LR
144 risk adjustment auditor jobs found
Refine Search
Categories
Accounting
(39)
Management
(23)
Finance
(17)
Healthcare
(17)
Information Technology
(16)
Legal
(12)
Executive
(11)
Marketing
(11)
Engineering
(9)
Insurance
(7)
Manufacturing
(6)
Energy
(6)
Warehousing-Logistics
(5)
Restaurant-Food Service
(4)
Science
(4)
Law Enforcement
(4)
Security Clearance
(3)
Education
(2)
Facilities
(2)
Salary Range
LR
LR
LR
LR
LR
SM
AC
JE
GC
Job Description
Job Description
Pay Details: $27.00 to $30.00 per hour
Search managed by: Erin Fuqua
Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.
Equal Opportunity Employer/Veterans/Disabled
To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.lhh.com/us/en/candidate-privacy
The Company will consider qualified applicants with arrest and conviction records subject to federal contractor requirements and/or security clearance requirements.
Risk Adjustment Auditor
LHH is seeking a Risk Adjustment Auditor to perform Retrospective/Prospective chart reviews, both on-site and off-site, to ensure accurate risk adjustment reporting. The role involves identifying trends in provider coding and documentation and collaborating with Provider Education Consultants to develop intervention strategies.
Key Responsibilities:
Conduct Retrospective and Prospective chart reviews to ensure accurate risk adjustment reporting.
Verify the accuracy, completeness, specificity, and appropriateness of provider-reported diagnosis codes based on medical record documentation.
Identify and communicate trends in provider coding and documentation.
Partner with Provider Education Consultants to develop and implement intervention strategies.
Support process and quality improvement initiatives.
Stay informed about regulatory mandates and ensure compliance.
Mentor junior staff and assist with special projects.
Act as a subject matter expert on risk adjustment processes and coding.
Minimum Requirements:
Proven ability to perform accurate and complete chart reviews for risk adjustment.
Strong knowledge of ICD-9-CM/ICD-10 Coding Guidelines.
Analytical skills to identify problems, develop solutions, and implement actions.
Proficient in Microsoft Word, Excel, and Outlook.
Effective verbal and written communication skills.
Knowledge of health systems operations and reimbursement methodologies.
Advanced understanding of risk adjustment, coding, and documentation requirements.
Required Certifications:
CRC (Certified Risk Adjustment Coder)
CPC (Certified Professional Coder)
Details:
Duration: Approximately 5-month contract position (late August 2024 through January 2025).
Location: Remote (Must reside in Oregon, Washington, Idaho, or Utah)
Work Hours: 8-hour shifts during core hours (6:00 am to 5:00 pm Pacific Time). Must be willing to work Pacific Time Zone hours, including potential overtime and weekends.
Equipment: Equipment provided.
Pay Rate: $27-$30/hr depending on experience.
Pay Details: $27.00 to $30.00 per hour
Search managed by: Erin Fuqua
Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.
Equal Opportunity Employer/Veterans/Disabled
To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.lhh.com/us/en/candidate-privacy
The Company will consider qualified applicants with arrest and conviction records subject to federal contractor requirements and/or security clearance requirements.
About LHH Recruitment Solutions