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Risk Adjustment Auditor jobs

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RISK ADJUSTMENT AUDITOR

Reviewing medical records to ensure the correct diagnosis codes were assigned for Risk Adjustment coding. Performing audits to determine coding accuracy. Preparing reports as requested by the operations team. Providing coding insi...

CompanyFathom
AddressRemote
CategoryAccounting/Finance
Salary$70,000 - $100,000 a year
Date Posted 2 months ago See detail

Risk Adjustment Auditor

Fathom

Remote

$70,000 - $100,000 a year

Reviewing medical records to ensure the correct diagnosis codes were assigned for Risk Adjustment coding. Performing audits to determine coding accuracy. Preparing reports as requested by the operations team. Providing coding insi...

2 months ago seen See more...

Physician Educator - Medicare Risk Adjustment Opening - NV New

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*...

21 hours ago seen See more...

Physician Educator - Medicare Risk Adjustment Opening - AZ New

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*...

21 hours ago seen See more...

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...

2 days ago seen See more...

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...

2 days ago seen See 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).....

4 days ago seen See more...

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...

6 days ago seen See more...

Risk Adjustment Coder - VBC - Part-Time

U.s. Renal Care

Remote - Oregon, United States

Collaborate with Lead Coder to review CDMV progress notes and CDMV Summary. Continuous streamlined communication with NPs on queries as needed. Weekly meeting with Lead coder to discuss any barriers on receiving responses to queri...

6 days ago seen See more...

Supervisor Risk Adjustment Billing and Coding

Innova People

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...

6 days ago seen See more...

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...

6 days ago seen See more...

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...

a week ago seen See more...

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...

4 days ago seen See more...

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...

2 weeks ago seen See more...

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...

2 weeks ago seen See more...

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...

2 weeks ago seen See more...

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...

2 weeks ago seen See more...

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...

2 weeks ago seen See more...

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...

a week ago seen See more...

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...

a week ago seen See more...

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...

a week ago seen See more...

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...

a week ago seen See more...

Senior Auditor - Credit Risk

Usaa.

Lorida, FL

Independently executes audit test work timely and with high quality.. Executes and may lead as Auditor in Charge (AIC) for audit engagements throughout the audit life cycle, to include understanding of horizontal and vertical busi...

a week ago seen See more...

Senior Credit Risk Auditor- H/F/X

Société Générale

New York, NY

$117,000 - $210,000 a year

Manage and execute all stages of assigned credit audit missions within a pre-defined timeframe: planning, file review, portfolio analysis, report drafting, and exit meeting; Prepare clear and concise worksheets. Prepare quality re...

3 weeks ago seen See more...

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...

3 weeks ago seen See more...

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...

3 weeks ago seen See more...

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...

3 weeks ago seen See more...

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...

3 weeks ago seen See more...

Senior Manager Risk Adjustment - Provider Initiatives (Remote - Florida Only)

Florida Blue

Jacksonville, FL

$88,100 - $110,100 a year

Oversee the staff who is primarily focused on, but is not limited to, establishing, and nurturing collaborative relationships Provider Initiatives for Risk Adjustment programs including provider quality coding chart reviews, char...

4 weeks ago seen See more...

Third Party Risk Auditor

Synergistic Systems Inc

Remote

$81K - $103K a year

Conduct comprehensive risk assessment audits of new and existing third-party vendors, including operational, security, and compliance assessments. Develop and implement risk mitigation strategies for identified risks, including co...

4 weeks ago seen See more...

Risk Adjustment Coder

Community Health Plan Of Washington

Seattle, WA

Have a minimum of 2-3 years of experience in Risk Adjustment coding, preferably in a health plan setting. Have a minimum of 2-3 years of experience with Centers for Medicare and Medicaid Services (CMS) Hierarchical Condition Categ...

4 weeks ago seen See more...

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What are the top cities open Risk Adjustment Auditor jobs?

There are open Risk Adjustment Auditor jobs in several cities including Sacramento, San Antonio, Temple, Philadelphia, Dallas, Orlando,

What companies are hiring for Risk Adjustment Auditor jobs?

The top companies hiring now for Risk Adjustment Auditor jobs are Centauri Health Solutions, Collaborative Health Systems,

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