Risk Adjustment Auditor Salary at Oscar Health Inc BETA

We are seeking a highly skilled and detail-oriented Medicare Advantage Risk Adjustment Auditor to support our client's risk adjustment initiatives. In this role, you will serve as a subject matter expert in ICD-10-CM coding and documentation guidelines related to chronic conditions. You will collaborate with physicians, IPA coders, and health plan risk adjustment teams to ensure the accuracy and compliance of diagnostic coding and documentation. Key Responsibilities: Medical Record Audits: Conduct in-depth retrospective and prospective medical record audits for physicians (MD, DO, NP) to assess the accuracy of ICD-10-CM coding for chronic conditions and validate risk-adjustable diagnoses. Coding Pattern Analysis: Analyze trends and patterns in diagnosis coding across physician groups to identify potential gaps, risks, or areas for improvement. Provider Education: Develop and deliver tailored education sessions and materials to physicians and medical groups, focusing on best practices f

Spectrum's Information Security strategy aligns talented employees, innovative IT processes, and leading technology to safeguard information systems and protect critical business data. Our teams use proven methodology, emerging technologies, and industry best practices to quickly identify and remediate security vulnerabilities. We offer exciting opportunities in cybersecurity while collaborating across Spectrum's network to create a diverse and dynamic work environment. BE PART OF THE CONNECTION As a Senior Risk Assessor o n the Information Security team, you'll be responsible leveraging your technical expertise to assist leadership teams in effectively addressing enterprise security risks by performing risk assessments through questionnaires, interviews, and key control testing. You will be immersed in enhancing Spectrums internal audit functions to further align organizational strategy and risk, as well as identifying opportunities to effectively mitigate risk and improve business pe

Job Description Job Description Security Guard Company Is seeking an experienced Risk/Investigator Assistant to join our Team! Shift: Monday - Friday (8:00 am -5:00 pm) What we are offering. AFTER 90 DAYS - Full Benefits SICK PAY WEEKLY PAY HOLIDAY PAY Job Summary: The Risk / Investigator Assistant will play a key role in supporting the investigative and risk management activities of a national company. The position involves assisting in the investigation of a variety of cases, including worker’s compensation claims, theft, sexual harassment, discrimination, and major general liability claims. This role is vital in ensuring the company remains compliant with national security standards while protecting company assets and personnel. Key Responsibilities: * Assist lead investigators in gathering and analyzing evidence. * Conducting initial investigations, including interviewing witnesses, gathering statements, and documenting relevant facts and details. * Collaborate with internal teams

We are looking for a innovative, resourceful, and collaborative Risk Assessor - Project Manager to join our team in the Meadville, PA region. In this role you will help us provide risk assessment management to clients and help assist in client development and growth. Our clients rely on our expertise to evaluate and minimize the chance of harmful effects to human health or to ecological systems resulting from exposure to an environmental stressor, this role is at the center of achieving these results! KEYWORDS: EPA, Geology, Environmental, Land Development, Leadership, GIS, Mapping, Hydrogeology, Toxicology, Ecological Risk Assessment The ideal candidate will: Prepare and oversee the preparation of human health risk assessments that comply with regulatory guidance considering environmental regulations such as but not limited to Pennsylvania Act 2 and the Ohio VAP programs; Manage client relationships through preparing proposals and managing multiple projects within scope, budget, sched

Dark Wolf Solutions is seeking an experienced RMF Security Risk Assessor with expertise in the Risk Management Framework (RMF) to join our team. The team is currently undergoing a large scale migration to the cloud. With this in mind, this team member will need to support, develop, implement, and provide adjudication relating to existing and future cybersecurity policies while continuously advancing the cybersecurity posture and effectiveness. The successful candidate will have strong technical abilities, including coding skills and a comprehensive understanding of security risks in cloud environments. As a Security Risk Assessor, you will provide Security Assessment and RMF expertise to help our client streamline processes, improve systems, and enhance product delivery and lifecycle management. This role is essential in providing significant impacts to the program, helping teams navigate the cATO and deployment processes efficiently while maintaining high standards of security and com

Location Remote Who We Are EHS Support is a specialty environmental consulting firm that provides solutions to complex environmental, health, and safety challenges across a range of market sectors and industries. With experts located throughout the United States, Canada, Australia, New Zealand, the United Kingdom, and South Africa, we form long-lasting partnerships with our clients through a culture of excellence, innovation, work ethic, and integrity. We focus on hiring and retaining talented, motivated people who enjoy collaborating with and delivering value to our clients. Our team does more than identify problems- we provide solutions. Job Overview This Scientist opportunity is for a flexible and self-motivated individual that is willing to learn and grow as part of a team while providing human health risk assessment expertise to projects within the Sediment and Risk Assessment (SRA) and Remediation (REM) service lines at EHS Support. As a Scientist, you will be joining a high-perf

Job Description Job Description Education and/or Experience : Must have these requirements under the umbrella of the HCC industry: Requires knowledge in HCC Coding documentation guidelines. Requires technical expertise in ICD-9-CM or ICD-10-CM. Strong skills in medical record audit and review. Regulatory requirements for coded data. Medical record documentation requirements. Understanding of healthcare data systems. Proficiency in MS Outlook and Word. Strong proficiency with Excel--must have ability to prepare spreadsheets. Excellent written and verbal communication skills. Certification is a plus with HCC. AHA coding clinic is a plus. Certification required in CPC and/or CCS, and CRC is a plus. We are looking for HCC Risk Adjustment Auditors/Coders to join our team ! Position Summary: The HCC Risk Adjustment/Auditor is responsible for maintaining and monitoring the Quality Assurance auditing plan for outpatient clinical data. This position works to improve the quality of coding docume

Must be local to the Frisco, TX area to work a hybrid work schedule No third party/vendor/C2C candidates can be considered for this job. Required Skills: 2 years’ experience Risk reporting and analysis Interpret policies and procedures - will look at a draft and analyze for understanding. Ability to respond on email requests and follow-ups for data for monthly and quarterly reports. Answer general policy questions. Requires high level of verbal and written skills - working with high level executives. Must have Intermediate Excel skills and experience creating pivot tables. PowerBI experience preferred. Financial industry experience preferred. Key Responsibilities: Manage and monitor shared group mailbox, ensuring timely responses and appropriate follow-ups. Follow up with executives and key stakeholders to collect, verify, and finalize KRI report data within require deadlines. Support the governance and oversight of the Key Risk Indicator (KRI) program, ensuring alignment with organiza