Medical Coding Data Quality Auditor - Risk Adjustment
$18.5 - $38.82 per hourHispanic Alliance for Career Enhancement
The Hispanic Alliance for Career Enhancement is hiring for a position involving the auditing of medical records and proper assignment of ICD codes. Ideal candidates must have at least 1 year of experience in medical document review and hold a CPC or CCS-P certification. This full-time role offers a support structure, with a comprehensive range of benefits, including medical and dental coverage and retirement savings options. The anticipated pay range is between $18.50 and $38.82 per hour. #J-18808-Ljbffr
$18.5 - $38.82 per hour
...prioritize safety and quality in everything we... ...abstraction of medical records (provider... ...identify and submit ICD codes that are submitted... ...the purpose of risk adjustment processes are... ...to handle patient data with uncompromised... ...Professional Medical Auditor), CDEO (Certified...DataRiskHourly payFull timeTemporary workWork at officeLocal area- ...excited to announce an opportunity for a Senior Informatics Manager in Maryland, where you will lead complex data analyses that drive health plan-level risk adjustment performance. This role involves managing a small team and collaborating with various departments to...DataRiskRemote jobFull time
$70k - $85k
...Overview Department: Quality - Risk Adjustment Employment Type: Full Time Location: Maryland, USA... ...a highly motivated Risk Adjustment Coding Specialist. This role will report to... ...provider documentation of diagnostic data from medical records to verify that all Medicare...DataRiskFull timeWork at officeWork from homeMonday to Friday$70k - $85k
...currently seeking a highly motivated Risk Adjustment Coding Specialist to support our Maryland... ...provider documentation of diagnostic data from medical records to verify that all Medicare... ...Perform code abstraction and/or coding quality audits of medical records to ensure...DataRiskFull timeWork at officeRemote workMonday to Friday$67.9k - $199.14k
...accountable and prioritize safety and quality in everything we do. Join us... ...Manager to join our dynamic Risk Adjustment Analytics team! In this role,... ...lead and execute complex data analyses to drive health plan... ...complex analyses leveraging medical and pharmacy claims,...DataRiskRemote jobHourly payFull timeTemporary workWork experience placementLocal area$60k - $130k
...engagements involving coding audits, disputes,... .... Deliver high-quality, accurate coding analysis... ...support. Identify risks related to billing... ...of inpatient medical records to assess... ...; experience with data visualization... ...estimate has not been adjusted for any applicable...DataRiskWork at officeLocal areaFlexible hours- Quality Assurance Expert - Medical Technologies Our Client: A groundbreaking company at the forefront of regenerative... ...industry best practices. Conduct risk assessments and implement effective... ...control, including inspections, data analysis, and root cause analysis of...DataRisk
- ...Medicare & Medicaid Services Risk Adjustment Data Validation (CMS RADV)... ...Adjustment Data Validation (RADV) medical record review (MRR) work performed... ...with CMS RADV guidelines, coding standards, and risk... ...while maintaining the highest quality and accuracy in medical record...DataRiskContract workPart timeWork at officeRemote workFlexible hours
$78.4k - $107.8k
...Humana's mission to deliver high-quality healthcare. You will work... ...‑based arrangements, and risk adjustment strategies Serve as an expert... ...provider performance data to identify areas for improvement... ...Medicare Risk Adjustment and/or medical coding Progressive experience with...DataRiskBi-weekly payTemporary workApprenticeshipWork at officeWork from homeHome office$249.97k - $388.13k
...Senior Director, Global Medical Safety physician (... ...pharmacovigilance and risk management activities for... ...safety impact for product quality or other quality related... ...clinical trial medical coding. Participates in the... ...of the Company Core Data Sheet, risk management...DataRiskTemporary workLocal areaFlexible hours$61.9k - $92.9k
Job Title Quality Specialist - Full Time - Cambridge, MD About the Role Our Cambridge, MD... ...Assurance and Sanitation programs to minimize risks and ensure compliance with all regulatory... ...audits and summarize technical data to identify trends and corrective actions...DataRiskFull timeWork at officeImmediate startShift workDay shift$70k - $85k
...A healthcare organization in Maryland seeks a highly motivated Risk Adjustment Coding Specialist. This role involves conducting chart reviews to identify coding gaps and providing education to healthcare providers. The ideal candidate will have 3-5 years of risk adjustment...RiskFull time$120k - $260k
...authentication, abuse prevention, and customer risk management. Act as the primary liaison... ...proficiency—understanding APIs, data workflows, customer environments, and translating... ...range is a general guideline and may be adjusted based on qualifications, experience,...DataRiskLocal area$145k - $165k
...elements that support FUJIFILM’s Medical Device Compliance Program in... ...updated policies to address risk and improve operations and internal... ...the Fujifilm Medical Device Code of Conduct, Interactions with... .... Support transparency data collection, validation, and reporting...DataRiskRemote work$93.77k - $118.08k
...Salesforce functionality and data flows to ensure... ...testing coverage supports risk mitigation and... ...to provide consistent quality customer service. Qualifications... ...vision and the ability to adjust focus. EEO Mariner... ...of domestic violence, medical condition, genetic information...DataRiskWork at officeFlexible hoursShift work- ...cybersecurity needs, develop and implement risk management strategies, support incident... ...Conduct thorough reviews of vulnerability data, coordinating with stakeholders to prioritize... ...progress against established plans and adjust as necessary. Develop strategic plans and...DataRiskWork at officeLocal area
$99k - $176k
...Operations and will partner with the Risk Framework leadership team.... .... Analyze and evaluate data that effects the technical, operational... ...planning, and business model adjustments. Act as the business teams'... ...coverage, including Medical, Dental and Vision plans, available...DataRiskWork at officeRemote work- ...Division has been helping farmers manage risk since 1915 and is one of the few private... ...fluctuate based on seasonal needs. As a Crop Adjuster, You Will Understand and work claims for... .... Full‑time employees have access to medical, dental, and vision coverage, wellness plans...RiskFull timePart timeSeasonal work
$169.22k - $253k
...The Associate Director, Risk Based Quality Management is responsible for developing... ...mitigation of operational, data quality, and patient safety... ...controls are effective and adjustments are implemented when needed.... ...benefits: Comprehensive medical, dental, vision,...DataRiskContract workTemporary workWork at officeLocal areaFlexible hours$150k - $240k
...Provide security planning, assessment, risk analysis, and risk management for enterprise... ...requirements for handling government data and systems with varying classification/protection... .... Please note that these ranges may be adjusted over time and should be viewed as...DataRiskContract workWork experience placement$105k - $160k
...client partnerships to deliver superior risk-adjusted returns and measurable environmental benefits... ...equity incentive program; comprehensive medical, dental and vision benefits; paid time... ...to support corporate-wide databases, data analysis and model-automation developments...DataRiskInternshipH1bLocal area- ...Description: Seeking a highly skilled Quality Assurance (QA) Specialist with a strong... ...of Microsoft Excel (pivot tables, macros, data modeling, dashboarding). Proficient in... ...procedures, checklists, traceability matrices, and risk mitigation strategies. Evaluate...DataRiskContract work
- LEGAL COORDINATOR - ENTERPRISE RISK, CLAIMS, INSURANCE Location:... ...environment. RESPONSIBILITIES Claims Data Management & Integrity... ...to provide claims data for the medical staff reappointment process.... ...counsel, external counsel, external adjusters, insurance partners, and other...DataRiskFull timeWork at officeShift workDay shift
$115k - $145k
...incentive program; comprehensive medical, dental and vision benefits;... ...to regulatory compliance and risk management. Operational Excellence... ...Familiarity with Python for data analysis or experience... ...accommodations are modifications or adjustments to the application or hiring...DataRiskInternshipH1bLocal area$99k - $132.5k
...individual to lead and drive quality-related security work for Sinclair... ...Manager – Governance, Risk, & Compliance with a focus on... ...standards. Perform litigation and data discovery actions while partnering... ...and flexible to program adjustments with a positive outlook to changing...DataRiskFull timeWork experience placementH1bLocal areaFlexible hours- ...~4+ years of experience in actuarial or data science roles; exposure to advanced ratemaking... ...useful) ~ Ability to adapt to change and adjust priorities quickly, as necessary and... ...directed ~ Minimum of Bachelor's degree in risk management, finance, economics, actuarial...DataRiskPermanent employmentWork experience placementRemote workFlexible hours
$104.3k - $193.7k
...and long-term goals Perform risk & issue management, escalating... ...Meet budgetary objectives and adjust project constraints based on... ...gender), pregnancy (and related medical conditions), race, color,... ...regarding how we protect your data, please consult the Amex GBT Recruitment...DataRiskTemporary workWork experience placementWork at officeImmediate startFlexible hours$182.4k - $273.6k
...AVP Data Science - GD05AE We're determined to make a difference... ...systems that support complex risks, bespoke products, and profitable... ...shared expectations for quality, evaluation rigor, and production... ...resourcing, and financial stewardship. Adjust plans to address shifting...DataRiskTemporary workWork at officeRemote workShift work3 days per week$201.37k - $236.9k
...Executive Protection (at‑risk individuals, travel,... ...business outcomes, risk-adjusted investments, and... ...efficiency, cost, and quality. Experience: 8+ years... ...L7+/ET with imperfect data. Operational excellence... ...and benefits (including medical, dental, vision and 401...DataRiskLocal area$93.23k - $155.38k
...Our Deloitte Regulatory, Risk & Forensic team helps client leaders... ...our team and use advanced data, AI, and emerging technologies... ...Meticulous attention to detail and quality of work product Ability to... ...disclosed range estimate has not been adjusted for the applicable geographic...DataRiskLocal area
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