Senior CDI Auditor & Risk Adjustment Specialist
City of Lincoln
The City of Lincoln is seeking a Coder Auditor to ensure the accuracy of clinical data supporting risk adjustment coding for the Medicare plan. The ideal candidate will work closely with healthcare providers to identify documentation gaps. Responsibilities include auditing coding outputs, educating providers, and managing second-level reviews. Required qualifications include CRC certification and managed care experience, making this a pivotal role in our healthcare team. #J-18808-Ljbffr City of Lincoln
$89.17k - $142.68k
Blue Cross and Blue Shield of North Carolina is seeking a highly skilled Senior Data Analyst who specializes in ACA Risk Adjustment and EDGE submissions. You will act as a liaison between business and technical teams to ensure data accuracy and reporting. This role requires...SeniorRemote job$89.17k - $142.68k
Blue Cross and Blue Shield of North Carolina is seeking a Senior Data Analyst with expertise in ACA Risk Adjustment and EDGE data submissions. The role requires strong experience in data flows and analytical validation. You'll prepare complex data for various stakeholders...SeniorRemote job- Blue Cross and Blue Shield of North Carolina is looking for a Senior Data Analyst skilled in Affordable Care Act (ACA) Risk Adjustment. This role will be essential in ensuring the accuracy and completeness of EDGE data submissions. The ideal candidate should possess strong...SeniorRemote jobWork at office
$89.17k - $142.68k
Blue Cross and Blue Shield of North Carolina is seeking a Senior Data Analyst with expertise in Affordable Care Act (ACA) Risk Adjustment. You will collaborate with business stakeholders and technical teams, ensuring accuracy in EDGE data submissions and analysis. The position...SeniorRemote jobWork at office$102k - $108k
HealthEdge is looking for a Senior FP&A Analyst - Risk Adjustment to shape the companys financial future. The role involves preparing financial forecasts, offering insightful recommendations, and enhancing reporting efficiency. Ideal candidates will bring 3-5 years of relevant...SeniorRemote jobFull time$120k - $200k
...Casualty actuary to join our Group Internal Audit team. As a Senior Auditor specializing in Property & Casualty actuarial topics, you will... ...re)insurance value chain, focusing on reserving, pricing, and risk management. You will evaluate control effectiveness, identify...Senior- ...This role is responsible for executing risk-based audits from planning through reporting... ...the allocated budget, notifying the lead auditor promptly of any issues that arise or when... ...to help meet goals. Sets goals and adjusts throughout the year while having regular...SeniorRemote workFlexible hours
$80k - $150k
...Senior Auditor Employment Type: Full Time, Mid-level Department: Financial Services CGS is seeking a Senior Auditor who will assist the... ...judgments, including analyzing debt covenants, borrowing capacity, adjusted earnings and earnings per share, financial ratios, accounts...SeniorFull timeFlexible hours$100k - $120k
...Sompo has a unique opportunity for a Sr. Auditor to join our North America Internal... ...exposure to a broad range of operations, risks, and senior stakeholders This role will execute... ...base salary and incentives that gets adjusted upfront based on overall Company performance...SeniorFull timeWork at officeFlexible hours- Essen Health Care is seeking a risk coding specialist to help providers implement coding guidelines and document disease burden. You will become an expert in HCC-based risk adjustment and conduct chart reviews to identify suspect conditions, designing workflows to ensure...
- ...analyzed in different environments. Overview We are seeking a Senior IT Systems Auditor to join our team. TekSynap offers competitive full‑time... ..., peripheral vision, depth perception, and ability to adjust focus. Work Authorization/Security Clearance U.S. Citizen...SeniorFull timeContract workTemporary workWork at officeLocal areaRemote workMonday to FridayWeekend workDay shiftAfternoon shift
- 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 job
$82.72k - $108.57k
Oscar is seeking an Associate, Risk Adjustment Auditor for a remote role to conduct internal and external quality audits focusing on ICD-10 code abstraction. The role requires collaboration with management to establish benchmarks and quality assurance programs. This position...Remote job- ...A healthcare technology company is seeking a Coding Associate responsible for delivering high-quality risk adjustment coding services for clients. This role requires reviewing medical records, assigning diagnosis codes, and ensuring compliance with CMS standards. Required...Remote work
$109.9k - $125.4k
...Principal Auditor (Experienced Senior Auditor) Corporate Compliance Audits (Hybrid) Capital One's Audit function is a dedicated group of professionals... ...following areas: banking or financial services industry, risk management, or consumer compliance. At least 1 year of...SeniorFull timePart timeLocal area3 days per week- ...A leading healthcare organization in New York seeks an experienced Compliance Auditor to enhance revenue protection and compliance through government audits and medical record reviews. Responsibilities include conducting audits, developing education sessions for 500+ staff...SeniorFull time
$150k - $190k
...Senior Auditor Public Accounting Firm Location: Bergen County, NJ or Westchester County, NY Compensation: $150,000.00 - $190,000.00 per year... ...statements and apply GAAP, ASC 606, and ASC 842. Conduct risk assessments and evaluate internal controls. Prepare and review...Senior$102k - $203k
...hackajob is collaborating with BNY to connect them with exceptional professionals for this role. Senior Vice President, Auditor, Credit Risk At BNY, our culture allows us to run our company better and enables employees’ growth and success. As a leading global...SeniorTemporary workWork at officeWorldwideFlexible hours$102k - $203k
...to connect them with exceptional professionals for this role. Senior Vice President, Application Technology Audit At BNY, our... ...impact in the following ways: Execute annual auditable entity risk assessments. Define the annual audit plan. Set individual...SeniorTemporary workWorldwideFlexible hours- ...Senior Auditor – New York City CPA Firm Passion, Innovation, Cooperation, Vision, Health. Some have even described us as the un-accountants... ...client management and staff to perform audit services. Assess risks and evaluate the client's internal control structure. Work with...SeniorImmediate start
- TD is seeking a Group Risk Specialist in New York, NY, to oversee operational risk management for the U.S. Treasury function. The successful candidate will combine expertise in operational risk management with strong data and reporting skills to enhance risk assessment...Senior
$63k - $108k
...Selective Insurance is looking for a Premium Auditor/Sr. Premium Auditor for the Mid-Atlantic region. This position requires conducting audits on Commercial Line policies, including workers compensation. The ideal candidate will have a college degree in a related field...SeniorRemote work- ...reports of findings and recommendations, which are presented to senior management of applicable department, the Executive Compliance Committee... ...with Internal Audit, as necessary. Identifies compliance risk areas and develops action plans accordingly. Develops and coordinates...SeniorFor contractorsWork at officeLocal area
$115k - $140k
Sr. IT Internal Auditor page is loaded## Sr. IT Internal Auditorremote type: Hybridlocations... ...**Sompo has a unique opportunity for a **Senior IT Auditor** to join our **Global IT... ...of base salary and incentives that gets adjusted upfront based on overall Company performance...SeniorFull timeWork at officeFlexible hours- Atlas Search is seeking a Third Party Risk Specialist in New York to enhance its enterprise-wide vendor risk management program. This individual will oversee third-party risk processes across various teams including Compliance and Operations. With over 10 years of experience...Senior
$30 - $40 per hour
...Management, Family Office, and Law Firms Nationwide Remote Audit Senior – Contract Opportunity with a Top 25 CPA Firm Location: Fully... ...engagements across multiple industries Perform substantive testing, risk assessments, and internal control evaluations Review workpapers...SeniorHourly payContract workWork at officeRemote workFlexible hours$95k - $110k
...the broader universe of Brookfield businesses and its senior leaders to assess and advise on risks and operational efficiency over key processes. IA reports... ...of the Audit Manager or Director, the Senior Auditor will primarily be responsible for SOX program delivery...SeniorTemporary workWork at officeLocal area$74.8k - $112.2k
...Senior Auditor Mutual of America Financial Group Job Title: Senior Internal Auditor Location: New York, NY (hybrid) At Mutual of America... ...designed to evaluate the effectiveness of internal controls, risk management, and governance processes. This role performs...SeniorWork at office$99.75k - $145k
...and AI-enabled testing - this role is built for you. As the Senior Auditor Associate in the Audit team, you will plan, execute, and... ...control managers. The role will design and execute innovative, risk-based, control tests leveraging control automation and data analytics...SeniorVisa sponsorship- ...by all candidates, regardless of their participation in the matching funds program. The Auditing & Accounting Unit seeks Auditors to join our team. Responsibilities include, but are not limited to: - Perform complex compliance, investigative, and financial...SeniorFull timeWork at officeLocal area
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