every patient interaction makes a difference in cultivating... ...engages in advanced and complex projects including risk adjustment, mortality review, hospital acquired...Remote workRiskFull timeLocal areaRelocation package
- ...HCC Coding Quality Speciailst page is loaded## HCC Coding Quality Speciailstlocations... ...that map to HCCs and RxHCCs. Auditors will support their findings utilizing... ...Team Member.**Location:** Remote within US only**All HCC/Risk Adjustment auditors MUST** be certified through...Remote workRiskHourly payFull timeApprenticeshipWork at officeImmediate startWork from homeHome officeFlexible hours
- ...Title: Coding Quality Auditor and Specialist, HB Coding Duration: Full Time Employment Location: 100% Remote (occasional onsite meeting attendance may be required) Start Date: ASAP... ...that includes but, is not limited to, Risk Adjustment, Mortality Review, Hospital Acquired...Remote workRiskFull timeImmediate start
- ...classified as hybrid, onsite or remote. While the majority of... ...OF THE JOB The Quality Assurance Coder/Auditor will develop a risk mitigation and provider... ...historical diagnoses/coding error trends, accurate completion... ...visit with a valid Risk Adjustable provider. Coder/Auditor...Remote workRiskFull timeWork experience placementWork at office1 day per week
- ...Director Of Medicare Risk We are seeking a Director... ...team. This is a 100% remote opportunity. Primary... ...of work product, quality of work, delivery of required... ...accurate and complete coding, and ensures at-risk members... ...provided by the risk adjustment vendor and audits...Remote workRisk
- A healthcare provider is looking for a Risk Adjustment Manager in Texas to oversee the Medicare... ...Responsibilities include implementation of coding workflows, provider education, and data... ...analytical skills. This role may be remote with travel required, offering an opportunity...Remote workRisk
- ...A healthcare technology company is seeking a Coding Associate responsible for delivering high-quality risk adjustment coding services for clients. This role requires... ...opportunities for professional growth. This is a fully remote role based in the United States. #J-18808-...Remote workRisk
$24.6 - $32.8 per hour
Byrne Dairy is seeking a Certified Risk Adjustment Coding Specialist to join our team in Syracuse. This full-time position works remotely but may require local travel. The specialist will be responsible for reviewing clinical documentation and coding according to established...Remote workRiskHourly payFull timeLocal area$75k - $80k
Concertocare is seeking a Coding Quality Improvement Specialist in Kansas City, MO. This role involves auditing risk adjustment coding for compliance and accuracy while supporting Clinical Documentation Improvement efforts. Key responsibilities include performing audits...Risk- ...Risk Adjustment Coding Specialist We are seeking experienced and certified medical coders to join our Special Investigation Unit (SIU) at CareFirst. This team plays a critical role in fraud detection and prevention, focusing on prepayment claim reviews. Responsibilities...Remote workRisk
- The Alliance seeks a Risk Adjustment Director in California or hybrid. This role involves overseeing risk adjustment functions, managing the team, and providing expert advice on coding methodologies. Ideal candidates are seasoned leaders in managed care with substantial...Remote jobRiskLocal area
- ...Level II – Risk Adjustment Coding Specialist (Intermediate) Responsibilities: Abstract and assign ICD-10-CM diagnosis codes supported... ...coding accuracy, completeness, and claim submission quality. Perform comprehensive reviews of provider actions within...Remote workRisk
- Centauri Health Solutions, Inc. is looking for a Coding Quality Specialist in Tempe, Arizona. This role involves conducting coding quality... ...and have extensive coding experience, particularly in Risk Adjustment. A supportive work environment with benefits and growth opportunities...Remote jobRisk
- Village Center for Care, Inc. is seeking a Full-Time Medicare Risk Adjustment Coding Manager to work remotely from NY/NJ/CT. This pivotal position offers flexibility and the chance to impact patient care within the evolving healthcare sector. The ideal candidate will bring...Remote jobRiskFull time
$65k - $75k
...Description Job Description Risk Adjustment Specialist – Primary Care Location: Remote Employment Type: Full-Time... ...organization committed to delivering high-quality, value-based care. Our team... ...clinical documentation and coding practices. Position Overview...Remote workRiskFull time- Community Health Network is looking for a remote coding professional in Indianapolis, IN. The role requires an excellent communicator... ...should have at least three years of professional outpatient Risk Adjustment coding experience and the ability to validate diagnosis codes...Remote jobRisk
- ...Humana is seeking a Clinical Coding Educator to enhance provider documentation and education through targeted sessions and comprehensive... ...travel to provider offices required. A strong knowledge of Risk Adjustment and coding guidelines is necessary, along with excellent...Remote workRisk
- American Health Partners in Franklin, TN seeks a Medicare Risk Adjustment Coding Specialist to conduct coding audits and reviews. The role involves ensuring coding accuracy for Medicare claims and providing educational correspondence to providers. Candidates should have...Remote jobRisk
- ...details: Location: Tampa, FL (Remote - Must Reside in the State of Florida)... ...: M-F, 8:00 am - 5:00 pm The Manager Risk Adjustment Program: Leads and implements risk... ...Hierarchical Condition Category) and ICD-10 coding practices. As a subject matter...Remote workRiskFull timeShift work
$54.3k - $119.34k
...Manager, Risk Adjustment We're building a world of health around every individual — shaping... ...accountable and prioritize safety and quality in everything we do. Join us and be part... ...and local risk adjustment teams, risk coding improvement activities within the region...Remote workRiskHourly payFull timeTemporary workWork at officeLocal area$86.4k
...and managing activities in support of Risk Adjustment and Quality/HEDIS. Essential Responsibilities... ...staff responsible for Risk Adjustment coding and Quality/HEDIS activities. Ensure continuous... ...Working Conditions Position Type: Remote Teaches / trains others regularly:...Remote workRiskWork at office- ...Idaho, is searching for a Clinical Risk Adjustment Specialist (RN) to improve patient outcomes... ...through accurate documentation and coding practices. This remote-friendly position is designed for an... ...committed to elevating healthcare quality through education and support for...Remote jobRisk
$70k - $85k
Astrana Health is looking for a Risk Adjustment Coding Specialist in Houston, TX. The role involves conducting chart reviews, educating providers... ...of $70,000 - $85,000 per year, with a hybrid work structure combining field and remote work. #J-18808-Ljbffr Astrana HealthRemote workRisk- ...regulations. The role requires current coding credentials, strong organizational skills... ...the ability to work independently in a remote environment. This position offers competitive... ...minimum of 5 years coding experience with a focus on Risk Adjustment coding. #J-18808-Ljbffr...Remote workRisk
$91.7k - $163.7k
...UnitedHealth Group is looking for a National Coding Educator to enhance provider engagement and education on risk adjustment and quality coding. The role is virtual, allowing for work from anywhere in the U.S., and focuses on consulting providers, conducting audits, and...Remote workRisk- ...A healthcare organization is seeking a full-time Certified Medical Coder focused on risk adjustment. This remote role entails detailed clinical documentation and coding for professional services. Candidates should possess current CPC or RHIT certification and be adept...Remote workRiskFull time
$27.02 - $41.85 per hour
...detail-oriented HCC Coder to deliver value to Risk Adjusted government programs like Medicare Advantage and ACA. This position involves coding projects, assisting with audits, and... ...experience and certifications like CPC or CRC. Remote work adaptability and proficiency in...Remote workRiskWork at office- ...American Health Plans is seeking a Medicare Risk Adjustment Coding Specialist to conduct coding audits and perform post-payment coding reviews to ensure compliance with CMS regulations. This remote role requires strong knowledge of ICD-9 and ICD-10 coding, experience with...Remote workRisk
- ...Optum is seeking a National Coding Educator to provide expertise in risk adjustment and quality coding. This remote position involves educating providers on compliance with CMS guidelines, performing audits, and delivering customized training. The ideal candidate will...Remote workRiskFlexible hours
- ...seeking a detail-oriented HCC Coding Specialist to join its team.... ...involves performing coding for Risk Adjustment government programs such as... ...role entails supporting high-quality coding and continuous process... ...comply with CMS guidelines. Remote work options are available. #J...Remote workRisk
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