Back to Jobs

Risk Adjustment Auditor (Part Time and Full Time)

Remote, USA Full-time Posted 2025-04-19

At Norwood we??re forging our own path. We??re a remote-first staffing and consulting company specializing in mid-Revenue Cycle management within the healthcare industry. Our team of experts have placed thousands of professionals that support organizations ranging from small, community-based hospitals to the largest healthcare systems in the nation. Our mission? Bringing health to hospitals?? bottom lines.

Full time Risk Adjustment QA Auditors need for year-round (not seasonal) large project!

Responsibilities:?? ?? Audit/validate ICD-10-CM risk adjustment codes as applicable.?? ?? Provide audit-based feedback to ensure quality standards are maintained.???? ?? Provide education to coders for quality enhancement where applicable.?? ?? Meet or exceed quality and production standards as required.?? ?? Full Time Schedule required (40 hours/week)?? No part time opportunities available at this time.

Requirements:?? ?? Minimum of 5 years in risk adjustment coding/auditing.?? ?? Minimum 3 years of QA/Auditing Educator experience to include creation and delivery of education for skill advancement of coders/auditors.?? ?? Experience with multiple risk models (CMS, ACA, etc.) required.?????? ?? CPC and CRC required; additional certifications preferred. Unable to consider candidates with Apprentice credentials.???? ?? Ability to shift between guidelines per project needs.???? ?? Experience with Excel, EMRs, and Encoders.?? ?? Computer skills proficiency ?? MS Windows, MS Office (including Excel), Teams, Internet, etc.?? ?? High Speed Internet access.?? ?? Applicants must be authorized to work in the US. We are unable to sponsor or take over sponsorship for any employment visas at this time.

Skills Needed:??
?? Extensive knowledge of ICD-10-CM guidelines and risk adjustment methodologies.????
?? Reliability and determination to meet standards as expected.????
?? Discipline and dedication to succeed while working remotely with minimal oversight.????

Norwood is an equal opportunity employer that is committed to diversity and inclusion in the workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability status, protected veteran status, or any other characteristic protected by federal, state, or local laws, and will not be discriminated against on the basis of disability.

Applicants must be authorized to work in the US. We are unable to sponsor or take over sponsorship for any employment visas at this time.

Job Types: Full-time, Contract

Pay: $29.00 - $31.00 per hour

Benefits:
?? 401(k)
?? Paid time off

Schedule:
?? Day shift
?? Monday to Friday

Experience:
?? risk adjustment auditing: 4 years (Required)

Work Location: Remote

Apply Job!

 

Similar Jobs

Medical Reviewer II (Prior-Auth A/B MAC) - CGS

Remote, USA Full-time

Remote Licensed Insurance Agent | Work From Home

Remote, USA Full-time

Commercial Sales Director - Surfacing, Shading and Recreation

Remote, USA Full-time

Quality Control Coordinator ?? Mortgage Industry (Hybrid/Remote Options)

Remote, USA Full-time

Health Plan Pharm Svcs Mgr (Remote - FL)

Remote, USA Full-time

Commission-Based Solar Sales Professional - Proven Closers Only

Remote, USA Full-time

Remote Hotel Booking Specialist ?? No Experience Required

Remote, USA Full-time

Senior Commercial Insurance Account Manager - Remote (9732)

Remote, USA Full-time

Entry Level American Express Jobs - Hiring Now

Remote, USA Full-time

(LVN / LPN) Care Management Support Coordinator II

Remote, USA Full-time

Faculty ?? Manufacturing Operations Excellence

Remote, USA Full-time

M&A Project Manager - Denver, CO or Eden Prairie, MN

Remote, USA Full-time

Part-time Facilities and Compliance Associate - Remote

Remote, USA Full-time

ATT careers remote

Remote, USA Full-time

Entry Level Customer Success Assistant (No Experience)

Remote, USA Full-time

Crisis and Hospital Intake Specialist, Part Time (Weekends)

Remote, USA Full-time

Remote Healthcare Customer Service Representative

Remote, USA Full-time

Looking for Online English Tutor ? Flexible Hours in North Platte, NE

Remote, USA Full-time

Operations Manager/Strategic Growth

Remote, USA Full-time

A Life Changing Career Opportunity, Remote Life Insurance Sales

Remote, USA Full-time