Remote Risk Adjustment Auditor - Health Records & Coding
Humana Inc
- Remote job
Humana Inc. is seeking a Risk Adjustment Representative 2 to perform quality assurance audits of medical records and ICD-9/10 coding for CMS and other agencies. The role involves moderately complex administrative work, ensuring documentation supports coding accuracy and regulatory compliance. You will work from a home office with occasional travel to the Charlotte, NC office for training and meetings, and occasional travel to provider locations across the region as needed. #J-18808-Ljbffr Humana Inc
$64.38k - $96.58k
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- Oscar Health is hiring an Associate, Risk Adjustment Auditor for their Risk Adjustment team. This remote role focuses on conducting quality audits related to ICD-10 code accuracy and completeness. You will engage in audit operations and compliance, while working with the...Remote jobRisk
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- ClinDCast LLC is seeking a Risk Adjustment Coding Auditor with 8+ years of experience to support CMS RADV first- and second-pass audits. The ideal... ...expertise and proficiency in Microsoft Office Suite. This is a remote position, offering an opportunity to contribute to federal...Remote jobRiskWork at office
$36.83 - $42.74 per hour
Honest Medical Group LLC is seeking a Risk Adjustment Auditor to ensure the accuracy and compliance of risk adjustment coding for providers and patients. The role requires auditing documentation and claims, identifying inaccuracies, and translating findings into educational...Remote jobRiskHourly pay- Humana is seeking a Medical Coder / Coding Educator 2 to identify opportunities to improve provider documentation and tailor education plans. The role reports to the Manager, Medicare Risk Adjustment. Responsibilities include arranging educational sessions, analyzing coding...Remote jobRiskWork from home
$65k - $75k
...Description Job Description Risk Adjustment Specialist – Primary Care Location: Remote Employment Type: Full-Time... ...clinical documentation and coding practices. Position Overview... ...Experience working with electronic health records (EHRs) ~ Excellent attention...Remote workRiskFull time$56.17k - $70.22k
...Medical Coding Auditor - Must have a NM Residence... ...opportunity is a REMOTE, full-time, day shift... ...will be prorated and adjusted to the appropriate... ...charts and records for compliance with... ...annual work plan risk assessment and evaluates... ...within the UNM Health system. Modern Healthcare...Remote workRiskPermanent employmentFull timeFor contractorsLive inWork from homeRelocationRelocation packageDay shift- ...Title: Certified Risk Coder Reports to: Manager, Risk Coding Classification: Individual... ...Location: Boston (Remote) Job description... ...Qualified Health Centers (FQHCs). Our... ...ensuring accurate risk adjustment for patient care. The... ...guidance Completes record review with a high...Remote workRisk
$68.57k - $104.84k
...Control/Clinical Auditor. The Diagnostic... ...validation (clinical/coding) reviews of medical records and/or other... .... This is a remote position. ESSENTIAL... ...setting, or health plan. National... ...range and these adjustments would be clarified... ...in Risk Management In...Remote workRiskMinimum wageFull timeWork at officeLocal areaFlexible hours$55k - $70k
...Risk Adjustment Coding Specialist I - Remote (Central Time Zone) We are currently seeking a highly motivated Risk... ...documentation of diagnostic data from medical records to verify that all Medicare... ...coding software and Electronic Health Records (EHR) systems. You're great...Remote workRiskLive inWork at office- ...technology company is seeking a Coding Associate responsible for delivering high-quality risk adjustment coding services for clients.... ...role requires reviewing medical records, assigning diagnosis codes,... ...professional growth. This is a fully remote role based in the United...Remote workRisk
- ...Coding Auditor Location: Miramar, Florida At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for... ...or outpatient medical records applying ICD-10 CM/PCS and... ...Coder, CRC Certified Risk Adjustment Coder, or CPMA Certified...Remote jobRiskWork experience placementInternshipWork at officeShift work
$79.56k - $115.72k
...Inpatient CDI Risk Adjustment Specialist Mass General Brigham relies... ...information in the Inpatient health record and evaluate clinical indicators... ...of CDI practices, inpatient coding guidelines, CMS/OIG... ...Job Details (if applicable) Remote Type Remote Work Location...Remote workRiskShift work$31.03 - $36.03 per hour
...Have ~ Associate’s degree in Health Information Technology, Business... ...work experience. ~3 years of risk adjustment and/or hierarchical condition category coding experience. ~ Strong knowledge... ...moderately complex medical records. Experience working with vendors...Remote workRiskTemporary workWork experience placement- ...Humana is looking for a Risk Adjustment Coder to conduct quality assurance coding of medical records and ICD-10 diagnosis codes. Your role will include reviewing medical records, ensuring accurate coding in compliance with regulations, and possibly making calls to providers...Remote workRisk
$48.3k - $65.9k
...Humana in Jackson, Mississippi is seeking a Risk Adjustment Coder responsible for quality assurance coding of medical records and ICD-10 diagnosis codes. The role entails... ...8,300 to $65,900 annually with potential for remote work with occasional in-office meetings. #J-1...Remote workRiskWork at office$23 per hour
...We are seeking experienced Coding Managers and HIM Coding leaders... ...IndicatorStandard... Remote Full-time Mercor is working... ...We are seeking experienced Risk Adjustment and HCC Coding leaders to evaluate... ...yearly Full-time +1 Electronic Health Record Analyst. Prime Healthcare is...Remote jobRiskHourly payFull timePart timeLocumLocal areaImmediate startShift workNight shiftDay shiftWeekday work$170k - $225k
...Description The Director, Risk Adjustment Products will lead the... ...-impact suspects and coding opportunities. ~... ...and external clients (health plans, ACOs, risk bearing... ..., guidance on medical record standards). ~... ...Comfortable in a fully remote environment that relies...Remote workRiskFull time$48.3k - $65.9k
...part of our caring community The Risk Adjustment Coder conducts quality assurance coding of medical records and ICD-10 diagnosis codes... ...clinical documentation within the health record. Reviewsmedical records... ...Travel: While this is a remote position, occasional travel to...Remote workRiskFull timeTemporary workApprenticeshipWork at officeMonday to Friday$85k - $200k
...consulting firm specializing in health care disputes seeks a Sr.... ...to utilize their expertise in coding, revenue cycle, and clinical... ...coding diagnoses from medical records and managing small projects while... ...should be certified in Risk Adjustment Coding (CRC) with strong analytical...Remote workRisk- ...Humana is looking for a Risk Adjustment Coder to conduct quality assurance coding for medical records and manage ICD-10 diagnosis codes. This role involves high-level support... ...in using technology. The position offers a remote work environment with the possibility of...Remote workRisk
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- ...CorroHealth Inc is seeking Risk Adjustment Coding Specialists to join the HCC Coding Team. This role involves reviewing medical records to abstract codes following Medicare and specific... ...client requirements. The position is remote, part-time with flexible hours after meeting...Remote workRiskPart timeFlexible hours
$82.72k - $108.57k
Oscar is hiring an Associate, Risk Adjustment Auditor to join our Risk Adjustment team. This role involves... ...quality audits related to ICD-10 code abstraction and working closely with management... ...quality assurance programs. This is a remote position available to candidates from...Remote jobRisk
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