Top 54 medicare risk adjustment auditor Jobs

Coding Auditor
Clinica Las Mercedes —Virginia Gardens, FL
- From $56,160 a year
- Full-time
- Bilingual
- Microsoft Word
- Microsoft Excel
- Health insurance
- Dental insurance
Quick Apply
Medicare Risk Adjustment Educator & Auditor
Palm Medical Centers —Fort Worth, TX
- Full-time
- Spanish
- Primary Care
- HIPAA
Quick Apply
9d
Consultant - Healthcare Compliance Auditor - HTS
Berkeley Research Group, LLC —Remote
- $70,000 - $150,000 a year
- Full-time
- Remote
- Microsoft Excel
- Bachelor of Science
- Research
Auditor, Risk Adjustment
Oscar Health —Miami, FL
- $82,717 - $108,566 a year
- Remote
- Mid-level
- Bachelor's degree
- Travel
- Paid parental leave
- Paid holidays
Quick Apply
7d
Clinical Review QC Auditor
CorVel Corporation —Fort Worth, TX
- $68,566 - $104,841 a year
- Full-time
- Remote
- LVN
- RN License
- Computer literacy
- Health savings account
- Disability insurance
Quick Apply
Reimbursement Analyst- Audit and Regulatory
SYSTEM West Virginia University Health System —Remote
- Full-time
- Remote
- Microsoft Outlook
- Computer literacy
- English
Revenue Cycle Manager
Elevated Community Health —Remote
- $90,000 - $110,000 a year
- Full-time
- Computer literacy
- 3 years
- Bachelor's degree
- AD&D insurance
- Paid holidays
Quick Apply
9d
Coding Compliance Auditor, Revenue Cycle Management, Amazon One Medical
Amazon.com Services LLC - A57 —Remote
- $23 - $34 an hour
- Full-time
- Google Workspace
- Customer service
- Mid-level
- AD&D insurance
- Health insurance
Coding Manager- Wound Care- Full Time
RestorixHealth —Remote
- $85,000 - $100,000 a year
- Full-time
- Remote
- Management
- 5 years
- HIPAA
Quick Apply
National Coding Educator - Remote
Optum —Irvine, CA
- $91,700 - $163,700 a year
- Full-time
- Remote
- Up to 50% travel
- Pass drug screening
- Mid-level
Lead Audit Specialist - Remote
EmblemHealth —New York, NY
- $77,760 - $149,040 a year
- Remote
- Microsoft Excel
- Microsoft Outlook
- 5 years
Risk Adjustment Auditor and Physician Educator- Remote, WA only
Valley Medical Center —Renton, WA
- $86,267 - $129,401 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Mid-level
VP, Internal Audit
Alignment Healthcare USA, LLC —Orange, CA
- $227,952 - $341,928 a year
- Online Application
- CPA
- Finance
- 8 years
Quick Apply
Coding Inpatient Auditor
AdventHealth Corporate —Orlando, FL
- $26.29 - $48.91 an hour
- Full-time
- Surgery
- 5 years
- Writing skills
- Paid parental leave
- Disability insurance
MEDICAL CODING ANALYST
C2Q Health Solutions —Bronx, NY
- $75,000 - $85,000 a year
- Full-time
- HIPAA
- 3 years
- Ability to lift 50 pounds
Inpatient Coding Compliance Auditor - HIM - FT - Days - Remote Eligible
Memorial Healthcare System —Miramar, FL
- Full-time
- Remote
- Anatomy knowledge
- Customer service
- 3 years
Director of Underwriting
Office Ally —Brentwood, TN
- $165,000 - $180,000 a year
- 7 years
- Writing skills
- Bachelor's degree
SENIOR RISK ADJUSTMENT SPECIALIST
VIVANT HEALTH LLC —Sacramento, CA
- $120,000 - $135,000 a year
- Full-time
- Nursing
- Customer service
- 5 years
Manager Reimbursement
DCH Health System —Tuscaloosa, AL
- Full-time
- CPA
- Bachelor of Science
- English
CMS HCC Coder - Hybrid remote - Orange, CA.
Alignment Healthcare USA, LLC —Orange, CA
- $58,531 - $87,797 a year
- Full-time
- Hybrid work
- Microsoft Access
- Basic math
- Mid-level
Quick Apply
6d

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Coding Auditor

Clinica Las Mercedes -
Virginia Gardens, FL

Quick Apply

Job Details

Full-time
From $56,160 a year

Benefits

Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance

Qualifications

Bilingual
Microsoft Excel
Medicare
Electronic health records (EHR) management
Compliance audits & assessments
HIPAA
Clinical documentation
Productivity software
Healthcare coding compliance audits

Full Job Description

Title of Position: Coding Auditor

Position Summary:

The Coding Auditor will be responsible for auditing process and compliance with all applicable federal, state and local regulations and guidelines.

Responsibilities:

Auditing 10 percent of medical records/ EHR documentation to identify under-coded and up-coded services, incorrectly billed procedures, etc.
Validates ICD-10-CM, HCPCS and CPT-4 codes (includes E/M) and modifiers for all medical records within quality standards set by the department and supported by medical record documentation.
Ensures correct coding of services are provided and are according to regulatory (e.g. NCCI), coding (AMA CPT descriptions, etc.) and billing guidelines.
Monitors coding and abstracting quality by conducting and/or coordinating ongoing audits to ensure coding quality and performance improvement standards are maintained, achieved and improved.
May assist in preparing reports of findings and assist with education and training documents on accurate coding practices and compliance issues.
Keeps knowledge of coding requirements and related skills.
Recognizes and consistently recommends changes to processes, documentation guidelines etc., once applicable.
Provides expertise or assistance to staff and other departments when problems or questions arise regarding coding.
Ensure compliance with all applicable Federal, State and/or County laws and regulations related to coding and documentation guidelines.
Maintaining strictest confidentiality and adhering to all HIPAA guidelines and regulations.
Other revenue capture project as assigned.

Qualifications:

· Strong CPT/ ICD-10 CM/ coding proficiency required.

· Certified Professional Coder (CPC) or Certified Risk adjustment Coder (CRC) desired.

· Foreign medical graduate/doctor preferred.

· Advanced knowledge of Microsoft suite (Word and Excel).

· Knowledge of basic third-party operating procedures and practices.

· Knowledge of Medicare and HMO.

· Bilingual

Job Type: Full-time

Pay: From $56,160.00 per year

Benefits:

401(k)
Dental insurance
Health insurance
Paid time off
Vision insurance

Work Location: In person

Quick Apply

Refine Your Search

medicare risk adjustment auditor jobs

Coding Auditor

Medicare Risk Adjustment Educator & Auditor

Consultant - Healthcare Compliance Auditor - HTS

Auditor, Risk Adjustment

Clinical Review QC Auditor

Reimbursement Analyst- Audit and Regulatory

Revenue Cycle Manager

Coding Compliance Auditor, Revenue Cycle Management, Amazon One Medical

Coding Manager- Wound Care- Full Time

National Coding Educator - Remote

Lead Audit Specialist - Remote

Risk Adjustment Auditor and Physician Educator- Remote, WA only

VP, Internal Audit

Coding Inpatient Auditor

MEDICAL CODING ANALYST

Inpatient Coding Compliance Auditor - HIM - FT - Days - Remote Eligible

Director of Underwriting

SENIOR RISK ADJUSTMENT SPECIALIST

Manager Reimbursement

CMS HCC Coder - Hybrid remote - Orange, CA.

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