Senior HCC Coding & Risk-Adjustment QA Auditor
Wollborg Michelson Recruiting
Wollborg Michelson Recruiting is seeking an experienced medical coder and auditor to support risk mitigation and provider education around HCC coding and risk adjustment. This role focuses on reviewing medical records, identifying inappropriate or unsupported diagnoses, and guiding compliant documentation. You will educate providers, perform QA audits, validate face-to-face encounters, and stay aligned with Medicare Managed Care requirements. #J-18808-Ljbffr Wollborg Michelson Recruiting
- ...Arizona seeks a Quality Assurance Coder/Auditor to lead risk mitigation education for primary care... ...records, identify at-risk HCCs, and suggest coding improvements based on Medicare... ...COC credentials, 5+ years in coding with HCC, and 2+ years auditing; hybrid role within...SeniorRisk
- Oscar Health is hiring an Associate, Risk Adjustment Auditor to join their Risk Adjustment team. This remote position focuses on conducting quality audits specific to ICD-10 code abstraction accuracy. You will work with management to implement benchmarks and quality assurance...RiskRemote job
- ...Quality Assurance Coder/Auditor" for a Contract role... ...comprehensive understanding of HCC Coding rules, regulations,... .... Perform QA audits on vendor and provider... ...program in support of risk mitigation analysis. This... ..., Chapter 7 - Risk Adjustment and Medicare outpatient...RiskFull timeContract workWork at officeRemote work
- ...Quality Assurance Coder/Auditor will develop a risk mitigation and... ...historical diagnoses/coding error trends, accurate... ...analysis combined with QA findings and EDPS claims... ...with a valid Risk Adjustable provider. Coder/Auditor... ...of supplemental HCC data and provide educational...RiskFull timeWork at officeRemote work1 day per week
$143.62k - $229.79k
...Consulting Actuary -ACA Risk Adjustment, you will play a... ...partnerships with vendors, auditors, regulators, and... ...Adjustment , including HHS-HCC model methodology, risk... ...of results to senior leadership - Highly Preferred... ...understanding of diagnosis coding (ICD-10-CM) , provider...RiskLocal area$30 - $46 per hour
...for Quality Assurance Coder5 years of professional coding experience, with at least 3 years of HCC coding experience. Advanced knowledge of coding guidelines... ...Specialist - Physician Based (CCS-P), Certified Risk Adjustment Coder (CRC), Certified Professional Coder (CPC), or...RiskLocal areaImmediate start- The Boeing Company is seeking an Experienced or Senior Internal Quality Auditor to join the Quality Team, focusing on leading internal QMS audits and... ...standards. Responsibilities include audit planning, risk analysis, and advising leadership on corrective actions, with...SeniorRisk
- Job Title:IT Senior AuditorLocation:CityScapeWhat you'll do:As an IT Senior Auditor you'll assist in the planning for and assessing of design and operating effectiveness... ..., document process narratives, and test high risk or complex controls for adherence to bank policies...SeniorRiskFull time
- ...Western Alliance Bank is seeking an IT Senior Auditor to support planning and assessment of controls across audits. You will document processes, test high-risk controls, and help close audit issues while collaborating with IT and audit leaders. The role requires 2+ years...SeniorRisk
$88.4k - $138k
...Defense, Space & Security (BDS) is seeking an Experienced or Senior Internal Quality Auditor to join the Quality Team. Note: This position requires... ...Develops and manages audit plans and schedules. Conducts risk analysis to determine audit focus areas. Support and advise...SeniorRiskPermanent employmentContract workInterim roleRelocationVisa sponsorshipWork visaRelocation packageFlexible hoursShift work- Optima Medical in Arizona is seeking a HCC Risk Coder Specialist to perform medical record diagnosis code abstraction based on ICD-10-CM guidelines, CMS guidance,... ...remote work. Candidates need at least 1 year of risk adjustment coding, accuracy in fast-paced production, a...RiskRemote jobWork at office
- Western Alliance Bank in CityScape is seeking an IT Senior Auditor to assist in planning for and assessing the design and operating effectiveness... ...process walkthroughs, document narratives, and test high-risk controls for regulatory compliance. You will report to IT...SeniorRisk
$90k - $115k
...partnered with a great company in the Tucson area looking for a Senior Internal Auditor to join the team. This is an exceptional opportunity to be... ...audit objectives and scope, identifying, and assessing risks, developing time budgets and audit programs, and ensuring compliance...SeniorRiskWork at officeLocal area- ...will include accurately posting payments, adjustments and refunds as necessary Responsible... ...appropriate documentation for payor requested Risk Adjustment Audits. Coordinates on site... ...and denied claims, includes analysis of coding that Analyze daily financial exceptions from...SeniorRisk
- ...seeks an experienced assurance professional to scope and execute risk-based audits across assigned processes. The role collaborates in... ..., and present results to Internal Audit Leadership and External Auditors. Strong communication and continuous improvement mindset are...SeniorRisk
- Honeywell Aerospace is seeking a Sr Internal Auditor (Finance) to drive risk-based audits and strengthen internal controls at our Phoenix, AZ site. The role reports to the Internal Audit Manager and operates on a hybrid schedule after 90 days. You will lead audit projects...SeniorRisk
$80k - $120k
...scope and execute a wide range of assurance activities to assess risks and controls over assigned processes. Work in agile teams to... ...Internal Audit Leadership, Executive Management, and External Auditors. Support responses to regulatory requests.Participate in working...SeniorRiskImmediate startRemote workShift work- PetSmart is seeking a Senior Internal Auditor to lead SOX testing and internal audits across the organization. You will partner with stakeholders to evaluate risks, design controls, and deliver practical recommendations in a dynamic retail environment. You will work with...SeniorRisk
- Leslie’s Pool Supplies is seeking a Senior, Internal Audit professional who will work closely with the Chief Audit Executive to support... ...broad range of audits across finance, operations, technology and risk management. You will work with internal teams and external co-...SeniorRiskRemote job
- ...internal audit function, creating a team, and refining processes to ensure excellence. You will plan and conduct investigations, assess risks, and advise departments on controls and compliance. A BS in Accounting or Finance and 4-8+ years of experience are required, with...SeniorRisk
$90k - $115k
...partnered with a great company in the Tucson area looking for a Senior Internal Auditor to join the team. This is an exceptional opportunity to be... ...audit objectives and scope, identifying, and assessing risks, developing time budgets and audit programs, and ensuring compliance...SeniorRiskFor contractorsWork at officeLocal area- ...success of Leslie’s. Job Overview: The Senior, Internal Audit works closely with the... ..., and operational audits; and Enterprise Risk Management. This individual will also... ...closely with co-sourced partners and external auditors to ensure successful completion of...SeniorRiskTemporary workRemote workFlexible hours
- ...Performance Initiatives /Full Time /RemoteAs a Coding Quality Assurance (QA) Manager, you will lead a high-performing... ...external partners. If you bring deep expertise in Risk Adjustment and Hierarchical Condition Categories (HCC) alongside a passion for mentoring talent and...RiskFull timeRemote workFlexible hours
$86.3k - $118.7k
...achievement of Humana's strategic and financial objectives. The Senior Internal Auditor provides value-added service by evaluating the efficiency... ...of the systems and controls under audit Help develop the risk-based audit plan, including risk identification Provide...SeniorRiskFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome office- ...Description Job Description Job Title: Medical Auditor Job Type: Contractor Location:... ..., evaluating, and refining medical coding and audit-related content. This opportunity... ...quality. Identify coding trends, gaps, risks, and opportunities for improvement....RiskFor contractorsRemote work
$139.4k - $230k
...best-in-class solutions. As a Senior Architect, you will partner... ...solutions • Support governance and risk processes that promote safe... ...change. Able to adjust plans, priorities and strategies... ...Hands-on experience with agentic coding tools such as Claude Enterprise...SeniorRiskWork experience placementLocal area$64k - $90k
...Description A client of AlphaStaffHCM™ is searching for an Inside Senior Injury Adjuster. This insurance client empowers customers to achieve... ...additional work outside normal duties as needed. Ensures risks associated with business activities are effectively identified...SeniorRiskContract workLocal areaWork from homeAfternoon shift3 days per week- Quadris Team, LLC, a Revenue Cycle Management Group, is seeking a dynamic Senior Medical Coding Auditor & Educator to join a 100% remote team serving clients across the United States. The ideal candidate is a subject matter expert in both facility and professional coding...SeniorRemote job
- ...Senior Technical Lead In Embedded CAs a Senior Technical Lead specializing in Embedded C... ...embedded C programming, enhancing their coding capabilities and increasing productivity... ...technical alternatives, identifying potential risks, and contributing to architectural best...SeniorRisk
$90k - $100k
...the office each week. Reporting to the Senior Manager, Internal Audit, you will be working... ...in Phoenix, AZ. As the Senior Internal Auditor, you will work closely with the Senior Manager... ...audits and advisory projects, including risk assessment, control evaluation, and...SeniorRiskWork at officeWork from homeHome office
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior HCC Coding & Risk-Adjustment QA Auditor. Be the first to apply!


