Medicare Risk-Adjustment Auditor High-Volume Coding
The Jacobson Group
A healthcare consulting firm is seeking a professional for a coding role focused on Medicare and Medicare Advantage initiatives. Responsibilities include validating diagnosis codes, auditing information, and performing high-volume chart reviews with specific productivity expectations. The ideal candidate will have at least one year of experience in risk adjustment coding and hold an active coding certification. This position offers competitive hourly compensation, medical benefits, and a stable project environment. #J-18808-Ljbffr
$80k - $100k
...seeking a Product Manager to lead Risk Adjustment product capabilities across... ...of business, including Medicare Advantage, ACA Marketplace,... ...submissions, and efficient coding workflows for health plans and... ...stakeholders and multiple projects. Highly prepared and knowledgeable...RiskTemporary workFlexible hours- ...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...RiskRemote work
- 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...RiskRemote jobFull time
- ...for a professional with experience in Risk Adjustment for the Medicare, Medicaid and Qualified Health Plan (... ...of Role & Responsibilities Ensure high-quality encounter submissions: Use CMS... ...including claims, enrollment and provider coding trends. Work proactively with...Risk
$54.3k - $119.34k
Position Summary As the Manager, Risk Adjustment will be responsible for leading Risk Adjustment for the Southeast Region, specifically in... ...collaboration with the national and local risk adjustment teams, risk coding improvement activities within the region, medical record...RiskFull timeWork at officeLocal area- ...Risk Adjustment Coder I / Coder II (RADV Audit) Position Overview: We are seeking experienced Risk Adjustment Coders to support high-volume Risk Adjustment Data Validation (RADV) audit activities in... ...reviewing and validating diagnosis coding, ensuring documentation...RiskContract workTemporary work
- ...plans and managing activities in support of Risk Adjustment and Quality/HEDIS. Directs the daily... ...direct reports supporting Risk Adjustment Coding and Quality/HEDIS. Assesses viability of... ..., care management programs, to achieve high caliber results, and ensure medical...RiskWork at officeLocal areaRemote work
$180k - $200k
...Global Markets Technology Auditor - Vice President Job Code: 13422 Country: US City: New York Skill Category... ...Banking businesses as well as Technology, Risk Management, Legal and Compliance and... ...model and holds self and others to high standards of excellence. Able to...RiskWork experience placementRelocation package- ...Medical Billing Auditor Our client is seeking a detail... ...medical billing and coding practices, ensure compliance... ..., and support risk mitigation and revenue... ...federal/state regulations, Medicare/Medicaid requirements,... ...coverage. Maintain high standards of integrity,...RiskLocal area
- COMPLIANCE AUDITOR page is loaded## COMPLIANCE AUDITORremote... ...conduct effective risk assessments and assist... ...appropriate.* Maintain high-level knowledge of applicable... ...Plan* Understanding of Medicare and Medicaid programs... ....* Billing and Coding experience, preferred.*...RiskLocal area
$28k
...Senior Premium Auditor (Workers' Compensation) | 100% Remote Opportunity... ...the premium base for each risk of assigned accounts by performing... ..., proper classification coding and proper allocation of payroll... ...of the organization and may be adjusted as needed. Travel: May be...RiskRemote workWork from home- ...Vice President, Technology Auditor, Cybersecurity At BNY, our culture... ...Understand Data Protection risks and strategies Apply... ...Handbook. Knowledge of scripting/coding such as Java, Go, C, C+ C#, Ruby... ...solving. BNY offers highly competitive compensation, benefits...RiskWork experience placementWorldwideFlexible hours
- ...Certified Professional Medical Auditor (CPMA), Certified... ...Coder (CIC), Certified Coding Specialist (CCS), or... ...entities like the Centers for Medicare and Medicaid Services (CMS). Mitigate the risk of compliance... ...coding experience are highly desirable. Excellent interpersonal...Risk
$81.6k - $102k
...Department of Health (DOH)* Centers for Medicare and Medicaid Services (CMS)* National Government... ...medical record audits of documentation, coding and billing for technical and... ...Audit, as necessary. • Identifies compliance risk areas and develops action plans accordingly...RiskFor contractorsWork at officeLocal areaShift work$77k - $92k
...looking for an experienced Compliance Auditor to join our risk team. The Compliance Auditor is responsible... ...medical records to ensure accuracy in coding and billing practices. Review... ...prioritize audit tasks to meet deadlines, adjusting priorities as necessary. Participate...RiskLocal areaRemote workFlexible hours$20 per hour
...We are looking for a Risk Adjustment Analyst to join our team to train AI models. You will measure the progress of these AI chatbots... ...hourly starting at $20+ per hour Bonuses available for high-quality and high-volume work Responsibilities Provide AI chatbots with diverse...RiskHourly payFull timePart timeFor contractorsRemote workFlexible hours- ...Suvida is seeking a Risk Adjustment Coder to join our compassionate team. You will play... ...and ensuring compliance with coding guidelines to support high-quality patient care. The ideal candidate... ...years of experience in ICD-10 and Medicare risk adjustment coding, along with...Risk
- ...AHIMA is seeking a Risk Adjustment Coding Specialist to join their team. This remote position requires reviewing medical records to code accurate... ...10 codes, specifically related to HCCs and compliance with Medicare guidelines. Candidates must have at least one year of...RiskRemote workFlexible hours
$27.02 - $41.85 per hour
Highmark Health is seeking a skilled HCC Coder to support Medicare Advantage programs. This remote position requires proficiency in HCC coding, in-depth knowledge of CMS guidelines, and 3 years of coding experience. Responsibilities include performing HCC coding, assisting...RiskRemote jobHourly pay$54.3k - $119.34k
Hispanic Alliance for Career Enhancement is seeking a Manager of Risk Adjustment in Georgia. This role requires 5+ years in risk adjustment or healthcare quality improvement, with a focus on improving coding accuracy and overseeing provider relations. Ideal candidates...RiskFull time- ...REMOTE Risk Adjustment Coder (6-month contract) The Risk Adjustment Coder works in a collaborative... ...to identify appropriate risk adjustment codes and quality gap closure opportunities. A... ...skills required. Must possess high degree of accuracy, efficiency and dependability...RiskContract workWork at officeRemote work
- ...Inc. has an exciting Claims Auditor position available within our... ...reinsurance and direct claims adjusting experience. This client-facing... ...role would suit experienced, highly motivated candidates who are... ...sampling to identify systemic risks, deviations from contract...RiskContract workWork experience placementRemote work
- ...A health technology company is seeking a Product Manager to lead Risk Adjustment product capabilities across Medicare Advantage, ACA Marketplace, and Medicaid. This role involves owning the execution of Risk Adjustment solutions, working collaboratively with multiple...Risk
$85k - $200k
...experience and knowledge related in coding, revenue cycle and clinical... ...development in a variety of risk adjustment related areas. Qualifications... ...and federal regulations, and Medicare Part D requirements.... ...environment while maintaining high quality Proficient in Excel,...RiskRemote work$120k - $150k
...Decentralized Finance (DeFi) Risk & Economic Security... ...research across high‑impact DeFi projects.... ...innovation of our platform. Code Understanding: Translate... ...opportunities. Due to the high volume of applications we... ...need any reasonable adjustments during any part of the...RiskContract workWork at officeRemote work- ...Speed C++ Engineer/High Frequency Trading Required Candidate... ...used by portfolio managers and risk systems, including Latency Critical... ...that process large volumes of real-time data. This role is... ..., writing reliable production code, and working closely with cross...RiskContract workRelocation3 days per week
$68k - $88k
...Medical Review Auditor (Fraud Waste and Abuse) Join to apply for the... ...evaluate the accuracy of medical coding and health plan policies for... .... Attention to detail and a high level of accuracy. Effective organizational... ...stress, such as high work volume and frequent change. Physical...Hourly payFull timeContract workPart timeWork experience placementImmediate startRemote workWork from home$46.1 - $53.1 per hour
...Overview The Sr. Auditor, Quality Assurance position is responsible... ...standards necessary to generate high quality recoverable claims for... ...of setting, potential billing/coding issues, and quality concerns.... ...window may change depending on the volume of applications received or...Hourly payWork at officeImmediate startFlexible hours$50 per hour
Roles: Senior · Lead · Auditor / Analyst Initio Sphere Private Capital Ecosystem - Compensation... ...reporting quality and normalization adjustments Risk, Controls & Compliance Review Identify... ...Long-term upside through transaction volume and network growth A unified ecosystem...RiskHourly payFor contractorsImmediate start- ...Reveleer is seeking a full-time Clinical Coding Manager to oversee medical record reviews, support quality initiatives, and manage RISK coding projects. The ideal candidate will have a coding certificate, at least 5 years of medical records experience, and strong management...RiskFull timeRemote work
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