Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Remote Risk Adjustment Auditor - Health Records & Coding

Humana Inc

Raleigh, NC
  • 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

Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Remote Risk Adjustment Auditor - Health Records & Coding in Raleigh, NC vacancy
  • $64.38k - $96.58k

     ...Company Overview Alignment Health is breaking the mold in conventional...  ...Alignment Health is seeking a remote Risk Adjustment Compliance Auditor to support auditing and compliance...  ...‑level audits, review medical record documentation and coding accuracy, identify compliance... 
    Remote work
    Risk
    Full time
    Local area
    Monday to Friday
    Flexible hours

    E2E Alignment Healthcare USA, LLC

    California, MO
    4 days ago
  • $82.72k - $108.57k

     ...Auditor, Risk Adjustment Arizona, United States Hi, we're Oscar...  ...Oscar is the first health insurance company built...  ...specific to ICD-10 code abstraction relative...  ...Location: This is a remote position, open to candidates...  ...limited to: medical record reviews to report ICD... 
    Remote work
    Risk
    Full time
    Work experience placement
    Work from home
    Home office

    Oscar Health

    United States
    2 days ago
  • Job Summary: We are seeking a Risk Adjustment Coding Auditor with 8+ years of experience to support first- and second-pass audits for CMS RADV (Risk...  ...Adjustment Coder) certification Proficiency in Microsoft Office Suite (Excel, Word, Outlook) This is a remote position.
    Remote work
    Risk
    Work at office

    ClinDCast LLC

    Albany, NY
    3 days ago
  • 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 job
    Risk

    Oscar Health

    Florida, NY
    2 days ago
  • 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 job
    Risk

    Oscar Health

    Dallas, TX
    10 hours ago
  • 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 job
    Risk

    Oscar Health

    New York, NY
    10 hours ago
  • Oscar is seeking an Associate, Risk Adjustment Auditor to join their Risk Adjustment team. This remote position will involve conducting internal and external quality audits of ICD-10 code abstraction and working to implement benchmarks. The ideal candidate has a Bachelor... 
    Remote job
    Risk

    name

    Phoenix, AZ
    2 days ago
  • Oscar Health is hiring an Associate, Risk Adjustment Auditor to join their Risk Adjustment team. This remote position focuses on conducting quality audits specific to ICD-10 code abstraction accuracy. You will work with management to implement benchmarks and quality assurance... 
    Remote job
    Risk

    Oscar Health

    Phoenix, AZ
    10 hours ago
  • 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 job
    Risk
    Work at office

    ClinDCast LLC

    New York, NY
    3 days ago
  • $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 job
    Risk
    Hourly pay

    Honest Medical Group LLC

    Nashville, TN
    4 days ago
  • 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 job
    Risk
    Work from home

    Humana

    Apex, NC
    5 days ago
  • $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 work
    Risk
    Full time

    PCC MEDICAL HOLDINGS LLC

    North Palm Beach, FL
    more than 2 months ago
  • $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 work
    Risk
    Permanent employment
    Full time
    For contractors
    Live in
    Work from home
    Relocation
    Relocation package
    Day shift

    UNM Medical Group, Inc.

    Albuquerque, NM
    4 days ago
  •  ...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 work
    Risk

    Community Care Cooperative

    Boston, MA
    2 days ago
  • $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 work
    Risk
    Minimum wage
    Full time
    Work at office
    Local area
    Flexible hours

    CorVel Healthcare Corporation

    Fort Worth, TX
    7 days ago
  • $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 work
    Risk
    Live in
    Work at office

    Astrana Health

    Houston, TX
    10 hours ago
  •  ...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 work
    Risk

    Intus Care

    New York, NY
    1 day ago
  •  ...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 job
    Risk
    Work experience placement
    Internship
    Work at office
    Shift work

    Memorial Regional Hospital

    Hollywood, FL
    1 day ago
  • $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 work
    Risk
    Shift work

    Mass General Brigham

    Somerville, MA
    5 days ago
  • $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 work
    Risk
    Temporary work
    Work experience placement

    Cynet Systems

    United States
    5 days ago
  •  ...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 work
    Risk

    Humana

    Columbus, OH
    2 days ago
  • $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 work
    Risk
    Work at office

    Humana

    Jackson, MS
    3 days ago
  • $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 job
    Risk
    Hourly pay
    Full time
    Part time
    Locum
    Local area
    Immediate start
    Shift work
    Night shift
    Day shift
    Weekday work

    Mercor

    Upland, CA
    2 days ago
  • $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 work
    Risk
    Full time

    HealthEdge

    Remote
    1 day ago
  • $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 work
    Risk
    Full time
    Temporary work
    Apprenticeship
    Work at office
    Monday to Friday

    Humana

    Jackson, MS
    2 days ago
  • $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 work
    Risk

    Ankura

    New York, NY
    1 day ago
  •  ...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 work
    Risk

    Humana

    Santa Fe, NM
    2 days ago
  • Humana is seeking a Medical Coder / Coding Educator 2 to identify opportunities to improve provider documentation and tailor education...  ...assigned provider. You will report to the Manager, Medicare Risk Adjustment. The role involves arranging educational sessions, analyzing... 
    Remote job
    Risk
    Work from home
    Flexible hours

    Humana

    Poquoson, VA
    5 days ago
  •  ...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 work
    Risk
    Part time
    Flexible hours

    CorroHealth Inc

    Wausau, WI
    2 days ago
  • $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 job
    Risk

    name

    Florida, NY
    3 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Risk Adjustment Auditor - Health Records & Coding. Be the first to apply!