Remote Medicare Risk Adjustment Auditor (CPC/CCS/CCS-P)
Alignment Health
Brooklyn, NY
- Remote job
Alignment Health is seeking a Medicare Risk Adjustment Compliance Auditor (remote) to conduct provider and coder reviews and audits, ensuring accurate CMS risk adjustment data submissions. You will develop tracking tools, review outcomes, and monitor corrective action plans with Risk Adjustment Management. Requirements include a CPC, CCS, and CCS-P certification, plus at least 3 years of coding experience in a medical group or health plan. #J-18808-Ljbffr Alignment Health
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Remote Medicare Risk Adjustment Auditor (CPC/CCS/CCS-P) in Brooklyn, NY vacancy
$71.18k - $108.53k
Risk Adjustment Nurse/Coder AvMed, a division of Sentara Health Plans... ...Adjustment Nurse/Coder (RN/CPC, COC, CIC, CCS-P, CCS, RHIT, RHIA) in Doral,... ...Doral, FL 33122, and 3 days remote. Job Profile Summary The... ...accordance with Centers for Medicare & Medicaid Services (CMS) and...Remote workRiskPermanent employmentFull timeWork at officeShift work$64.38k - $96.58k
...them. Together.This is a remote position. The MRA Coding Auditor supports departmental... ...submitted to CMS. Assists in Risk Adjustment related data audits (... ...Minimum three years of Medicare Risk Adjustment coding... ...Coder required, CCS, CCS-P, CPC, or CRC Work Environment...Remote workRiskFull timeLocal area- 1099 HCC Risk Adjustment & Professional-Fee (Physician) Coder Remote- As needed / Hourly / Part-... ...Professional-Fee Auditor 1099 hourly Pinnacle... ...credential (RHIT, CPC, CCS, CPC-H etc.); in... ...specialized experience in Medicare Risk Adjustment... ...CPC, CPMA, CCS - P) through AHIMA or...Remote workRiskHourly payPart timeWork from homeFlexible hours
- ...of focus include Medicare, Medicaid, commercial... ...Certified Coding Auditor to work in its New York office or remotely. Principal... ...identify areas of risk in a variety of healthcare... ...: CPC/CCS-P with a minimum of... ...Certified Risk Adjustment Coder (CRC™) Certified...Remote workRiskWork at officeLocal area
Marwood Group
New York, NY1 day ago - ...focusing on OB/GYN professional services. Applicants should have a HS Diploma and certification as a CPC or CCS-P, along with 2+ years’ coding experience. This remote role offers a W2 contract-to-hire arrangement and emphasizes communication between clinical and billing...Remote workContract work
nTech Workforce
Baltimore, MD2 days ago - To ensure accurate risk adjustment data submission to CMS, the full-time Remote Medicare Risk Adjustment Compliance Auditor will conduct provider and coder level reviews, develop... ...lieu of education Certified Coder (CPC, CCS, or CCS-P) required Experience with strategic...Remote workRiskFull time
- AAPC is seeking a highly motivated Contract Coder to join our remote team. The ideal candidate must have at least 5 years of coding... ...ensuring compliance with HIPAA regulations. Certifications in CPC or CCS-P are mandatory, while additional certifications are preferred....Remote jobContract work
$72.8k - $80k
.... Job Summary The Risk Adjustment Coding Auditor is responsible for... ...support accurate Medicare Advantage risk adjustment... ...Coder (CPC), Certified Coding Specialist (CCS), Certified Coding... ...Physician-Based (CCS‑P), Certified Risk Adjustment... ...and/or remotely. The job involves...Remote workRiskFull timeWork at office- ...HCPCS, in a physician-based environment. Remote work is allowed with in-house internet... ...U.S. and hold a relevant certification (CPC, CCS-P, or CCA). Bachelor’s degree in HIM or related... ...coding experience; strong knowledge of Medicare/Medicaid policies and quality #J-18808-...Remote job
- ...experienced Quality Assurance Auditor with a coding... ...provider education and risk mitigation initiatives.... ...Location is Phoenix, AZ or remote. Requirements include 5... ..., 3+ years in HCC/risk adjustment, 2+ years auditing/QA, and active CCS-P, CRC, CPC, or COC certification....Remote workRisk
AAPC
New York, NY3 days ago - ...competence to use the facility encoder and EMR in an office or remote setting. Review and resolves coding edits and denials.... ...and Experience requirements Certified Professional Coder (CPC) or CCS-P High School diploma, GED or equivalent. Minimum of 2 years...Remote workTemporary workLocal areaMonday to Friday
Crossroads Services
Greenville, SC5 days ago - ...Assessment audits, the full-time Certified Risk Adjustment Coder will manage coding accuracy and data integrity for Medicare Risk Adjustment, working remotely to enhance performance standards... ...Certified Coder required (CCS, CCS-P, CPC, or CRC) Proficient in MS Office...Remote workRiskFull time
Virtual Vocations Inc
United States2 days ago - ...Details Compliance Auditor Job Description... ...supervision, performs risk-based audits of... ...Certifications - Required • CPC - Certified... ...Upon Hire or • CCS-P - Certified Coding... ...- Certified Risk Adjustment Coder - American Academy... ...CONDITIONS Remote Usual Workday Hours...Remote workRiskDaily paidFull timeTemporary workPart timeFlexible hoursShift work
- ...a Medical Coding Auditor with emphasis on surgical... ...coding compliance risks (including... ...either a hybrid or remote setting. If remote,... ...Coders (AAPC) (ie. CPC), or American Health... ...Association (AHIMA) (ie. CCS-P). Preferred:... ...and the ability to adjust focus While performing...Remote workRiskFull timeWork at officeLocal areaFlexible hoursNight shift
Integrative Emergency Services
Dallas, TX22 days ago $118.6k - $157.14k
...experience!Reporting to the Director of Risk Adjustment Prospective Programs, the Manager of... ...an accredited institution preferredCRC, CPC, CCS‑P, or equivalent coding credential preferredKey... ...work schedule. (Monday & Friday - remote, Tuesday - Thursday onsite in Rancho Cucamonga...Remote workRiskTemporary workWork experience placementLocal areaMonday to FridayInland Empire Health Plan
Rancho Cucamonga, CA3 days ago- ...Job Summary: We are seeking a Risk Adjustment Coding Auditor with 8+ years of experience to support first-... ...projects. The ideal candidate must be CPC and CRC certified with strong risk adjustment... ...in Microsoft Office Suite (Excel, Word, Outlook) This is a remote position....Remote workRiskWork at office
ClinDCast LLC
Albany, NY16 hours ago $30 - $35 per hour
...Job Summary: We are seeking a Risk Adjustment Coding Auditor with 8+ years of experience to support first... ...projects. The ideal candidate must be CPC and CRC certified with strong risk... ...Suite (Excel, Word, Outlook) This is a remote position. Compensation: $30.0...Remote workRiskHourly payWork at officeShift workClinDCast
United States1 day ago- ...seeks an experienced coder auditor to conduct independent, risk-based coding compliance... ...CPT/HCPCS/ICD-10, Medicare/Medicaid rules, and prepare... ...years outpatient coding and CPC/COC/CCS/CCS-P credentials, plus strong... ...and EHR experience. Remote eligibility and full benefits...Remote jobRisk
- ...procedures. Detect discrepancies in provider billing and recommend adjustments to ensure proper reimbursement. Qualifications: Registered... ...maternity required. Inpatient Coding Certification required - CCS or CIC If not currently certified, requirement to obtain CIC or...Remote jobTemporary workCasual workWork at office
- ...CommercialPay Type: SalaryJOB SUMMARY:The Risk Adjustment Auditor is responsible for reviewing medical... ....• Certified Professional Coder (CPC), CRC, CCS, or equivalent coding certification.•... ...preferred.• Previous auditing experience in Medicare Advantage and ACA preferred.•...RiskWork at office
CommunityCare
Tulsa, OK3 days ago - ...to Medicaid Pre-Billing Auditor independently evaluates... ...identifies billing risks imposes billing holds before... ...position is remote but we are looking for... ...Certified Professional Coder (CPC) through AAPC; orCertified... ...SpecialistPhysician-based (CCS-P) through AHIMA;...Remote workRiskFull timeFlexible hours
AbleLight
Littleton, CO7 days ago - Jobgether SRL is seeking a remote code auditor to support coding quality and compliance across a... ...The ideal candidate holds RHIA, RHIT, CCS, CCS-P, CPC, or CPC-H credentials, with at least two... ..., to identify discrepancies, assess risks, and recommend corrective actions. #J...Remote jobRisk
$82.72k - $108.57k
.... We're hiring a Associate, Risk Adjustment Auditor to join our Risk Adjustment... ...Work Location: This is a remote position, open to candidates... ...business, potential Centers of Medicare & Medicaid Services (CMS), Health... ...professional coder (CPC) ~3+ year(s) retrospective...Remote workRiskFull timeWork experience placementWork from homeHome officeOscar Health
Dallas, TX17 days ago- Oscar Health is hiring an Associate, Risk Adjustment Auditor to join our Risk Adjustment team. This remote role supports audits, code abstraction accuracy, and QA initiatives... ...must reside in AZ, FL, GA, or TX and have CPC plus 3+ years RADV/QA experience. #J-18808-Ljbffr...Remote jobRiskWork from home
- Insight Global is seeking an experienced HCC Risk Adjustment Coder for a fully remote, high-volume Medicare project. This 5-month contract offers a flexible... ...coding, strong ICD-10 knowledge, and an active CPC (AAPC) or CCS (AHIMA) certification to qualify. #J-18808-Ljbffr...Remote jobRiskHourly payFull timeContract workFlexible hours
$57.4k - $99k
...The Physician Coding Auditor develops and implements... ...related to compliance risks when requested. Experience... ...certifications (CPC, CPMA or CCS Preferred): CPC (Certified... ...Coder) CCS-P (Certified Coding Specialist... ...Technician) #LI-HB1 #LI-REMOTE Join an award-winning...Remote workRiskWork at officeLocal areaImmediate startEnsemble Health Partners
Eastern, KY2 days ago- Norwood in the United States is seeking a Risk Adjustment professional to join our team. You will review Medicare/Medicare Advantage HCC coding, perform retrospective... ...documentation. Proficiency in Excel is essential. Remote opportunities are available with nationwide...Remote jobRiskPermanent employmentFull time
- Insight Global is seeking experienced HCC Risk Adjustment Medical Coders for a high-volume, remote seasonal project supporting Medicare initiatives. Coders will review and code... ...adjustment coding, and certifications such as CCS, CPC, or CRC. Benefits include medical, dental...Remote jobRiskHourly paySeasonal work
$80k - $85k
Risk Adjustment Coding Specialist II - San Francisco/San Mateo/Santa Clara... ...records to verify that all Medicare Advantage, Affordable Care... ...Coding Specialist (CCS-P), CCS, or CPC. At least 3 years of experience... ...can be weeks that are fully remote, and then weeks where there...Remote workRiskFull timeWork at office- The Associate, Risk Adjustment Auditor conducts internal and external quality audits specific to ICD-10 code abstraction. Work with management to... ...commensurate work experience. Certified Professional Coder (CPC) with 3+ years retrospective risk adjustment coding...Remote jobRiskWork experience placement
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Medicare Risk Adjustment Auditor (CPC/CCS/CCS-P). Be the first to apply!
Related searches
- medical claims auditor Brooklyn, NY
- sales auditor Brooklyn, NY
- premium auditor Brooklyn, NY
- energy auditor Brooklyn, NY
- lease auditor Brooklyn, NY
- compliance auditor Brooklyn, NY
- safety auditor Brooklyn, NY
- remote nurse auditor Brooklyn, NY
- senior devops engineer remote Brooklyn, NY
- remote .net full stack web developer Brooklyn, NY