Remote Senior Risk Adjustment Auditor - CDI & HCC Expert
Honest Health
- Remote job
Honest Health in Nashville, TN is seeking a Risk Adjustment Auditor to ensure accuracy in risk adjustment coding and documentation. This role is critical in auditing clinical data and ensuring compliance with Medicare standards. The ideal candidate should possess strong analytical skills and 5+ years of relevant experience. Join Honest Health in transforming primary care and making a significant impact in healthcare. #J-18808-Ljbffr Honest Health
$85k - $200k
...from medical records and managing small projects while ensuring compliance with regulations. Candidates should be certified in Risk Adjustment Coding (CRC) with strong analytical and communication skills. There is a competitive salary range of $85,000 to $200,000 and opportunities...Remote workSeniorRisk$85k - $200k
A consulting company is searching for a Sr. Associate with expertise in coding, revenue cycle, and clinical operations. This role focuses on complex investigations, compliance evaluation, and project management within healthcare disputes. The ideal candidate must be CRC...Remote workSeniorRisk- ...Virtix Health LLC is seeking a Risk Adjustment Coding Specialist to join its HCC Coding Team. The successful candidate will review medical records and abstract... ...ICD-10 codes according to Medicare guidelines. This remote role requires experience in coding, attention to...Remote workRisk
- Stanford Health Care is seeking a Senior Risk Adjustment Coder in Newark, NJ, responsible for code audits and abstraction in line with regulations. This role requires collaboration with clinicians to ensure accurate coding and compliance initiatives. Applicants should...SeniorRisk
$27.02 - $41.85 per hour
...Highmark Health is seeking a qualified HCC Coder in Washington, DC. The role involves performing HCC coding for Medicare Advantage and ACA, ensuring compliance with CMS guidelines. A minimum of 3 years of coding experience is required, with preferred education in medical...Remote workRiskHourly pay$27.02 - $41.85 per hour
...Highmark Health is seeking an HCC Coding professional in Austin, TX. The role involves delivering accurate coding for Medicare Advantage... ...and relevant certifications. The position offers a flexible remote office environment. Pay is between $27.02 and $41.85 per hour, adhering...Remote workRiskHourly payWork at officeFlexible hours- Community Health Choice is looking for a Risk Adjustment Coder II to manage complex medical record reviews to ensure accurate patient risk score captures. The role requires expertise in mapping conditions to HCCs in compliance with CMS guidelines. Key responsibilities include...SeniorRisk
- 340B Health is seeking a Risk Adjustment Coder II to provide advanced support for medical record reviews and ensure accurate capture of chronic conditions. This role involves coding according to CMS guidelines and improving documentation standards. The ideal candidate will...SeniorRisk
- Direct Jobs is seeking a Risk Adjustment Coder II in Houston, Texas. This role involves advanced support for medical record reviews, ensuring... ...with CMS guidelines. The Coder II acts as a subject matter expert, facilitating team training and audits. The ideal candidate...SeniorRisk
- Humana is seeking a Risk Adjustment Coder to ensure quality assurance coding of medical records and ICD-10 diagnosis codes. This role requires... ...work ethic, professional demeanor, and reliability in a remote work setting. The ideal candidate must possess relevant certifications...Remote jobRisk
- Humana is seeking a Risk Adjustment Coder to ensure quality assurance coding of medical records in compliance with regulations. You will be responsible for mapping conditions to Hierarchical Condition Categories (HCCs) using appropriate ICD‑10 codes. The successful candidate...Remote jobRisk
- A leading healthcare company is seeking a Risk Adjustment Coding Specialist in Maryland. This full-time position requires a Certified Professional... ...programs. The role follows a hybrid work structure with both remote and onsite responsibilities. A strong command of Excel and...Remote workSeniorRiskFull time
$86.3k - $118.7k
Santa Barbara Cottage Hospital is looking for a Senior Market Consultation / Partnership Professional (Nurse Medical Coder) to ensure compliance and quality in coding practices. This remote position requires an active RN license and coding certification, as well as expertise...Remote jobSeniorRisk$95.4k - $208.3k
...Clinical Documentation Integrity Specialist for Medicare Advantage Risk Adjustment. This role involves conducting medical record audits and... ...experience in billing and coding, with proficiency in ICD-10 and CMS-HCC Risk Adjustment models. This full-time position requires...RiskFull time- ...Position: Senior Auditor Location: Remote Clearance: N/A Responsibilities The Senior... ...work plan and communicate schedule adjustments to managers and/or partners. Following... ...concepts of materiality and audit risk. Prepare work papers that are...Remote workSeniorRiskContract workFor contractorsLocal area
- ...company is seeking a Multi-Line Claims Adjuster for their Water Districts Program. This remote/hybrid position involves handling... ...coverages for municipal risks. The role offers competitive salary... ...including medical coverage and a 401(k) plan. #J-18808-Ljbffr Tokio Marine HCCRemote jobSeniorRisk
$27.02 - $41.85 per hour
...is seeking a professional experienced in HCC coding to support Medicare Advantage and ACA... ...programs. This role focuses on accurate risk adjustment coding, regulatory audits, and continuous improvement initiatives within a remote work environment. Candidates should have at...Remote workRiskHourly pay- ...model of 3 days onsite and 2 days remote (onsite Tuesdays, Wednesdays... ...is responsible for executing risk-based audits from planning... ...allocated budget, notifying the lead auditor promptly of any issues that... ...goals. Sets goals and adjusts throughout the year while having...Remote workSeniorRiskFlexible hours
$27.02 - $41.85 per hour
Highmark Health is seeking a detail-oriented HCC Coder to deliver value to Risk Adjusted government programs like Medicare Advantage and ACA. This position... ...coding experience and certifications like CPC or CRC. Remote work adaptability and proficiency in Microsoft Office...Remote workRiskWork at office- A leading insurance and risk management firm is seeking a Claims Adjuster in Dallas, Texas. The ideal candidate will have 3-5 years of experience managing lost... ...compensation package and the possibility for remote work. Join a team committed to making a difference during...Remote workSeniorRisk
- ...CorroHealth Inc is seeking Risk Adjustment Coding Specialists to join the HCC Coding Team. This role involves reviewing medical records to abstract codes following... ...and specific client requirements. The position is remote, part-time with flexible hours after meeting...Remote workRiskPart timeFlexible hours
$27.02 - $41.85 per hour
...Highmark Health in Springfield, Illinois is hiring for an HCC Coding position tailored for Medicare Advantage and ACA. This role... ...in Microsoft Office tools. Responsibilities include performing risk adjustment coding, assisting with audits, and participating in...Remote workRiskHourly payWork at office$27.02 - $41.85 per hour
...Highmark Health is looking for a skilled HCC Coder to support risk adjustment for government programs such as Medicare Advantage and ACA in Indianapolis... ..., attention to detail, and the ability to work in a remote environment. Pay ranges from $27.02 to $41.85 per hour....Remote workRiskHourly pay- ...Clinical Documentation Integrity (CDI) Senior Consultant JOB SUMMARY:... ...includes such things as auditor, second level reviewer, team... ...determine if there are any areas of risk, using ACDIS/AHIMA Practice... ...categories, and various risk adjustment methodologies Work closely...Remote workSeniorRiskTemporary work
- ...the world. Built and backed by experts who have led global compliance... ...to help organizations reduce risk, lower operational costs, and... .... Job Description The Senior Product Sustainability Expert... ...ability to create content and adjust messaging to adapt communication...Remote workSeniorRiskFlexible hours
$27.02 - $41.85 per hour
...Highmark Health is seeking an HCC Coding professional in Lansing, Michigan. The role involves delivering value through risk adjustment coding for Medicare Advantage and ACA programs. Candidates should have a minimum of 3 years in HCC coding, along with necessary certifications...Remote workRiskHourly pay$27.02 - $41.85 per hour
...Florida. You will be responsible for delivering high quality HCC coding supporting Risk Adjusted government programs and ensuring compliance with CMS... ...and critical thinking skills. This position is remote-based with a flexible travel requirement of 0% - 25%. The...Remote workRiskHourly payFlexible hours- Oscar Health is hiring an Associate, Risk Adjustment Auditor for their Risk Adjustment team. This remote role requires conducting quality audits specific to ICD-10 code abstraction and ensuring compliance with coding standards. The ideal candidate holds a Bachelor's degree...Remote jobRisk
$85k - $200k
...development in a variety of risk adjustment related areas. Qualifications... ...years of experience in HCC/Risk Adjustment and/or RADV Audit... ...skills, ability to work in a remote environment, and time management... ...LLC is an independent global expert services and advisory firm...Remote workSeniorRisk- 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 jobRisk
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