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
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$27 per hour
Job Description This role supports an ongoing Medicare and Medicare Advantage risk adjustment initiative, focused on validating diagnosis codes to the highest level of specificity. The position involves high‑volume chart review using the Innovaccer platform, with no defined...RiskHourly payContract work- 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...RiskRemote job
- ClinDCast LLC is seeking a Risk Adjustment Coding Auditor with 8+ years of experience to support CMS RADV first- and second-pass audits. The ideal candidate must be CPC and CRC certified with strong risk adjustment coding expertise and proficiency in Microsoft Office Suite...RiskRemote jobWork at office
- ...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
- ...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
$54.3k - $119.34k
...Summary It is an individual contributor role. As the Manager, Risk Adjustment will be responsible for leading Risk Adjustment for the... ...collaboration with the national and local risk adjustment teams, risk coding improvement activities within the region, medical record...RiskHourly payFull timeTemporary workWork at officeLocal area$96.46k - $144.69k
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- ...position as a Clinical DRG RN auditor, you will apply your... ...the MS-DRG and APR-DRG coding/reimbursement... ...review assignments, with a high emphasis on quality. Provide... ...areas. Work in a high-volume production environment... ...of illness (SOI) and risk of mortality (ROM) 2+...RiskTemporary workWork at officeRemote workRelocation package
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...processing infrastructure for speed, efficiency, and reliability at high volume Develop and own the payments roadmap, tackling strategy and... ...workflows, and cost attribution Partner with Treasury and Risk on float management, settlement timing, and capital efficiency...RiskImmediate startFlexible hours$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...RiskRemote job$69k - $160k
...Vice President, Technology Auditor, Cybersecurity At BNY, our... ...Understand Data Protection risks and strategies Apply knowledge... ...Handbook. Knowledge of scripting/coding such as Java, Go, C, C+ C#,... ...Benefits and Rewards: BNY offers highly competitive compensation,...RiskTemporary workWork experience placementWorldwideFlexible hours- ...Department of Health (DOH) Centers for Medicare and Medicaid Services (CMS)... ...audits of documentation, coding and billing for technical and... ...necessary. Identifies compliance risk areas and develops action... ...and oral communication skills. Highly organized and analytical individual...RiskFor contractorsWork at officeLocal area
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...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- ...Compliance Auditor Under general supervision, using a unique combination... ...industry standard billing codes by analyzing medical records,... ...Educators in identifying areas of risk based on the audit for... ...Additional specialty certifications highly encouraged. Epic certification...RiskFull timeTemporary workPart timeFlexible hours
$64k - $93k
...Job Summary The Clinical Auditor I performs detailed... ...diagnoses are accurately coded using appropriate CPT,... ...determine potential areas of risk that might adversely... ...New Hampshire through Medicare, Individual and Family,... ...97, WellSense provides high-quality health plans...RiskFull timeContract workRemote workFlexible hours$85k - $200k
...experience and knowledge related in coding, revenue cycle and clinical... ...development in a variety of risk adjustment related areas.... ...and federal regulations, and Medicare Part D requirements. Excellent... ...environment while maintaining high quality Proficient in Excel...RiskRemote work- ...assessing and monitoring the Medicare revenue cycle for PACE... ...identify variances or risks, and support accurate... ...analytics teams (coding, auditing, medical consulting... ...(HCC) or risk adjustment. Experience with Risk Adjustment... ...proprietary software. Highly skilled in written and...RiskFull timeTemporary workFlexible hours
- .... To achieve this, we're looking for a Risk Adjustment Analyst to join #TeamMVP. This is the opportunity... ...performing analytics and reporting on Medicare, Commercial Exchange, and Medicaid/HARP... ...Categories (HCC)s and diagnosis codes related to Risk Adjustment programs to...Risk
$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$100k - $120k
...Sr. Auditor Sompo has a unique opportunity for a Sr. Auditor to... ...a broad range of operations, risks, and senior stakeholders. This... ...operations while contributing to high-impact audit engagements,... ...salary and incentives that gets adjusted upfront based on overall Company...RiskFull timeWork at officeFlexible hours- ...insurance provider is seeking an experienced HCC Coding Specialist to deliver quality coding for various risk adjustment programs. The ideal candidate will have at... ...to detail. Responsibilities include coding for Medicare Advantage and ACA projects, assisting with regulatory...RiskRemote job
$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$22 - $25 per hour
...reviewing users or reservations for risks to our users or the platform.... ...potential fraud surfaced in high volume queues Work with Operational... ...when timelines change. You adjust your tone and style to what... ...experience with other coding languages is a plus Experience...RiskContract workRemote workShift workAfternoon shiftEarly shift$95k - $120k
..., under the direction of the Audit Manager, the Senior Auditor is responsible for conducting risk‑focused audits; advising business units on the design,... ...assessment and other skills tests (such as simulation, coding, MS Office). Our goal for the application process is to...RiskTemporary workRemote work2 days per week$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$71.4k - $84k
...Corporate Audit Services Staff Auditor is primarily responsible for... ...of projects and development of risk-based audit programs. Participates... ...and procedures including the Code of Ethics and Business Conduct... ...may be closed earlier due to high volume of applicants. #J-18808-Ljbffr...RiskTemporary workWork experience placementWork at officeLocal area3 days per week$85k - $200k
...disputes seeks a Sr. Associate to utilize their expertise in coding, revenue cycle, and clinical operations. Responsibilities include... ...with regulations. Candidates should be certified in Risk Adjustment Coding (CRC) with strong analytical and communication skills....RiskRemote work- 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...RiskRemote jobFull time
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