Senior Risk Adjustment Coder & CDI Auditor
Stanford Health Care
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 have over 5 years of experience with coding guidelines, preferably in a healthcare setting. Stanford Health Care values diversity and encourages qualified applicants from all backgrounds to apply. #J-18808-Ljbffr Stanford Health Care
$44.13 - $57.36 per hour
...Healthcare Alliance job.A Brief OverviewThe Senior Risk Adjustment Coder will perform code audits and... ...and internal procedures. The HCC Coding Auditor Senior will be involved with activities... ...concurrent Clinical Documentation Improvement (CDI) workflows as well as retrospective...SeniorRiskWork experience placementWork at officeLocal area$87.3k - $119.07k
Horizon Blue Cross Blue Shield of New Jersey seeks a Risk Adjustment Data Analyst III to manage and analyze risk adjustment data. This position reports on risk score calculations and ensures compliance with regulatory guidelines. The ideal candidate will have a Bachelor...SeniorRisk- ...Job Title: HCC | Risk Adjustment Coder Location: Newark, NJ (100% Remote) Duration: 6 months (possible extension) Pay Rate: $30 - $35/hr. on W2 Schedule: Regular Business Hours. Important Details: Candidates can be located in any one of the five...RiskWork at officeRemote work
- ...This role is responsible for executing risk-based audits from planning through reporting... ...the allocated budget, notifying the lead auditor promptly of any issues that arise or when... ...to help meet goals. Sets goals and adjusts throughout the year while having regular...SeniorRiskRemote workFlexible hours
$102.96k - $185.33k
...Risk Adjustment Strategic Manager Locations: Virginia, Indiana, Georgia, Tennessee, Connecticut, New York, New Jersey... ...background in Clinical Documentation Improvement (CDI) and medical coding practices. Certified coder credential preferred (e.g., CPC, CRC, CCS, RHIT,...RiskWork at office2 days per week1 day per week$102k - $203k
...Senior Vice President, Auditor, Credit Risk At BNY, our culture allows us to run our company better and enables employees' growth and success. As a leading global financial services company at the heart of the global financial system, we influence nearly 20% of the...SeniorRiskTemporary workWork at officeWorldwideFlexible hours- ...divh2Certified Professional Coder (CPC) Lead/Provider Liaison/h2pA Few Words About Us Integrated Resources, Inc is a premier staffing... ...to providers and provider groups regarding commercial risk adjustment and developing educational materials for Network Management professionals...RiskContract workImmediate start
$97.8k - $133.46k
...and exhibits a good understanding of Horizons business model and risks. Establishes buy in with management, clients and audit teams by... ...changes in the organization, work tasks or the work environment; adjust effectively to work with new organization/work structures,...RiskLive inLocal area$86k - $106k
...At AIG, we are reimagining the way we help customers to manage risk. Join us as a Casualty Coverage and Mass Tort Senior Claims Adjuster to play your part in that transformation. You’ll work with some of the best claims and underwriting minds in the industry addressing...SeniorRiskWork at officeFlexible hours$95k - $150k
...investing with confidence and innovation. Requirements About the Role We're looking for a Senior Internal Auditor who brings a strong foundation in audit and risk, combined solid audit fundamentals with a data-driven, technology-forward mindset. This role will...SeniorRiskContract workWork at officeLocal area- We are on the lookout for a talented Senior Associate to join our Asset & Wealth Management Internal Audit... ...business management, other control groups (i.e. risk management, compliance, fraud prevention), external auditors, and regulators, establishing strong working...SeniorRiskFull timeFlexible hours
- ...Senior Property Adjuster The Senior Property Adjuster effectively determines and communicates the extent of loss or damage associated with commercial... .... May be called upon to assess time-element and builders' risk losses. Uses a knowledge of property and construction,...SeniorRiskWork at officeNight shiftWeekend workAfternoon shift
- Solventum is seeking a Product Manager to lead strategic development for health plan solutions focusing on risk adjustment optimization. The role integrates medical claims and clinical data, driving innovation in healthcare payment and quality solutions. The ideal candidate...RiskRemote job
$96.2k - $158.8k
Position Overview Senior Actuarial Associate - Actuarial Valuation & Projections Team (ILI... ...reinvestment strategies, insurance risk monitoring, liquidity stress testing, and... ...files, in‑force data validations, post‑model adjustment tools. Support the annual assumption update...SeniorRisk- ...services, according to ICD-9/ICD-10 CM coding guidelines and risk adjustment model regulations. This position supports Annual Commercial... ...Health Information Technologies (RHIT) or Certified Professional Coder designation from the American Academy of Professional Coders...Risk
- ...of children in a seasonal day camp. The Senior Counselor is responsible for a group of children... ...day. The Senior Counselor helps children adjust to camp according to camp rules and... ...face counts. Will understand and practice risk management and disaster policies and...SeniorRiskFull timeSeasonal workImmediate start
$216.41k
NTT DATA is seeking a Risk & Compliance Senior Director to join their team in Newark, New Jersey. This role is integral in leading the Risk & Compliance practice and engaging with high-profile clients across various industries. Candidates should have extensive experience...SeniorRisk$87k - $113k
...and acts as primary contact for agency partners with regards to risk eligibility, rating, and coverages related to personal lines... ...some cases customers, responding to inquiries on coverage, and adjusting policy information based upon prescribed authority level. Conduct...SeniorRisk- ...Senior Auditor Internal Audit Job Description: Move forward with us! At NJ TRANSIT, you'll be joining us in transforming the third-largest transportation agency in North America. We are committed to delivering safe, reliable service that gets our customers to...SeniorWork at officeFlexible hours
$63k - $87k
...Compliance Medical Records Auditor Artificial Intelligence; Advanced Technology; The very... ...trends, root causes, and systemic risks; develops recommendations for corrective... ...actions. Advises operational leaders, coders, and clinical teams on compliance risks,...RiskImmediate start- ...Senior Actuarial Analyst (Manager/Sr. Manager) Jersey City, New Jersey, United States... ...Actuarial Analyst to join our team, focusing on risk monitoring, profitability analysis, and... ...with underwriting and pricing teams to adjust models and assumptions based on...SeniorRisk
$216.41k
NTT DATA is seeking a Risk & Compliance Senior Director for its Newark, NJ office. This role involves managing the risk and compliance practice while engaging with top financial services clients, including major U.S. banks and payment providers. The candidate will lead...SeniorRiskWork at office$97.8k - $133.46k
100 Horizon Healthcare Services, Inc is seeking an experienced auditor for a role based in Newark, New Jersey. The position includes developing audit scopes, identifying control issues, and preparing reports on internal controls. Qualifications include at least a High School...SeniorRisk- ...Munich Re's North America entities to assist senior management in the achievement of the... ...objectives. As a trusted advisor, the Internal Auditor builds effective relationships while... ...effectiveness of governance, compliance, risk management, and internal controls systems...RiskWork experience placement
- ...strong communication skills, and knowledge of the software development life cycle. This role involves collaboration across departments, risk management, and delivering projects within budget and on time, making it ideal for a results-driven professional. #J-18808-Ljbffr...SeniorRisk
- NTT DATA, Inc. is seeking a Risk & Compliance Senior Director to join our consulting practice in Newark, New Jersey. This senior role involves leading the Risk & Compliance consulting team, managing high-impact client engagements, and working closely with top-tier clients...SeniorRisk
- ...judgement to strength JPMorganChase’s internal controls! As a Senior Auditor Associate in our Internal Audit group, you will plan, execute... ...Plan, execute and document audit reports, including risk assessments, audit planning, audit testing, control evaluation...SeniorRiskFlexible hours
- ...Summary PSEG is seeking an experienced and motivated Lead Auditor to conduct internal audits, reviews, investigations, and testing... ...standards and company policies Identify and evaluate risks, internal control weaknesses, and opportunities for improvement...RiskRemote workFlexible hours
$198.66k - $346.18k
...client relationships. Applicants must have a Bachelor’s Degree in Engineering and 12 years of relevant experience. Strong leadership, risk management, and project delivery skills are essential for success in this role. This full-time position offers competitive pay with...SeniorRiskFull timeContract work$100k - $120k
...technically strong and detail-driven Senior Accountant to lead audit-... ...liaison for external auditors, and a key partner to the Controller... ..., and identify areas of GAAP risk before they become audit... ...ready outputs, and transaction adjustments suitable for sponsor and lender...SeniorRiskContract workWork at officeLocal area
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