Full-Time Risk Adjustment Auditor jobs

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RISK ADJUSTMENT CODER

High School Diploma or GED Required. Certified Risk Adjustment Coder (CRC). Certified Professional Coder (CPC). Certified Coding Specialist (CCS). Minimum of three (3) years HCC experience performing retrospective Risk Adjustment...

CompanyApex Health Solutions
AddressHouston, TX
Salary$47.6K - $60.3K a year
Job typeFull-time
Date Posted 4 weeks ago See detail

Risk Adjustment Coder

Apex Health Solutions

Houston, TX

$47.6K - $60.3K a year

High School Diploma or GED Required. Certified Risk Adjustment Coder (CRC). Certified Professional Coder (CPC). Certified Coding Specialist (CCS). Minimum of three (3) years HCC experience performing retrospective Risk Adjustment...

Physician Educator - Medicare Risk Adjustment Opening - NV

Hybridge Staffing

Nevada, United States

Physician Educator, Medicare Risk Adjustment (Openings in AZ, NV, and OR)*Employed structure*Can live in market or commute once per month*Expanding organization*Salary of $250K+ plus $62K incentive*Sign-on and relo *Full benefits*...

Physician Educator - Medicare Risk Adjustment Opening - AZ

Hybridge Staffing

Arizona, United States

Physician Educator, Medicare Risk Adjustment (Openings in AZ, NV, and OR)*Employed structure*Can live in market or commute once per month*Expanding organization*Salary of $250K+ plus $62K incentive*Sign-on and relo *Full benefits*...

Risk Adjustment Manager

Mid-Atlantic Permanente Medical Group

Rockville, MD

dental insurance, life insurance, parental leave, paid time off, sick time, tuition reimbursement, 401(k), retirement plan

Oversee the outcomes and operations of Risk Adjustment across the organization within all the assigned products and identifies areas of improvements and implements processes as needed. Interpret statistical analyses and helps stak...

Administrative Assistant-Risk Adjustment

Presbyterian Healthcare Services

Albuquerque, NM

Why Join Us:. Full Time - Exempt: No. Job is based Rev Hugh Cooper Admin Center. Work hours: Days. Benefits: We offer a wide range of benefits including medical, wellness program, vision, dental, paid time off, retirement and more...

Retrospective Program Manager, Medicaid Risk Adjustment

Cvs Health

Connecticut, United States

3+ years of project management experience. . 2+ years in Medicaid or Risk Adjustment health care industry experience. . Certified Risk Adjusted Coder (CRC) or Certified Professional Coder (CPC).....

Risk Adjustment Coding Analyst

Centene Corporation

Las Vegas, NV

Validate provider, vendor, and internal diagnosis coding for accuracy by reviewing and analyzing samples of coding and claims extract compared to actual medical records. Review and identify trends in coding discrepancies and notif...

Supervisor Risk Adjustment and Coding *Remote*

Providence

Beaverton, OR

Directly supervise the coding staff who review, interpret, code, and abstract medical record information according to coding policies and practices. Serve as the first-level supervisory position. Be responsible for assigning, dire...

Risk Adjustment Coding & Documentation Specialist

Sentara Healthcare

Virginia Beach, VA

Coding - 2 years Experience required. Medical Records Data - 1 year experience required. Associates preferred but not required. Microsoft Office, including PowerPoint & Excel experience required. Should be able to analyze perform...

Manager, Medicaid Risk Adjustment

Cvs Health

Connecticut, United States

Oversees a program or programs that is jointly accountable for Risk Adjustment strategy, performance, and results within a designated market(s). Responsible for identifying and recommending nuanced market Risk Adjustment strategi...

Physician Trainer HCC Risk Adjustment

Heritage Provider Network

Los Angeles, CA

Audit Provider patient charts and analyze for proper documentation. Also, review all other chart documents to identify potential conditions that Provider may not have listed.Subjective History of chief complaint or current statu...

Risk Adjustment Coding Educator

Wellvana

Orlando, FL

Educate providers on Risk Adjustment: its purpose, CMS-HCC coding rules and guidelines, open condition reporting, identifying unreported conditions, proper documentation for MA, MSSP, ACO Reach, and DCE patients. Able to perform a...

Supervisor, Risk Adjustment, Quality and Coding

Wellvana Integration Partners, Llc

Orlando, FL

Oversee and improve the various Quality andRisk Adjustment processes. Recommend and/or implements process improvements related to the potential of quality medical care and service. Serves as a resource regarding government and re...

Supervisor, Risk Adjustment, Quality and Coding

Wellvana

Orlando, FL

Oversee and improve the various Quality andRisk Adjustment processes. Recommend and/or implements process improvements related to the potential of quality medical care and service. Serves as a resource regarding government and re...

Senior Medicare Risk Adjustment Analyst

Reveleer

Remote

$140,000 - $160,000 a year

Perform end-to-end analysis on data in tabular format or natural language. Independently: find problems, architect solutions and conduct analysis. Collaborate with product managers, data scientists and data engineers, in an Agile...

Manager Risk Adjustment Data Analytics

Blue Cross And Blue Shield Of Kansas

Topeka, KS

$126,560 a year

Make a Positive Impact: Your work will directly contribute to the health and well-being of Kansans. Lead and Inspire: Guide and mentor your team to achieve their full potential and success. Dynamic Work Environment: Collaborate wi...

Risk Adjustment Specialist - Remote in Southern CA

Optum

Santa Ana, CA

$70,200 - $137,800 a year

Serve as the Relationship Owner and Strategic Partner for key markets/provider groups in collaboration with Market Leadership. Provide guidance and consultative feedback to groups, MSOs and IPAs to drive provider engagement and ad...

Government Programs Risk Adjustment Analyst

Capital Blue Cross

Harrisburg, PA

$68.2K - $86.3K a year

Assist and/or develop new reports or analysis, enhance key existent reports and/or analysis processes, and methodologies of the Risk Adjustment Program operations and initiatives. Support the implementation and on-going activities...

Premium Auditor/Risk Appraiser - Austin, TX

Federated Mutual Insurance Company

Austin, TX

Travel to insured businesses throughout an assigned territory. Review and verify our clients financial information and business operations. Analyze information to determine if the client is paying the correct amount of premium. P...

Senior Auditor - Risk Management (Hybrid)

Capital One

New York, NY

Audit major components of business units.. Assist in developing engagement planning documentation for assigned areas, including risk-based rationale for scoping decisions.. Design and execute internal control testing for operation...

Senior Property & Builders Risk Claims Adjuster

Liberty Mutual

Baltimore, MD

Responsibilities: Has technical expertise and experience handling Inland Marine Coverage on project-specific placements and Master Builders Risk programs, contractor's equipment, etc. Potential for pre- and post-loss inspections C...

Senior Property & Builders Risk Claims Adjuster

Liberty Mutual

Cincinnati, OH

Responsibilities: Has technical expertise and experience handling Inland Marine Coverage on project-specific placements and Master Builders Risk programs, contractor's equipment, etc. Potential for pre- and post-loss inspections C...

Senior Property & Builders Risk Claims Adjuster

Liberty Mutual

Allentown, PA

Responsibilities: Has technical expertise and experience handling Inland Marine Coverage on project-specific placements and Master Builders Risk programs, contractor's equipment, etc. Potential for pre- and post-loss inspections C...

Senior Property & Builders Risk Claims Adjuster

Liberty Mutual

Akron, OH

Responsibilities: Has technical expertise and experience handling Inland Marine Coverage on project-specific placements and Master Builders Risk programs, contractor's equipment, etc. Potential for pre- and post-loss inspections C...

Senior Auditor, Operational Risk

Paypal

Chicago, IL

$101K - $128K a year

Execute audit testing assignments, evaluate and communicate test results, clearly document work papers and draft audit issues, and facilitate issue tracking and closure. Evaluate the adequacy and effectiveness of internal controls...

Risk and Compliance Internal Controls Auditor

U.s. Bank National Association

Charlotte, NC

$79,135 - $102,410 a year

Responsible for the execution of BLQA testing activities within Payment Services CRO, first line organization. Participates in the overall Quality Assurance Program strategy, which addresses operational and Compliance risks, as we...

Principal Auditor, US Financial Risk – Credit Risk - Assistant Vice President

Deutsche Bank

Cary, NC

$73.2K - $92.7K a year

A diverse and inclusive environment that embraces change, innovation, and collaboration A hybrid working model, allowing for in-office / work from home flexibility, generous vacation, personal and volunteer days Employee Resource...